MARINE BIOLOGICAL LABORATORY has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN
401k plan membership statisitcs for MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN
| Measure | Date | Value |
|---|
| 2022: MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 40 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 17 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 13 |
| Total of all active and inactive participants | 2022-01-01 | 30 |
| Total participants | 2022-01-01 | 30 |
| 2021: MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 40 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 21 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 16 |
| Total of all active and inactive participants | 2021-01-01 | 37 |
| Total participants | 2021-01-01 | 37 |
| 2020: MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 42 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 23 |
| Number of retired or separated participants receiving benefits | 2020-01-01 | 13 |
| Total of all active and inactive participants | 2020-01-01 | 36 |
| Total participants | 2020-01-01 | 36 |
| 2019: MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 46 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 25 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 13 |
| Total of all active and inactive participants | 2019-01-01 | 38 |
| Total participants | 2019-01-01 | 38 |
| 2018: MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 49 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 27 |
| Number of retired or separated participants receiving benefits | 2018-01-01 | 14 |
| Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 0 |
| Total of all active and inactive participants | 2018-01-01 | 41 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2018-01-01 | 5 |
| Total participants | 2018-01-01 | 46 |
| 2017: MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 50 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 29 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 13 |
| Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 0 |
| Total of all active and inactive participants | 2017-01-01 | 42 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2017-01-01 | 7 |
| Total participants | 2017-01-01 | 49 |
| 2016: MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 56 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 33 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 11 |
| Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 0 |
| Total of all active and inactive participants | 2016-01-01 | 44 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2016-01-01 | 6 |
| Total participants | 2016-01-01 | 50 |
| 2015: MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 62 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 37 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 12 |
| Total of all active and inactive participants | 2015-01-01 | 49 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2015-01-01 | 7 |
| Total participants | 2015-01-01 | 56 |
| 2014: MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 63 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 42 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 13 |
| Total of all active and inactive participants | 2014-01-01 | 55 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2014-01-01 | 7 |
| Total participants | 2014-01-01 | 62 |
| 2013: MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 73 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 41 |
| Number of retired or separated participants receiving benefits | 2013-01-01 | 15 |
| Total of all active and inactive participants | 2013-01-01 | 56 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2013-01-01 | 7 |
| Total participants | 2013-01-01 | 63 |
| 2012: MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 84 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 47 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 17 |
| Total of all active and inactive participants | 2012-01-01 | 64 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2012-01-01 | 9 |
| Total participants | 2012-01-01 | 73 |
| 2011: MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 88 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 53 |
| Number of retired or separated participants receiving benefits | 2011-01-01 | 20 |
| Total of all active and inactive participants | 2011-01-01 | 73 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2011-01-01 | 11 |
| Total participants | 2011-01-01 | 84 |
| 2010: MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-01-01 | 90 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 57 |
| Number of retired or separated participants receiving benefits | 2010-01-01 | 18 |
| Number of other retired or separated participants entitled to future benefits | 2010-01-01 | 0 |
| Total of all active and inactive participants | 2010-01-01 | 75 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2010-01-01 | 13 |
| Total participants | 2010-01-01 | 88 |
| 2009: MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 91 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 57 |
| Number of retired or separated participants receiving benefits | 2009-01-01 | 20 |
| Number of other retired or separated participants entitled to future benefits | 2009-01-01 | 0 |
| Total of all active and inactive participants | 2009-01-01 | 77 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-01-01 | 13 |
| Total participants | 2009-01-01 | 90 |
| Measure | Date | Value |
|---|
| 2022 : MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2022 401k financial data |
|---|
| Total plan liabilities at beginning of year | 2022-12-31 | $0 |
| Total income from all sources | 2022-12-31 | $-542,170 |
