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GROUP MEDICAL PLAN 401k Plan overview

Plan NameGROUP MEDICAL PLAN
Plan identification number 501

GROUP MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

AMERICAN REGISTRY OF PATHOLOGY has sponsored the creation of one or more 401k plans.

Company Name:AMERICAN REGISTRY OF PATHOLOGY
Employer identification number (EIN):521073470
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Additional information about AMERICAN REGISTRY OF PATHOLOGY

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 5598866

More information about AMERICAN REGISTRY OF PATHOLOGY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012014-04-01CYNTHIA THOMAS
5012013-04-01CYNTHIA THOMAS
5012012-04-01CYNTHIA THOMAS
5012011-04-01CYNTHIA THOMAS
5012010-04-01CYNTHIA THOMAS
5012009-04-01CYNTHIA THOMAS
5012008-04-01CYNTHIA THOMAS
5012007-04-01CYNTHIA THOMAS
5012006-04-01CYNTHIA THOMAS
5012005-04-01CYNTHIA THOMAS
5012004-04-01CYNTHIA THOMAS
5012003-04-01CYNTHIA THOMAS
5012002-04-01CYNTHIA THOMAS
5012001-04-01CYNTHIA THOMAS
5012000-04-01CYNTHIA THOMAS
5011999-04-01CYNTHIA THOMAS
5011998-04-01CYNTHIA THOMAS
5011997-04-01CYNTHIA THOMAS
5011996-04-01CYNTHIA THOMAS
5011995-04-01CYNTHIA THOMAS
5011994-04-01CYNTHIA THOMAS
5011993-04-01CYNTHIA THOMAS
5011992-04-01CYNTHIA THOMAS
5011991-04-01CYNTHIA THOMAS

Plan Statistics for GROUP MEDICAL PLAN

401k plan membership statisitcs for GROUP MEDICAL PLAN

Measure Date Value
2014: GROUP MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-01300
Total number of active participants reported on line 7a of the Form 55002014-04-01300
Number of retired or separated participants receiving benefits2014-04-010
Number of other retired or separated participants entitled to future benefits2014-04-010
Total of all active and inactive participants2014-04-01300
Total participants2014-04-01300
2013: GROUP MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-01300
Total number of active participants reported on line 7a of the Form 55002013-04-01300
Number of retired or separated participants receiving benefits2013-04-010
Number of other retired or separated participants entitled to future benefits2013-04-010
Total of all active and inactive participants2013-04-01300
Total participants2013-04-01300
2012: GROUP MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-01300
Total number of active participants reported on line 7a of the Form 55002012-04-01300
Number of retired or separated participants receiving benefits2012-04-010
Number of other retired or separated participants entitled to future benefits2012-04-010
Total of all active and inactive participants2012-04-01300
Total participants2012-04-01300
2011: GROUP MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-01300
Total number of active participants reported on line 7a of the Form 55002011-04-01300
Number of retired or separated participants receiving benefits2011-04-010
Number of other retired or separated participants entitled to future benefits2011-04-010
Total of all active and inactive participants2011-04-01300
Total participants2011-04-01300
2010: GROUP MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-04-01300
Total number of active participants reported on line 7a of the Form 55002010-04-01300
Number of retired or separated participants receiving benefits2010-04-010
Number of other retired or separated participants entitled to future benefits2010-04-010
Total of all active and inactive participants2010-04-01300
Total participants2010-04-01300
2009: GROUP MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-04-01300
Total number of active participants reported on line 7a of the Form 55002009-04-01300
Number of retired or separated participants receiving benefits2009-04-010
Number of other retired or separated participants entitled to future benefits2009-04-010
Total of all active and inactive participants2009-04-01300
Total participants2009-04-01300
2008: GROUP MEDICAL PLAN 2008 401k membership
Total participants, beginning-of-year2008-04-01300
Total number of active participants reported on line 7a of the Form 55002008-04-01300
Number of retired or separated participants receiving benefits2008-04-010
Number of other retired or separated participants entitled to future benefits2008-04-010
Total of all active and inactive participants2008-04-01300
Total participants2008-04-01300
2007: GROUP MEDICAL PLAN 2007 401k membership
Total participants, beginning-of-year2007-04-01300
Total number of active participants reported on line 7a of the Form 55002007-04-01300
