401k Plan data: CENTRAL CONNECTICUT HEALTH ALLIANCE plan

CENTRAL CONNECTICUT HEALTH ALLIANCE 401k Plan overview

Plan Name	CENTRAL CONNECTICUT HEALTH ALLIANCE
Plan identification number	002

CENTRAL CONNECTICUT HEALTH ALLIANCE Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
Participant-directed brokerage accounts provided as an investment option under the plan.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

HARTFORD HEALTHCARE CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: HARTFORD HEALTHCARE CORPORATION

Employer identification number (EIN): 222672834

NAIC Classification: 621340
NAIC Description: Offices of Physical, Occupational and Speech Therapists, and Audiologists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CENTRAL CONNECTICUT HEALTH ALLIANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2021-01-01 DANA LITWINKA 2022-10-05
002 2019-01-01 MARK LAPIERRE 2020-10-06
002 2018-01-01 MARK LAPIERRE 2019-10-02
002 2016-01-01
002 2015-01-01 MARK LAPIERRE
002 2015-01-01 MARK LAPIERRE
002 2014-01-01 MARK LAPIERRE
002 2014-01-01 MARK LAPIERRE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2021-01-01	DANA LITWINKA	2022-10-05
002	2019-01-01	MARK LAPIERRE	2020-10-06
002	2018-01-01	MARK LAPIERRE	2019-10-02
002	2016-01-01
002	2015-01-01	MARK LAPIERRE
002	2015-01-01	MARK LAPIERRE
002	2014-01-01	MARK LAPIERRE
002	2014-01-01	MARK LAPIERRE

Plan Statistics for CENTRAL CONNECTICUT HEALTH ALLIANCE

401k plan membership statisitcs for CENTRAL CONNECTICUT HEALTH ALLIANCE

Measure Date Value
2021: CENTRAL CONNECTICUT HEALTH ALLIANCE 2021 401k membership
Total participants, beginning-of-year 2021-01-01 8,557
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 5,141
Number of retired or separated participants receiving benefits 2021-01-01 425
Number of other retired or separated participants entitled to future benefits 2021-01-01 2,427
Total of all active and inactive participants 2021-01-01 7,993
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 12
Total participants 2021-01-01 8,005
Number of participants with account balances 2021-01-01 8,005
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 21
2019: CENTRAL CONNECTICUT HEALTH ALLIANCE 2019 401k membership
Total participants, beginning-of-year 2019-01-01 1,352
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 0
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 0
Number of participants with account balances 2019-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: CENTRAL CONNECTICUT HEALTH ALLIANCE 2018 401k membership
Total participants, beginning-of-year 2018-01-01 1,304
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 1,065
Number of retired or separated participants receiving benefits 2018-01-01 20
Number of other retired or separated participants entitled to future benefits 2018-01-01 267
Total of all active and inactive participants 2018-01-01 1,352
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 1,352
Number of participants with account balances 2018-01-01 1,301
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 38
2016: CENTRAL CONNECTICUT HEALTH ALLIANCE 2016 401k membership
Total participants, beginning-of-year 2016-01-01 2,938
Total of all active and inactive participants 2016-01-01 0
Total participants 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 5
2015: CENTRAL CONNECTICUT HEALTH ALLIANCE 2015 401k membership
Total participants, beginning-of-year 2015-01-01 3,222
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 2,305
Number of retired or separated participants receiving benefits 2015-01-01 3
Number of other retired or separated participants entitled to future benefits 2015-01-01 630
Total of all active and inactive participants 2015-01-01 2,938
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 2,938
Number of participants with account balances 2015-01-01 2,938
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 94
2014: CENTRAL CONNECTICUT HEALTH ALLIANCE 2014 401k membership
Total participants, beginning-of-year 2014-01-01 2,905
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 2,577
Number of retired or separated participants receiving benefits 2014-01-01 2
Number of other retired or separated participants entitled to future benefits 2014-01-01 643
Total of all active and inactive participants 2014-01-01 3,222
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 3,222
Number of participants with account balances 2014-01-01 3,222
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 33

