DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 401k Plan overview

Plan Name	DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST
Plan identification number	501

DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST Benefits

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

401k Sponsoring company profile

ASSOCIATION OF COMMUNITY SERVICE AGENTS, INC. has sponsored the creation of one or more 401k plans.

Company Name:	ASSOCIATION OF COMMUNITY SERVICE AGENTS, INC.
Employer identification number (EIN):	237300650
NAIC Classification:	525920
NAIC Description:	Trusts, Estates, and Agency Accounts

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2022-01-01
501	2021-01-01
501	2020-01-01
501	2019-01-01
501	2018-01-01
501	2017-01-01	LUIS M. NUNES	2018-10-11
501	2016-01-01	LUIS M. NUNES	2017-12-08
501	2016-01-01
501	2015-01-01	LUIS M. NUNES	2016-10-14
501	2014-01-01	LUIS M. NUNES	2015-10-15
501	2013-01-01	LUIS M. NUNES		LUIS M. NUNES	2014-10-14
501	2012-01-01	LUIS M. NUNES		LUIS M. NUNES	2013-10-15
501	2011-01-01	LUIS M. NUNES		LUIS M. NUNES	2012-10-15
501	2010-01-01	LUIS M. NUNES		LUIS M. NUNES	2011-10-14
501	2009-01-01	LUIS M. NUNES		LUIS M. NUNES	2011-04-14
501	2009-01-01	LUIS M. NUNES		LUIS M. NUNES	2010-10-15

Plan Statistics for DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST

401k plan membership statisitcs for DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST

Measure	Date	Value
2022: DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2022 401k membership
Total participants, beginning-of-year	2022-01-01	51,518
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	53,349
Number of retired or separated participants receiving benefits	2022-01-01	271
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	53,620
2021: DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2021 401k membership
Total participants, beginning-of-year	2021-01-01	54,178
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	51,178
Number of retired or separated participants receiving benefits	2021-01-01	351
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	51,529
2020: DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2020 401k membership
Total participants, beginning-of-year	2020-01-01	56,103
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	53,775
Number of retired or separated participants receiving benefits	2020-01-01	431
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	54,206
2019: DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2019 401k membership
Total participants, beginning-of-year	2019-01-01	57,369
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	55,767
Number of retired or separated participants receiving benefits	2019-01-01	339
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	56,106
2018: DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2018 401k membership
Total participants, beginning-of-year	2018-01-01	57,706
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	57,000
Number of retired or separated participants receiving benefits	2018-01-01	376
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	57,376
2017: DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2017 401k membership
Total participants, beginning-of-year	2017-01-01	59,110
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	57,316
Number of retired or separated participants receiving benefits	2017-01-01	396
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	57,712
2016: DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2016 401k membership
Total participants, beginning-of-year	2016-01-01	55,974
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	58,736
Number of retired or separated participants receiving benefits	2016-01-01	374
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	59,110
2015: DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	53,533
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	55,974
Number of retired or separated participants receiving benefits	2015-01-01	391
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	56,365
2014: DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	52,060
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	53,533
Number of retired or separated participants receiving benefits	2014-01-01	384
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	53,917
2013: DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	52,191
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	52,060
Number of retired or separated participants receiving benefits	2013-01-01	496
Total of all active and inactive participants	2013-01-01	52,556
2012: DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	51,637
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	52,191
Number of retired or separated participants receiving benefits	2012-01-01	525
Total of all active and inactive participants	2012-01-01	52,716
2011: DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	50,098
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	51,637
Number of retired or separated participants receiving benefits	2011-01-01	500
Total of all active and inactive participants	2011-01-01	52,137
2010: DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2010 401k membership
Total participants, beginning-of-year	2010-01-01	49,413
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	50,098
Number of retired or separated participants receiving benefits	2010-01-01	677
Total of all active and inactive participants	2010-01-01	50,775
2009: DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	46,563
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	48,732
Number of retired or separated participants receiving benefits	2009-01-01	681
Total of all active and inactive participants	2009-01-01	49,413

Financial Data on DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST

Measure	Date	Value
2022 : DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$5,240,495
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$6,235,563
Total income from all sources (including contributions)	2022-12-31	$330,725,681
Total of all expenses incurred	2022-12-31	$331,597,269
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$330,030,947
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$331,248,450
Value of total assets at end of year	2022-12-31	$5,832,544
Value of total assets at beginning of year	2022-12-31	$7,699,200
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$1,566,322
Total interest from all sources	2022-12-31	$950
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$45,837
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$45,837
Administrative expenses professional fees incurred	2022-12-31	$65,678
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2022-12-31	$464,002
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2022-12-31	$742,568
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-12-31	$5,128,307
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$6,068,583
Administrative expenses (other) incurred	2022-12-31	$40,807
Liabilities. Value of operating payables at end of year	2022-12-31	$112,188
Liabilities. Value of operating payables at beginning of year	2022-12-31	$166,980
Total non interest bearing cash at end of year	2022-12-31	$3,233,806
Total non interest bearing cash at beginning of year	2022-12-31	$1,949,700
Value of net income/loss	2022-12-31	$-871,588
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$592,049
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$1,463,637
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$1,393,046
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$3,416,813
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$47,144
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$46,059
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$46,059
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$950
Expenses. Payments to insurance carriers foe the provision of benefits	2022-12-31	$330,030,947
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-569,556
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$331,248,450
Employer contributions (assets) at end of year	2022-12-31	$694,546
Employer contributions (assets) at beginning of year	2022-12-31	$1,544,060
Contract administrator fees	2022-12-31	$1,459,837
Did the plan have assets held for investment	2022-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	BEERS,HAMERMAN,COHEN & BURGER, P.C
Accountancy firm EIN	2022-12-31	472517893
2021 : DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$6,235,563
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$5,089,530
Total income from all sources (including contributions)	2021-12-31	$322,687,094
Total of all expenses incurred	2021-12-31	$323,037,130
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$320,960,261
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$322,573,981
Value of total assets at end of year	2021-12-31	$7,699,200
Value of total assets at beginning of year	2021-12-31	$6,903,203
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$2,076,869
Total interest from all sources	2021-12-31	$-167
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$216,083
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$216,083
Administrative expenses professional fees incurred	2021-12-31	$46,679
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-12-31	$742,568
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-12-31	$387,709
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$6,068,583
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$4,948,136
Administrative expenses (other) incurred	2021-12-31	$37,190
Liabilities. Value of operating payables at end of year	2021-12-31	$166,980
Liabilities. Value of operating payables at beginning of year	2021-12-31	$141,394
Total non interest bearing cash at end of year	2021-12-31	$1,949,700
Total non interest bearing cash at beginning of year	2021-12-31	$1,969,944
Value of net income/loss	2021-12-31	$-350,036
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$1,463,637
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$1,813,673
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	$3,416,813
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$3,303,533
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$46,059
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$46,064
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$46,064
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$-167
Expenses. Payments to insurance carriers foe the provision of benefits	2021-12-31	$320,960,261
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$-102,803
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$322,573,981
Employer contributions (assets) at end of year	2021-12-31	$1,544,060
Employer contributions (assets) at beginning of year	2021-12-31	$1,195,953
Contract administrator fees	2021-12-31	$1,993,000
Did the plan have assets held for investment	2021-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	BEERS,HAMERMAN,COHEN & BURGER, P.C
Accountancy firm EIN	2021-12-31	472517893
2020 : DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$5,089,530
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$6,469,242
Total income from all sources (including contributions)	2020-12-31	$311,922,233
Total of all expenses incurred	2020-12-31	$311,694,292
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$309,809,044
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$311,748,668
Value of total assets at end of year	2020-12-31	$6,903,203
Value of total assets at beginning of year	2020-12-31	$8,054,974
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$1,885,248
Total interest from all sources	2020-12-31	$-34
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$70,010
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$70,010
Administrative expenses professional fees incurred	2020-12-31	$49,404
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$311,748,668
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-31	$387,709
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-12-31	$796,606
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$4,948,136
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$6,302,561
Administrative expenses (other) incurred	2020-12-31	$56,174
Liabilities. Value of operating payables at end of year	2020-12-31	$141,394
Liabilities. Value of operating payables at beginning of year	2020-12-31	$166,681
Total non interest bearing cash at end of year	2020-12-31	$1,969,944
Total non interest bearing cash at beginning of year	2020-12-31	$3,266,737
Value of net income/loss	2020-12-31	$227,941
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$1,813,673
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$1,585,732
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$3,303,533
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$3,129,933
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$46,064
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$45,907
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$45,907
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$-34
Expenses. Payments to insurance carriers foe the provision of benefits	2020-12-31	$309,809,044
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$103,589
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Employer contributions (assets) at end of year	2020-12-31	$1,195,953
Employer contributions (assets) at beginning of year	2020-12-31	$815,791
Contract administrator fees	2020-12-31	$1,779,670
Did the plan have assets held for investment	2020-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	BEERS,HAMERMAN,COHEN & BURGER, P.C
Accountancy firm EIN	2020-12-31	472517893
2019 : DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$6,469,242
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$6,469,242
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$7,028,797
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$7,028,797
Total income from all sources (including contributions)	2019-12-31	$314,543,730
Total income from all sources (including contributions)	2019-12-31	$314,543,730
Total of all expenses incurred	2019-12-31	$314,232,538
Total of all expenses incurred	2019-12-31	$314,232,538
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$312,066,262
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$312,066,262
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$314,271,076
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$314,271,076
Value of total assets at end of year	2019-12-31	$8,054,974
Value of total assets at end of year	2019-12-31	$8,054,974
Value of total assets at beginning of year	2019-12-31	$8,303,337
Value of total assets at beginning of year	2019-12-31	$8,303,337
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$2,166,276
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$2,166,276
Total interest from all sources	2019-12-31	$289
Total interest from all sources	2019-12-31	$289
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$104,972
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$104,972
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$104,972
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$104,972
Administrative expenses professional fees incurred	2019-12-31	$50,315
Administrative expenses professional fees incurred	2019-12-31	$50,315
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$314,271,076
Contributions received from participants	2019-12-31	$314,271,076
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$796,606
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$796,606
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$539,547
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$539,547
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$6,302,561
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$6,302,561
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$6,818,009
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$6,818,009
Administrative expenses (other) incurred	2019-12-31	$36,403
Administrative expenses (other) incurred	2019-12-31	$36,403
Liabilities. Value of operating payables at end of year	2019-12-31	$166,681
Liabilities. Value of operating payables at end of year	2019-12-31	$166,681
Liabilities. Value of operating payables at beginning of year	2019-12-31	$210,788
Liabilities. Value of operating payables at beginning of year	2019-12-31	$210,788
Total non interest bearing cash at end of year	2019-12-31	$3,266,737
Total non interest bearing cash at end of year	2019-12-31	$3,266,737
Total non interest bearing cash at beginning of year	2019-12-31	$3,923,196
Total non interest bearing cash at beginning of year	2019-12-31	$3,923,196
Value of net income/loss	2019-12-31	$311,192
Value of net income/loss	2019-12-31	$311,192
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$1,585,732
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$1,585,732
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,274,540
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,274,540
Were any loans by the plan or fixed income obligations due to the plan in default	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
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	$3,129,933
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$3,129,933
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$2,857,946
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$2,857,946
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$45,907
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$45,907
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$45,035
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$45,035
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$45,035
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$45,035
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$289
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$289
Expenses. Payments to insurance carriers foe the provision of benefits	2019-12-31	$312,066,262
Expenses. Payments to insurance carriers foe the provision of benefits	2019-12-31	$312,066,262
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$167,393
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$167,393
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Employer contributions (assets) at end of year	2019-12-31	$815,791
Employer contributions (assets) at end of year	2019-12-31	$815,791
Employer contributions (assets) at beginning of year	2019-12-31	$937,613
Employer contributions (assets) at beginning of year	2019-12-31	$937,613
Contract administrator fees	2019-12-31	$2,079,558
Contract administrator fees	2019-12-31	$2,079,558
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	No
Opinion of an independent qualified public accountant for this plan	2019-12-31	Unqualified
Opinion of an independent qualified public accountant for this plan	2019-12-31	Unqualified
Accountancy firm name	2019-12-31	BEERS,HAMERMAN,COHEN & BURGER, P.C
Accountancy firm name	2019-12-31	BEERS,HAMERMAN,COHEN & BURGER, P.C
Accountancy firm EIN	2019-12-31	472517893
Accountancy firm EIN	2019-12-31	472517893
2018 : DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$7,028,797
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$6,002,846
Total income from all sources (including contributions)	2018-12-31	$308,146,887
Total of all expenses incurred	2018-12-31	$308,418,872
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$305,781,500
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$308,223,299
Value of total assets at end of year	2018-12-31	$8,303,337
Value of total assets at beginning of year	2018-12-31	$7,549,371
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$2,637,372
Total interest from all sources	2018-12-31	$243
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$95,503
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$95,503
Administrative expenses professional fees incurred	2018-12-31	$45,679
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$308,223,299
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$539,547
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$637,988
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-12-31	$6,818,009
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$5,754,046
Administrative expenses (other) incurred	2018-12-31	$18,384
Liabilities. Value of operating payables at end of year	2018-12-31	$210,788
Liabilities. Value of operating payables at beginning of year	2018-12-31	$248,800
Total non interest bearing cash at end of year	2018-12-31	$3,923,196
Total non interest bearing cash at beginning of year	2018-12-31	$1,742,043
Value of net income/loss	2018-12-31	$-271,985