Number of retired or separated participants receiving benefits2007-04-010
Number of other retired or separated participants entitled to future benefits2007-04-010
Total of all active and inactive participants2007-04-01300
Total participants2007-04-01300
2006: GROUP MEDICAL PLAN 2006 401k membership
Total participants, beginning-of-year2006-04-01300
Total number of active participants reported on line 7a of the Form 55002006-04-01300
Number of retired or separated participants receiving benefits2006-04-010
Number of other retired or separated participants entitled to future benefits2006-04-010
Total of all active and inactive participants2006-04-01300
Total participants2006-04-01300
2005: GROUP MEDICAL PLAN 2005 401k membership
Total participants, beginning-of-year2005-04-01300
Total number of active participants reported on line 7a of the Form 55002005-04-01300
Number of retired or separated participants receiving benefits2005-04-010
Number of other retired or separated participants entitled to future benefits2005-04-010
Total of all active and inactive participants2005-04-01300
Total participants2005-04-01300
2004: GROUP MEDICAL PLAN 2004 401k membership
Total participants, beginning-of-year2004-04-01300
Total number of active participants reported on line 7a of the Form 55002004-04-01300
Number of retired or separated participants receiving benefits2004-04-010
Number of other retired or separated participants entitled to future benefits2004-04-010
Total of all active and inactive participants2004-04-01300
Total participants2004-04-01300
2003: GROUP MEDICAL PLAN 2003 401k membership
Total participants, beginning-of-year2003-04-01300
Total number of active participants reported on line 7a of the Form 55002003-04-01300
Number of retired or separated participants receiving benefits2003-04-010
Number of other retired or separated participants entitled to future benefits2003-04-010
Total of all active and inactive participants2003-04-01300
Total participants2003-04-01300
2002: GROUP MEDICAL PLAN 2002 401k membership
Total participants, beginning-of-year2002-04-01300
Total number of active participants reported on line 7a of the Form 55002002-04-01300
Number of retired or separated participants receiving benefits2002-04-010
Number of other retired or separated participants entitled to future benefits2002-04-010
Total of all active and inactive participants2002-04-01300
Total participants2002-04-01300
2001: GROUP MEDICAL PLAN 2001 401k membership
Total participants, beginning-of-year2001-04-01300
Total number of active participants reported on line 7a of the Form 55002001-04-01300
Number of retired or separated participants receiving benefits2001-04-010
Number of other retired or separated participants entitled to future benefits2001-04-010
Total of all active and inactive participants2001-04-01300
Total participants2001-04-01300
2000: GROUP MEDICAL PLAN 2000 401k membership
Total participants, beginning-of-year2000-04-01300
Total number of active participants reported on line 7a of the Form 55002000-04-01300
Number of retired or separated participants receiving benefits2000-04-010
Number of other retired or separated participants entitled to future benefits2000-04-010
Total of all active and inactive participants2000-04-01300
Total participants2000-04-01300
1999: GROUP MEDICAL PLAN 1999 401k membership
Total participants, beginning-of-year1999-04-01300
Total number of active participants reported on line 7a of the Form 55001999-04-01300
Number of retired or separated participants receiving benefits1999-04-010
Number of other retired or separated participants entitled to future benefits1999-04-010
Total of all active and inactive participants1999-04-01300
Total participants1999-04-01300
1998: GROUP MEDICAL PLAN 1998 401k membership
Total participants, beginning-of-year1998-04-01300
Total number of active participants reported on line 7a of the Form 55001998-04-01300
Number of retired or separated participants receiving benefits1998-04-010
Number of other retired or separated participants entitled to future benefits1998-04-010
Total of all active and inactive participants1998-04-01300
Total participants1998-04-01300
1997: GROUP MEDICAL PLAN 1997 401k membership
Total participants, beginning-of-year1997-04-01300
Total number of active participants reported on line 7a of the Form 55001997-04-01300
Number of retired or separated participants receiving benefits1997-04-010
Number of other retired or separated participants entitled to future benefits1997-04-010
