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MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 401k Plan overview

Plan NameMEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH
Plan identification number 502

MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH Benefits

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

401k Sponsoring company profile

AQUARION COMPANY has sponsored the creation of one or more 401k plans.

Company Name:AQUARION COMPANY
Employer identification number (EIN):060852232
NAIC Classification:221300

Additional information about AQUARION COMPANY

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 0689923

More information about AQUARION COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01DONALD J. MORRISSEY2023-10-16
5022021-01-01DONALD J. MORRISSEY2022-10-17
5022020-01-01DONALD J. MORRISSEY2021-10-14
5022020-01-01DONALD J. MORRISSEY2021-11-15
5022019-01-01DONALD J. MORRISSEY2020-10-14
5022019-01-01DONALD J. MORRISSEY2021-10-14
5022018-01-01DONALD J. MORRISSEY2019-10-11
5022017-01-01
5022016-01-01
5022015-01-01
5022015-01-01DONALD J. MORRISSEY2016-10-13
5022014-01-01
5022014-01-01
5022013-01-01DONALD J. MORRISSEY DONALD J. MORRISSEY2014-10-15
5022012-01-01DONALD J. MORRISSEY2013-10-14 DONALD J. MORRISSEY2013-10-14
5022011-01-01DONALD J. MORRISSEY
5022010-01-01DONALD J. MORRISSEY
5022009-01-01DONALD J. MORRISSEY
5022009-01-01DONALD J. MORRISSEY

Plan Statistics for MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH

401k plan membership statisitcs for MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH

Measure Date Value
2022: MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2022 401k membership
Total participants, beginning-of-year2022-01-0179
Total number of active participants reported on line 7a of the Form 55002022-01-0130
Number of retired or separated participants receiving benefits2022-01-0116
Total of all active and inactive participants2022-01-0146
Total participants2022-01-0146
2021: MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2021 401k membership
Total participants, beginning-of-year2021-01-0179
Total number of active participants reported on line 7a of the Form 55002021-01-0131
Number of retired or separated participants receiving benefits2021-01-0148
Total of all active and inactive participants2021-01-0179
Total participants2021-01-0179
2020: MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2020 401k membership
Total participants, beginning-of-year2020-01-0190
Total number of active participants reported on line 7a of the Form 55002020-01-0131
Number of retired or separated participants receiving benefits2020-01-0148
Total of all active and inactive participants2020-01-0179
Total participants2020-01-0179
2019: MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2019 401k membership
Total participants, beginning-of-year2019-01-01128
Total number of active participants reported on line 7a of the Form 55002019-01-0151
Number of retired or separated participants receiving benefits2019-01-0168
Total of all active and inactive participants2019-01-01119
Total participants2019-01-01119
2018: MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2018 401k membership
Total participants, beginning-of-year2018-01-01119
Total number of active participants reported on line 7a of the Form 55002018-01-0167
Number of retired or separated participants receiving benefits2018-01-0161
Total of all active and inactive participants2018-01-01128
2017: MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2017 401k membership
Total participants, beginning-of-year2017-01-0198
Total number of active participants reported on line 7a of the Form 55002017-01-0163
Number of retired or separated participants receiving benefits2017-01-0153
Total of all active and inactive participants2017-01-01116
2016: MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2016 401k membership
Total participants, beginning-of-year2016-01-01101
Total number of active participants reported on line 7a of the Form 55002016-01-0148
Number of retired or separated participants receiving benefits2016-01-0150
Total of all active and inactive participants2016-01-0198
2015: MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2015 401k membership
Total participants, beginning-of-year2015-01-0195
Total number of active participants reported on line 7a of the Form 55002015-01-0148
Number of retired or separated participants receiving benefits2015-01-0150
Total of all active and inactive participants2015-01-0198
2014: MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2014 401k membership
Total participants, beginning-of-year2014-01-0189
Total number of active participants reported on line 7a of the Form 55002014-01-0146
Number of retired or separated participants receiving benefits2014-01-0138
Total of all active and inactive participants2014-01-0184
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-015
Total participants2014-01-0189
2013: MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2013 401k membership
Total participants, beginning-of-year2013-01-0197
Total number of active participants reported on line 7a of the Form 55002013-01-0146
Number of retired or separated participants receiving benefits2013-01-0138
Total of all active and inactive participants2013-01-0184
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-015
Total participants2013-01-0189
2012: MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2012 401k membership
Total participants, beginning-of-year2012-01-0190
Total number of active participants reported on line 7a of the Form 55002012-01-0147
Number of retired or separated participants receiving benefits2012-01-0146
Total of all active and inactive participants2012-01-0193
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-014
Total participants2012-01-0197
2011: MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2011 401k membership
Total participants, beginning-of-year2011-01-0193
Total number of active participants reported on line 7a of the Form 55002011-01-0146
Number of retired or separated participants receiving benefits2011-01-0138
Total of all active and inactive participants2011-01-0184
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-016
Total participants2011-01-0190
2010: MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2010 401k membership
Total participants, beginning-of-year2010-01-0194
Total number of active participants reported on line 7a of the Form 55002010-01-0148
Number of retired or separated participants receiving benefits2010-01-0139
Total of all active and inactive participants2010-01-0187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-016
Total participants2010-01-0193
2009: MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2009 401k membership
Total participants, beginning-of-year2009-01-0198
Total number of active participants reported on line 7a of the Form 55002009-01-0149
Number of retired or separated participants receiving benefits2009-01-0138
Total of all active and inactive participants2009-01-0187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-017
Total participants2009-01-0194