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$1,274,540
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$1,546,525
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$2,857,946
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$2,936,203
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$45,035
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$542,968
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$542,968
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$243
Expenses. Payments to insurance carriers foe the provision of benefits	2018-12-31	$305,781,500
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-172,158
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Employer contributions (assets) at end of year	2018-12-31	$937,613
Employer contributions (assets) at beginning of year	2018-12-31	$1,690,169
Contract administrator fees	2018-12-31	$2,573,309
Did the plan have assets held for investment	2018-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	No
Opinion of an independent qualified public accountant for this plan	2018-12-31	Unqualified
Accountancy firm name	2018-12-31	BEERS,HAMERMAN,COHEN & BURGER, P.C
Accountancy firm EIN	2018-12-31	472517893
2017 : DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$6,002,846
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$6,181,032
Total income from all sources (including contributions)	2017-12-31	$303,441,157
Total of all expenses incurred	2017-12-31	$303,727,840
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$300,578,721
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$303,262,575
Value of total assets at end of year	2017-12-31	$7,549,371
Value of total assets at beginning of year	2017-12-31	$8,014,240
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$3,149,119
Total interest from all sources	2017-12-31	$138
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$104,547
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$104,547
Administrative expenses professional fees incurred	2017-12-31	$40,213
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$303,262,575
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$637,988
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$1,287,798
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$5,754,046
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$5,912,767
Administrative expenses (other) incurred	2017-12-31	$58,849
Liabilities. Value of operating payables at end of year	2017-12-31	$248,800
Liabilities. Value of operating payables at beginning of year	2017-12-31	$268,265
Total non interest bearing cash at end of year	2017-12-31	$1,742,043
Total non interest bearing cash at beginning of year	2017-12-31	$2,218,822
Value of net income/loss	2017-12-31	$-286,683
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$1,546,525
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$1,833,208
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$2,936,203
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$3,257,520
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$542,968
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$42,842
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$42,842
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$138
Expenses. Payments to insurance carriers foe the provision of benefits	2017-12-31	$300,578,721
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$73,897
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Employer contributions (assets) at end of year	2017-12-31	$1,690,169
Employer contributions (assets) at beginning of year	2017-12-31	$1,207,258
Contract administrator fees	2017-12-31	$3,050,057
Did the plan have assets held for investment	2017-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	No
Opinion of an independent qualified public accountant for this plan	2017-12-31	Unqualified
Accountancy firm name	2017-12-31	BEERS,HAMERMAN,COHEN & BURGER, P.C
Accountancy firm EIN	2017-12-31	472517893
2016 : DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$6,181,032
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$6,514,017
Total income from all sources (including contributions)	2016-12-31	$297,536,245
Total of all expenses incurred	2016-12-31	$297,589,993
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$294,358,213
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$297,358,503
Value of total assets at end of year	2016-12-31	$8,014,240
Value of total assets at beginning of year	2016-12-31	$8,400,973
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$3,231,780
Total interest from all sources	2016-12-31	$-255
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$155,448
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$155,448
Administrative expenses professional fees incurred	2016-12-31	$47,572
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$1,287,798
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$880,348
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$5,912,767
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$5,933,245
Administrative expenses (other) incurred	2016-12-31	$50,043
Liabilities. Value of operating payables at end of year	2016-12-31	$268,265
Liabilities. Value of operating payables at beginning of year	2016-12-31	$580,772
Total non interest bearing cash at end of year	2016-12-31	$2,218,822
Total non interest bearing cash at beginning of year	2016-12-31	$1,670,128
Value of net income/loss	2016-12-31	$-53,748
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$1,833,208
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$1,886,956
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$3,257,520
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$3,579,535
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$42,842
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$42,892
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$42,892
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$-255
Expenses. Payments to insurance carriers foe the provision of benefits	2016-12-31	$294,358,213
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$22,549
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$297,358,503
Employer contributions (assets) at end of year	2016-12-31	$1,207,258
Employer contributions (assets) at beginning of year	2016-12-31	$2,228,070
Contract administrator fees	2016-12-31	$3,134,165
Did the plan have assets held for investment	2016-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	No
Opinion of an independent qualified public accountant for this plan	2016-12-31	Unqualified
Accountancy firm name	2016-12-31	BEERS,HAMERMAN,COHEN & BURGER, P.C
Accountancy firm EIN	2016-12-31	472517893
2015 : DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2015-12-31	$-426,026
Total unrealized appreciation/depreciation of assets	2015-12-31	$-426,026
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$6,514,017
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$5,906,121
Total income from all sources (including contributions)	2015-12-31	$262,261,539
Total of all expenses incurred	2015-12-31	$262,798,576
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$259,426,182
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$262,321,706
Value of total assets at end of year	2015-12-31	$8,400,973
Value of total assets at beginning of year	2015-12-31	$8,330,114
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$3,372,394
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$365,859
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$365,859
Administrative expenses professional fees incurred	2015-12-31	$42,426
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$880,348
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$738,211
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$5,933,245
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$5,359,358
Administrative expenses (other) incurred	2015-12-31	$53,968
Liabilities. Value of operating payables at end of year	2015-12-31	$580,772
Liabilities. Value of operating payables at beginning of year	2015-12-31	$546,763
Total non interest bearing cash at end of year	2015-12-31	$1,670,128
Total non interest bearing cash at beginning of year	2015-12-31	$2,391,960
Value of net income/loss	2015-12-31	$-537,037
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$1,886,956
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$2,423,993
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	$3,579,535
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$3,639,410
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$42,892
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$42,892
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$42,892
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$259,426,182
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	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	$262,321,706
Employer contributions (assets) at end of year	2015-12-31	$2,228,070
Employer contributions (assets) at beginning of year	2015-12-31	$1,517,641
Contract administrator fees	2015-12-31	$3,276,000
Did the plan have assets held for investment	2015-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	No
Opinion of an independent qualified public accountant for this plan	2015-12-31	Unqualified
Accountancy firm name	2015-12-31	BEERS,HAMERMAN,COHEN & BURGER, P.C
Accountancy firm EIN	2015-12-31	472517893
2014 : DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2014-12-31	$-26,727
Total unrealized appreciation/depreciation of assets	2014-12-31	$-26,727
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$5,906,121
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$5,019,190
Total income from all sources (including contributions)	2014-12-31	$233,585,564
Total of all expenses incurred	2014-12-31	$233,896,495
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$230,637,895
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$233,452,441
Value of total assets at end of year	2014-12-31	$8,330,114
Value of total assets at beginning of year	2014-12-31	$7,754,114
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$3,258,600
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$159,850
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$159,850
Administrative expenses professional fees incurred	2014-12-31	$44,062
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$738,211
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$462,145
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$5,359,358
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$4,500,158
Administrative expenses (other) incurred	2014-12-31	$41,088
Liabilities. Value of operating payables at end of year	2014-12-31	$546,763
Liabilities. Value of operating payables at beginning of year	2014-12-31	$519,032
Total non interest bearing cash at end of year	2014-12-31	$2,391,960
Total non interest bearing cash at beginning of year	2014-12-31	$2,754,608
Value of net income/loss	2014-12-31	$-310,931
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$2,423,993
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$2,734,924
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	$3,639,410
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$3,506,024
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$42,892
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$42,892
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$42,892
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$230,637,895
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
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	$233,452,441
Employer contributions (assets) at end of year	2014-12-31	$1,517,641
Employer contributions (assets) at beginning of year	2014-12-31	$988,445
Contract administrator fees	2014-12-31	$3,173,450
Did the plan have assets held for investment	2014-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	No
Opinion of an independent qualified public accountant for this plan	2014-12-31	Unqualified
Accountancy firm name	2014-12-31	BEERS,HAMERMAN,COHEN & BURGER, P.C
Accountancy firm EIN	2014-12-31	472517893
2013 : DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2013-12-31	$149,680
Total unrealized appreciation/depreciation of assets	2013-12-31	$149,680
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$5,019,190
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$5,696,814
Total income from all sources (including contributions)	2013-12-31	$222,073,948
Total of all expenses incurred	2013-12-31	$222,020,133
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$218,736,491
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$221,806,779
Value of total assets at end of year	2013-12-31	$7,754,114
Value of total assets at beginning of year	2013-12-31	$8,377,923
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$3,283,642
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$117,489
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$109,911
Administrative expenses professional fees incurred	2013-12-31	$44,006
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$462,145
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$304,897
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$4,500,158
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$5,002,818
Administrative expenses (other) incurred	2013-12-31	$50,199
Liabilities. Value of operating payables at end of year	2013-12-31	$519,032
Liabilities. Value of operating payables at beginning of year	2013-12-31	$693,996
Total non interest bearing cash at end of year	2013-12-31	$2,754,608
Total non interest bearing cash at beginning of year	2013-12-31	$1,494,032
Value of net income/loss	2013-12-31	$53,815
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$2,734,924
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$2,681,109
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$3,506,024
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$3,414,854
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$42,892
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$30,931
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$30,931
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$218,736,491
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$221,806,779
Employer contributions (assets) at end of year	2013-12-31	$988,445
Employer contributions (assets) at beginning of year	2013-12-31	$2,796,430
Income. Dividends from common stock	2013-12-31	$7,578
Contract administrator fees	2013-12-31	$3,189,437
Assets. Corporate common stocks other than exployer securities at beginning of year	2013-12-31	$336,779
Did the plan have assets held for investment	2013-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	BEERS, HAMERMAN & CO., P.C.
Accountancy firm EIN	2013-12-31	060971924
2012 : DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$178,213
Total unrealized appreciation/depreciation of assets	2012-12-31	$178,213
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$5,696,814
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$5,425,850
Total income from all sources (including contributions)	2012-12-31	$212,896,831
Total of all expenses incurred	2012-12-31	$212,028,532
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$209,347,502
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$212,604,874
Value of total assets at end of year	2012-12-31	$8,377,923
Value of total assets at beginning of year	2012-12-31	$7,238,660
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$2,681,030
Total interest from all sources	2012-12-31	$-11
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$113,755
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$103,651
Administrative expenses professional fees incurred	2012-12-31	$51,617
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$304,897
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$5,002,818
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$5,029,596
Administrative expenses (other) incurred	2012-12-31	$48,078
Liabilities. Value of operating payables at end of year	2012-12-31	$693,996
Liabilities. Value of operating payables at beginning of year	2012-12-31	$396,254
Total non interest bearing cash at end of year	2012-12-31	$1,494,032
Total non interest bearing cash at beginning of year	2012-12-31	$2,142,395
Value of net income/loss	2012-12-31	$868,299
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$2,681,109
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$1,812,810
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$3,414,854
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$3,153,261
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$30,931
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$20,827
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$20,827
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$-11
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$209,347,502
Asset value of US Government securities at beginning of year	2012-12-31	$449,438
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$212,604,874
Employer contributions (assets) at end of year	2012-12-31	$2,796,430
Employer contributions (assets) at beginning of year	2012-12-31	$1,156,231
Income. Dividends from common stock	2012-12-31	$10,104
Contract administrator fees	2012-12-31	$2,581,335
Assets. Corporate common stocks other than exployer securities at end of year	2012-12-31	$336,779
Assets. Corporate common stocks other than exployer securities at beginning of year	2012-12-31	$316,508
Did the plan have assets held for investment	2012-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Unqualified
Accountancy firm name	2012-12-31	BEERS, HAMERMAN & CO., P.C.
Accountancy firm EIN	2012-12-31	060971924
2011 : DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$-69,275
Total unrealized appreciation/depreciation of assets	2011-12-31	$-69,275
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$5,425,850
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$6,514,437
Total income from all sources (including contributions)	2011-12-31	$196,456,488
Total of all expenses incurred	2011-12-31	$196,513,059
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$193,760,478
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$196,445,926
Value of total assets at end of year	2011-12-31	$7,238,660
Value of total assets at beginning of year	2011-12-31	$8,383,818
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$2,752,581
Total interest from all sources	2011-12-31	$1,137
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$78,700
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$69,543
Administrative expenses professional fees incurred	2011-12-31	$65,145
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$141,361
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$5,029,596
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$5,670,866
Administrative expenses (other) incurred	2011-12-31	$52,830
Liabilities. Value of operating payables at end of year	2011-12-31	$396,254
Liabilities. Value of operating payables at beginning of year	2011-12-31	$843,571
Total non interest bearing cash at end of year	2011-12-31	$2,142,395
Total non interest bearing cash at beginning of year	2011-12-31	$1,329,686
Value of net income/loss	2011-12-31	$-56,571
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$1,812,810
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,869,381
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$3,153,261
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$3,098,748
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$20,827
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$11,670
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$11,670
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$1,137
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$193,760,478
Asset value of US Government securities at end of year	2011-12-31	$449,438
Asset value of US Government securities at beginning of year	2011-12-31	$1,390,971
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$196,445,926
Employer contributions (assets) at end of year	2011-12-31	$1,156,231
Employer contributions (assets) at beginning of year	2011-12-31	$2,040,628
Income. Dividends from common stock	2011-12-31	$9,157
Contract administrator fees	2011-12-31	$2,634,606
Assets. Corporate common stocks other than exployer securities at end of year	2011-12-31	$316,508
Assets. Corporate common stocks other than exployer securities at beginning of year	2011-12-31	$370,754
Did the plan have assets held for investment	2011-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	BEERS, HAMERMAN & CO., P.C.