Total of all active and inactive participants1997-04-01300
Total participants1997-04-01300
1996: GROUP MEDICAL PLAN 1996 401k membership
Total participants, beginning-of-year1996-04-01300
Total number of active participants reported on line 7a of the Form 55001996-04-01300
Number of retired or separated participants receiving benefits1996-04-010
Number of other retired or separated participants entitled to future benefits1996-04-010
Total of all active and inactive participants1996-04-01300
Total participants1996-04-01300
1995: GROUP MEDICAL PLAN 1995 401k membership
Total participants, beginning-of-year1995-04-01300
Total number of active participants reported on line 7a of the Form 55001995-04-01300
Number of retired or separated participants receiving benefits1995-04-010
Number of other retired or separated participants entitled to future benefits1995-04-010
Total of all active and inactive participants1995-04-01300
Total participants1995-04-01300
1994: GROUP MEDICAL PLAN 1994 401k membership
Total participants, beginning-of-year1994-04-01300
Total number of active participants reported on line 7a of the Form 55001994-04-01300
Number of retired or separated participants receiving benefits1994-04-010
Number of other retired or separated participants entitled to future benefits1994-04-010
Total of all active and inactive participants1994-04-01300
Total participants1994-04-01300
1993: GROUP MEDICAL PLAN 1993 401k membership
Total participants, beginning-of-year1993-04-01300
Total number of active participants reported on line 7a of the Form 55001993-04-01300
Number of retired or separated participants receiving benefits1993-04-010
Number of other retired or separated participants entitled to future benefits1993-04-010
Total of all active and inactive participants1993-04-01300
Total participants1993-04-01300
1992: GROUP MEDICAL PLAN 1992 401k membership
Total participants, beginning-of-year1992-04-01300
Total number of active participants reported on line 7a of the Form 55001992-04-01300
Number of retired or separated participants receiving benefits1992-04-010
Number of other retired or separated participants entitled to future benefits1992-04-010
Total of all active and inactive participants1992-04-01300
Total participants1992-04-01300
1991: GROUP MEDICAL PLAN 1991 401k membership
Total participants, beginning-of-year1991-04-01300
Total number of active participants reported on line 7a of the Form 55001991-04-01300
Number of retired or separated participants receiving benefits1991-04-010
Number of other retired or separated participants entitled to future benefits1991-04-010
Total of all active and inactive participants1991-04-01300
Total participants1991-04-01300

Form 5500 Responses for GROUP MEDICAL PLAN

2014: GROUP MEDICAL PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Submission has been amendedNo
2014-04-01This submission is the final filingNo
2014-04-01This return/report is a short plan year return/report (less than 12 months)No
2014-04-01Plan is a collectively bargained planNo
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan benefit arrangement – InsuranceYes
2013: GROUP MEDICAL PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Submission has been amendedNo
2013-04-01This submission is the final filingNo
2013-04-01This return/report is a short plan year return/report (less than 12 months)No
2013-04-01Plan is a collectively bargained planNo
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan benefit arrangement – InsuranceYes
2012: GROUP MEDICAL PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Submission has been amendedNo
2012-04-01This submission is the final filingNo
2012-04-01This return/report is a short plan year return/report (less than 12 months)No
2012-04-01Plan is a collectively bargained planNo
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan benefit arrangement – InsuranceYes
2011: GROUP MEDICAL PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Submission has been amendedNo
2011-04-01This submission is the final filingNo
2011-04-01This return/report is a short plan year return/report (less than 12 months)No
2011-04-01Plan is a collectively bargained planNo
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan benefit arrangement – InsuranceYes
2010: GROUP MEDICAL PLAN 2010 form 5500 responses
2010-04-01Type of plan entitySingle employer plan
2010-04-01Submission has been amendedNo
2010-04-01This submission is the final filingNo