Financial Data on MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH

Measure Date Value
2022 : MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2022 401k financial data
Total income from all sources2022-12-31$-993,042
Expenses. Total of all expenses incurred2022-12-31$1,533,815
Benefits paid (including direct rollovers)2022-12-31$1,472,792
Total plan assets at end of year2022-12-31$13,680,036
Total plan assets at beginning of year2022-12-31$16,206,893
Value of fidelity bond covering the plan2022-12-31$2,000,000
Total contributions received or receivable from participants2022-12-31$147,404
Expenses. Other expenses not covered elsewhere2022-12-31$61,023
Other income received2022-12-31$-2,482,240
Net income (gross income less expenses)2022-12-31$-2,526,857
Net plan assets at end of year (total assets less liabilities)2022-12-31$13,680,036
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$16,206,893
Total contributions received or receivable from employer(s)2022-12-31$1,341,794
2021 : MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2021 401k financial data
Total plan liabilities at end of year2021-12-31$0
Total plan liabilities at beginning of year2021-12-31$5,117
Total income from all sources2021-12-31$3,087,642
Expenses. Total of all expenses incurred2021-12-31$1,475,677
Benefits paid (including direct rollovers)2021-12-31$1,414,979
Total plan assets at end of year2021-12-31$16,206,893
Total plan assets at beginning of year2021-12-31$14,600,045
Value of fidelity bond covering the plan2021-12-31$2,000,000
Total contributions received or receivable from participants2021-12-31$164,299
Expenses. Other expenses not covered elsewhere2021-12-31$60,698
Other income received2021-12-31$1,665,009
Net income (gross income less expenses)2021-12-31$1,611,965
Net plan assets at end of year (total assets less liabilities)2021-12-31$16,206,893
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$14,594,928
Total contributions received or receivable from employer(s)2021-12-31$1,258,334
2020 : MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2020 401k financial data
Total plan liabilities at end of year2020-12-31$5,117
Total plan liabilities at beginning of year2020-12-31$16,592
Total income from all sources2020-12-31$3,360,947
Expenses. Total of all expenses incurred2020-12-31$1,561,683
Benefits paid (including direct rollovers)2020-12-31$1,510,203
Total plan assets at end of year2020-12-31$14,600,045
Total plan assets at beginning of year2020-12-31$12,812,256
Value of fidelity bond covering the plan2020-12-31$2,000,000
Total contributions received or receivable from participants2020-12-31$220,073
Expenses. Other expenses not covered elsewhere2020-12-31$51,480
Other income received2020-12-31$1,840,865
Net income (gross income less expenses)2020-12-31$1,799,264
Net plan assets at end of year (total assets less liabilities)2020-12-31$14,594,928
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$12,795,664
Total contributions received or receivable from employer(s)2020-12-31$1,300,009
2019 : MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2019 401k financial data
Total plan liabilities at end of year2019-12-31$16,592
Total plan liabilities at beginning of year2019-12-31$391,080
Total income from all sources2019-12-31$3,940,812
Expenses. Total of all expenses incurred2019-12-31$1,814,041
Benefits paid (including direct rollovers)2019-12-31$1,765,004
Total plan assets at end of year2019-12-31$12,812,256
Total plan assets at beginning of year2019-12-31$11,059,973
Value of fidelity bond covering the plan2019-12-31$2,000,000
Total contributions received or receivable from participants2019-12-31$263,577
Expenses. Other expenses not covered elsewhere2019-12-31$49,037
Other income received2019-12-31$2,146,377
Net income (gross income less expenses)2019-12-31$2,126,771
Net plan assets at end of year (total assets less liabilities)2019-12-31$12,795,664
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$10,668,893
Total contributions received or receivable from employer(s)2019-12-31$1,530,858
2018 : MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2018 401k financial data
Total plan liabilities at end of year2018-12-31$391,080
Total plan liabilities at beginning of year2018-12-31$9,686
Total income from all sources2018-12-31$782,372
Expenses. Total of all expenses incurred2018-12-31$1,922,322
Benefits paid (including direct rollovers)2018-12-31$1,872,043
