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MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 401k Plan overview

Plan NameMAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST
Plan identification number 501

MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST Benefits

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

401k Sponsoring company profile

MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST has sponsored the creation of one or more 401k plans.

Company Name:MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST
Employer identification number (EIN):016029907
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012019-01-01
5012018-01-01JAMIE PY
5012018-01-01
5012017-01-01
5012017-01-01
5012016-09-01
5012015-09-01
5012014-09-01
5012014-09-01
5012013-09-01
5012012-09-01JAMIE PY
5012011-09-01JAMIE PY
5012009-09-01JAMIE PY

Plan Statistics for MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST

401k plan membership statisitcs for MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST

Measure Date Value
2022: MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-01810
Total number of active participants reported on line 7a of the Form 55002022-01-01814
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01814
2021: MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-01840
Total number of active participants reported on line 7a of the Form 55002021-01-01801
Number of retired or separated participants receiving benefits2021-01-019
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01810
2020: MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-01813
Total number of active participants reported on line 7a of the Form 55002020-01-01839
Number of retired or separated participants receiving benefits2020-01-011
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01840
2019: MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-01753
Total number of active participants reported on line 7a of the Form 55002019-01-01804
Number of retired or separated participants receiving benefits2019-01-011
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01805
2018: MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-01670
Total number of active participants reported on line 7a of the Form 55002018-01-01671
Number of retired or separated participants receiving benefits2018-01-011
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01672
2017: MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-01666
Total number of active participants reported on line 7a of the Form 55002017-01-01652
Number of retired or separated participants receiving benefits2017-01-019
Total of all active and inactive participants2017-01-01661
Number of other retired or separated participants entitled to future benefits2017-01-010
2016: MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2016 401k membership
Total participants, beginning-of-year2016-09-011,366
Total number of active participants reported on line 7a of the Form 55002016-09-011,297
Total of all active and inactive participants2016-09-011,297
2015: MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2015 401k membership
Total participants, beginning-of-year2015-09-011,296
Total number of active participants reported on line 7a of the Form 55002015-09-011,366
Total of all active and inactive participants2015-09-011,366
2014: MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2014 401k membership
Total participants, beginning-of-year2014-09-011,192
Total number of active participants reported on line 7a of the Form 55002014-09-011,296
Total of all active and inactive participants2014-09-011,296
2013: MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2013 401k membership
Total participants, beginning-of-year2013-09-011,233
Total number of active participants reported on line 7a of the Form 55002013-09-011,192
Total of all active and inactive participants2013-09-011,192
2012: MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2012 401k membership
Total participants, beginning-of-year2012-09-011,216
Total number of active participants reported on line 7a of the Form 55002012-09-011,233
Total of all active and inactive participants2012-09-011,233
Total participants2012-09-010
2011: MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2011 401k membership
Total participants, beginning-of-year2011-09-011,290
Total number of active participants reported on line 7a of the Form 55002011-09-011,216
Total of all active and inactive participants2011-09-011,216
Total participants2011-09-011,216
2009: MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2009 401k membership
Total participants, beginning-of-year2009-09-012,184
Total number of active participants reported on line 7a of the Form 55002009-09-012,042
Total of all active and inactive participants2009-09-012,042
Total participants2009-09-012,042

Financial Data on MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST

Measure Date Value
2022 : MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-126,864
Total unrealized appreciation/depreciation of assets2022-12-31$-126,864
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$275,493
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$487,430
Total income from all sources (including contributions)2022-12-31$3,398,014
Total loss/gain on sale of assets2022-12-31$-2,348
Total of all expenses incurred2022-12-31$3,279,687
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$2,701,794
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$3,337,464
Value of total assets at end of year2022-12-31$2,462,540
Value of total assets at beginning of year2022-12-31$2,556,150
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$577,893
Total interest from all sources2022-12-31$42,925
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$1,891,748
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$34,790
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$136,249
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$274,686
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$476,828
Other income not declared elsewhere2022-12-31$146,837
Administrative expenses (other) incurred2022-12-31$177,593
Liabilities. Value of operating payables at end of year2022-12-31$807
Liabilities. Value of operating payables at beginning of year2022-12-31$10,602
Total non interest bearing cash at end of year2022-12-31$142,653
Total non interest bearing cash at beginning of year2022-12-31$45,274
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$118,327
Value of net assets at end of year (total assets less liabilities)2022-12-31$2,187,047
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$2,068,720
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$5,863
Income. Interest from US Government securities2022-12-31$19,652
Income. Interest from corporate debt instruments2022-12-31$23,045
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$337,760
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$396,763
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$396,763
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$228
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$810,046
Asset value of US Government securities at end of year2022-12-31$894,902
Asset value of US Government securities at beginning of year2022-12-31$1,276,736
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$3,337,464
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$1,052,435
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$701,128
Contract administrator fees2022-12-31$394,437