2010-04-01This return/report is a short plan year return/report (less than 12 months)No
2010-04-01Plan is a collectively bargained planNo
2010-04-01Plan funding arrangement – InsuranceYes
2010-04-01Plan benefit arrangement – InsuranceYes
2009: GROUP MEDICAL PLAN 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01Submission has been amendedNo
2009-04-01This submission is the final filingNo
2009-04-01This return/report is a short plan year return/report (less than 12 months)No
2009-04-01Plan is a collectively bargained planNo
2009-04-01Plan funding arrangement – InsuranceYes
2009-04-01Plan benefit arrangement – InsuranceYes
2008: GROUP MEDICAL PLAN 2008 form 5500 responses
2008-04-01Type of plan entitySingle employer plan
2008-04-01Submission has been amendedNo
2008-04-01This submission is the final filingNo
2008-04-01This return/report is a short plan year return/report (less than 12 months)No
2008-04-01Plan is a collectively bargained planNo
2008-04-01Plan funding arrangement – InsuranceYes
2008-04-01Plan benefit arrangement – InsuranceYes
2007: GROUP MEDICAL PLAN 2007 form 5500 responses
2007-04-01Type of plan entitySingle employer plan
2007-04-01Submission has been amendedNo
2007-04-01This submission is the final filingNo
2007-04-01This return/report is a short plan year return/report (less than 12 months)No
2007-04-01Plan is a collectively bargained planNo
2007-04-01Plan funding arrangement – InsuranceYes
2007-04-01Plan benefit arrangement – InsuranceYes
2006: GROUP MEDICAL PLAN 2006 form 5500 responses
2006-04-01Type of plan entitySingle employer plan
2006-04-01Submission has been amendedNo
2006-04-01This submission is the final filingNo
2006-04-01This return/report is a short plan year return/report (less than 12 months)No
2006-04-01Plan is a collectively bargained planNo
2006-04-01Plan funding arrangement – InsuranceYes
2006-04-01Plan benefit arrangement – InsuranceYes
2005: GROUP MEDICAL PLAN 2005 form 5500 responses
2005-04-01Type of plan entitySingle employer plan
2005-04-01Submission has been amendedNo
2005-04-01This submission is the final filingNo
2005-04-01This return/report is a short plan year return/report (less than 12 months)No
2005-04-01Plan is a collectively bargained planNo
2005-04-01Plan funding arrangement – InsuranceYes
2005-04-01Plan benefit arrangement – InsuranceYes
2004: GROUP MEDICAL PLAN 2004 form 5500 responses
2004-04-01Type of plan entitySingle employer plan
2004-04-01Submission has been amendedNo
2004-04-01This submission is the final filingNo
2004-04-01This return/report is a short plan year return/report (less than 12 months)No
2004-04-01Plan is a collectively bargained planNo
2004-04-01Plan funding arrangement – InsuranceYes
2004-04-01Plan benefit arrangement – InsuranceYes
2003: GROUP MEDICAL PLAN 2003 form 5500 responses
2003-04-01Type of plan entitySingle employer plan
2003-04-01Submission has been amendedNo
2003-04-01This submission is the final filingNo
2003-04-01This return/report is a short plan year return/report (less than 12 months)No
2003-04-01Plan is a collectively bargained planNo
2003-04-01Plan funding arrangement – InsuranceYes
2003-04-01Plan benefit arrangement – InsuranceYes
2002: GROUP MEDICAL PLAN 2002 form 5500 responses
2002-04-01Type of plan entitySingle employer plan
2002-04-01Submission has been amendedNo
2002-04-01This submission is the final filingNo
2002-04-01This return/report is a short plan year return/report (less than 12 months)No
2002-04-01Plan is a collectively bargained planNo
2002-04-01Plan funding arrangement – InsuranceYes
2002-04-01Plan benefit arrangement – InsuranceYes
2001: GROUP MEDICAL PLAN 2001 form 5500 responses
2001-04-01Type of plan entitySingle employer plan
2001-04-01Submission has been amendedNo
2001-04-01This submission is the final filingNo
2001-04-01This return/report is a short plan year return/report (less than 12 months)No
2001-04-01Plan is a collectively bargained planNo
2001-04-01Plan funding arrangement – InsuranceYes
2001-04-01Plan benefit arrangement – InsuranceYes
2000: GROUP MEDICAL PLAN 2000 form 5500 responses
2000-04-01Type of plan entitySingle employer plan
2000-04-01Submission has been amendedNo
2000-04-01This submission is the final filingNo
2000-04-01This return/report is a short plan year return/report (less than 12 months)No
2000-04-01Plan is a collectively bargained planNo
2000-04-01Plan funding arrangement – InsuranceYes
2000-04-01Plan benefit arrangement – InsuranceYes
1999: GROUP MEDICAL PLAN 1999 form 5500 responses
1999-04-01Type of plan entitySingle employer plan