Accountancy firm EIN	2011-12-31	060971924
2010 : DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$248,430
Total unrealized appreciation/depreciation of assets	2010-12-31	$248,430
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$6,514,437
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$5,186,129
Total income from all sources (including contributions)	2010-12-31	$190,471,913
Total of all expenses incurred	2010-12-31	$190,611,743
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$187,244,857
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$190,076,612
Value of total assets at end of year	2010-12-31	$8,383,818
Value of total assets at beginning of year	2010-12-31	$7,195,340
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$3,366,886
Total interest from all sources	2010-12-31	$3,002
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$143,869
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$136,607
Administrative expenses professional fees incurred	2010-12-31	$62,369
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$141,361
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$488
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$5,670,866
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$4,633,421
Administrative expenses (other) incurred	2010-12-31	$43,676
Liabilities. Value of operating payables at end of year	2010-12-31	$843,571
Liabilities. Value of operating payables at beginning of year	2010-12-31	$552,708
Total non interest bearing cash at end of year	2010-12-31	$1,329,686
Total non interest bearing cash at beginning of year	2010-12-31	$1,186,836
Value of net income/loss	2010-12-31	$-139,830
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,869,381
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$2,009,211
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$3,098,748
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$3,270,230
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$11,670
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$4,458
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$4,458
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$3,002
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$187,244,857
Asset value of US Government securities at end of year	2010-12-31	$1,390,971
Asset value of US Government securities at beginning of year	2010-12-31	$515,135
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$190,076,612
Employer contributions (assets) at end of year	2010-12-31	$2,040,628
Employer contributions (assets) at beginning of year	2010-12-31	$1,903,959
Income. Dividends from common stock	2010-12-31	$7,262
Contract administrator fees	2010-12-31	$3,260,841
Assets. Corporate common stocks other than exployer securities at end of year	2010-12-31	$370,754
Assets. Corporate common stocks other than exployer securities at beginning of year	2010-12-31	$314,234
Did the plan have assets held for investment	2010-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	BEERS, HAMERMAN & CO., P.C.
Accountancy firm EIN	2010-12-31	060971924

Form 5500 Responses for DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST

2022: DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2022 form 5500 responses
2022-01-01	Type of plan entity	DFE (Diect Filing Entity)
2022-01-01	Submission has been amended	Yes
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2021 form 5500 responses
2021-01-01	Type of plan entity	DFE (Diect Filing Entity)
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
2020: DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2020 form 5500 responses
2020-01-01	Type of plan entity	DFE (Diect Filing Entity)
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2019 form 5500 responses
2019-01-01	Type of plan entity	DFE (Diect Filing Entity)
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: DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2018 form 5500 responses
2018-01-01	Type of plan entity	DFE (Diect Filing Entity)
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
2017: DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2017 form 5500 responses
2017-01-01	Type of plan entity	DFE (Diect Filing Entity)
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2016 form 5500 responses
2016-01-01	Type of plan entity	DFE (Diect Filing Entity)
2016-01-01	Submission has been amended	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: DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2015 form 5500 responses
2015-01-01	Type of plan entity	DFE (Diect Filing Entity)
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: DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2014 form 5500 responses
2014-01-01	Type of plan entity	DFE (Diect Filing Entity)
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
2013: DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2013 form 5500 responses
2013-01-01	Type of plan entity	DFE (Diect Filing Entity)
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2012 form 5500 responses
2012-01-01	Type of plan entity	DFE (Diect Filing Entity)
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2011 form 5500 responses
2011-01-01	Type of plan entity	DFE (Diect Filing Entity)
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2010 form 5500 responses
2010-01-01	Type of plan entity	DFE (Diect Filing Entity)
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: DFEASSOCIATION OF COMMUNITY SERVICE AGENCIES EMPLOYEE BENEFIT TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	DFE (Diect Filing Entity)
2009-01-01	Submission has been amended	Yes
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	115
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 774 Insurance policy start date 2021-04-01 Insurance policy end date 2022-03-31 Total amount of commissions paid to insurance broker USD $11,939 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $87,743 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,104
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	116
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 882 Insurance policy start date 2021-08-01 Insurance policy end date 2022-07-31 Total amount of commissions paid to insurance broker USD $15,931 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $106,594 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $8,172
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	117
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 958 Insurance policy start date 2021-12-01 Insurance policy end date 2022-11-30 Total amount of commissions paid to insurance broker USD $3,327 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $101,837 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,702
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	118
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1624 Insurance policy start date 2021-02-01 Insurance policy end date 2022-01-31 Total amount of commissions paid to insurance broker USD $9,137 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $125,692 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,992
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	119
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 8300 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Total amount of commissions paid to insurance broker USD $91,878 Total amount of fees paid to insurance company USD $11,770 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $1,199,456 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $48,754 Amount paid for insurance broker fees 7324
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	MULTI-CONTRACTS
Policy instance	120
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 10847 Insurance policy start date 2021-07-01 Insurance policy end date 2022-06-30 Total amount of commissions paid to insurance broker USD $108,157 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $975,962 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $67,453
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	121
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1461 Insurance policy start date 2021-06-01 Insurance policy end date 2022-05-31 Total amount of commissions paid to insurance broker USD $33,159 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $234,162 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $15,898
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	122
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 881 Insurance policy start date 2021-05-01 Insurance policy end date 2022-04-30 Total amount of commissions paid to insurance broker USD $25,128 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $144,512 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $11,378
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	123
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 410 Insurance policy start date 2021-11-01 Insurance policy end date 2022-10-31 Total amount of commissions paid to insurance broker USD $1,193 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $15,073 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $600
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	124
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1435 Insurance policy start date 2021-10-01 Insurance policy end date 2022-09-30 Total amount of commissions paid to insurance broker USD $27,983 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $141,466 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $14,094
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	125
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 724 Insurance policy start date 2021-09-01 Insurance policy end date 2022-08-31 Total amount of commissions paid to insurance broker USD $8,520 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $107,812 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,360
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	126
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 205 Insurance policy start date 2021-04-01 Insurance policy end date 2022-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,221,397 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	921814
Policy instance	127
Insurance contract or identification number 921814 Number of Individuals Covered 727 Insurance policy start date 2021-08-01 Insurance policy end date 2022-07-31 Total amount of commissions paid to insurance broker USD $5,795 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $218,041 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,291
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	128
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 398 Insurance policy start date 2021-12-01 Insurance policy end date 2022-11-30 Total amount of commissions paid to insurance broker USD $74,580 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,393,442 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $61,798
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	129
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1840 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $27,458,704 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	130
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1736 Insurance policy start date 2021-07-01 Insurance policy end date 2022-06-30 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $22,676,892 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	131
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 267 Insurance policy start date 2021-06-01 Insurance policy end date 2022-05-31 Total amount of commissions paid to insurance broker USD $4,018 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,666,010 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,018
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	132
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 427 Insurance policy start date 2021-03-01 Insurance policy end date 2022-02-28 Total amount of commissions paid to insurance broker USD $3,338 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,872,225 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,138
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	1325514
Policy instance	133
Insurance contract or identification number 1325514 Number of Individuals Covered 40 Insurance policy start date 2021-11-01 Insurance policy end date 2022-10-31 Total amount of commissions paid to insurance broker USD $3,720 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $565,319 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,720
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	134
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 115 Insurance policy start date 2021-10-01 Insurance policy end date 2022-09-30 Total amount of commissions paid to insurance broker USD $22,620 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,996,185 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $22,620
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	MULTI-CONTRACTS
Policy instance	135
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 312 Insurance policy start date 2021-09-01 Insurance policy end date 2022-08-31 Total amount of commissions paid to insurance broker USD $72,427 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,325,027 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $56,425
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	1026250
Policy instance	136
Insurance contract or identification number 1026250 Number of Individuals Covered 323 Insurance policy start date 2021-04-01 Insurance policy end date 2022-03-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $51,387 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	1114267
Policy instance	137
Insurance contract or identification number 1114267 Number of Individuals Covered 284 Insurance policy start date 2021-08-01 Insurance policy end date 2022-07-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $54,708 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	138
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 605 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $243,111 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	139
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 70 Insurance policy start date 2021-07-01 Insurance policy end date 2022-06-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $28,724 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	1109660-10001
Policy instance	140
Insurance contract or identification number 1109660-10001 Number of Individuals Covered 13 Insurance policy start date 2021-05-01 Insurance policy end date 2022-04-30 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,789 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	141
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 187 Insurance policy start date 2021-11-01 Insurance policy end date 2022-10-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $23,332 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	142
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 152 Insurance policy start date 2021-10-01 Insurance policy end date 2022-09-30 Total amount of commissions paid to insurance broker USD $89 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $39,837 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $89
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	20727
Policy instance	143
Insurance contract or identification number 20727 Number of Individuals Covered 1479 Insurance policy start date 2021-02-01 Insurance policy end date 2022-01-31 Total amount of commissions paid to insurance broker USD $30,511 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $115,197 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $15,737
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	144
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 360 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Total amount of commissions paid to insurance broker USD $7,615 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $53,264 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,686
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	1
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 256 Insurance policy start date 2021-04-01 Insurance policy end date 2022-03-31 Total amount of commissions paid to insurance broker USD $73,368 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,295,941 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $51,176
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	2
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 13608 Insurance policy start date 2021-08-01 Insurance policy end date 2022-07-31 Total amount of commissions paid to insurance broker USD $186,805 Total amount of fees paid to insurance company USD $9,484 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,791,025 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $92,850 Amount paid for insurance broker fees 9484
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	3
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1318 Insurance policy start date 2021-12-01 Insurance policy end date 2022-11-30 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,574,015 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	4
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 817 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Total amount of commissions paid to insurance broker USD $232,330 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,562,845 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $75,281
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	5
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 981 Insurance policy start date 2021-07-01 Insurance policy end date 2022-06-30 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Other welfare benefits provided EAP Welfare Benefit Premiums Paid to Carrier USD $9,664,249 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	6
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 314 Insurance policy start date 2021-06-01 Insurance policy end date 2022-05-31 Total amount of commissions paid to insurance broker USD $51,816 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,102,339 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $34,555
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	7
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 384 Insurance policy start date 2021-03-01 Insurance policy end date 2022-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,348,918 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	223950
Policy instance	8
Insurance contract or identification number 223950 Number of Individuals Covered 74 Insurance policy start date 2021-05-01 Insurance policy end date 2022-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,419,502 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	9
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 610 Insurance policy start date 2021-10-01 Insurance policy end date 2022-09-30 Total amount of commissions paid to insurance broker USD $205,911 Total amount of fees paid to insurance company USD $2,500 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,103,113 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $92,432 Amount paid for insurance broker fees 2500
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	10
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 298 Insurance policy start date 2021-09-01 Insurance policy end date 2022-08-31 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,160,812 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	11
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 4 Insurance policy start date 2021-04-01 Insurance policy end date 2022-03-31 Total amount of commissions paid to insurance broker USD $302 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,025 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $302
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	12
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 69 Insurance policy start date 2021-08-01 Insurance policy end date 2022-07-31 Total amount of commissions paid to insurance broker USD $2,395 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $42,175 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,243
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	13
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 9 Insurance policy start date 2021-12-01 Insurance policy end date 2022-11-30 Total amount of commissions paid to insurance broker USD $264 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,639 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $264
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	14
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 243 Insurance policy start date 2021-02-01 Insurance policy end date 2022-01-31 Total amount of commissions paid to insurance broker USD $2,377 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $28,967 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,220
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	15
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 166 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Total amount of commissions paid to insurance broker USD $2,374 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $25,276 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,014
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MUTLI-CONTRACTS
Policy instance	16
Insurance contract or identification number MUTLI-CONTRACTS Number of Individuals Covered 343 Insurance policy start date 2021-07-01 Insurance policy end date 2022-06-30 Total amount of commissions paid to insurance broker USD $2,579 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $33,525 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,749
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-47850
Policy instance	17
Insurance contract or identification number 10-47850 Number of Individuals Covered 85 Insurance policy start date 2021-05-01 Insurance policy end date 2022-04-30 Total amount of commissions paid to insurance broker USD $906 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $9,774 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $906
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	18
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 97 Insurance policy start date 2021-10-01 Insurance policy end date 2022-09-30 Total amount of commissions paid to insurance broker USD $2,500 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $36,682 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,728
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	19
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 22 Insurance policy start date 2021-09-01 Insurance policy end date 2022-08-31 Total amount of commissions paid to insurance broker USD $314 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,145 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $314
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	20
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 960 Insurance policy start date 2021-08-01 Insurance policy end date 2022-09-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $667,459 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	21
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 480 Insurance policy start date 2021-12-01 Insurance policy end date 2022-11-30 Total amount of commissions paid to insurance broker USD $323 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $455,222 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $323
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	145
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 66 Insurance policy start date 2021-04-01 Insurance policy end date 2022-03-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $24,479 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	167787
Policy instance	146
Insurance contract or identification number 167787 Number of Individuals Covered 1366 Insurance policy start date 2021-08-01 Insurance policy end date 2022-07-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $134,563 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	447260
Policy instance	147
Insurance contract or identification number 447260 Number of Individuals Covered 764 Insurance policy start date 2021-12-01 Insurance policy end date 2022-11-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $146,416 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACT
Policy instance	148
Insurance contract or identification number MULTI-CONTRACT Number of Individuals Covered 1419 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $107,281 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	149
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 695 Insurance policy start date 2021-07-01 Insurance policy end date 2022-06-30 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $62,989 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULTI-CONTRACTS
Policy instance	150
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 734 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Total amount of commissions paid to insurance broker USD $20,103 Total amount of fees paid to insurance company USD $131 Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided CRITICAL ILLNESS Welfare Benefit Premiums Paid to Carrier USD $148,315 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $8,118 Amount paid for insurance broker fees 131
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	MULTI-CONTRACTS
Policy instance	151
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3065 Insurance policy start date 2021-07-01 Insurance policy end date 2022-06-30 Total amount of commissions paid to insurance broker USD $36,173 Total amount of fees paid to insurance company USD $2,881 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $332,994 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $13,719 Amount paid for insurance broker fees 1173
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	939392
Policy instance	152
Insurance contract or identification number 939392 Number of Individuals Covered 166 Insurance policy start date 2021-06-01 Insurance policy end date 2022-05-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $53,086 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	939092
Policy instance	153
Insurance contract or identification number 939092 Number of Individuals Covered 35 Insurance policy start date 2021-03-01 Insurance policy end date 2022-02-28 Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,246 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	947833