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$301,425
Aggregate carrying amount (costs) on sale of assets2022-12-31$303,773
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31WIPFLI LLP
Accountancy firm EIN2022-12-31390758449
2021 : MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$-73,297
Total unrealized appreciation/depreciation of assets2021-12-31$-73,297
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$487,430
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$498,033
Total income from all sources (including contributions)2021-12-31$3,555,289
Total loss/gain on sale of assets2021-12-31$9,211
Total of all expenses incurred2021-12-31$3,444,520
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$2,872,566
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$3,345,900
Value of total assets at end of year2021-12-31$2,556,150
Value of total assets at beginning of year2021-12-31$2,455,984
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$571,954
Total interest from all sources2021-12-31$37,880
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$2,063,217
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$136,249
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$42,352
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$476,828
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$477,086
Other income not declared elsewhere2021-12-31$235,595
Administrative expenses (other) incurred2021-12-31$179,456
Liabilities. Value of operating payables at end of year2021-12-31$10,602
Liabilities. Value of operating payables at beginning of year2021-12-31$20,947
Total non interest bearing cash at end of year2021-12-31$45,274
Total non interest bearing cash at beginning of year2021-12-31$158,987
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$110,769
Value of net assets at end of year (total assets less liabilities)2021-12-31$2,068,720
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$1,957,951
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$4,001
Income. Interest from US Government securities2021-12-31$24,016
Income. Interest from corporate debt instruments2021-12-31$13,768
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$396,763
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$337,761
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$337,761
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$96
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$809,349
Asset value of US Government securities at end of year2021-12-31$1,276,736
Asset value of US Government securities at beginning of year2021-12-31$1,474,188
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$3,345,900
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$701,128
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$442,696
Contract administrator fees2021-12-31$388,497
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$377,209
Aggregate carrying amount (costs) on sale of assets2021-12-31$367,998
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31WIPFLI LLP
Accountancy firm EIN2021-12-31390758449
2020 : MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$40,833
Total unrealized appreciation/depreciation of assets2020-12-31$40,833
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$498,033
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$638,147
Total income from all sources (including contributions)2020-12-31$4,050,245
Total loss/gain on sale of assets2020-12-31$6,618
Total of all expenses incurred2020-12-31$3,781,381
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$3,149,948
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$3,792,846
Value of total assets at end of year2020-12-31$2,455,984
Value of total assets at beginning of year2020-12-31$2,327,234
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$631,433
Total interest from all sources2020-12-31$46,231
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$2,282,855
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$42,352
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$99,487
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$477,086
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$612,771
Other income not declared elsewhere2020-12-31$163,717
Administrative expenses (other) incurred2020-12-31$185,380
Liabilities. Value of operating payables at end of year2020-12-31$20,947
Liabilities. Value of operating payables at beginning of year2020-12-31$25,376
Total non interest bearing cash at end of year2020-12-31$158,987
Total non interest bearing cash at beginning of year2020-12-31$208,119
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$268,864
Value of net assets at end of year (total assets less liabilities)2020-12-31$1,957,951
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$1,689,087
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$4,619
Income. Interest from US Government securities2020-12-31$29,900
Income. Interest from corporate debt instruments2020-12-31$15,733
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$337,761
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$97,968
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$97,968
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$598
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$867,093
Asset value of US Government securities at end of year2020-12-31$1,474,188
Asset value of US Government securities at beginning of year2020-12-31$1,339,422
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$3,792,846
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$442,696
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$582,238
Contract administrator fees2020-12-31$441,434
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$400,000
Aggregate carrying amount (costs) on sale of assets2020-12-31$393,382
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31WIPFLI LLP
Accountancy firm EIN2020-12-31390758449
2019 : MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$57,616
Total unrealized appreciation/depreciation of assets2019-12-31$57,616
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$638,147
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$306,167
Total income from all sources (including contributions)2019-12-31$4,135,406
Total loss/gain on sale of assets2019-12-31$-324
Total of all expenses incurred2019-12-31$4,109,391
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$3,493,540
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$3,846,119
Value of total assets at end of year2019-12-31$2,327,234
Value of total assets at beginning of year2019-12-31$1,969,239
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$615,851
Total interest from all sources2019-12-31$41,917
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$11,904
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$11,904
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$2,545,975
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$99,487
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$81,109
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$612,771
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$282,907
Other income not declared elsewhere2019-12-31$178,174
Administrative expenses (other) incurred2019-12-31$230,523
Liabilities. Value of operating payables at end of year2019-12-31$25,376
Liabilities. Value of operating payables at beginning of year2019-12-31$23,260
Total non interest bearing cash at end of year2019-12-31$208,119
Total non interest bearing cash at beginning of year2019-12-31$299,810
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$26,015