Total plan assets at end of year2018-12-31$11,059,973
Total plan assets at beginning of year2018-12-31$11,818,529
Value of fidelity bond covering the plan2018-12-31$2,000,000
Total contributions received or receivable from participants2018-12-31$225,694
Other income received2018-12-31$-708,771
Net income (gross income less expenses)2018-12-31$-1,139,950
Net plan assets at end of year (total assets less liabilities)2018-12-31$10,668,893
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$11,808,843
Total contributions received or receivable from employer(s)2018-12-31$1,265,449
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$50,279
2017 : MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2017 401k financial data
Total plan liabilities at end of year2017-12-31$9,686
Total plan liabilities at beginning of year2017-12-31$292,135
Total income from all sources2017-12-31$2,950,389
Expenses. Total of all expenses incurred2017-12-31$1,549,592
Benefits paid (including direct rollovers)2017-12-31$1,501,532
Total plan assets at end of year2017-12-31$11,818,529
Total plan assets at beginning of year2017-12-31$10,700,181
Value of fidelity bond covering the plan2017-12-31$2,000,000
Total contributions received or receivable from participants2017-12-31$122,404
Other income received2017-12-31$1,618,607
Net income (gross income less expenses)2017-12-31$1,400,797
Net plan assets at end of year (total assets less liabilities)2017-12-31$11,808,843
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$10,408,046
Total contributions received or receivable from employer(s)2017-12-31$1,209,378
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$48,060
2016 : MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2016 401k financial data
Total plan liabilities at end of year2016-12-31$292,135
Total plan liabilities at beginning of year2016-12-31$299,178
Total income from all sources2016-12-31$2,215,593
Expenses. Total of all expenses incurred2016-12-31$1,355,310
Benefits paid (including direct rollovers)2016-12-31$1,311,161
Total plan assets at end of year2016-12-31$10,700,181
Total plan assets at beginning of year2016-12-31$9,846,941
Value of fidelity bond covering the plan2016-12-31$2,000,000
Total contributions received or receivable from participants2016-12-31$129,751
Other income received2016-12-31$815,050
Net income (gross income less expenses)2016-12-31$860,283
Net plan assets at end of year (total assets less liabilities)2016-12-31$10,408,046
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$9,547,763
Total contributions received or receivable from employer(s)2016-12-31$1,270,792
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$44,149
2015 : MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2015 401k financial data
Total plan liabilities at end of year2015-12-31$299,178
Total plan liabilities at beginning of year2015-12-31$310,536
Total income from all sources2015-12-31$807,920
Expenses. Total of all expenses incurred2015-12-31$1,220,343
Benefits paid (including direct rollovers)2015-12-31$1,174,993
Total plan assets at end of year2015-12-31$9,846,941
Total plan assets at beginning of year2015-12-31$10,270,722
Value of fidelity bond covering the plan2015-12-31$2,000,000
Total contributions received or receivable from participants2015-12-31$113,641
Other income received2015-12-31$-70,133
Net income (gross income less expenses)2015-12-31$-412,423
Net plan assets at end of year (total assets less liabilities)2015-12-31$9,547,763
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$9,960,186
Total contributions received or receivable from employer(s)2015-12-31$764,412
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$45,350
2014 : MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2014 401k financial data
Total plan liabilities at end of year2014-12-31$518,150
Total plan liabilities at beginning of year2014-12-31$506,445
Total income from all sources2014-12-31$1,330,276
Expenses. Total of all expenses incurred2014-12-31$1,114,717
Benefits paid (including direct rollovers)2014-12-31$1,071,801
Total plan assets at end of year2014-12-31$10,270,722
Total plan assets at beginning of year2014-12-31$10,043,458
Value of fidelity bond covering the plan2014-12-31$2,000,000
Total contributions received or receivable from participants2014-12-31$91,753
Other income received2014-12-31$663,685
Net income (gross income less expenses)2014-12-31$215,559
Net plan assets at end of year (total assets less liabilities)2014-12-31$9,752,572