Measure	Date	Value
2021: CENTRAL CONNECTICUT HEALTH ALLIANCE 2021 401k membership
Total participants, beginning-of-year	2021-01-01	8,557
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	5,141
Number of retired or separated participants receiving benefits	2021-01-01	425
Number of other retired or separated participants entitled to future benefits	2021-01-01	2,427
Total of all active and inactive participants	2021-01-01	7,993
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	12
Total participants	2021-01-01	8,005
Number of participants with account balances	2021-01-01	8,005
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	21
2019: CENTRAL CONNECTICUT HEALTH ALLIANCE 2019 401k membership
Total participants, beginning-of-year	2019-01-01	1,352
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	0
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	0
Number of participants with account balances	2019-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: CENTRAL CONNECTICUT HEALTH ALLIANCE 2018 401k membership
Total participants, beginning-of-year	2018-01-01	1,304
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	1,065
Number of retired or separated participants receiving benefits	2018-01-01	20
Number of other retired or separated participants entitled to future benefits	2018-01-01	267
Total of all active and inactive participants	2018-01-01	1,352
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	1,352
Number of participants with account balances	2018-01-01	1,301
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	38
2016: CENTRAL CONNECTICUT HEALTH ALLIANCE 2016 401k membership
Total participants, beginning-of-year	2016-01-01	2,938
Total of all active and inactive participants	2016-01-01	0
Total participants	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	5
2015: CENTRAL CONNECTICUT HEALTH ALLIANCE 2015 401k membership
Total participants, beginning-of-year	2015-01-01	3,222
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	2,305
Number of retired or separated participants receiving benefits	2015-01-01	3
Number of other retired or separated participants entitled to future benefits	2015-01-01	630
Total of all active and inactive participants	2015-01-01	2,938
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	2,938
Number of participants with account balances	2015-01-01	2,938
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	94
2014: CENTRAL CONNECTICUT HEALTH ALLIANCE 2014 401k membership
Total participants, beginning-of-year	2014-01-01	2,905
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	2,577
Number of retired or separated participants receiving benefits	2014-01-01	2
Number of other retired or separated participants entitled to future benefits	2014-01-01	643
Total of all active and inactive participants	2014-01-01	3,222
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	3,222
Number of participants with account balances	2014-01-01	3,222
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	33