Value of net assets at end of year (total assets less liabilities)2019-12-31$1,689,087
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,663,072
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$4,599
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$211,895
Income. Interest from US Government securities2019-12-31$29,190
Income. Interest from corporate debt instruments2019-12-31$11,925
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$97,968
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$147,467
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$147,467
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$802
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$947,565
Asset value of US Government securities at end of year2019-12-31$1,666,183
Asset value of US Government securities at beginning of year2019-12-31$1,130,367
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$3,846,119
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$255,477
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$98,591
Contract administrator fees2019-12-31$380,729
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$650,817
Aggregate carrying amount (costs) on sale of assets2019-12-31$651,141
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31WIPFLI LLP
Accountancy firm EIN2019-12-31390758449
2018 : MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$3,384
Total unrealized appreciation/depreciation of assets2018-12-31$3,384
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$306,167
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$334,704
Total income from all sources (including contributions)2018-12-31$4,007,050
Total loss/gain on sale of assets2018-12-31$-21,742
Total of all expenses incurred2018-12-31$3,576,994
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$2,979,279
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$3,697,954
Value of total assets at end of year2018-12-31$1,969,239
Value of total assets at beginning of year2018-12-31$1,567,720
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$597,715
Total interest from all sources2018-12-31$21,758
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$10,400
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$10,400
Was this plan covered by a fidelity bond2018-12-31No
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$7,566
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-12-31$2,189,856
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$81,109
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$223,875
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$282,907
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$334,704
Other income not declared elsewhere2018-12-31$295,296
Administrative expenses (other) incurred2018-12-31$216,604
Liabilities. Value of operating payables at end of year2018-12-31$23,260
Liabilities. Value of operating payables at beginning of year2018-12-31$0
Total non interest bearing cash at end of year2018-12-31$299,810
Total non interest bearing cash at beginning of year2018-12-31$191,444
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$430,056
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,663,072
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,233,016
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$2,850
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$211,895
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$840,033
Income. Interest from US Government securities2018-12-31$19,749
Income. Interest from corporate debt instruments2018-12-31$666
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$147,467
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$312,368
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$312,368
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$1,343
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$789,423
Asset value of US Government securities at end of year2018-12-31$1,130,367
Asset value of US Government securities at beginning of year2018-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$3,690,388
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$98,591
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$0
Contract administrator fees2018-12-31$378,261
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$1,205,048
Aggregate carrying amount (costs) on sale of assets2018-12-31$1,226,790
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31WIPFLI LLP
Accountancy firm EIN2018-12-31390758449
2017 : MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$-6,332
Total unrealized appreciation/depreciation of assets2017-12-31$-6,332
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$334,704
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$50,361
Total income from all sources (including contributions)2017-12-31$4,128,828
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$3,017,242
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$2,463,945
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$3,833,953
Value of total assets at end of year2017-12-31$1,567,720
Value of total assets at beginning of year2017-12-31$171,791
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$553,297
Total interest from all sources2017-12-31$1,157
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$9,739
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$9,739
Was this plan covered by a fidelity bond2017-12-31No
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$14,326
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$1,704,660
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$223,875
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$117,876
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$334,704
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$49,569
Other income not declared elsewhere2017-12-31$290,311
Administrative expenses (other) incurred2017-12-31$215,850
Liabilities. Value of operating payables at end of year2017-12-31$0
Liabilities. Value of operating payables at beginning of year2017-12-31$792
Total non interest bearing cash at end of year2017-12-31$191,444
Total non interest bearing cash at beginning of year2017-12-31$53,915
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$1,111,586
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,233,016
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$121,430
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$981
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$840,033
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$312,368
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$1,157
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$759,285
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$3,819,627
Contract administrator fees2017-12-31$336,466
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$25,000
Aggregate carrying amount (costs) on sale of assets2017-12-31$25,000
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31MACPAGE LLC
Accountancy firm EIN2017-12-31010242373
2016 : MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$50,361
Total income from all sources (including contributions)2016-12-31$1,199,977
Total of all expenses incurred2016-12-31$1,292,174
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,243,536
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,199,977
Value of total assets at end of year2016-12-31$171,791
Value of total assets at beginning of year2016-12-31$213,627
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$48,638
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$4,781
Was this plan covered by a fidelity bond2016-12-31No