| Expenses. Total of all expenses incurred | 2022-12-31 | $143,760 |
| Benefits paid (including direct rollovers) | 2022-12-31 | $137,119 |
| Total plan assets at end of year | 2022-12-31 | $3,928,332 |
| Total plan assets at beginning of year | 2022-12-31 | $4,614,262 |
| Value of fidelity bond covering the plan | 2022-12-31 | $5,000,000 |
| Total contributions received or receivable from participants | 2022-12-31 | $43,779 |
| Other income received | 2022-12-31 | $-679,290 |
| Net income (gross income less expenses) | 2022-12-31 | $-685,930 |
| Net plan assets at end of year (total assets less liabilities) | 2022-12-31 | $3,928,332 |
| Net plan assets at beginning of year (total assets less liabilities) | 2022-12-31 | $4,614,262 |
| Total contributions received or receivable from employer(s) | 2022-12-31 | $93,341 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2022-12-31 | $6,641 |
| 2021 : MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2021 401k financial data |
|---|
| Total income from all sources | 2021-12-31 | $794,547 |
| Expenses. Total of all expenses incurred | 2021-12-31 | $131,539 |
| Benefits paid (including direct rollovers) | 2021-12-31 | $124,437 |
| Total plan assets at end of year | 2021-12-31 | $4,614,262 |
| Total plan assets at beginning of year | 2021-12-31 | $3,951,254 |
| Value of fidelity bond covering the plan | 2021-12-31 | $5,000,000 |
| Total contributions received or receivable from participants | 2021-12-31 | $46,186 |
| Other income received | 2021-12-31 | $670,110 |
| Net income (gross income less expenses) | 2021-12-31 | $663,008 |
| Net plan assets at end of year (total assets less liabilities) | 2021-12-31 | $4,614,262 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-12-31 | $3,951,254 |
| Total contributions received or receivable from employer(s) | 2021-12-31 | $78,251 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2021-12-31 | $7,102 |
| 2020 : MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2020 401k financial data |
|---|
| Total plan liabilities at end of year | 2020-12-31 | $0 |
| Total plan liabilities at beginning of year | 2020-12-31 | $0 |
| Total income from all sources | 2020-12-31 | $561,133 |
| Expenses. Total of all expenses incurred | 2020-12-31 | $140,548 |
| Benefits paid (including direct rollovers) | 2020-12-31 | $134,648 |
| Total plan assets at end of year | 2020-12-31 | $3,951,254 |
| Total plan assets at beginning of year | 2020-12-31 | $3,530,669 |
| Value of fidelity bond covering the plan | 2020-12-31 | $5,000,000 |
| Total contributions received or receivable from participants | 2020-12-31 | $28,858 |
| Contributions received from other sources (not participants or employers) | 2020-12-31 | $0 |
| Other income received | 2020-12-31 | $426,485 |
| Noncash contributions received | 2020-12-31 | $0 |
| Net income (gross income less expenses) | 2020-12-31 | $420,585 |
| Net plan assets at end of year (total assets less liabilities) | 2020-12-31 | $3,951,254 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-12-31 | $3,530,669 |
| Total contributions received or receivable from employer(s) | 2020-12-31 | $105,790 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2020-12-31 | $5,900 |
| 2019 : MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2019 401k financial data |
|---|
| Total income from all sources | 2019-12-31 | $782,105 |
| Expenses. Total of all expenses incurred | 2019-12-31 | $160,149 |
| Benefits paid (including direct rollovers) | 2019-12-31 | $154,683 |
| Total plan assets at end of year | 2019-12-31 | $3,530,669 |
| Total plan assets at beginning of year | 2019-12-31 | $2,908,713 |
| Value of fidelity bond covering the plan | 2019-12-31 | $5,000,000 |
| Total contributions received or receivable from participants | 2019-12-31 | $19,318 |
| Other income received | 2019-12-31 | $627,423 |
| Net income (gross income less expenses) | 2019-12-31 | $621,956 |
| Net plan assets at end of year (total assets less liabilities) | 2019-12-31 | $3,530,669 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-12-31 | $2,908,713 |
| Total contributions received or receivable from employer(s) | 2019-12-31 | $135,364 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2019-12-31 | $5,466 |
| 2017 : MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2017 401k financial data |
|---|
| Total income from all sources | 2017-12-31 | $491,547 |
| Expenses. Total of all expenses incurred | 2017-12-31 | $100,685 |
| Benefits paid (including direct rollovers) | 2017-12-31 | $95,351 |
| Total plan assets at end of year | 2017-12-31 | $3,118,385 |
| Total plan assets at beginning of year | 2017-12-31 | $2,727,523 |
| Value of fidelity bond covering the plan | 2017-12-31 | $5,000,000 |
| Total contributions received or receivable from participants | 2017-12-31 | $0 |
| Contributions received from other sources (not participants or employers) | 2017-12-31 | $0 |
| Other income received | 2017-12-31 | $396,196 |
| Noncash contributions received | 2017-12-31 | $0 |
| Net income (gross income less expenses) | 2017-12-31 | $390,862 |
| Net plan assets at end of year (total assets less liabilities) | 2017-12-31 | $3,118,385 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-12-31 | $2,727,523 |
| Total contributions received or receivable from employer(s) | 2017-12-31 | $95,351 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2017-12-31 | $5,334 |
| 2016 : MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2016 401k financial data |
|---|
| Total income from all sources | 2016-12-31 | $332,455 |
| Expenses. Total of all expenses incurred | 2016-12-31 | $138,770 |
| Benefits paid (including direct rollovers) | 2016-12-31 | $133,916 |