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$9,537,013
Total contributions received or receivable from employer(s)2014-12-31$574,838
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$42,916
2013 : MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2013 401k financial data
Total plan liabilities at end of year2013-12-31$506,445
Total plan liabilities at beginning of year2013-12-31$316,681
Total income from all sources2013-12-31$2,794,495
Expenses. Total of all expenses incurred2013-12-31$1,637,697
Benefits paid (including direct rollovers)2013-12-31$1,602,326
Total plan assets at end of year2013-12-31$10,043,458
Total plan assets at beginning of year2013-12-31$8,696,896
Value of fidelity bond covering the plan2013-12-31$2,000,000
Total contributions received or receivable from participants2013-12-31$108,096
Other income received2013-12-31$1,391,471
Net income (gross income less expenses)2013-12-31$1,156,798
Net plan assets at end of year (total assets less liabilities)2013-12-31$9,537,013
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$8,380,215
Total contributions received or receivable from employer(s)2013-12-31$1,294,928
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$35,371
2012 : MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2012 401k financial data
Total plan liabilities at end of year2012-12-31$316,681
Total plan liabilities at beginning of year2012-12-31$284,446
Total income from all sources2012-12-31$2,139,502
Expenses. Total of all expenses incurred2012-12-31$1,102,058
Benefits paid (including direct rollovers)2012-12-31$1,071,033
Total plan assets at end of year2012-12-31$8,696,896
Total plan assets at beginning of year2012-12-31$7,627,217
Value of fidelity bond covering the plan2012-12-31$2,000,000
Total contributions received or receivable from participants2012-12-31$100,288
Expenses. Other expenses not covered elsewhere2012-12-31$2,397
Other income received2012-12-31$1,027,073
Net income (gross income less expenses)2012-12-31$1,037,444
Net plan assets at end of year (total assets less liabilities)2012-12-31$8,380,215
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$7,342,771
Total contributions received or receivable from employer(s)2012-12-31$1,012,141
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$28,628
2011 : MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2011 401k financial data
Total plan liabilities at end of year2011-12-31$284,446
Total plan liabilities at beginning of year2011-12-31$323,572
Total income from all sources2011-12-31$1,185,240
Expenses. Total of all expenses incurred2011-12-31$1,185,405
Benefits paid (including direct rollovers)2011-12-31$1,155,435
Total plan assets at end of year2011-12-31$7,627,217
Total plan assets at beginning of year2011-12-31$7,666,508
Value of fidelity bond covering the plan2011-12-31$2,000,000
Total contributions received or receivable from participants2011-12-31$90,500
Expenses. Other expenses not covered elsewhere2011-12-31$2,331
Other income received2011-12-31$100,077
Net income (gross income less expenses)2011-12-31$-165
Net plan assets at end of year (total assets less liabilities)2011-12-31$7,342,771
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$7,342,936
Total contributions received or receivable from employer(s)2011-12-31$994,663
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$27,639
2010 : MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2010 401k financial data
Total plan liabilities at end of year2010-12-31$323,572
Total plan liabilities at beginning of year2010-12-31$412,640
Total income from all sources2010-12-31$2,125,873
Expenses. Total of all expenses incurred2010-12-31$1,190,532
Benefits paid (including direct rollovers)2010-12-31$1,163,500
Total plan assets at end of year2010-12-31$7,666,508
Total plan assets at beginning of year2010-12-31$6,820,235
Value of fidelity bond covering the plan2010-12-31$2,000,000
Total contributions received or receivable from participants2010-12-31$82,621
Expenses. Other expenses not covered elsewhere2010-12-31$2,067
Other income received2010-12-31$951,897
Net income (gross income less expenses)2010-12-31$935,341
Net plan assets at end of year (total assets less liabilities)2010-12-31$7,342,936
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$6,407,595
Total contributions received or receivable from employer(s)2010-12-31$1,091,355
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$24,965