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$60,468
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$117,876
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$33,522
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$49,569
Administrative expenses (other) incurred2016-12-31$937
Liabilities. Value of operating payables at end of year2016-12-31$792
Total non interest bearing cash at end of year2016-12-31$53,915
Total non interest bearing cash at beginning of year2016-12-31$180,105
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-92,197
Value of net assets at end of year (total assets less liabilities)2016-12-31$121,430
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$213,627
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$1,243,536
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$1,139,509
Contract administrator fees2016-12-31$42,920
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Did the plan have assets held for investment2016-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31MACPAGE LLC
Accountancy firm EIN2016-12-31010242373
Total income from all sources (including contributions)2016-08-31$3,509,313
Total of all expenses incurred2016-08-31$3,712,032
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-08-31$3,572,023
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-08-31$3,509,086
Value of total assets at end of year2016-08-31$213,627
Value of total assets at beginning of year2016-08-31$416,346
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-08-31$140,009
Total interest from all sources2016-08-31$227
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-08-31No
Administrative expenses professional fees incurred2016-08-31$10,785
Was this plan covered by a fidelity bond2016-08-31No
If this is an individual account plan, was there a blackout period2016-08-31No
Were there any nonexempt tranactions with any party-in-interest2016-08-31No
Income. Received or receivable in cash from other sources (including rollovers)2016-08-31$141,517
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-08-31$33,522
Administrative expenses (other) incurred2016-08-31$872
Total non interest bearing cash at end of year2016-08-31$180,105
Total non interest bearing cash at beginning of year2016-08-31$158,834
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-08-31No
Value of net income/loss2016-08-31$-202,719
Value of net assets at end of year (total assets less liabilities)2016-08-31$213,627
Value of net assets at beginning of year (total assets less liabilities)2016-08-31$416,346
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-08-31No
Were any leases to which the plan was party in default or uncollectible2016-08-31No
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-08-31$257,512
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-08-31$257,512
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-08-31$227
Expenses. Payments to insurance carriers foe the provision of benefits2016-08-31$3,572,023
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-08-31No
Was there a failure to transmit to the plan any participant contributions2016-08-31No
Has the plan failed to provide any benefit when due under the plan2016-08-31No
Contributions received in cash from employer2016-08-31$3,367,569
Contract administrator fees2016-08-31$128,352
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-08-31No
Did the plan have assets held for investment2016-08-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-08-31No
Opinion of an independent qualified public accountant for this plan2016-08-31Unqualified
Accountancy firm name2016-08-31MACPAGE LLC
Accountancy firm EIN2016-08-31010242373
2015 : MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2015 401k financial data
Total income from all sources (including contributions)2015-08-31$3,226,579
Total of all expenses incurred2015-08-31$3,240,730
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-08-31$3,102,647
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-08-31$3,225,808
Value of total assets at end of year2015-08-31$416,346
Value of total assets at beginning of year2015-08-31$430,497
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-08-31$138,083
Total interest from all sources2015-08-31$771
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-08-31No
Administrative expenses professional fees incurred2015-08-31$10,973
Was this plan covered by a fidelity bond2015-08-31No
If this is an individual account plan, was there a blackout period2015-08-31No
Were there any nonexempt tranactions with any party-in-interest2015-08-31No
Income. Received or receivable in cash from other sources (including rollovers)2015-08-31$127,253
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-08-31$8,175
Administrative expenses (other) incurred2015-08-31$882
Total non interest bearing cash at end of year2015-08-31$158,834
Total non interest bearing cash at beginning of year2015-08-31$165,581
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-08-31No
Value of net income/loss2015-08-31$-14,151
Value of net assets at end of year (total assets less liabilities)2015-08-31$416,346
Value of net assets at beginning of year (total assets less liabilities)2015-08-31$430,497
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-08-31No
Were any leases to which the plan was party in default or uncollectible2015-08-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-08-31$257,512
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-08-31$256,741
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-08-31$256,741
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-08-31$771
Expenses. Payments to insurance carriers foe the provision of benefits2015-08-31$3,102,647
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-08-31No
Was there a failure to transmit to the plan any participant contributions2015-08-31No
Has the plan failed to provide any benefit when due under the plan2015-08-31No
Contributions received in cash from employer2015-08-31$3,098,555
Contract administrator fees2015-08-31$126,228
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-08-31No
Did the plan have assets held for investment2015-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-08-31No
Opinion of an independent qualified public accountant for this plan2015-08-31Unqualified
Accountancy firm name2015-08-31MACPAGE LLC
Accountancy firm EIN2015-08-31010242373
2014 : MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2014 401k financial data
Total income from all sources (including contributions)2014-08-31$2,973,879
Total of all expenses incurred2014-08-31$2,989,150
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-08-31$2,853,711
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-08-31$2,972,949
Value of total assets at end of year2014-08-31$430,497
Value of total assets at beginning of year2014-08-31$445,768
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-08-31$135,439
Total interest from all sources2014-08-31$930
Administrative expenses professional fees incurred2014-08-31$10,259
Were there any nonexempt tranactions with any party-in-interest2014-08-31No
Income. Received or receivable in cash from other sources (including rollovers)2014-08-31$122,982
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-08-31$8,175
Administrative expenses (other) incurred2014-08-31$712
Total non interest bearing cash at end of year2014-08-31$165,581
Total non interest bearing cash at beginning of year2014-08-31$189,796
Value of net income/loss2014-08-31$-15,271