| Total plan assets at end of year | 2016-12-31 | $2,727,523 |
| Total plan assets at beginning of year | 2016-12-31 | $2,533,838 |
| Value of fidelity bond covering the plan | 2016-12-31 | $5,000,000 |
| Total contributions received or receivable from participants | 2016-12-31 | $0 |
| Contributions received from other sources (not participants or employers) | 2016-12-31 | $0 |
| Other income received | 2016-12-31 | $198,539 |
| Noncash contributions received | 2016-12-31 | $0 |
| Net income (gross income less expenses) | 2016-12-31 | $193,685 |
| Net plan assets at end of year (total assets less liabilities) | 2016-12-31 | $2,727,523 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-12-31 | $2,533,838 |
| Total contributions received or receivable from employer(s) | 2016-12-31 | $133,916 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2016-12-31 | $4,854 |
| 2015 : MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2015 401k financial data |
|---|
| Total income from all sources | 2015-12-31 | $112,173 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $148,470 |
| Benefits paid (including direct rollovers) | 2015-12-31 | $143,637 |
| Total plan assets at end of year | 2015-12-31 | $2,533,838 |
| Total plan assets at beginning of year | 2015-12-31 | $2,570,135 |
| Value of fidelity bond covering the plan | 2015-12-31 | $1,000,000 |
| Other income received | 2015-12-31 | $-31,464 |
| Net income (gross income less expenses) | 2015-12-31 | $-36,297 |
| Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $2,533,838 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $2,570,135 |
| Total contributions received or receivable from employer(s) | 2015-12-31 | $143,637 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2015-12-31 | $4,833 |
| 2014 : MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2014 401k financial data |
|---|
| Total income from all sources | 2014-12-31 | $303,064 |
| Expenses. Total of all expenses incurred | 2014-12-31 | $157,721 |
| Benefits paid (including direct rollovers) | 2014-12-31 | $152,997 |
| Total plan assets at end of year | 2014-12-31 | $2,570,135 |
| Total plan assets at beginning of year | 2014-12-31 | $2,424,792 |
| Value of fidelity bond covering the plan | 2014-12-31 | $1,000,000 |
| Other income received | 2014-12-31 | $150,067 |
| Net income (gross income less expenses) | 2014-12-31 | $145,343 |
| Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $2,570,135 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $2,424,792 |
| Total contributions received or receivable from employer(s) | 2014-12-31 | $152,997 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2014-12-31 | $4,724 |
| 2013 : MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2013 401k financial data |
|---|
| Total income from all sources | 2013-12-31 | $535,440 |
| Expenses. Total of all expenses incurred | 2013-12-31 | $186,096 |
| Benefits paid (including direct rollovers) | 2013-12-31 | $181,906 |
| Total plan assets at end of year | 2013-12-31 | $2,424,792 |
| Total plan assets at beginning of year | 2013-12-31 | $2,075,448 |
| Value of fidelity bond covering the plan | 2013-12-31 | $1,000,000 |
| Total contributions received or receivable from participants | 2013-12-31 | $3,373 |
| Other income received | 2013-12-31 | $353,534 |
| Net income (gross income less expenses) | 2013-12-31 | $349,344 |
| Net plan assets at end of year (total assets less liabilities) | 2013-12-31 | $2,424,792 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-12-31 | $2,075,448 |
| Total contributions received or receivable from employer(s) | 2013-12-31 | $178,533 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2013-12-31 | $4,190 |
| 2012 : MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2012 401k financial data |
|---|
| Total income from all sources | 2012-12-31 | $452,459 |
| Expenses. Total of all expenses incurred | 2012-12-31 | $223,836 |
| Benefits paid (including direct rollovers) | 2012-12-31 | $220,143 |
| Total plan assets at end of year | 2012-12-31 | $2,075,448 |
| Total plan assets at beginning of year | 2012-12-31 | $1,846,825 |
| Value of fidelity bond covering the plan | 2012-12-31 | $1,000,000 |
| Total contributions received or receivable from participants | 2012-12-31 | $23,978 |
| Expenses. Other expenses not covered elsewhere | 2012-12-31 | $3,693 |
| Other income received | 2012-12-31 | $232,316 |
| Net income (gross income less expenses) | 2012-12-31 | $228,623 |
| Net plan assets at end of year (total assets less liabilities) | 2012-12-31 | $2,075,448 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-12-31 | $1,846,825 |
| Total contributions received or receivable from employer(s) | 2012-12-31 | $196,165 |
| 2011 : MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2011 401k financial data |
|---|
| Total income from all sources | 2011-12-31 | $284,258 |
| Expenses. Total of all expenses incurred | 2011-12-31 | $279,375 |
| Benefits paid (including direct rollovers) | 2011-12-31 | $275,820 |
| Total plan assets at end of year | 2011-12-31 | $1,846,825 |
| Total plan assets at beginning of year | 2011-12-31 | $1,841,942 |
| Value of fidelity bond covering the plan | 2011-12-31 | $1,000,000 |
| Total contributions received or receivable from participants | 2011-12-31 | $30,726 |
| Expenses. Other expenses not covered elsewhere | 2011-12-31 | $3,555 |
| Other income received | 2011-12-31 | $8,438 |
| Net income (gross income less expenses) | 2011-12-31 | $4,883 |
| Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $1,846,825 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $1,841,942 |
| Total contributions received or receivable from employer(s) | 2011-12-31 | $245,094 |
| 2010 : MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2010 401k financial data |