1999-04-01Submission has been amendedNo
1999-04-01This submission is the final filingNo
1999-04-01This return/report is a short plan year return/report (less than 12 months)No
1999-04-01Plan is a collectively bargained planNo
1999-04-01Plan funding arrangement – InsuranceYes
1999-04-01Plan benefit arrangement – InsuranceYes
1998: GROUP MEDICAL PLAN 1998 form 5500 responses
1998-04-01Type of plan entitySingle employer plan
1998-04-01Submission has been amendedNo
1998-04-01This submission is the final filingNo
1998-04-01This return/report is a short plan year return/report (less than 12 months)No
1998-04-01Plan is a collectively bargained planNo
1998-04-01Plan funding arrangement – InsuranceYes
1998-04-01Plan benefit arrangement – InsuranceYes
1997: GROUP MEDICAL PLAN 1997 form 5500 responses
1997-04-01Type of plan entitySingle employer plan
1997-04-01Submission has been amendedNo
1997-04-01This submission is the final filingNo
1997-04-01This return/report is a short plan year return/report (less than 12 months)No
1997-04-01Plan is a collectively bargained planNo
1997-04-01Plan funding arrangement – InsuranceYes
1997-04-01Plan benefit arrangement – InsuranceYes
1996: GROUP MEDICAL PLAN 1996 form 5500 responses
1996-04-01Type of plan entitySingle employer plan
1996-04-01Submission has been amendedNo
1996-04-01This submission is the final filingNo
1996-04-01This return/report is a short plan year return/report (less than 12 months)No
1996-04-01Plan is a collectively bargained planNo
1996-04-01Plan funding arrangement – InsuranceYes
1996-04-01Plan benefit arrangement – InsuranceYes
1995: GROUP MEDICAL PLAN 1995 form 5500 responses
1995-04-01Type of plan entitySingle employer plan
1995-04-01Submission has been amendedNo
1995-04-01This submission is the final filingNo
1995-04-01This return/report is a short plan year return/report (less than 12 months)No
1995-04-01Plan is a collectively bargained planNo
1995-04-01Plan funding arrangement – InsuranceYes
1995-04-01Plan benefit arrangement – InsuranceYes
1994: GROUP MEDICAL PLAN 1994 form 5500 responses
1994-04-01Type of plan entitySingle employer plan
1994-04-01Submission has been amendedNo
1994-04-01This submission is the final filingNo
1994-04-01This return/report is a short plan year return/report (less than 12 months)No
1994-04-01Plan is a collectively bargained planNo
1994-04-01Plan funding arrangement – InsuranceYes
1994-04-01Plan benefit arrangement – InsuranceYes
1993: GROUP MEDICAL PLAN 1993 form 5500 responses
1993-04-01Type of plan entitySingle employer plan
1993-04-01Submission has been amendedNo
1993-04-01This submission is the final filingNo
1993-04-01This return/report is a short plan year return/report (less than 12 months)No
1993-04-01Plan is a collectively bargained planNo
1993-04-01Plan funding arrangement – InsuranceYes
1993-04-01Plan benefit arrangement – InsuranceYes
1992: GROUP MEDICAL PLAN 1992 form 5500 responses
1992-04-01Type of plan entitySingle employer plan
1992-04-01Submission has been amendedNo
1992-04-01This submission is the final filingNo
1992-04-01This return/report is a short plan year return/report (less than 12 months)No
1992-04-01Plan is a collectively bargained planNo
1992-04-01Plan funding arrangement – InsuranceYes
1992-04-01Plan benefit arrangement – InsuranceYes
1991: GROUP MEDICAL PLAN 1991 form 5500 responses
1991-04-01Type of plan entitySingle employer plan
1991-04-01First time form 5500 has been submittedYes
1991-04-01Submission has been amendedNo
1991-04-01This submission is the final filingNo
1991-04-01This return/report is a short plan year return/report (less than 12 months)No
1991-04-01Plan is a collectively bargained planNo
1991-04-01Plan funding arrangement – InsuranceYes
1991-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number527362 0001
Policy instance 3
Insurance contract or identification number527362 0001
Number of Individuals Covered182
Total amount of commissions paid to insurance brokerUSD $1,397
Total amount of fees paid to insurance companyUSD $135
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $133,963
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,397
Amount paid for insurance broker fees135
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION PAID
Insurance broker organization code?3
Insurance broker nameFOSTER THOMAS INC
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number16203
Policy instance 1
Insurance contract or identification number16203
Number of Individuals Covered232
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $8,120