Policy instance	154
Insurance contract or identification number 947833 Number of Individuals Covered 1212 Insurance policy start date 2021-10-01 Insurance policy end date 2022-09-30 Total amount of commissions paid to insurance broker USD $28,515 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $184,111 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $14,700
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	941147
Policy instance	155
Insurance contract or identification number 941147 Number of Individuals Covered 950 Insurance policy start date 2021-09-01 Insurance policy end date 2022-08-31 Total amount of commissions paid to insurance broker USD $4,712 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $73,080 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,559
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	156
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2470 Insurance policy start date 2021-04-01 Insurance policy end date 2022-03-31 Total amount of commissions paid to insurance broker USD $69,222 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $331,251 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $34,709
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	157
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2380 Insurance policy start date 2021-08-01 Insurance policy end date 2022-07-31 Total amount of commissions paid to insurance broker USD $47,940 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $250,371 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $23,470
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	158
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 501 Insurance policy start date 2021-12-01 Insurance policy end date 2022-11-30 Total amount of commissions paid to insurance broker USD $18,133 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $68,259 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $9,678
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	159
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 674 Insurance policy start date 2021-02-01 Insurance policy end date 2022-01-31 Total amount of commissions paid to insurance broker USD $15,307 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $75,061 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,206
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	160
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 14417 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Total amount of commissions paid to insurance broker USD $349,593 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided EAP Welfare Benefit Premiums Paid to Carrier USD $2,466,119 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $198,034
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	161
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2270 Insurance policy start date 2021-07-01 Insurance policy end date 2022-06-30 Total amount of commissions paid to insurance broker USD $65,567 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $340,036 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $32,021
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	162
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2297 Insurance policy start date 2021-06-01 Insurance policy end date 2022-05-31 Total amount of commissions paid to insurance broker USD $62,330 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $292,398 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $28,492
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	163
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 590 Insurance policy start date 2021-03-01 Insurance policy end date 2022-02-28 Total amount of commissions paid to insurance broker USD $18,582 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $84,601 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $8,762
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	164
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1894 Insurance policy start date 2021-05-01 Insurance policy end date 2022-04-30 Total amount of commissions paid to insurance broker USD $59,137 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $252,166 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $32,539
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	165
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1556 Insurance policy start date 2021-11-01 Insurance policy end date 2022-10-31 Total amount of commissions paid to insurance broker USD $24,964 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $111,373 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $14,161
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	166
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1750 Insurance policy start date 2021-10-01 Insurance policy end date 2022-09-30 Total amount of commissions paid to insurance broker USD $36,238 Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $155,157 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $17,177
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	167
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3802 Insurance policy start date 2021-09-01 Insurance policy end date 2022-08-31 Total amount of commissions paid to insurance broker USD $96,346 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $593,243 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $42,692
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	MULTI-CONTRACTS
Policy instance	168
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 212 Insurance policy start date 2021-05-01 Insurance policy end date 2022-04-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $74,784 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 number	MULTI-CONTRACTS
Policy instance	169
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 188 Insurance policy start date 2021-11-01 Insurance policy end date 2022-10-31 Total amount of commissions paid to insurance broker USD $52,493 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $906,985 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $37,159
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	MULTI-CONTRACTS
Policy instance	170
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1228 Insurance policy start date 2021-09-01 Insurance policy end date 2022-08-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $723,506 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	30090662
Policy instance	171
Insurance contract or identification number 30090662 Number of Individuals Covered 41 Insurance policy start date 2021-04-01 Insurance policy end date 2022-03-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,082 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	172
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 191 Insurance policy start date 2021-12-01 Insurance policy end date 2022-11-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $25,650 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	173
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 315 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $41,502 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	174
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 470 Insurance policy start date 2021-07-01 Insurance policy end date 2022-06-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $59,038 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	175
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 257 Insurance policy start date 2021-06-01 Insurance policy end date 2022-05-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $35,905 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	30036329
Policy instance	176
Insurance contract or identification number 30036329 Number of Individuals Covered 90 Insurance policy start date 2021-03-01 Insurance policy end date 2022-02-28 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $21,115 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTACTS
Policy instance	177
Insurance contract or identification number MULTI-CONTACTS Number of Individuals Covered 374 Insurance policy start date 2021-06-01 Insurance policy end date 2022-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $61,898 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	165893
Policy instance	178
Insurance contract or identification number 165893 Number of Individuals Covered 348 Insurance policy start date 2021-05-01 Insurance policy end date 2022-04-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $78,481 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	152404
Policy instance	179
Insurance contract or identification number 152404 Number of Individuals Covered 200 Insurance policy start date 2021-11-01 Insurance policy end date 2022-10-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $37,348 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	0166366
Policy instance	180
Insurance contract or identification number 0166366 Number of Individuals Covered 270 Insurance policy start date 2021-10-01 Insurance policy end date 2022-09-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $30,249 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	181
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 120 Insurance policy start date 2021-12-01 Insurance policy end date 2022-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $993,216 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	182
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 167 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,702,518 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	183
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 248 Insurance policy start date 2021-07-01 Insurance policy end date 2022-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,863,005 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	0743360000
Policy instance	184
Insurance contract or identification number 0743360000 Number of Individuals Covered 7 Insurance policy start date 2021-03-01 Insurance policy end date 2022-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $457,551 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	185
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 58 Insurance policy start date 2021-10-01 Insurance policy end date 2022-09-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $487,218 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )
Policy contract number	MULTI-CONTRACTS
Policy instance	186
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1054 Insurance policy start date 2021-04-01 Insurance policy end date 2022-03-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $109,049 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	187
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2585 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Total amount of commissions paid to insurance broker USD $1,342 Total amount of fees paid to insurance company USD $600 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $99,555 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,342 Amount paid for insurance broker fees 600
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	188
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2192 Insurance policy start date 2021-07-01 Insurance policy end date 2022-06-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $100,578 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	189
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 136 Insurance policy start date 2021-06-01 Insurance policy end date 2022-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $26,065 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	190
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 704 Insurance policy start date 2021-05-01 Insurance policy end date 2022-04-30 Temporary Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $9,411 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	191
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 167 Insurance policy start date 2021-11-01 Insurance policy end date 2022-10-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,220 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	192
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 134 Insurance policy start date 2021-10-01 Insurance policy end date 2022-09-30 Life Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $7,295 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 number	MULTI-CONTRACTS
Policy instance	193
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 366 Insurance policy start date 2021-04-01 Insurance policy end date 2022-03-31 Total amount of commissions paid to insurance broker USD $2,379 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $26,823 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,586
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	MULTI-CONTRACTS
Policy instance	194
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3275 Insurance policy start date 2021-08-01 Insurance policy end date 2022-07-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,830,100 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 number	MULTI-CONTRACTS
Policy instance	195
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 167 Insurance policy start date 2021-12-01 Insurance policy end date 2022-11-30 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $757,765 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 number	MULTI-CONTRACTS
Policy instance	196
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 117 Insurance policy start date 2021-02-01 Insurance policy end date 2022-01-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $430,385 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 number	MULTI-CONTRACTS
Policy instance	197
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 4813 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Total amount of commissions paid to insurance broker USD $448,046 Total amount of fees paid to insurance company USD $7,891 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $11,869,011 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $138,766 Amount paid for insurance broker fees 5200
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	MULTI-CONTRACTS
Policy instance	198
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 4137 Insurance policy start date 2021-07-01 Insurance policy end date 2022-06-30 Total amount of commissions paid to insurance broker USD $263,628 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,179,259 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $91,853
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	801169M001
Policy instance	22
Insurance contract or identification number 801169M001 Number of Individuals Covered 32 Insurance policy start date 2021-02-01 Insurance policy end date 2022-01-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $408,975 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	23
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1031 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $766,103 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	24
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2001 Insurance policy start date 2021-07-01 Insurance policy end date 2022-06-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,602,307 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	L00163M001
Policy instance	25
Insurance contract or identification number L00163M001 Number of Individuals Covered 69 Insurance policy start date 2021-05-01 Insurance policy end date 2022-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,057,720 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	26
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 226 Insurance policy start date 2021-10-01 Insurance policy end date 2022-09-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $40,848 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	27
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 259 Insurance policy start date 2021-09-01 Insurance policy end date 2022-08-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $47,223 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	28
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 83 Insurance policy start date 2021-12-01 Insurance policy end date 2022-11-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,307 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	29
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 90 Insurance policy start date 2021-02-01 Insurance policy end date 2022-01-31 Total amount of commissions paid to insurance broker USD $67 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,420 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $34
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	30
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 215 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Total amount of commissions paid to insurance broker USD $872 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,554 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $515
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-1363
Policy instance	31
Insurance contract or identification number 30790-1363 Number of Individuals Covered 114 Insurance policy start date 2021-07-01 Insurance policy end date 2022-06-30 Total amount of commissions paid to insurance broker USD $1,018 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $17,314 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,018
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30914-1061
Policy instance	32
Insurance contract or identification number 30914-1061 Number of Individuals Covered 23 Insurance policy start date 2021-03-01 Insurance policy end date 2022-02-28 Total amount of commissions paid to insurance broker USD $390 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,841 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $390
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-215
Policy instance	33
Insurance contract or identification number 30790-215 Number of Individuals Covered 8 Insurance policy start date 2021-11-01 Insurance policy end date 2022-10-31 Total amount of commissions paid to insurance broker USD $50 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $857 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $50
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30001-01-9000
Policy instance	34
Insurance contract or identification number 30001-01-9000 Number of Individuals Covered 25 Insurance policy start date 2021-10-01 Insurance policy end date 2022-09-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $203 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	35
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 304 Insurance policy start date 2021-04-01 Insurance policy end date 2022-03-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,630,870 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	36
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3540 Insurance policy start date 2021-08-01 Insurance policy end date 2022-07-31 Total amount of commissions paid to insurance broker USD $2,220 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $1,196,388 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,220
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	37
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 880 Insurance policy start date 2021-12-01 Insurance policy end date 2022-11-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,428,853 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	38
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 6717 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Total amount of commissions paid to insurance broker USD $19,391 Total amount of fees paid to insurance company USD $1,036 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $25,363,342 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $11,537 Amount paid for insurance broker fees 1036
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	39
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 10815 Insurance policy start date 2021-07-01 Insurance policy end date 2022-06-30 Total amount of commissions paid to insurance broker USD $7,974 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $19,099,981 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,974
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	40
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1688 Insurance policy start date 2021-06-01 Insurance policy end date 2022-05-31 Total amount of commissions paid to insurance broker USD $6,167 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,739,440 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,182
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	41
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2081 Insurance policy start date 2021-03-01 Insurance policy end date 2022-02-28 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,562,122 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	42
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2157 Insurance policy start date 2021-05-01 Insurance policy end date 2022-04-30 Total amount of commissions paid to insurance broker USD $509 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $2,390,602 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $509
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	43
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1318 Insurance policy start date 2021-11-01 Insurance policy end date 2022-10-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $237,896 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	44
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 684 Insurance policy start date 2021-10-01 Insurance policy end date 2022-09-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,805,473 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	45
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2905 Insurance policy start date 2021-09-01 Insurance policy end date 2022-08-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,488,902 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	46
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 190 Insurance policy start date 2021-04-01 Insurance policy end date 2022-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,293,385 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	1150024
Policy instance	47
Insurance contract or identification number 1150024 Number of Individuals Covered 188 Insurance policy start date 2021-08-01 Insurance policy end date 2022-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,997,549 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	1104089 1001
Policy instance	48
Insurance contract or identification number 1104089 1001 Number of Individuals Covered 34 Insurance policy start date 2021-12-01 Insurance policy end date 2022-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $449,495 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	1108571
Policy instance	49
Insurance contract or identification number 1108571 Number of Individuals Covered 175 Insurance policy start date 2021-02-01 Insurance policy end date 2022-01-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,679,106 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 number	05U1216
Policy instance	199
Insurance contract or identification number 05U1216 Number of Individuals Covered 24 Insurance policy start date 2021-06-01 Insurance policy end date 2022-05-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,148 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 number	MULTI-CONTRACTS
Policy instance	200
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 628 Insurance policy start date 2021-03-01 Insurance policy end date 2022-02-28 Total amount of commissions paid to insurance broker USD $169,676 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,951,022 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $84,838
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	MULTI-CONTRACTS
Policy instance	201
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 51 Insurance policy start date 2021-04-01 Insurance policy end date 2022-03-31 Total amount of commissions paid to insurance broker USD $2,124 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $45,611 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,124
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	04410-06001
Policy instance	202
Insurance contract or identification number 04410-06001 Number of Individuals Covered 216 Insurance policy start date 2021-08-01 Insurance policy end date 2022-07-31 Total amount of commissions paid to insurance broker USD $4,714 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $125,635 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,714
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	10406-06001
Policy instance	203
Insurance contract or identification number 10406-06001 Number of Individuals Covered 26 Insurance policy start date 2021-02-01 Insurance policy end date 2022-01-31 Total amount of commissions paid to insurance broker USD $1,500 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $14,995 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,500
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	MULTI-CONTRACTS
Policy instance	204
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 584 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Total amount of commissions paid to insurance broker USD $14,199 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $330,167 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,208
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	50
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 383 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,195,628 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	1016822
Policy instance	51
Insurance contract or identification number 1016822 Number of Individuals Covered 22 Insurance policy start date 2021-04-01 Insurance policy end date 2022-03-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,648 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	1012311
Policy instance	52
Insurance contract or identification number 1012311 Number of Individuals Covered 42 Insurance policy start date 2021-08-01 Insurance policy end date 2022-07-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,044 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	MULTI-CONTRACTS
Policy instance	205