|---|
| Total income from all sources | 2010-12-31 | $381,339 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $213,436 |
| Benefits paid (including direct rollovers) | 2010-12-31 | $210,252 |
| Total plan assets at end of year | 2010-12-31 | $1,841,942 |
| Total plan assets at beginning of year | 2010-12-31 | $1,674,039 |
| Value of fidelity bond covering the plan | 2010-12-31 | $1,000,000 |
| Total contributions received or receivable from participants | 2010-12-31 | $21,386 |
| Expenses. Other expenses not covered elsewhere | 2010-12-31 | $3,184 |
| Other income received | 2010-12-31 | $171,087 |
| Net income (gross income less expenses) | 2010-12-31 | $167,903 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $1,841,942 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $1,674,039 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $188,866 |
| 2022: MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Submission has been amended | No |
| 2022-01-01 | This submission is the final filing | No |
| 2022-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-01-01 | Plan is a collectively bargained plan | Yes |
| 2022-01-01 | Plan funding arrangement – Trust | Yes |
| 2022-01-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2022-01-01 | Plan benefit arrangement - Trust | Yes |
| 2021: MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Submission has been amended | No |
| 2021-01-01 | This submission is the final filing | No |
| 2021-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-01-01 | Plan is a collectively bargained plan | Yes |
| 2021-01-01 | Plan funding arrangement – Trust | Yes |
| 2021-01-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2021-01-01 | Plan benefit arrangement - Trust | Yes |
| 2020: MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Submission has been amended | No |
| 2020-01-01 | This submission is the final filing | No |
| 2020-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-01-01 | Plan is a collectively bargained plan | Yes |
| 2020-01-01 | Plan funding arrangement – Trust | Yes |
| 2020-01-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2020-01-01 | Plan benefit arrangement - Trust | Yes |
| 2019: MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Submission has been amended | No |
| 2019-01-01 | This submission is the final filing | No |
| 2019-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-01-01 | Plan is a collectively bargained plan | Yes |
| 2019-01-01 | Plan funding arrangement – Trust | Yes |
| 2019-01-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2019-01-01 | Plan benefit arrangement - Trust | Yes |
| 2018: MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Submission has been amended | No |
| 2018-01-01 | This submission is the final filing | No |
| 2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-01-01 | Plan is a collectively bargained plan | Yes |
| 2018-01-01 | Plan funding arrangement – Trust | Yes |
| 2018-01-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2018-01-01 | Plan benefit arrangement - Trust | Yes |
| 2017: MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Submission has been amended | No |
| 2017-01-01 | This submission is the final filing | No |
| 2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-01-01 | Plan is a collectively bargained plan | Yes |
| 2017-01-01 | Plan funding arrangement – Trust | Yes |
| 2017-01-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2017-01-01 | Plan benefit arrangement - Trust | Yes |
| 2016: MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Submission has been amended | No |
| 2016-01-01 | This submission is the final filing | No |
| 2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-01-01 | Plan is a collectively bargained plan | Yes |
| 2016-01-01 | Plan funding arrangement – Trust | Yes |
| 2016-01-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2016-01-01 | Plan benefit arrangement - Trust | Yes |
| 2015: MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | No |
| 2015-01-01 | This submission is the final filing | No |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | Yes |
| 2015-01-01 | Plan funding arrangement – Trust | Yes |
| 2015-01-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2015-01-01 | Plan benefit arrangement - Trust | Yes |
| 2014: MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Submission has been amended | No |
| 2014-01-01 | This submission is the final filing | No |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-01 | Plan is a collectively bargained plan | Yes |
| 2014-01-01 | Plan funding arrangement – Trust | Yes |
| 2014-01-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2014-01-01 | Plan benefit arrangement - Trust | Yes |
| 2013: MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Submission has been amended | No |
| 2013-01-01 | This submission is the final filing | No |
| 2013-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-01-01 | Plan is a collectively bargained plan | Yes |
| 2013-01-01 | Plan funding arrangement – Trust | Yes |
| 2013-01-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2013-01-01 | Plan benefit arrangement - Trust | Yes |
| 2012: MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Submission has been amended | No |
| 2012-01-01 | This submission is the final filing | No |
| 2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-01-01 | Plan is a collectively bargained plan | Yes |
| 2012-01-01 | Plan funding arrangement – Trust | Yes |
| 2012-01-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2012-01-01 | Plan benefit arrangement - Trust | Yes |
| 2011: MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Submission has been amended | No |