Form 5500 Responses for MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH

2022: MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedYes
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedYes
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedYes
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedYes
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: MEDICAL AND DENTAL PLAN FOR UNION EMPLOYEES AQUARION WATER COMPANY OF CT, MA & NH 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract numberS5805, S5820
Policy instance 4
Insurance contract or identification numberS5805, S5820
Number of Individuals Covered45
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of fees paid to insurance companyUSD $908
Welfare Benefit Premiums Paid to CarrierUSD $6,380
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees908
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3210452
Policy instance 3
Insurance contract or identification number3210452
Number of Individuals Covered46
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of fees paid to insurance companyUSD $23,970
Welfare Benefit Premiums Paid to CarrierUSD $653,092
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees23970
Additional information about fees paid to insurance brokerBENEFIT ADVISOR PAYMENTS
Insurance broker organization code?3
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number97331971001
Policy instance 2
Insurance contract or identification number97331971001
Number of Individuals Covered46
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,000
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract numberS5805, S5820
Policy instance 1
Insurance contract or identification numberS5805, S5820
Number of Individuals Covered52
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of fees paid to insurance companyUSD $3,225
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,726
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees3225
TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
Policy contract number504981,535470
Policy instance 1
Insurance contract or identification number504981,535470
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract numberS5805, S5820
Policy instance 2
Insurance contract or identification numberS5805, S5820
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $134,958
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number97331971001
Policy instance 3
Insurance contract or identification number97331971001
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3210452
Policy instance 4
Insurance contract or identification number3210452
Welfare Benefit Premiums Paid to CarrierUSD $783,351
Additional information about fees paid to insurance brokerBENEFIT ADVISOR PAYMENTS & INCENTIV COMPENSATION
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract numberS5805, S5820
Policy instance 5
Insurance contract or identification numberS5805, S5820
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Welfare Benefit Premiums Paid to CarrierUSD $41,898
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
Policy contract number504981,535470
Policy instance 1
Insurance contract or identification number504981,535470
Number of Individuals Covered17
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $526,112
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract numberS5805, S5820
Policy instance 2
Insurance contract or identification numberS5805, S5820
Number of Individuals Covered35
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of fees paid to insurance companyUSD $3,198
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $127,211
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees3198
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number97331971001
Policy instance 3
Insurance contract or identification number97331971001
Number of Individuals Covered27
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,554
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3210452
Policy instance 4
Insurance contract or identification number3210452
Number of Individuals Covered27
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of fees paid to insurance companyUSD $13,422
Welfare Benefit Premiums Paid to CarrierUSD $240,994
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees13422
Additional information about fees paid to insurance brokerBENEFIT ADVISOR PAYMENTS & INCENTIVE COMPENSATION
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract numberS5805, S5820
Policy instance 5
Insurance contract or identification numberS5805, S5820
Number of Individuals Covered21
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $814
Welfare Benefit Premiums Paid to CarrierUSD $40,169
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $814
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract numberS5805, S5820
Policy instance 7
Insurance contract or identification numberS5805, S5820
Number of Individuals Covered47
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,074
Welfare Benefit Premiums Paid to CarrierUSD $37,286
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,074
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number200520
Policy instance 6
Insurance contract or identification number200520
Number of Individuals Covered53
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,401
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3210452
Policy instance 5
Insurance contract or identification number3210452
Number of Individuals Covered49
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $15,524
Welfare Benefit Premiums Paid to CarrierUSD $160,822
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,308
Insurance broker organization code?3