Value of net assets at end of year (total assets less liabilities)2014-08-31$430,497
Value of net assets at beginning of year (total assets less liabilities)2014-08-31$445,768
Were any loans by the plan or fixed income obligations due to the plan in default2014-08-31No
Were any leases to which the plan was party in default or uncollectible2014-08-31No
Investment advisory and management fees2014-08-31$877
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-08-31$256,741
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-08-31$255,972
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-08-31$255,972
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-08-31$930
Expenses. Payments to insurance carriers foe the provision of benefits2014-08-31$2,853,711
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-08-31No
Has the plan failed to provide any benefit when due under the plan2014-08-31No
Contributions received in cash from employer2014-08-31$2,849,967
Contract administrator fees2014-08-31$123,591
Did the plan have assets held for investment2014-08-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-08-31No
Opinion of an independent qualified public accountant for this plan2014-08-31Unqualified
Accountancy firm name2014-08-31MACPAGE LLC
Accountancy firm EIN2014-08-31010242373
2013 : MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2013 401k financial data
Total income from all sources (including contributions)2013-08-31$3,193,489
Total of all expenses incurred2013-08-31$3,186,594
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-08-31$3,050,734
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-08-31$3,190,139
Value of total assets at end of year2013-08-31$445,768
Value of total assets at beginning of year2013-08-31$438,873
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-08-31$135,860
Total interest from all sources2013-08-31$3,350
Administrative expenses professional fees incurred2013-08-31$13,894
Were there any nonexempt tranactions with any party-in-interest2013-08-31No
Income. Received or receivable in cash from other sources (including rollovers)2013-08-31$122,616
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-08-31$8,909
Administrative expenses (other) incurred2013-08-31$1,879
Total non interest bearing cash at end of year2013-08-31$189,796
Total non interest bearing cash at beginning of year2013-08-31$101,707
Value of net income/loss2013-08-31$6,895
Value of net assets at end of year (total assets less liabilities)2013-08-31$445,768
Value of net assets at beginning of year (total assets less liabilities)2013-08-31$438,873
Were any loans by the plan or fixed income obligations due to the plan in default2013-08-31No
Were any leases to which the plan was party in default or uncollectible2013-08-31No
Value of interest in common/collective trusts at end of year2013-08-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-08-31$255,972
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-08-31$328,257
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-08-31$328,257
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-08-31$3,350
Expenses. Payments to insurance carriers foe the provision of benefits2013-08-31$3,050,734
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-08-31Yes
Has the plan failed to provide any benefit when due under the plan2013-08-31No
Contributions received in cash from employer2013-08-31$3,067,523
Contract administrator fees2013-08-31$120,087
Did the plan have assets held for investment2013-08-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-08-31No
Opinion of an independent qualified public accountant for this plan2013-08-31Unqualified
Accountancy firm name2013-08-31MACPAGE LLC
Accountancy firm EIN2013-08-31010242373
2012 : MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2012 401k financial data
Total income from all sources (including contributions)2012-08-31$2,997,005
Total of all expenses incurred2012-08-31$3,025,343
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-08-31$2,894,194
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-08-31$2,994,814
Value of total assets at end of year2012-08-31$438,873
Value of total assets at beginning of year2012-08-31$467,211
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-08-31$131,149
Total interest from all sources2012-08-31$2,191
Administrative expenses professional fees incurred2012-08-31$13,334
Were there any nonexempt tranactions with any party-in-interest2012-08-31No
Income. Received or receivable in cash from other sources (including rollovers)2012-08-31$102,253
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-08-31$8,909
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-08-31$250
Administrative expenses (other) incurred2012-08-31$1,751
Total non interest bearing cash at end of year2012-08-31$101,707
Total non interest bearing cash at beginning of year2012-08-31$140,790
Value of net income/loss2012-08-31$-28,338
Value of net assets at end of year (total assets less liabilities)2012-08-31$438,873
Value of net assets at beginning of year (total assets less liabilities)2012-08-31$467,211
Were any loans by the plan or fixed income obligations due to the plan in default2012-08-31No
Were any leases to which the plan was party in default or uncollectible2012-08-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-08-31$328,257
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-08-31$326,171
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-08-31$326,171
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-08-31$2,191
Expenses. Payments to insurance carriers foe the provision of benefits2012-08-31$2,894,194
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-08-31No
Has the plan failed to provide any benefit when due under the plan2012-08-31No
Contributions received in cash from employer2012-08-31$2,892,561
Contract administrator fees2012-08-31$116,064
Did the plan have assets held for investment2012-08-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-08-31No
Opinion of an independent qualified public accountant for this plan2012-08-31Unqualified
Accountancy firm name2012-08-31MACPAGE LLC
Accountancy firm EIN2012-08-31010242373
2011 : MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2011 401k financial data
Total income from all sources (including contributions)2011-08-31$2,822,243
Total of all expenses incurred2011-08-31$2,879,532
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-08-31$2,742,200
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-08-31$2,820,131
Value of total assets at end of year2011-08-31$467,211
Value of total assets at beginning of year2011-08-31$524,500
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-08-31$137,332
Total interest from all sources2011-08-31$2,112
Administrative expenses professional fees incurred2011-08-31$13,876
Were there any nonexempt tranactions with any party-in-interest2011-08-31No
Assets. Other investments not covered elsewhere at beginning of year2011-08-31$250
Income. Received or receivable in cash from other sources (including rollovers)2011-08-31$66,976
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-08-31$250
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-08-31$206
Administrative expenses (other) incurred2011-08-31$1,408
Total non interest bearing cash at end of year2011-08-31$140,790
Total non interest bearing cash at beginning of year2011-08-31$160,000
Value of net income/loss2011-08-31$-57,289
Value of net assets at end of year (total assets less liabilities)2011-08-31$467,211
Value of net assets at beginning of year (total assets less liabilities)2011-08-31$524,500