Financial Data on CENTRAL CONNECTICUT HEALTH ALLIANCE

Measure	Date	Value
2021 : CENTRAL CONNECTICUT HEALTH ALLIANCE 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$14,104
Total income from all sources (including contributions)	2021-12-31	$97,484,561
Total of all expenses incurred	2021-12-31	$53,915,712
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$53,658,014
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$828,063
Value of total assets at end of year	2021-12-31	$755,659,865
Value of total assets at beginning of year	2021-12-31	$712,105,120
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$257,698
Total interest from all sources	2021-12-31	$491,180
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$27,873,479
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$27,873,479
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Participant contributions at end of year	2021-12-31	$4,938,905
Participant contributions at beginning of year	2021-12-31	$5,800,731
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$828,063
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$43,568,849
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$755,659,865
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$712,091,016
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$473,894,559
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$439,909,501
Value of interest in pooled separate accounts at end of year	2021-12-31	$168,678,006
Value of interest in pooled separate accounts at beginning of year	2021-12-31	$154,800,386
Interest on participant loans	2021-12-31	$491,180
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$108,148,395
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$111,594,502
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$68,291,839
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$53,658,014
Contract administrator fees	2021-12-31	$257,698
Liabilities. Value of benefit claims payable at beginning of year	2021-12-31	$14,104
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Disclaimer
Accountancy firm name	2021-12-31	FIONDELLA, MILONE & LASARACINA LLP
Accountancy firm EIN	2021-12-31	061648707
2019 : CENTRAL CONNECTICUT HEALTH ALLIANCE 2019 401k financial data
Total transfer of assets from this plan	2019-12-31	$43,062,471
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$53,202
Total income from all sources (including contributions)	2019-12-31	$11,867,004
Total of all expenses incurred	2019-12-31	$2,903,548
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$2,651,035
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$4,685,363
Value of total assets at end of year	2019-12-31	$0
Value of total assets at beginning of year	2019-12-31	$34,152,217
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$252,513
Total interest from all sources	2019-12-31	$40,928
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$1,353,355
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2019-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$1,353,355
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2019-12-31	Yes
Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers	2019-12-31	0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Minimum employer required contribution for this plan year	2019-12-31	$0
Amount contributed by the employer to the plan for this plan year	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$3,341,964
Participant contributions at end of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$707,026
Participant contributions at end of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$121,735
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$412,995
Other income not declared elsewhere	2019-12-31	$82,241
Administrative expenses (other) incurred	2019-12-31	$85,914
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$8,963,456
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$34,099,015
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$28,804,628
Interest on participant loans	2019-12-31	$40,928
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$4,215,608
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$5,705,117
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$930,404
Employer contributions (assets) at end of year	2019-12-31	$0
Employer contributions (assets) at beginning of year	2019-12-31	$303,220
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$2,651,035
Contract administrator fees	2019-12-31	$166,599
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-12-31	Yes
Liabilities. Value of benefit claims payable at end of year	2019-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2019-12-31	$53,202
Did the plan have assets held for investment	2019-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	FIONDELLA, MILONE & LASARACINA LLP
Accountancy firm EIN	2019-12-31	061648707
2018 : CENTRAL CONNECTICUT HEALTH ALLIANCE 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2018-12-31	$-2,970,668
Total unrealized appreciation/depreciation of assets	2018-12-31	$-2,970,668
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$53,202
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$1,989,275
Total of all expenses incurred	2018-12-31	$2,270,620
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$2,040,289
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$3,668,033
Value of total assets at end of year	2018-12-31	$34,152,217
Value of total assets at beginning of year	2018-12-31	$34,380,360
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$230,331
Total interest from all sources	2018-12-31	$26,880
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$1,182,575
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$1,182,575
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers	2018-12-31	0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Minimum employer required contribution for this plan year	2018-12-31	$0
Amount contributed by the employer to the plan for this plan year	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$3,214,485
Participant contributions at end of year	2018-12-31	$707,026
Participant contributions at beginning of year	2018-12-31	$489,826
Participant contributions at end of year	2018-12-31	$121,735
Participant contributions at beginning of year	2018-12-31	$113,191
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$150,328
Other income not declared elsewhere	2018-12-31	$82,455
Administrative expenses (other) incurred	2018-12-31	$82,455
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-281,345
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$34,099,015
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$34,380,360
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$147,876
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$28,804,628
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$29,847,432
Interest on participant loans	2018-12-31	$26,880
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$4,215,608
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$3,463,853
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$303,220
Employer contributions (assets) at end of year	2018-12-31	$303,220
Employer contributions (assets) at beginning of year	2018-12-31	$466,058
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$2,040,289
Liabilities. Value of benefit claims payable at end of year	2018-12-31	$53,202
Liabilities. Value of benefit claims payable at beginning of year	2018-12-31	$0
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	FIONDELLA, MILONE & LASARACINA LLP
Accountancy firm EIN	2018-12-31	061648707
2016 : CENTRAL CONNECTICUT HEALTH ALLIANCE 2016 401k financial data
Total transfer of assets from this plan	2016-11-04	$89,148,206
Total income from all sources (including contributions)	2016-11-04	$4,541,627
Total of all expenses incurred	2016-11-04	$8,017,510
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-11-04	$7,847,295
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-11-04	$57,447
Value of total assets at end of year	2016-11-04	$0
Value of total assets at beginning of year	2016-11-04	$92,624,089
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-11-04	$170,215
Total interest from all sources	2016-11-04	$280,767
Total dividends received (eg from common stock, registered investment company shares)	2016-11-04	$531,891