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 959 Insurance policy start date 2021-07-01 Insurance policy end date 2022-06-30 Total amount of commissions paid to insurance broker USD $29,533 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $916,572 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $21,219
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	MULTI-CONTRACTS
Policy instance	206
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 66 Insurance policy start date 2021-06-01 Insurance policy end date 2022-05-31 Total amount of commissions paid to insurance broker USD $4,451 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $50,108 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,519
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	3359
Policy instance	207
Insurance contract or identification number 3359 Number of Individuals Covered 73 Insurance policy start date 2021-11-01 Insurance policy end date 2022-10-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $73,494 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	MULTI-CONTRACTS
Policy instance	208
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 121 Insurance policy start date 2021-10-01 Insurance policy end date 2022-09-30 Total amount of commissions paid to insurance broker USD $4,156 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $88,442 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,357
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	04434-00001
Policy instance	209
Insurance contract or identification number 04434-00001 Number of Individuals Covered 44 Insurance policy start date 2021-09-01 Insurance policy end date 2022-08-31 Total amount of commissions paid to insurance broker USD $4,628 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $46,280 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,628
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	210
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 226 Insurance policy start date 2021-10-01 Insurance policy end date 2022-09-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $29,860 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	211
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 199 Insurance policy start date 2021-09-01 Insurance policy end date 2022-08-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $23,126 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	6301
Policy instance	212
Insurance contract or identification number 6301 Number of Individuals Covered 25 Insurance policy start date 2021-02-01 Insurance policy end date 2022-01-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,541 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	6317
Policy instance	213
Insurance contract or identification number 6317 Number of Individuals Covered 176 Insurance policy start date 2021-07-01 Insurance policy end date 2022-06-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $16,608 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	6303
Policy instance	214
Insurance contract or identification number 6303 Number of Individuals Covered 126 Insurance policy start date 2021-06-01 Insurance policy end date 2022-05-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $11,638 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	6315
Policy instance	215
Insurance contract or identification number 6315 Number of Individuals Covered 36 Insurance policy start date 2021-10-01 Insurance policy end date 2022-09-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,137 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number	707198
Policy instance	216
Insurance contract or identification number 707198 Number of Individuals Covered 35 Insurance policy start date 2021-09-01 Insurance policy end date 2022-08-31 Life Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $5,397 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number	MULTI-CONTRACTS
Policy instance	217
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 772 Insurance policy start date 2021-03-01 Insurance policy end date 2022-02-28 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,542,704 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F018138
Policy instance	218
Insurance contract or identification number F018138 Number of Individuals Covered 27 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,014 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number	MULTI-CONTRACTS
Policy instance	219
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 734 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $31,280 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number	MULTI-CONTRACTS
Policy instance	220
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 682 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $206,657 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number	MULTI-CONTRACTS
Policy instance	221
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 281 Insurance policy start date 2021-07-01 Insurance policy end date 2022-06-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $82,958 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	222
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1196 Insurance policy start date 2021-02-01 Insurance policy end date 2022-01-31 Health Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided EAP Welfare Benefit Premiums Paid to Carrier USD $939,622 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	53
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 115 Insurance policy start date 2021-12-01 Insurance policy end date 2022-11-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,432 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	1015934
Policy instance	54
Insurance contract or identification number 1015934 Number of Individuals Covered 47 Insurance policy start date 2021-02-01 Insurance policy end date 2022-01-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,540 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	55
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1432 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $146,092 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	56
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1037 Insurance policy start date 2021-07-01 Insurance policy end date 2022-06-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $133,872 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	57
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 278 Insurance policy start date 2021-05-01 Insurance policy end date 2022-04-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $33,475 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	1018816
Policy instance	58
Insurance contract or identification number 1018816 Number of Individuals Covered 208 Insurance policy start date 2021-11-01 Insurance policy end date 2022-10-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $23,199 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	59
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 344 Insurance policy start date 2021-10-01 Insurance policy end date 2022-09-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $37,463 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	60
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1078 Insurance policy start date 2021-07-01 Insurance policy end date 2022-06-30 Total amount of commissions paid to insurance broker USD $79 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $21,315,669 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $79
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	61
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 156 Insurance policy start date 2021-05-01 Insurance policy end date 2022-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,612,306 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	62
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 34 Insurance policy start date 2021-11-01 Insurance policy end date 2022-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $503,381 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	63
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 293 Insurance policy start date 2021-10-01 Insurance policy end date 2022-09-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,067,154 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	64
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 137 Insurance policy start date 2021-09-01 Insurance policy end date 2022-08-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,047,727 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	65
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 140 Insurance policy start date 2021-09-01 Insurance policy end date 2022-08-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,324 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	66
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1387 Insurance policy start date 2021-04-01 Insurance policy end date 2022-03-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $603,224 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	67
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 327 Insurance policy start date 2021-08-01 Insurance policy end date 2022-07-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $87,775 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	68
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1836 Insurance policy start date 2021-12-01 Insurance policy end date 2022-11-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $306,156 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	69
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 450 Insurance policy start date 2021-02-01 Insurance policy end date 2022-01-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $78,879 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	70
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 6271 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Total amount of commissions paid to insurance broker USD $1,189 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $1,464,201 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,076
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	71
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 7952 Insurance policy start date 2021-07-01 Insurance policy end date 2022-06-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $2,916,770 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	72
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 541 Insurance policy start date 2021-06-01 Insurance policy end date 2022-05-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $102,876 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	73
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1617 Insurance policy start date 2021-03-01 Insurance policy end date 2022-02-28 Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $186,159 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	74
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 226 Insurance policy start date 2021-05-01 Insurance policy end date 2022-04-30 Life Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $24,246 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	75
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 392 Insurance policy start date 2021-11-01 Insurance policy end date 2022-10-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $79,988 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	76
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 364 Insurance policy start date 2021-10-01 Insurance policy end date 2022-09-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $197,260 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	77
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1919 Insurance policy start date 2021-09-01 Insurance policy end date 2022-08-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $496,845 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	78
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 6 Insurance policy start date 2021-08-01 Insurance policy end date 2022-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $91,227 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	79
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 77 Insurance policy start date 2021-12-01 Insurance policy end date 2022-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,471,555 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	80
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 606 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,945,510 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	11244131001
Policy instance	81
Insurance contract or identification number 11244131001 Number of Individuals Covered 110 Insurance policy start date 2021-07-01 Insurance policy end date 2022-06-30 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,653 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	11030061001
Policy instance	82
Insurance contract or identification number 11030061001 Number of Individuals Covered 46 Insurance policy start date 2021-06-01 Insurance policy end date 2022-05-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $43,456 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	83
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 248 Insurance policy start date 2021-03-01 Insurance policy end date 2022-02-28 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,898,091 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	11403431001
Policy instance	84
Insurance contract or identification number 11403431001 Number of Individuals Covered 85 Insurance policy start date 2021-09-01 Insurance policy end date 2022-08-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $818,780 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CLIENTS
Policy instance	85
Insurance contract or identification number MULTI-CLIENTS Number of Individuals Covered 32 Insurance policy start date 2021-04-01 Insurance policy end date 2022-03-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,180 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	GL-803354
Policy instance	86
Insurance contract or identification number GL-803354 Number of Individuals Covered 76 Insurance policy start date 2021-08-01 Insurance policy end date 2022-07-31 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,058 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTRACTS
Policy instance	87
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 92 Insurance policy start date 2021-12-01 Insurance policy end date 2022-11-30 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,258 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTRACTS
Policy instance	88
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 750 Insurance policy start date 2021-02-01 Insurance policy end date 2022-01-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $63,231 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTRACTS
Policy instance	89
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 6446 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $544,092 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTACTS
Policy instance	90
Insurance contract or identification number MULTI-CONTACTS Number of Individuals Covered 3829 Insurance policy start date 2021-07-01 Insurance policy end date 2022-06-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $396,913 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTRACTS
Policy instance	91
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 20 Insurance policy start date 2021-06-01 Insurance policy end date 2022-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,907 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTRACTS
Policy instance	92
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 576 Insurance policy start date 2021-03-01 Insurance policy end date 2022-02-28 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $46,807 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTRACTS
Policy instance	93
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 18 Insurance policy start date 2021-05-01 Insurance policy end date 2022-04-30 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,598 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTRACTS
Policy instance	94
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 34 Insurance policy start date 2021-11-01 Insurance policy end date 2022-10-31 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,582 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTRACTS
Policy instance	95
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1232 Insurance policy start date 2021-10-01 Insurance policy end date 2022-09-30 Total amount of commissions paid to insurance broker USD $23,829 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $157,460 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $12,969
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTRACTS
Policy instance	96
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 438 Insurance policy start date 2021-09-01 Insurance policy end date 2022-08-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $56,731 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	01-0189441
Policy instance	97
Insurance contract or identification number 01-0189441 Number of Individuals Covered 47 Insurance policy start date 2021-04-01 Insurance policy end date 2022-03-31 Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,530 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	MULTI-CONTRACTS
Policy instance	98
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 215 Insurance policy start date 2021-08-01 Insurance policy end date 2022-07-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $42,977 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	MULTI-CONTRACTS
Policy instance	99
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 388 Insurance policy start date 2021-02-01 Insurance policy end date 2022-01-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,588 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	MULTI-CONTRACTS
Policy instance	100
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1698 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Total amount of commissions paid to insurance broker USD $98 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $275,977 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $98
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	MULTI-CONTRACTS
Policy instance	101
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1160 Insurance policy start date 2021-07-01 Insurance policy end date 2022-06-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $88,448 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	MULTI-CONTRACTS
Policy instance	102
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 688 Insurance policy start date 2021-06-01 Insurance policy end date 2022-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $105,902 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	MULTI-CONTRACTS
Policy instance	103
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2471 Insurance policy start date 2021-03-01 Insurance policy end date 2022-02-28 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $265,758 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	MULTI-CONTRACTS
Policy instance	104
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 494 Insurance policy start date 2021-05-01 Insurance policy end date 2022-04-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $70,194 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	MULTI-CONTRACTS
Policy instance	105
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 121 Insurance policy start date 2021-11-01 Insurance policy end date 2022-10-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,599 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	MULTI-CONTRACTS
Policy instance	106
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 373 Insurance policy start date 2021-10-01 Insurance policy end date 2022-09-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $64,415 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	MULTI-CONTRACTS
Policy instance	107
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1668 Insurance policy start date 2021-09-01 Insurance policy end date 2022-08-31 Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $164,638 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5545589
Policy instance	108
Insurance contract or identification number 5545589 Number of Individuals Covered 131 Insurance policy start date 2021-02-01 Insurance policy end date 2022-01-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $60,827 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	MULTI-CONTRACTS
Policy instance	109
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 502 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $71,196 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	MULTI-CONTRACTS
Policy instance	110
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 12079 Insurance policy start date 2021-07-01 Insurance policy end date 2022-06-30 Total amount of commissions paid to insurance broker USD $10,385 Total amount of fees paid to insurance company USD $343 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,010,428 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,556 Amount paid for insurance broker fees 343
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5917331
Policy instance	111
Insurance contract or identification number 5917331 Number of Individuals Covered 89 Insurance policy start date 2021-06-01 Insurance policy end date 2022-05-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $67,554 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5969427
Policy instance	112
Insurance contract or identification number 5969427 Number of Individuals Covered 305 Insurance policy start date 2021-03-01 Insurance policy end date 2022-02-28 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $35,470 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5209037
Policy instance	113
Insurance contract or identification number 5209037 Number of Individuals Covered 417 Insurance policy start date 2021-10-01 Insurance policy end date 2022-09-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $76,650 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5750111
Policy instance	114
Insurance contract or identification number 5750111 Number of Individuals Covered 82 Insurance policy start date 2021-09-01 Insurance policy end date 2022-08-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $36,203 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	188
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 865 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $79,647 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	189
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 954 Insurance policy start date 2020-07-01 Insurance policy end date 2021-06-30 Total amount of commissions paid to insurance broker USD $13,708 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $101,193 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,038
FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )
Policy contract number	MULTI-CONTRACTS
Policy instance	190
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1148 Insurance policy start date 2020-04-01 Insurance policy end date 2021-03-31 Total amount of commissions paid to insurance broker USD $11,317 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $93,066 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,970
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	191
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 146 Insurance policy start date 2020-06-01 Insurance policy end date 2021-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $27,467 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	192
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 319 Insurance policy start date 2020-10-01 Insurance policy end date 2021-09-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $38,790 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 number	MULTI-CONTRACTS
Policy instance	193
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 260 Insurance policy start date 2020-04-01 Insurance policy end date 2021-03-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $56,019 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 number	MULTI-CONTRACTS
Policy instance	194
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1023 Insurance policy start date 2020-08-01 Insurance policy end date 2021-07-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $231,896 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 number	MULTI-CONTRACTS
Policy instance	195
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 225 Insurance policy start date 2020-12-01 Insurance policy end date 2021-11-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $417,577 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 number	MULTI-CONTRACTS
Policy instance	196
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3034 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Total amount of commissions paid to insurance broker USD $180,633 Total amount of fees paid to insurance company USD $47,848 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,358,705 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $113,801 Amount paid for insurance broker fees 45752
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	MULTI-CONTRACTS
Policy instance	197
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2759 Insurance policy start date 2020-07-01 Insurance policy end date 2021-06-30 Total amount of commissions paid to insurance broker USD $84,070 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,929,068 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $30,240
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	05U1216
Policy instance	198
Insurance contract or identification number 05U1216 Number of Individuals Covered 30 Insurance policy start date 2020-06-01 Insurance policy end date 2021-05-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,003 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 number	MULTI-CONTRACTS
Policy instance	199
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 324 Insurance policy start date 2020-03-01 Insurance policy end date 2021-02-28 Total amount of commissions paid to insurance broker USD $80,671 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,865,292 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $55,139
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	MULTI-CONTRACTS
Policy instance	200