Were any loans by the plan or fixed income obligations due to the plan in default2011-08-31No
Were any leases to which the plan was party in default or uncollectible2011-08-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-08-31$326,171
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-08-31$364,044
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-08-31$364,044
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-08-31$2,112
Expenses. Payments to insurance carriers foe the provision of benefits2011-08-31$2,742,200
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-08-31No
Has the plan failed to provide any benefit when due under the plan2011-08-31No
Contributions received in cash from employer2011-08-31$2,753,155
Contract administrator fees2011-08-31$122,048
Did the plan have assets held for investment2011-08-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-08-31No
Opinion of an independent qualified public accountant for this plan2011-08-31Unqualified
Accountancy firm name2011-08-31MACDONALD PAGE & CO LLC
Accountancy firm EIN2011-08-31010242373

Form 5500 Responses for MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST

2022: MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2022 form 5500 responses
2022-01-01Type of plan entityMulitple employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2021 form 5500 responses
2021-01-01Type of plan entityMulitple employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2020 form 5500 responses
2020-01-01Type of plan entityMulitple employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2019 form 5500 responses
2019-01-01Type of plan entityMulitple employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2018 form 5500 responses
2018-01-01Type of plan entityMulitple employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2017 form 5500 responses
2017-01-01Type of plan entityMulitple employer plan
2017-01-01Submission has been amendedYes
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2016 form 5500 responses
2016-09-01Type of plan entityMulitple employer plan
2016-09-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan funding arrangement – TrustYes
2016-09-01Plan benefit arrangement – InsuranceYes
2015: MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2015 form 5500 responses
2015-09-01Type of plan entityMulitple employer plan
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan funding arrangement – TrustYes
2015-09-01Plan benefit arrangement – InsuranceYes
2014: MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2014 form 5500 responses
2014-09-01Type of plan entityMulitple employer plan
2014-09-01Submission has been amendedYes
2014-09-01Plan funding arrangement – InsuranceYes
2014-09-01Plan funding arrangement – TrustYes
2014-09-01Plan benefit arrangement – InsuranceYes
2013: MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2013 form 5500 responses
2013-09-01Type of plan entityDFE (Diect Filing Entity)
2013-09-01Plan funding arrangement – InsuranceYes
2013-09-01Plan funding arrangement – TrustYes
2013-09-01Plan benefit arrangement – InsuranceYes
2012: MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2012 form 5500 responses
2012-09-01Type of plan entityDFE (Diect Filing Entity)
2012-09-01Plan funding arrangement – InsuranceYes
2012-09-01Plan funding arrangement – TrustYes
2012-09-01Plan benefit arrangement – InsuranceYes
2011: MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2011 form 5500 responses
2011-09-01Type of plan entityDFE (Diect Filing Entity)
2011-09-01Plan funding arrangement – InsuranceYes
2011-09-01Plan funding arrangement – TrustYes
2011-09-01Plan benefit arrangement – InsuranceYes
2009: MAINE ENERGY MARKETERS ASSOCIATION HEALTH INSURANCE TRUST 2009 form 5500 responses
2009-09-01Type of plan entityDFE (Diect Filing Entity)
2009-09-01Plan funding arrangement – InsuranceYes
2009-09-01Plan funding arrangement – TrustYes
2009-09-01Plan 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 number955824
Policy instance 4
Insurance contract or identification number955824
Number of Individuals Covered693
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $3,800
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 BenefitNo
Long Term Disability Insurance Welfare BenefitNo
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 $28,495
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,376
Insurance broker organization code?3
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGB00274ME-05
Policy instance 3
Insurance contract or identification numberGB00274ME-05
Number of Individuals Covered291
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Are there contracts with allocated funds for individual policies?0
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 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 $357,759
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006742
Policy instance 2
Insurance contract or identification number000006742
Number of Individuals Covered813
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $22,717
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,981
Insurance broker organization code?3
RED TREE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 13646 )
Policy contract number000906742
Policy instance 1
Insurance contract or identification number000906742
Number of Individuals Covered389
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $2,567
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 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 $25,873
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,540
Insurance broker organization code?3
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGB00274ME-05
Policy instance 3
Insurance contract or identification numberGB00274ME-05
Number of Individuals Covered291
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Are there contracts with allocated funds for individual policies?0
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 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 $391,610
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RED TREE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 13646 )
Policy contract number000906742
Policy instance 4
Insurance contract or identification number000906742
Number of Individuals Covered376
Insurance policy start date2021-09-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $692
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 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 $9,237
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $415
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number955824
Policy instance 5
Insurance contract or identification number955824
Number of Individuals Covered684
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $4,017
Total amount of fees paid to insurance companyUSD $1,146
Are there contracts with allocated funds for individual policies?0
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 BenefitNo
Long Term Disability Insurance Welfare BenefitNo
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 $28,627
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,583
Insurance broker organization code?3
Amount paid for insurance broker fees1146
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number00A651
Policy instance 1
Insurance contract or identification number00A651
Number of Individuals Covered469
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $3,573
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 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 $37,051