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $81,242
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,120
Insurance broker organization code?3
Insurance broker nameFOSTER THOMAS INC
BLUE CROSS BLUE SHIELD OF DELAWARE, INC. (National Association of Insurance Commissioners NAIC id number: 53287 )
Policy contract number10006081
Policy instance 2
Insurance contract or identification number10006081
Number of Individuals Covered275
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $43,670
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,443,827
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $43,670
Insurance broker organization code?3
Insurance broker nameFOSTER THOMAS INC
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number16203
Policy instance 3
Insurance contract or identification number16203
Number of Individuals Covered266
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $7,421
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $74,205
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,421
Insurance broker organization code?3
Insurance broker nameFOSTER THOMAS INC
BLUE CROSS BLUE SHIELD OF DELAWARE, INC. (National Association of Insurance Commissioners NAIC id number: 53287 )
Policy contract number10120246
Policy instance 2
Insurance contract or identification number10120246
Number of Individuals Covered301
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $25,896
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $984,357
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,896
Insurance broker organization code?3
Insurance broker nameFOSTER THOMAS INC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number527362 0001
Policy instance 1
Insurance contract or identification number527362 0001
Number of Individuals Covered199
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $9,270
Total amount of fees paid to insurance companyUSD $1,457
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $116,531
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,270
Amount paid for insurance broker fees1457
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION PAID
Insurance broker organization code?3
Insurance broker nameFOSTER THOMAS INC
BLUE CROSS BLUE SHIELD OF DELAWARE, INC. (National Association of Insurance Commissioners NAIC id number: 53287 )
Policy contract number10120246
Policy instance 2
Insurance contract or identification number10120246
Number of Individuals Covered307
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameFOSTER THOMAS, INC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number527362 0001
Policy instance 3
Insurance contract or identification number527362 0001
Number of Individuals Covered187
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $10,485
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $129,670
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,485
Amount paid for insurance broker fees1338
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameFOSTER THOMAS INC
HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )
Policy contract number599962
Policy instance 1
Insurance contract or identification number599962
Number of Individuals Covered164
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $799
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $80,241
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,991
Insurance broker organization code?3
Insurance broker nameFOSTER THOMAS, INC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number527362 0001
Policy instance 3
Insurance contract or identification number527362 0001
Number of Individuals Covered222
Insurance policy start date2010-07-01
Insurance policy end date2011-07-01
Total amount of commissions paid to insurance brokerUSD $12,290
Total amount of fees paid to insurance companyUSD $1,261
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $153,973
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,290
Amount paid for insurance broker fees1261
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION PAID
Insurance broker organization code?3
Insurance broker nameFOSTER THOMAS INC
GHMSI (National Association of Insurance Commissioners NAIC id number: 53007 )
Policy contract numberMT76
Policy instance 2
Insurance contract or identification numberMT76
Number of Individuals Covered182
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $40,412
Total amount of fees paid to insurance companyUSD $33,912
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,347,079