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 324 Insurance policy start date 2020-05-01 Insurance policy end date 2021-04-30 Total amount of commissions paid to insurance broker USD $1,001 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,145,914 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,001
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30001-01-9000
Policy instance	201
Insurance contract or identification number 30001-01-9000 Number of Individuals Covered 28 Insurance policy start date 2020-10-01 Insurance policy end date 2021-09-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $39 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	202
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 201 Insurance policy start date 2020-10-01 Insurance policy end date 2021-09-30 Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $11,189 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	203
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 261 Insurance policy start date 2020-09-01 Insurance policy end date 2021-08-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $33,017 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	MULTI-CONTRACTS
Policy instance	204
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 72 Insurance policy start date 2020-10-01 Insurance policy end date 2021-09-30 Total amount of commissions paid to insurance broker USD $4,529 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $59,151 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,529
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	10406-06001
Policy instance	205
Insurance contract or identification number 10406-06001 Number of Individuals Covered 27 Insurance policy start date 2020-02-01 Insurance policy end date 2021-01-31 Total amount of commissions paid to insurance broker USD $833 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,334 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $833
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	MULTI-CONTRACTS
Policy instance	206
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 310 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Total amount of commissions paid to insurance broker USD $5,263 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $169,959 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,263
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	67
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1228 Insurance policy start date 2020-08-01 Insurance policy end date 2021-07-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $256,227 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	68
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1817 Insurance policy start date 2020-12-01 Insurance policy end date 2021-11-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $466,284 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	69
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 973 Insurance policy start date 2020-02-01 Insurance policy end date 2021-01-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $295,314 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	70
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 5942 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $1,677,319 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	71
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 9724 Insurance policy start date 2020-07-01 Insurance policy end date 2021-06-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $3,043,314 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	72
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 389 Insurance policy start date 2020-06-01 Insurance policy end date 2021-05-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $77,245 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	73
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2304 Insurance policy start date 2020-03-01 Insurance policy end date 2021-02-28 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $303,232 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	74
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 293 Insurance policy start date 2020-05-01 Insurance policy end date 2021-04-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $29,081 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	75
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 327 Insurance policy start date 2020-11-01 Insurance policy end date 2021-10-31 Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $57,922 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	76
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 306 Insurance policy start date 2020-10-01 Insurance policy end date 2021-09-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $178,966 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	77
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1942 Insurance policy start date 2020-09-01 Insurance policy end date 2021-08-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $536,369 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	78
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 91 Insurance policy start date 2020-12-01 Insurance policy end date 2021-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,558,109 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	79
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 852 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,615,126 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	80
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 91 Insurance policy start date 2020-07-01 Insurance policy end date 2021-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $251,566 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	MULTI-CONTRACTS
Policy instance	207
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2511 Insurance policy start date 2020-07-01 Insurance policy end date 2021-06-30 Total amount of commissions paid to insurance broker USD $90,341 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,591,445 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $70,024
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	1649
Policy instance	208
Insurance contract or identification number 1649 Number of Individuals Covered 4 Insurance policy start date 2020-06-01 Insurance policy end date 2021-05-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $579 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	3359
Policy instance	209
Insurance contract or identification number 3359 Number of Individuals Covered 72 Insurance policy start date 2020-11-01 Insurance policy end date 2021-10-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $71,330 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	210
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 205 Insurance policy start date 2020-09-01 Insurance policy end date 2021-08-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $23,298 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	6301
Policy instance	211
Insurance contract or identification number 6301 Number of Individuals Covered 26 Insurance policy start date 2020-02-01 Insurance policy end date 2021-01-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,161 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	6306
Policy instance	212
Insurance contract or identification number 6306 Number of Individuals Covered 37 Insurance policy start date 2020-07-01 Insurance policy end date 2021-06-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,995 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	6314
Policy instance	213
Insurance contract or identification number 6314 Number of Individuals Covered 102 Insurance policy start date 2020-07-01 Insurance policy end date 2021-06-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,878 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	6303
Policy instance	214
Insurance contract or identification number 6303 Number of Individuals Covered 141 Insurance policy start date 2020-06-01 Insurance policy end date 2021-05-31 Total amount of commissions paid to insurance broker USD $262 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,466 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $262
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	6315
Policy instance	215
Insurance contract or identification number 6315 Number of Individuals Covered 42 Insurance policy start date 2020-10-01 Insurance policy end date 2021-09-30 Total amount of commissions paid to insurance broker USD $181 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,595 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $181
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number	701041
Policy instance	216
Insurance contract or identification number 701041 Number of Individuals Covered 971 Insurance policy start date 2020-05-01 Insurance policy end date 2021-04-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $116,179 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	81
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 43 Insurance policy start date 2020-06-01 Insurance policy end date 2021-05-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $630,682 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	82
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 193 Insurance policy start date 2020-03-01 Insurance policy end date 2021-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,978,910 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	11240781001
Policy instance	83
Insurance contract or identification number 11240781001 Number of Individuals Covered 103 Insurance policy start date 2020-05-01 Insurance policy end date 2021-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,515,882 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	11403431001
Policy instance	84
Insurance contract or identification number 11403431001 Number of Individuals Covered 108 Insurance policy start date 2020-09-01 Insurance policy end date 2021-08-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $917,592 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CLIENTS
Policy instance	85
Insurance contract or identification number MULTI-CLIENTS Number of Individuals Covered 603 Insurance policy start date 2020-03-01 Insurance policy end date 2021-02-28 Total amount of commissions paid to insurance broker USD $198 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $50,604 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $198
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTRACTS
Policy instance	86
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 36 Insurance policy start date 2020-11-01 Insurance policy end date 2021-10-31 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,668 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTRACTS
Policy instance	87
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1130 Insurance policy start date 2020-10-01 Insurance policy end date 2021-09-30 Total amount of commissions paid to insurance broker USD $75 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $100,625 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $75
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTRACTS
Policy instance	88
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 453 Insurance policy start date 2020-09-01 Insurance policy end date 2021-08-31 Total amount of commissions paid to insurance broker USD $9,174 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $56,240 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,252
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	GL-803354
Policy instance	89
Insurance contract or identification number GL-803354 Number of Individuals Covered 70 Insurance policy start date 2020-08-01 Insurance policy end date 2021-07-31 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,226 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTACTS
Policy instance	90
Insurance contract or identification number MULTI-CONTACTS Number of Individuals Covered 110 Insurance policy start date 2020-12-01 Insurance policy end date 2021-11-30 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,392 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTRACTS
Policy instance	91
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 730 Insurance policy start date 2020-02-01 Insurance policy end date 2021-01-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $64,193 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTRACTS
Policy instance	92
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 4867 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Total amount of commissions paid to insurance broker USD $36 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $554,546 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $36
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTRACTS
Policy instance	93
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3404 Insurance policy start date 2020-07-01 Insurance policy end date 2021-06-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $292,992 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTRACTS
Policy instance	94
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 256 Insurance policy start date 2020-06-01 Insurance policy end date 2021-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $16,237 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	01-0189441
Policy instance	95
Insurance contract or identification number 01-0189441 Number of Individuals Covered 47 Insurance policy start date 2020-04-01 Insurance policy end date 2021-03-31 Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $20,429 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	MULTI-CONTRACTS
Policy instance	96
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 533 Insurance policy start date 2020-08-01 Insurance policy end date 2021-07-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $55,288 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	MULTI-CONTRACTS
Policy instance	97
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 159 Insurance policy start date 2020-12-01 Insurance policy end date 2021-11-30 Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $631 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	MULTI-CONTRACTS
Policy instance	98
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 292 Insurance policy start date 2020-02-01 Insurance policy end date 2021-01-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $70,203 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	MULTI-CONTRACTS
Policy instance	99
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2038 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Total amount of commissions paid to insurance broker USD $51 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $356,226 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $51
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	MULTI-CONTRACTS
Policy instance	100
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1124 Insurance policy start date 2020-07-01 Insurance policy end date 2021-06-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $145,545 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	MULTI-CONTRACTS
Policy instance	101
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 392 Insurance policy start date 2020-06-01 Insurance policy end date 2021-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $36,399 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	MULTI-CONTRACTS
Policy instance	102
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2293 Insurance policy start date 2020-03-01 Insurance policy end date 2021-02-28 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $238,531 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number	MULTI-CONTRACTS
Policy instance	103
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2133 Insurance policy start date 2020-05-01 Insurance policy end date 2021-04-30 Total amount of commissions paid to insurance broker USD $4,378 Total amount of fees paid to insurance company USD $2,378 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided OTHER (SPECIFY) Welfare Benefit Premiums Paid to Carrier USD $230,206 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,378 Amount paid for insurance broker fees 2378
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	MULTI-CONTRACTS
Policy instance	104
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 114 Insurance policy start date 2020-11-01 Insurance policy end date 2021-10-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,172 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	MULTI-CONTRACTS
Policy instance	105
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 442 Insurance policy start date 2020-10-01 Insurance policy end date 2021-09-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $68,889 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	MULTI-CONTRACTS
Policy instance	106
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1744 Insurance policy start date 2020-09-01 Insurance policy end date 2021-08-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $242,800 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	107
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 75 Insurance policy start date 2020-11-01 Insurance policy end date 2021-10-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,332 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5545589
Policy instance	108
Insurance contract or identification number 5545589 Number of Individuals Covered 132 Insurance policy start date 2020-02-01 Insurance policy end date 2021-01-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $99,778 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	MULTI-CONTRACTS
Policy instance	109
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 396 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $52,881 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	MULTI-CONTRACTS
Policy instance	110
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 9087 Insurance policy start date 2020-07-01 Insurance policy end date 2021-06-30 Total amount of commissions paid to insurance broker USD $4,102 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,024,814 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,739
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5917331
Policy instance	111
Insurance contract or identification number 5917331 Number of Individuals Covered 86 Insurance policy start date 2020-06-01 Insurance policy end date 2021-05-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $58,812 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	MULTI-CONTRACTS
Policy instance	112
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 829 Insurance policy start date 2020-04-01 Insurance policy end date 2021-03-31 Total amount of commissions paid to insurance broker USD $17,811 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $96,034 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,352
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	1
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 312 Insurance policy start date 2020-04-01 Insurance policy end date 2021-03-31 Total amount of commissions paid to insurance broker USD $105,988 Total amount of fees paid to insurance company USD $2,600 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,196,683 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $46,081 Amount paid for insurance broker fees 2600
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	2
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 14628 Insurance policy start date 2020-08-01 Insurance policy end date 2021-07-31 Total amount of commissions paid to insurance broker USD $702,935 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,014,026 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $211,973
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	3
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1222 Insurance policy start date 2020-12-01 Insurance policy end date 2021-11-30 Total amount of commissions paid to insurance broker USD $354,723 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,810,209 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $262,758
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	766001
Policy instance	4
Insurance contract or identification number 766001 Number of Individuals Covered 57 Insurance policy start date 2020-03-01 Insurance policy end date 2021-02-28 Total amount of commissions paid to insurance broker USD $338 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,377 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $338
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	113
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 872 Insurance policy start date 2020-08-01 Insurance policy end date 2021-07-31 Total amount of commissions paid to insurance broker USD $14,868 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $96,935 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,901
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	114
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 962 Insurance policy start date 2020-12-01 Insurance policy end date 2021-11-30 Total amount of commissions paid to insurance broker USD $5,818 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided OTHER (SPECIFY) Welfare Benefit Premiums Paid to Carrier USD $101,344 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,040
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	115
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1636 Insurance policy start date 2020-02-01 Insurance policy end date 2021-01-31 Total amount of commissions paid to insurance broker USD $4,821 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $189,202 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,821
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	MULTI-CONTRACTS
Policy instance	116
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 5811 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Total amount of commissions paid to insurance broker USD $75,259 Total amount of fees paid to insurance company USD $3,540 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $737,718 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $39,190 Amount paid for insurance broker fees 3043
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	MULTI-CONTRACTS
Policy instance	117
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 18683 Insurance policy start date 2020-07-01 Insurance policy end date 2021-06-30 Total amount of commissions paid to insurance broker USD $264,968 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $1,620,787 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $136,370
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	118
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 15453 Insurance policy start date 2020-06-01 Insurance policy end date 2021-05-31 Total amount of commissions paid to insurance broker USD $27,520 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $295,316 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $13,937
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	119
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 676 Insurance policy start date 2020-05-01 Insurance policy end date 2021-04-30 Total amount of commissions paid to insurance broker USD $16,769 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $110,377 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $8,650
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	120
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 687 Insurance policy start date 2020-11-01 Insurance policy end date 2021-10-31 Total amount of commissions paid to insurance broker USD $2,584 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $43,347 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,808
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	121
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1615 Insurance policy start date 2020-10-01 Insurance policy end date 2021-09-30 Total amount of commissions paid to insurance broker USD $27,046 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $132,908 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $13,680
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	122
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3618 Insurance policy start date 2020-09-01 Insurance policy end date 2021-08-31 Total amount of commissions paid to insurance broker USD $29,247 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $369,214 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $17,072
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	123
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 290 Insurance policy start date 2020-04-01 Insurance policy end date 2021-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,178,384 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	124
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 283 Insurance policy start date 2020-12-01 Insurance policy end date 2021-11-30 Total amount of commissions paid to insurance broker USD $1,176 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,828,159 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,176
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	125
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 996 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Total amount of commissions paid to insurance broker USD $1,064 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $16,311,372 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,064
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	126
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1600 Insurance policy start date 2020-07-01 Insurance policy end date 2021-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $17,988,641 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	127
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 223 Insurance policy start date 2020-06-01 Insurance policy end date 2021-05-31 Total amount of commissions paid to insurance broker USD $4,386 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,771,393 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,386
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	5
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1438 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Total amount of commissions paid to insurance broker USD $189,372 Total amount of fees paid to insurance company USD $2,500 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,263,070 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $61,894 Amount paid for insurance broker fees 2500