| 2011-01-01 | This submission is the final filing | No |
| 2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-01-01 | Plan is a collectively bargained plan | Yes |
| 2011-01-01 | Plan funding arrangement – Trust | Yes |
| 2011-01-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2011-01-01 | Plan benefit arrangement - Trust | Yes |
| 2010: MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2010 form 5500 responses |
|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Submission has been amended | No |
| 2010-01-01 | This submission is the final filing | No |
| 2010-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-01-01 | Plan is a collectively bargained plan | Yes |
| 2010-01-01 | Plan funding arrangement – Trust | Yes |
| 2010-01-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2010-01-01 | Plan benefit arrangement - Trust | Yes |
| 2009: MARINE BIOLOGICAL LABORATORY POST-RETIREMENT HEALTH PLAN 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Submission has been amended | No |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-01-01 | Plan is a collectively bargained plan | Yes |
| 2009-01-01 | Plan funding arrangement – Trust | Yes |
| 2009-01-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2009-01-01 | Plan benefit arrangement - Trust | Yes |
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 0029736 |
| Policy instance | 1 |
| Insurance contract or identification number | 0029736 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $2,057 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $137,119 | | Commission paid to Insurance Broker | USD $2,057 |
|
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 029736 |
| Policy instance | 1 |
| Insurance contract or identification number | 029736 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $1,867 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $124,437 | | Commission paid to Insurance Broker | USD $1,203 |
|
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 0029736 |
| Policy instance | 1 |
| Insurance contract or identification number | 0029736 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $2,015 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $134,648 | | Commission paid to Insurance Broker | USD $2,015 |
|
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 0029736 |
| Policy instance | 1 |
| Insurance contract or identification number | 0029736 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $2,147 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $154,682 | | Commission paid to Insurance Broker | USD $2,147 |
|
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 0029736 |
| Policy instance | 1 |
| Insurance contract or identification number | 0029736 | | Number of Individuals Covered | 19 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $1,582 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $120,549 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,582 |
|
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 0029736 |
| Policy instance | 1 |
| Insurance contract or identification number | 0029736 | | Number of Individuals Covered | 20 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $1,809 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $95,351 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,809 | | Insurance broker name | CHANDOR INSURANCE AGENCY LLC |
|
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 0029736 |
| Policy instance | 1 |
| Insurance contract or identification number | 0029736 | | Number of Individuals Covered | 19 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $2,154 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $143,637 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 0029736 |
| Policy instance | 1 |
| Insurance contract or identification number | 0029736 | | Number of Individuals Covered | 20 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $2,294 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $152,997 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,182 | | Insurance broker name | CHANDOR INSURANCE AGENCY LLC |
|
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 0029736 |
| Policy instance | 1 |
| Insurance contract or identification number | 0029736 | | Number of Individuals Covered | 22 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $2,664 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $181,906 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,664 | | Insurance broker name | LAMBERT & CARNEY DBA 360 CORP BENEF |
|
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 0029736 |
| Policy instance | 1 |
| Insurance contract or identification number | 0029736 | | Number of Individuals Covered | 26 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $3,264 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $220,143 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,264 | | Insurance broker organization code? | 3 | | Insurance broker name | LAMBERT & CARNEY BENEFITS GROUP |
|
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 0029736 |
| Policy instance | 1 |
| Insurance contract or identification number | 0029736 | | Number of Individuals Covered | 32 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $3,432 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $275,820 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 0029736 |
| Policy instance | 1 |
| Insurance contract or identification number | 0029736 | | Number of Individuals Covered | 31 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $3,426 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $210,582 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,426 | | Insurance broker organization code? | 3 | | Insurance broker name | AON CONSULTING |
|