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees13382
Additional information about fees paid to insurance brokerWHOLESALER FEE
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $40,412
Insurance broker nameFOSTER THOMAS, INC
DENTAQUEST MID-ATLANTIC, INC. (National Association of Insurance Commissioners NAIC id number: 52040 )
Policy contract number0219730001
Policy instance 1
Insurance contract or identification number0219730001
Number of Individuals Covered165
Insurance policy start date2011-04-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $2,587
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $36,960
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,587
Insurance broker organization code?3
Insurance broker nameFOSTER THOMAS CONSULTING
DENTAQUEST MID-ATLANTIC, INC. (National Association of Insurance Commissioners NAIC id number: 52040 )
Policy contract number0219730001
Policy instance 1
Insurance contract or identification number0219730001
Number of Individuals Covered165
Insurance policy start date2009-04-01
Insurance policy end date2010-03-31
Total amount of commissions paid to insurance brokerUSD $4,304
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $6,148
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,304
Insurance broker organization code?3
Insurance broker nameFOSTER THOMAS CONSULTING
DENTAQUEST MID-ATLANTIC, INC. (National Association of Insurance Commissioners NAIC id number: 52040 )
Policy contract number0219730001
Policy instance 1
Insurance contract or identification number0219730001
Number of Individuals Covered182
Insurance policy start date2009-04-01
Insurance policy end date2010-03-31
Total amount of commissions paid to insurance brokerUSD $4,209
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $60,132
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,209
Insurance broker organization code?3
Insurance broker nameFOSTER THOMAS CONSULTING
GHMSI (National Association of Insurance Commissioners NAIC id number: 53007 )
Policy contract numberMT76
Policy instance 2
Insurance contract or identification numberMT76
Number of Individuals Covered232
Insurance policy start date2009-01-01
Insurance policy end date2009-12-31
Total amount of commissions paid to insurance brokerUSD $41,938
Total amount of fees paid to insurance companyUSD $27,812
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,397,944
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees16546
Additional information about fees paid to insurance brokerWHOLESALER FEE
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $41,938
Insurance broker nameFOSTER THOMAS, INC
DENTAQUEST MID-ATLANTIC, INC. (National Association of Insurance Commissioners NAIC id number: 52040 )
Policy contract number0219730001
Policy instance 1
Insurance contract or identification number0219730001
Number of Individuals Covered181
Insurance policy start date2008-04-01
Insurance policy end date2009-03-31
Total amount of commissions paid to insurance brokerUSD $3,829
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $54,695
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,181
Insurance broker organization code?3
Insurance broker nameFOSTER THOMAS CONSULTING
GHMSI (National Association of Insurance Commissioners NAIC id number: 53007 )
Policy contract numberMT76
Policy instance 2
Insurance contract or identification numberMT76
Number of Individuals Covered242
Insurance policy start date2008-01-01
Insurance policy end date2008-12-31
Total amount of commissions paid to insurance brokerUSD $48,379
Total amount of fees paid to insurance companyUSD $24,858
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,612,633
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees15637
Additional information about fees paid to insurance brokerWHOLESALER FEE
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $48,379
Insurance broker nameFOSTER THOMAS, INC
DENTAQUEST MID-ATLANTIC, INC. (National Association of Insurance Commissioners NAIC id number: 52040 )
Policy contract number0219730001
Policy instance 1
Insurance contract or identification number0219730001
Number of Individuals Covered177
Insurance policy start date2007-04-01
Insurance policy end date2008-03-31
Total amount of commissions paid to insurance brokerUSD $3,181
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $45,438
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,181
Insurance broker organization code?3
Insurance broker nameFOSTER THOMAS CONSULTING

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