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-11-04	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2016-11-04	$0
Total dividends received from registered investment company shares (eg mutual funds)	2016-11-04	$531,891
Was this plan covered by a fidelity bond	2016-11-04	Yes
Value of fidelity bond cover	2016-11-04	$5,000,000
If this is an individual account plan, was there a blackout period	2016-11-04	No
Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers	2016-11-04	0
Minimum employer required contribution for this plan year	2016-11-04	$0
Amount contributed by the employer to the plan for this plan year	2016-11-04	$0
Were there any nonexempt tranactions with any party-in-interest	2016-11-04	No
Contributions received from participants	2016-11-04	$174
Participant contributions at end of year	2016-11-04	$0
Participant contributions at beginning of year	2016-11-04	$1,336,329
Participant contributions at end of year	2016-11-04	$0
Participant contributions at beginning of year	2016-11-04	$312,143
Assets. Other investments not covered elsewhere at end of year	2016-11-04	$0
Assets. Other investments not covered elsewhere at beginning of year	2016-11-04	$10,734
Income. Received or receivable in cash from other sources (including rollovers)	2016-11-04	$51,919
Other income not declared elsewhere	2016-11-04	$56,689
Administrative expenses (other) incurred	2016-11-04	$170,215
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-11-04	No
Value of net income/loss	2016-11-04	$-3,475,883
Value of net assets at end of year (total assets less liabilities)	2016-11-04	$0
Value of net assets at beginning of year (total assets less liabilities)	2016-11-04	$92,624,089
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-11-04	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-11-04	No
Were any leases to which the plan was party in default or uncollectible	2016-11-04	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-11-04	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-11-04	$76,147,098
Interest on participant loans	2016-11-04	$57,191
Interest earned on other investments	2016-11-04	$223,576
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-11-04	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-11-04	$14,726,573
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-11-04	$3,614,833
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-11-04	No
Was there a failure to transmit to the plan any participant contributions	2016-11-04	No
Has the plan failed to provide any benefit when due under the plan	2016-11-04	No
Contributions received in cash from employer	2016-11-04	$5,354
Employer contributions (assets) at end of year	2016-11-04	$0
Employer contributions (assets) at beginning of year	2016-11-04	$91,212
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-11-04	$7,847,295
Did the plan have assets held for investment	2016-11-04	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-11-04	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-11-04	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-11-04	Yes
Opinion of an independent qualified public accountant for this plan	2016-11-04	Disclaimer
Accountancy firm name	2016-11-04	FIONDELLA, MILONE & LASARACINA LLP
Accountancy firm EIN	2016-11-04	061648707
2015 : CENTRAL CONNECTICUT HEALTH ALLIANCE 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total transfer of assets to this plan	2015-12-31	$515
Total transfer of assets from this plan	2015-12-31	$3,513,991
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$10,165,423
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$9,158,814
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$8,692,755
Expenses. Certain deemed distributions of participant loans	2015-12-31	$243,937
Value of total corrective distributions	2015-12-31	$5,149
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$12,598,189
Value of total assets at end of year	2015-12-31	$92,624,089
Value of total assets at beginning of year	2015-12-31	$95,130,956
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$216,973
Total interest from all sources	2015-12-31	$356,652
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$1,211,996
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$1,211,996
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$8,914,974
Participant contributions at end of year	2015-12-31	$1,336,329
Participant contributions at beginning of year	2015-12-31	$1,301,813
Participant contributions at end of year	2015-12-31	$312,143
Participant contributions at beginning of year	2015-12-31	$289,483
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$10,734
Assets. Other investments not covered elsewhere at beginning of year	2015-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$1,271,438
Other income not declared elsewhere	2015-12-31	$-25,369
Administrative expenses (other) incurred	2015-12-31	$216,973
Total non interest bearing cash at end of year	2015-12-31	$0
Total non interest bearing cash at beginning of year	2015-12-31	$2,587
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$1,006,609
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$92,624,089
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$95,130,956
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$76,147,098
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$78,053,935
Interest on participant loans	2015-12-31	$68,739
Interest earned on other investments	2015-12-31	$287,913
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$14,726,573
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$15,263,098
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-3,976,045
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$2,411,777
Employer contributions (assets) at end of year	2015-12-31	$91,212
Employer contributions (assets) at beginning of year	2015-12-31	$220,040
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$8,692,755
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	FIONDELLA, MILONE & LASARACINA LLP
Accountancy firm EIN	2015-12-31	061648707
2014 : CENTRAL CONNECTICUT HEALTH ALLIANCE 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$17,764,634
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$7,229,430
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$6,928,922
Expenses. Certain deemed distributions of participant loans	2014-12-31	$187,680
Value of total corrective distributions	2014-12-31	$36,719
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$12,325,078
Value of total assets at end of year	2014-12-31	$95,130,956
Value of total assets at beginning of year	2014-12-31	$84,595,752
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$76,109
Total interest from all sources	2014-12-31	$355,909
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$1,222,156
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$1,222,156
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$8,629,469
Participant contributions at end of year	2014-12-31	$1,301,813
Participant contributions at beginning of year	2014-12-31	$1,023,550
Participant contributions at end of year	2014-12-31	$289,483
Participant contributions at beginning of year	2014-12-31	$2,917
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$1,291,558
Other income not declared elsewhere	2014-12-31	$13,088
Administrative expenses (other) incurred	2014-12-31	$76,109
Total non interest bearing cash at end of year	2014-12-31	$2,587
Total non interest bearing cash at beginning of year	2014-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$10,535,204
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$95,130,956
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$84,595,752
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$78,053,935
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$68,242,739
Interest on participant loans	2014-12-31	$54,561
Interest earned on other investments	2014-12-31	$301,348
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$15,263,098
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$15,325,957
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$3,848,403
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$2,404,051
Employer contributions (assets) at end of year	2014-12-31	$220,040
Employer contributions (assets) at beginning of year	2014-12-31	$589
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$6,928,922
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	CROWE HORWATH LLP
Accountancy firm EIN	2014-12-31	350921680