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,573
Insurance broker organization code?3
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006742
Policy instance 2
Insurance contract or identification number000006742
Number of Individuals Covered777
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $24,137
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 $322,697
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,027
Insurance broker organization code?2
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number00A651
Policy instance 1
Insurance contract or identification number00A651
Number of Individuals Covered294
Insurance policy start date2020-01-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $1,135
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 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 $14,833
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,135
Insurance broker organization code?3
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number9612577605000
Policy instance 3
Insurance contract or identification number9612577605000
Number of Individuals Covered685
Insurance policy start date2020-01-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $4,784
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 BenefitNo
Long Term Disability Insurance Welfare BenefitNo
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 $15,686
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,190
Insurance broker organization code?3
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006742
Policy instance 2
Insurance contract or identification number000006742
Number of Individuals Covered854
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $24,684
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 $300,662
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,069
Insurance broker organization code?2
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGB00274ME-05
Policy instance 4
Insurance contract or identification numberGB00274ME-05
Number of Individuals Covered348
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Are there contracts with allocated funds for individual policies?0
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 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 $475,892
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGB00274ME-03
Policy instance 4
Insurance contract or identification numberGB00274ME-03
Number of Individuals Covered316
Insurance policy start date2019-01-01
Insurance policy end date2019-08-31
Are there contracts with allocated funds for individual policies?0
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 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 $331,733
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number9612577605000
Policy instance 3
Insurance contract or identification number9612577605000
Number of Individuals Covered572
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $4,898
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 BenefitNo
Long Term Disability Insurance Welfare BenefitNo
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 $22,548
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,266
Insurance broker organization code?3
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006742
Policy instance 2
Insurance contract or identification number000006742
Number of Individuals Covered829
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $23,516
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 $312,623
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,454
Insurance broker organization code?2
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number00A651
Policy instance 1
Insurance contract or identification number00A651
Number of Individuals Covered243
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,605
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 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 $18,770
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,605
Insurance broker organization code?3
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number00A651
Policy instance 1
Insurance contract or identification number00A651
Number of Individuals Covered217
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $2,082
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 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 $16,006
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,713
Insurance broker organization code?3
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006742
Policy instance 2
Insurance contract or identification number000006742
Number of Individuals Covered731
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $23,028
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 $305,150
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,198
Insurance broker organization code?2
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number9612577605000
Policy instance 3
Insurance contract or identification number9612577605000
Number of Individuals Covered654
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $6,568
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 BenefitNo
Long Term Disability Insurance Welfare BenefitNo
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 $35,361
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,380
Insurance broker organization code?3
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGB00274ME-01
Policy instance 4
Insurance contract or identification numberGB00274ME-01
Number of Individuals Covered286
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
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 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 $426,085
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGB00274ME-01
Policy instance 4
Insurance contract or identification numberGB00274ME-01
Number of Individuals Covered276
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $418,095
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Are there contracts with allocated funds for individual policies?0
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 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
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberAL00003790
Policy instance 3
Insurance contract or identification numberAL00003790
Number of Individuals Covered636
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $4,927
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD & D
Welfare Benefit Premiums Paid to CarrierUSD $32,875
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,927
Insurance broker organization code?3
Are there contracts with allocated funds for individual policies?0
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
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
Insurance broker nameNATIONAL WORKSITE BENEFIT GROUP INC
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006742
Policy instance 2
Insurance contract or identification number000006742
Number of Individuals Covered769
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $10,378
Total amount of fees paid to insurance companyUSD $11,665
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $291,583
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees11665
Insurance broker organization code?2
Commission paid to Insurance BrokerUSD $8,749
Are there contracts with allocated funds for individual policies?0
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
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
Insurance broker nameCOMBINED SERVICES LLC
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number00A651