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number97331971001
Policy instance 4
Insurance contract or identification number97331971001
Number of Individuals Covered49
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,058
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract numberS5805, S5820
Policy instance 2
Insurance contract or identification numberS5805, S5820
Number of Individuals Covered35
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of fees paid to insurance companyUSD $8,599
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $114,529
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees8599
CVS HEALTH/CVS PHARMACY, INC (National Association of Insurance Commissioners NAIC id number: 44611 )
Policy contract numberA3607
Policy instance 3
Insurance contract or identification numberA3607
Number of Individuals Covered49
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of fees paid to insurance companyUSD $1,701
Welfare Benefit Premiums Paid to CarrierUSD $167,556
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1701
TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
Policy contract number504981,535470
Policy instance 1
Insurance contract or identification number504981,535470
Number of Individuals Covered27
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $671,237
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
Policy contract number504980-1,535470
Policy instance 1
Insurance contract or identification number504980-1,535470
Number of Individuals Covered78
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $605,927
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract numberS0522,5805&20,5
Policy instance 2
Insurance contract or identification numberS0522,5805&20,5
Number of Individuals Covered37
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $9,008
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $120,374
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CVS HEALTH/CVS PHARMACY, INC (National Association of Insurance Commissioners NAIC id number: 44611 )
Policy contract numberA3607
Policy instance 3
Insurance contract or identification numberA3607
Number of Individuals Covered55
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,606
Welfare Benefit Premiums Paid to CarrierUSD $211,594
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number97331971001
Policy instance 4
Insurance contract or identification number97331971001
Number of Individuals Covered55
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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 $4,235
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number200520
Policy instance 6
Insurance contract or identification number200520
Number of Individuals Covered51
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,026
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $38,324
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3210452
Policy instance 5
Insurance contract or identification number3210452
Number of Individuals Covered55
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $7,116
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $72,059
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,116
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract numberS0522,5805,20-1
Policy instance 7
Insurance contract or identification numberS0522,5805,20-1
Number of Individuals Covered44
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,061
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $36,694
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,061
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3210452
Policy instance 6
Insurance contract or identification number3210452
Number of Individuals Covered51
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $5,785
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $63,318
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,785
Insurance broker name
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number97331971001
Policy instance 5
Insurance contract or identification number97331971001
Number of Individuals Covered51
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 $3,643
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CVS HEALTH/CVS PHARMACY, INC (National Association of Insurance Commissioners NAIC id number: 44611 )
Policy contract numberA3607
Policy instance 4
Insurance contract or identification numberA3607
Number of Individuals Covered51
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 $477
Welfare Benefit Premiums Paid to CarrierUSD $156,507
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract numberS0522,5805&20,5
Policy instance 3
Insurance contract or identification numberS0522,5805&20,5
Number of Individuals Covered38
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $918
Total amount of fees paid to insurance companyUSD $7,733
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $124,270
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $918
Insurance broker nameMERCER HEALTH & BENEFITS LLC
TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
Policy contract number78081
Policy instance 2
Insurance contract or identification number78081
Number of Individuals Covered27
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
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $509,348
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3210452
Policy instance 1
Insurance contract or identification number3210452
Number of Individuals Covered51
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
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,430
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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