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	6
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1213 Insurance policy start date 2020-07-01 Insurance policy end date 2021-06-30 Total amount of commissions paid to insurance broker USD $111 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $9,166,162 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $50
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	7
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 277 Insurance policy start date 2020-06-01 Insurance policy end date 2021-05-31 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,119,635 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	143596
Policy instance	8
Insurance contract or identification number 143596 Number of Individuals Covered 349 Insurance policy start date 2020-03-01 Insurance policy end date 2021-02-28 Total amount of commissions paid to insurance broker USD $73,629 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,006,668 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $73,629
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	223950
Policy instance	9
Insurance contract or identification number 223950 Number of Individuals Covered 85 Insurance policy start date 2020-05-01 Insurance policy end date 2021-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,456,907 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	10
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 428 Insurance policy start date 2020-10-01 Insurance policy end date 2021-09-30 Total amount of commissions paid to insurance broker USD $145,206 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,207,331 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $101,163
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	11
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 279 Insurance policy start date 2020-09-01 Insurance policy end date 2021-08-31 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,208,909 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	13
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 98 Insurance policy start date 2020-10-01 Insurance policy end date 2021-09-30 Total amount of commissions paid to insurance broker USD $2,527 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $36,537 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,691
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	26-201899
Policy instance	14
Insurance contract or identification number 26-201899 Number of Individuals Covered 75 Insurance policy start date 2020-04-01 Insurance policy end date 2021-03-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $579 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-10940-2
Policy instance	15
Insurance contract or identification number 10-10940-2 Number of Individuals Covered 64 Insurance policy start date 2020-08-01 Insurance policy end date 2021-07-31 Total amount of commissions paid to insurance broker USD $2,287 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $41,926 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,287
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MUTLI-CONTRACTS
Policy instance	16
Insurance contract or identification number MUTLI-CONTRACTS Number of Individuals Covered 13 Insurance policy start date 2020-12-01 Insurance policy end date 2021-11-30 Total amount of commissions paid to insurance broker USD $331 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,305 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $331
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	17
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 267 Insurance policy start date 2020-02-01 Insurance policy end date 2021-01-31 Total amount of commissions paid to insurance broker USD $2,422 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $29,576 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,517
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	18
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 149 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Total amount of commissions paid to insurance broker USD $2,167 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $22,979 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $997
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	19
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 522 Insurance policy start date 2020-07-01 Insurance policy end date 2021-06-30 Total amount of commissions paid to insurance broker USD $5,815 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $165,276 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,460
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	128
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 295 Insurance policy start date 2020-03-01 Insurance policy end date 2021-02-28 Total amount of commissions paid to insurance broker USD $4,679 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,186,074 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,832
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	129
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 636 Insurance policy start date 2020-08-01 Insurance policy end date 2021-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,184,469 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	130
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 75 Insurance policy start date 2020-10-01 Insurance policy end date 2021-09-30 Total amount of commissions paid to insurance broker USD $19,383 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,230,846 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $19,383
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	131
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 502 Insurance policy start date 2020-09-01 Insurance policy end date 2021-08-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,541,989 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	1026250
Policy instance	132
Insurance contract or identification number 1026250 Number of Individuals Covered 250 Insurance policy start date 2020-04-01 Insurance policy end date 2021-03-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $43,734 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	1114267
Policy instance	133
Insurance contract or identification number 1114267 Number of Individuals Covered 250 Insurance policy start date 2020-08-01 Insurance policy end date 2021-07-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $48,304 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	134
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 290 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $166,358 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	135
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 69 Insurance policy start date 2020-07-01 Insurance policy end date 2021-06-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $27,800 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	1113572
Policy instance	136
Insurance contract or identification number 1113572 Number of Individuals Covered 86 Insurance policy start date 2020-06-01 Insurance policy end date 2021-05-31 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $17,250 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	110960-10001
Policy instance	137
Insurance contract or identification number 110960-10001 Number of Individuals Covered 13 Insurance policy start date 2020-05-01 Insurance policy end date 2021-04-30 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,523 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	138
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 77 Insurance policy start date 2020-10-01 Insurance policy end date 2021-09-30 Total amount of commissions paid to insurance broker USD $103 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $56,331 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $100
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	20727
Policy instance	139
Insurance contract or identification number 20727 Number of Individuals Covered 1218 Insurance policy start date 2020-02-01 Insurance policy end date 2021-01-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $104,003 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	140
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 429 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Total amount of commissions paid to insurance broker USD $3,936 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $56,331 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,936
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	167787
Policy instance	141
Insurance contract or identification number 167787 Number of Individuals Covered 1254 Insurance policy start date 2020-08-01 Insurance policy end date 2021-07-01 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $119,648 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 89009 )
Policy contract number	447260
Policy instance	142
Insurance contract or identification number 447260 Number of Individuals Covered 746 Insurance policy start date 2020-12-01 Insurance policy end date 2021-11-30 Total amount of commissions paid to insurance broker USD $946 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $130,242 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $564
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	143
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 221 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Total amount of commissions paid to insurance broker USD $5,992 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $47,883 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,418
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-47850
Policy instance	20
Insurance contract or identification number 10-47850 Number of Individuals Covered 97 Insurance policy start date 2020-05-01 Insurance policy end date 2021-04-30 Total amount of commissions paid to insurance broker USD $997 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $11,277 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $935
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	21
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1074 Insurance policy start date 2020-08-01 Insurance policy end date 2021-07-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $546,876 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	22
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 315 Insurance policy start date 2020-12-01 Insurance policy end date 2021-11-30 Total amount of commissions paid to insurance broker USD $1,472 Total amount of fees paid to insurance company USD $310 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $56,848 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,472 Amount paid for insurance broker fees 310
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	23
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 90 Insurance policy start date 2020-02-01 Insurance policy end date 2021-01-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $465,228 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	24
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 335 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Total amount of commissions paid to insurance broker USD $44 Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $43,736 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $44
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	25
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 93 Insurance policy start date 2020-12-01 Insurance policy end date 2021-11-30 Total amount of commissions paid to insurance broker USD $881 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,031 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $340
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	26
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 504 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Total amount of commissions paid to insurance broker USD $1,070 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $18,062 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $571
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	27
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 146 Insurance policy start date 2020-07-01 Insurance policy end date 2021-06-30 Total amount of commissions paid to insurance broker USD $985 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $16,764 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $985
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	28
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 8 Insurance policy start date 2020-11-01 Insurance policy end date 2021-10-31 Total amount of commissions paid to insurance broker USD $55 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $928 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $55
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number	MULTI-CONTRACTS
Policy instance	29
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 389 Insurance policy start date 2020-07-01 Insurance policy end date 2021-06-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $931,062 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	30
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3946 Insurance policy start date 2020-07-01 Insurance policy end date 2021-06-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,098,368 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	31
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 121 Insurance policy start date 2020-05-01 Insurance policy end date 2021-04-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $725,255 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	32
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 421 Insurance policy start date 2020-04-01 Insurance policy end date 2021-03-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,152,563 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	33
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3621 Insurance policy start date 2020-08-01 Insurance policy end date 2021-07-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,713,145 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	34
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 762 Insurance policy start date 2020-12-01 Insurance policy end date 2021-11-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,141,456 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	35
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1130 Insurance policy start date 2020-02-01 Insurance policy end date 2021-01-31 Health Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,279,774 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	144
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 563 Insurance policy start date 2020-07-01 Insurance policy end date 2021-06-30 Total amount of commissions paid to insurance broker USD $5,554 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $45,757 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,884
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	145
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 341 Insurance policy start date 2020-06-01 Insurance policy end date 2021-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $50,104 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	165893
Policy instance	146
Insurance contract or identification number 165893 Number of Individuals Covered 388 Insurance policy start date 2020-05-01 Insurance policy end date 2021-04-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $82,120 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	152404
Policy instance	147
Insurance contract or identification number 152404 Number of Individuals Covered 216 Insurance policy start date 2020-11-01 Insurance policy end date 2021-10-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $31,729 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACT
Policy instance	148
Insurance contract or identification number MULTI-CONTRACT Number of Individuals Covered 360 Insurance policy start date 2020-10-01 Insurance policy end date 2021-09-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $90,207 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	149
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 202 Insurance policy start date 2020-09-01 Insurance policy end date 2021-08-31 Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $57,648 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	939092
Policy instance	150
Insurance contract or identification number 939092 Number of Individuals Covered 36 Insurance policy start date 2020-03-01 Insurance policy end date 2021-02-28 Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $19,096 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 number	941147
Policy instance	151
Insurance contract or identification number 941147 Number of Individuals Covered 960 Insurance policy start date 2020-09-01 Insurance policy end date 2021-08-31 Total amount of commissions paid to insurance broker USD $1,354 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $112,017 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,354
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	MULT-CONTRACTS
Policy instance	152
Insurance contract or identification number MULT-CONTRACTS Number of Individuals Covered 1670 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Total amount of commissions paid to insurance broker USD $52,274 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $274,662 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $34,387
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULTI-CONTRACTS
Policy instance	153
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2517 Insurance policy start date 2020-07-01 Insurance policy end date 2021-06-30 Total amount of commissions paid to insurance broker USD $36,928 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $274,934 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $10,842
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULTI-CONTRACTS
Policy instance	154
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 590 Insurance policy start date 2020-06-01 Insurance policy end date 2021-05-31 Total amount of commissions paid to insurance broker USD $8,915 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $109,708 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,742
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULTI-CONTRACTS
Policy instance	155
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 34 Insurance policy start date 2020-11-01 Insurance policy end date 2021-10-31 Total amount of commissions paid to insurance broker USD $3,357 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $17,775 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,747
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	156
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1599 Insurance policy start date 2020-10-01 Insurance policy end date 2021-09-30 Total amount of commissions paid to insurance broker USD $29,761 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $137,445 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $14,806
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	157
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2447 Insurance policy start date 2020-04-01 Insurance policy end date 2021-03-31 Total amount of commissions paid to insurance broker USD $56,419 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $285,043 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $26,149
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	36
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 65498 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,479,714 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	37
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 8435 Insurance policy start date 2020-07-01 Insurance policy end date 2021-06-30 Total amount of commissions paid to insurance broker USD $592 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $14,121,967 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $592
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	38
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1434 Insurance policy start date 2020-06-01 Insurance policy end date 2021-05-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,771,408 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	39
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2312 Insurance policy start date 2020-03-01 Insurance policy end date 2021-02-28 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,905,467 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	40
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 411 Insurance policy start date 2020-05-01 Insurance policy end date 2021-04-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $658,621 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	41
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1259 Insurance policy start date 2020-11-01 Insurance policy end date 2021-10-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $261,769 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	42
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2086 Insurance policy start date 2020-10-01 Insurance policy end date 2021-09-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,822,708 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	43
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2787 Insurance policy start date 2020-09-01 Insurance policy end date 2021-08-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $9,117,325 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	44
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 115 Insurance policy start date 2020-04-01 Insurance policy end date 2021-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $981,692 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	008116
Policy instance	45
Insurance contract or identification number 008116 Number of Individuals Covered 198 Insurance policy start date 2020-08-01 Insurance policy end date 2021-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,912,592 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	46
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 36 Insurance policy start date 2020-12-01 Insurance policy end date 2021-11-30 Total amount of commissions paid to insurance broker USD $2 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $212,491 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	47
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 216 Insurance policy start date 2020-02-01 Insurance policy end date 2021-01-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,388,323 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	008074
Policy instance	48
Insurance contract or identification number 008074 Number of Individuals Covered 7 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $940 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	MULTI-CONTRACTS
Policy instance	49
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 44 Insurance policy start date 2020-04-01 Insurance policy end date 2021-03-31 Total amount of commissions paid to insurance broker USD $2,130 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $45,754 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,130
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	158
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2035 Insurance policy start date 2020-08-01 Insurance policy end date 2021-07-31 Total amount of commissions paid to insurance broker USD $45,450 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $242,783 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $21,063
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	159
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 409 Insurance policy start date 2020-12-01 Insurance policy end date 2021-11-30 Total amount of commissions paid to insurance broker USD $15,752 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $58,295 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,719
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	160
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 299 Insurance policy start date 2020-02-01 Insurance policy end date 2021-01-31 Total amount of commissions paid to insurance broker USD $3,413 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $11,247 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,990
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	161
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 11037 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Total amount of commissions paid to insurance broker USD $265,388 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $1,828,753 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $170,702
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	162
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2726 Insurance policy start date 2020-07-01 Insurance policy end date 2021-06-30 Total amount of commissions paid to insurance broker USD $57,955 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $307,348 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $27,488
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	163
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2520 Insurance policy start date 2020-06-01 Insurance policy end date 2021-05-31 Total amount of commissions paid to insurance broker USD $53,630 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $255,574 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $27,789
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	164
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 640 Insurance policy start date 2020-03-01 Insurance policy end date 2021-02-28 Total amount of commissions paid to insurance broker USD $14,958 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $61,909 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,355
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	165
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 905 Insurance policy start date 2020-05-01 Insurance policy end date 2021-04-30 Total amount of commissions paid to insurance broker USD $30,770 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $187,383 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $17,564
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	166