Form 5500 Responses for CENTRAL CONNECTICUT HEALTH ALLIANCE

2021: CENTRAL CONNECTICUT HEALTH ALLIANCE 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2019: CENTRAL CONNECTICUT HEALTH ALLIANCE 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	This submission is the final filing	Yes
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: CENTRAL CONNECTICUT HEALTH ALLIANCE 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2016: CENTRAL CONNECTICUT HEALTH ALLIANCE 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: CENTRAL CONNECTICUT HEALTH ALLIANCE 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	Yes
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	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: CENTRAL CONNECTICUT HEALTH ALLIANCE 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	Yes
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	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

052222-C

Policy instance

Insurance contract or identification number	052222-C
Number of Individuals Covered	3
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

010104-G

Policy instance

Insurance contract or identification number	010104-G
Number of Individuals Covered	129
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of fees paid to insurance company	USD $3,468
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	3468
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VFZ046

Policy instance

Insurance contract or identification number	VFZ046
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $1,583
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,542
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VE0979

Policy instance

Insurance contract or identification number	VE0979
Number of Individuals Covered	86
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $5,655
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,647
Insurance broker organization code?	3

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

074117

Policy instance

Insurance contract or identification number	074117
Number of Individuals Covered	371
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )

Policy contract number

942121

Policy instance

Insurance contract or identification number	942121
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $303,275
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $301,544
Insurance broker organization code?	3

METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )

Policy contract number

010588

Policy instance

Insurance contract or identification number	010588
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )

Policy contract number

934533

Policy instance

Insurance contract or identification number	934533
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )

Policy contract number

869815

Policy instance

Insurance contract or identification number	869815
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

892983-007

Policy instance

Insurance contract or identification number	892983-007
Number of Individuals Covered	0
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

892983-007

Policy instance

Insurance contract or identification number	892983-007
Number of Individuals Covered	106
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

040053

Policy instance

Insurance contract or identification number	040053
Number of Individuals Covered	2938
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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?	Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

040053

Policy instance

Insurance contract or identification number	040053
Number of Individuals Covered	3222
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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?	Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	HARTFORD HEALTHCARE CORPORATION
Employer identification number (EIN):	222672834
NAIC Classification:	621340
NAIC Description:	Offices of Physical, Occupational and Speech Therapists, and Audiologists