Policy instance 1
Insurance contract or identification number00A651
Number of Individuals Covered138
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,949
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Are there contracts with allocated funds for individual policies?0
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
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
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number00A651
Policy instance 1
Insurance contract or identification number00A651
Number of Individuals Covered575
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $267,395
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,832,756
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $120,114
Insurance broker organization code?2
Insurance broker nameUSI INSURANCE SOLUTIONS
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006742
Policy instance 2
Insurance contract or identification number000006742
Number of Individuals Covered791
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $22,955
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $305,981
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,163
Insurance broker organization code?2
Insurance broker nameCOMBINED SERVICES LLC
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberAL00003790
Policy instance 3
Insurance contract or identification numberAL00003790
Number of Individuals Covered697
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,396
Total amount of fees paid to insurance companyUSD $2,210
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD & D
Welfare Benefit Premiums Paid to CarrierUSD $38,322
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,396
Amount paid for insurance broker fees1684
Insurance broker organization code?3
Insurance broker nameUSI INSURANCE SERVICES
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberAL00003790
Policy instance 3
Insurance contract or identification numberAL00003790
Number of Individuals Covered686
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $2,771
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD & D
Welfare Benefit Premiums Paid to CarrierUSD $37,919
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,771
Insurance broker organization code?3
Insurance broker nameUSI INSURANCE SERVICES
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number00A651
Policy instance 1
Insurance contract or identification number00A651
Number of Individuals Covered547
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $81,792
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,539,902
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $92,717
Insurance broker organization code?2
Insurance broker nameUSI INSURANCE SERVICES
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006742
Policy instance 2
Insurance contract or identification number000006742
Number of Individuals Covered749
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $22,462
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $297,223
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,820
Insurance broker organization code?2
Insurance broker nameCOMBINED SERVICES LLC
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number00A651
Policy instance 1
Insurance contract or identification number00A651
Number of Individuals Covered500
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $138,292
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $94,036
Insurance broker organization code?2
Insurance broker nameUSI INSURANCE SOLUTIONS
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006742
Policy instance 2
Insurance contract or identification number000006742
Number of Individuals Covered692
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $22,264
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,784
Insurance broker organization code?2
Insurance broker nameCOMBINED SERVICES LLC
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberAL00003790
Policy instance 3
Insurance contract or identification numberAL00003790
Number of Individuals Covered768
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $2,086
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD & D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,086
Insurance broker organization code?3
Insurance broker nameUSI INSURANCE SERVICES
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006742
Policy instance 2
Insurance contract or identification number000006742
Number of Individuals Covered742
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $21,257
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,565
Insurance broker organization code?3
Insurance broker nameMEMA EMPLOYEE BENEFIT PLAN
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number00A651
Policy instance 3
Insurance contract or identification number00A651
Number of Individuals Covered491
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $142,495
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $39,059
Insurance broker organization code?3
Insurance broker nameMAINE ENERGY MARKETERS ASSOC INS TR
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberAL00003790
Policy instance 1
Insurance contract or identification numberAL00003790
Number of Individuals Covered754
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $2,688
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD & D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,688
Insurance broker organization code?3
Insurance broker nameTD INSURANCE INC
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number00A651
Policy instance 4
Insurance contract or identification number00A651
Number of Individuals Covered483
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $106,838
Total amount of fees paid to insurance companyUSD $283
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006742
Policy instance 3
Insurance contract or identification number000006742
Number of Individuals Covered733
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $15,239
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberAL00003790
Policy instance 2
Insurance contract or identification numberAL00003790
Number of Individuals Covered733
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $2,779
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD & D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract numberMS3682
Policy instance 1
Insurance contract or identification numberMS3682
Number of Individuals Covered1192
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,284
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract numberMS3682
Policy instance 1
Insurance contract or identification numberMS3682
Number of Individuals Covered84
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $1,105
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberAL00003790
Policy instance 2
Insurance contract or identification numberAL00003790
Number of Individuals Covered777
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $2,544
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD & D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006742
Policy instance 3
Insurance contract or identification number000006742
Number of Individuals Covered720
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $9,347
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number00A651
Policy instance 4
Insurance contract or identification number00A651
Number of Individuals Covered570
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $87,132
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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