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1493 Insurance policy start date 2020-11-01 Insurance policy end date 2021-10-31 Total amount of commissions paid to insurance broker USD $24,528 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $116,593 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $12,365
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	MULTI-CONTRACTS
Policy instance	167
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 174 Insurance policy start date 2020-11-01 Insurance policy end date 2021-10-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $829,503 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 number	MULTI-CONTRACTS
Policy instance	168
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 174 Insurance policy start date 2020-10-01 Insurance policy end date 2021-09-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,353 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 number	MULTI-CONTRACTS
Policy instance	169
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1013 Insurance policy start date 2020-09-01 Insurance policy end date 2021-08-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $915,195 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	170
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 75 Insurance policy start date 2020-04-01 Insurance policy end date 2021-03-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,753 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTACTS
Policy instance	171
Insurance contract or identification number MULTI-CONTACTS Number of Individuals Covered 204 Insurance policy start date 2020-12-01 Insurance policy end date 2021-11-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $27,454 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number	MULTI-CONTRACTS
Policy instance	172
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 341 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Total amount of commissions paid to insurance broker USD $991 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $44,778 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $991
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	173
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 484 Insurance policy start date 2020-07-01 Insurance policy end date 2021-06-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $60,247 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	174
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 290 Insurance policy start date 2020-06-01 Insurance policy end date 2021-05-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $38,128 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	175
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 87 Insurance policy start date 2020-03-01 Insurance policy end date 2021-02-28 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $19,783 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	176
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 206 Insurance policy start date 2020-10-01 Insurance policy end date 2021-09-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $29,111 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	MULTI-CONTRACTS
Policy instance	50
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 237 Insurance policy start date 2020-08-01 Insurance policy end date 2021-07-31 Total amount of commissions paid to insurance broker USD $6,713 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $124,670 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,109
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	1016822
Policy instance	51
Insurance contract or identification number 1016822 Number of Individuals Covered 27 Insurance policy start date 2020-04-01 Insurance policy end date 2021-03-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,887 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	52
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 41 Insurance policy start date 2020-08-01 Insurance policy end date 2021-07-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,155 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	53
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 123 Insurance policy start date 2020-12-01 Insurance policy end date 2021-11-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,727 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	54
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 42 Insurance policy start date 2020-02-01 Insurance policy end date 2021-01-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,412 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	55
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 138 Insurance policy start date 2020-11-01 Insurance policy end date 2021-10-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,178 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number	MULTI-CONTRACTS
Policy instance	56
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 658 Insurance policy start date 2020-03-01 Insurance policy end date 2021-02-28 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,930,879 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTRACTS
Policy instance	57
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 32 Insurance policy start date 2020-04-01 Insurance policy end date 2021-03-31 Total amount of commissions paid to insurance broker USD $328 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,247 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $328
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F018138
Policy instance	58
Insurance contract or identification number F018138 Number of Individuals Covered 23 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,202 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	GLT-803298
Policy instance	59
Insurance contract or identification number GLT-803298 Number of Individuals Covered 24 Insurance policy start date 2020-05-01 Insurance policy end date 2021-04-30 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,047 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	60
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 860 Insurance policy start date 2020-07-01 Insurance policy end date 2021-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,454,687 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	007657
Policy instance	61
Insurance contract or identification number 007657 Number of Individuals Covered 42 Insurance policy start date 2020-03-01 Insurance policy end date 2021-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $487,500 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	62
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 50 Insurance policy start date 2020-11-01 Insurance policy end date 2021-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $353,342 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	63
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 282 Insurance policy start date 2020-10-01 Insurance policy end date 2021-09-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,336,928 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	64
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 156 Insurance policy start date 2020-09-01 Insurance policy end date 2021-08-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,659,314 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	549JD749
Policy instance	65
Insurance contract or identification number 549JD749 Number of Individuals Covered 106 Insurance policy start date 2020-07-01 Insurance policy end date 2021-06-30 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $27,186 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	66
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1134 Insurance policy start date 2020-04-01 Insurance policy end date 2021-03-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $563,157 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTACTS
Policy instance	177
Insurance contract or identification number MULTI-CONTACTS Number of Individuals Covered 157 Insurance policy start date 2020-09-01 Insurance policy end date 2021-08-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,316 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	178
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 263 Insurance policy start date 2020-10-01 Insurance policy end date 2021-09-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $28,066 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	179
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 922 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $107,276 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	180
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 804 Insurance policy start date 2020-07-01 Insurance policy end date 2021-06-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $96,641 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	181
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 120 Insurance policy start date 2020-12-01 Insurance policy end date 2021-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,081,898 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	182
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 313 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,046,030 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	183
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 124 Insurance policy start date 2020-07-01 Insurance policy end date 2021-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,260,555 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	0743360000
Policy instance	184
Insurance contract or identification number 0743360000 Number of Individuals Covered 40 Insurance policy start date 2020-03-01 Insurance policy end date 2021-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $656,027 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	185
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 21 Insurance policy start date 2020-10-01 Insurance policy end date 2021-09-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $366,254 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	186
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 279 Insurance policy start date 2020-05-01 Insurance policy end date 2021-04-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $33,425 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	1018816
Policy instance	187
Insurance contract or identification number 1018816 Number of Individuals Covered 180 Insurance policy start date 2020-11-01 Insurance policy end date 2021-10-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $20,364 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	1
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 309 Insurance policy start date 2019-04-01 Insurance policy end date 2020-03-31 Total amount of commissions paid to insurance broker USD $79,816 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,501,179 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $46,652
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	2
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 17755 Insurance policy start date 2019-08-01 Insurance policy end date 2020-07-31 Total amount of commissions paid to insurance broker USD $717,059 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,769,783 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $187,655
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	3
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 710 Insurance policy start date 2019-12-01 Insurance policy end date 2020-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,678,910 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	766001
Policy instance	4
Insurance contract or identification number 766001 Number of Individuals Covered 20 Insurance policy start date 2019-02-01 Insurance policy end date 2020-01-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $117,698 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	5
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 8077 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $231,891 Total amount of fees paid to insurance company USD $22,775 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $11,947,426 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $86,233 Amount paid for insurance broker fees 6556
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	6
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1871 Insurance policy start date 2019-07-01 Insurance policy end date 2020-06-30 Total amount of commissions paid to insurance broker USD $6,371 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,203,338 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,116
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	7
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 179 Insurance policy start date 2019-06-01 Insurance policy end date 2020-05-31 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $569,001 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	888022
Policy instance	8
Insurance contract or identification number 888022 Number of Individuals Covered 51 Insurance policy start date 2019-03-01 Insurance policy end date 2020-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $227 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	9
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 141 Insurance policy start date 2019-05-01 Insurance policy end date 2020-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,624,479 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	10
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 425 Insurance policy start date 2019-10-01 Insurance policy end date 2020-09-30 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,411,154 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	11
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 153 Insurance policy start date 2019-09-01 Insurance policy end date 2020-08-31 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $15,475 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	12
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 5091 Insurance policy start date 2019-09-01 Insurance policy end date 2020-08-31 Total amount of commissions paid to insurance broker USD $69,842 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $551,944 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $29,292
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	1109660-10001
Policy instance	13
Insurance contract or identification number 1109660-10001 Number of Individuals Covered 12 Insurance policy start date 2019-05-01 Insurance policy end date 2020-04-30 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,704 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	14
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 73 Insurance policy start date 2019-10-01 Insurance policy end date 2020-09-30 Total amount of commissions paid to insurance broker USD $15 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,627 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $15
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	15
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 98 Insurance policy start date 2019-10-01 Insurance policy end date 2020-09-30 Total amount of commissions paid to insurance broker USD $2,446 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $34,985 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,647
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	16
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 238 Insurance policy start date 2019-04-01 Insurance policy end date 2020-03-31 Total amount of commissions paid to insurance broker USD $4,241 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $30,870 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,168
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-10940-2
Policy instance	17
Insurance contract or identification number 10-10940-2 Number of Individuals Covered 63 Insurance policy start date 2019-08-01 Insurance policy end date 2020-07-31 Total amount of commissions paid to insurance broker USD $2,424 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $45,831 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,424
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MUTLI-CONTRACTS
Policy instance	18
Insurance contract or identification number MUTLI-CONTRACTS Number of Individuals Covered 15 Insurance policy start date 2019-12-01 Insurance policy end date 2020-11-30 Total amount of commissions paid to insurance broker USD $377 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,765 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $377
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	19
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 258 Insurance policy start date 2019-02-01 Insurance policy end date 2020-01-31 Total amount of commissions paid to insurance broker USD $2,364 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $28,876 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,509
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	20
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 401 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $2,018 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $20,433 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $951
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	21
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 432 Insurance policy start date 2019-07-01 Insurance policy end date 2020-06-30 Total amount of commissions paid to insurance broker USD $5,398 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $165,079 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,692
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-47850
Policy instance	22
Insurance contract or identification number 10-47850 Number of Individuals Covered 78 Insurance policy start date 2019-05-01 Insurance policy end date 2020-04-30 Total amount of commissions paid to insurance broker USD $928 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,135 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $928
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	23
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1657 Insurance policy start date 2019-08-01 Insurance policy end date 2020-07-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,605,913 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	24
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 428 Insurance policy start date 2019-12-01 Insurance policy end date 2020-11-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $531,714 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	25
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 94 Insurance policy start date 2019-02-01 Insurance policy end date 2020-01-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $492,874 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	26
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 653 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $49 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $530,425 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $49
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	27
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 84 Insurance policy start date 2019-12-01 Insurance policy end date 2020-11-30 Total amount of commissions paid to insurance broker USD $942 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,580 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $348
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	28
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 360 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $1,119 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $20,388 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $591
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	29
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 140 Insurance policy start date 2019-07-01 Insurance policy end date 2020-06-30 Total amount of commissions paid to insurance broker USD $952 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $18,431 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $952
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	30
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 9 Insurance policy start date 2019-11-01 Insurance policy end date 2020-10-31 Total amount of commissions paid to insurance broker USD $56 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $951 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $56
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number	MULTI-CONTRACTS
Policy instance	31
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 313 Insurance policy start date 2019-07-01 Insurance policy end date 2020-06-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $855,685 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	32
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 4668 Insurance policy start date 2019-07-01 Insurance policy end date 2020-06-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,472,517 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	33
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 258 Insurance policy start date 2019-06-01 Insurance policy end date 2020-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,605 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	34
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 560 Insurance policy start date 2019-04-01 Insurance policy end date 2020-03-31 Total amount of commissions paid to insurance broker USD $3,466 Total amount of fees paid to insurance company USD $1,981 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,492,566 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,466 Amount paid for insurance broker fees 1981
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	35
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 4236 Insurance policy start date 2019-08-01 Insurance policy end date 2020-07-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,583,536 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	36
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 944 Insurance policy start date 2019-12-01 Insurance policy end date 2020-11-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,673,864 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	37
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 901 Insurance policy start date 2019-02-01 Insurance policy end date 2020-01-31 Health Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,265,598 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	38
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 8583 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,829,562 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	39
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 9904 Insurance policy start date 2019-07-01 Insurance policy end date 2020-06-30 Total amount of commissions paid to insurance broker USD $12,892 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $19,018,469 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $12,495
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	40
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1493 Insurance policy start date 2019-06-01 Insurance policy end date 2020-05-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,041,488 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	41
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2258 Insurance policy start date 2019-03-01 Insurance policy end date 2020-02-28 Total amount of commissions paid to insurance broker USD $248 Total amount of fees paid to insurance company USD $120 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,415,227 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $248 Amount paid for insurance broker fees 103
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	42
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 365 Insurance policy start date 2019-05-01 Insurance policy end date 2020-04-30 Total amount of commissions paid to insurance broker USD $7,563 Total amount of fees paid to insurance company USD $4,322 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $248,233 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,563 Amount paid for insurance broker fees 4322
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	43
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1269 Insurance policy start date 2019-11-01 Insurance policy end date 2020-10-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $251,753 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	44
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1921 Insurance policy start date 2019-10-01 Insurance policy end date 2020-09-30 Total amount of commissions paid to insurance broker USD $18 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,315,167 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $18
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	45
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2408 Insurance policy start date 2019-09-01 Insurance policy end date 2020-08-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,657,969 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	46
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 117 Insurance policy start date 2019-04-01 Insurance policy end date 2020-03-31 Total amount of commissions paid to insurance broker USD $966 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,559,963 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $966
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	008116
Policy instance	47
Insurance contract or identification number 008116 Number of Individuals Covered 38 Insurance policy start date 2019-08-01 Insurance policy end date 2020-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $359,397 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	48
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 82 Insurance policy start date 2019-12-01 Insurance policy end date 2020-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $471,735 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	49
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 211 Insurance policy start date 2019-02-01 Insurance policy end date 2020-01-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,693,271 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	50
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 307 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $160 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,147,187 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $160
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	MULTI-CONTRACTS
Policy instance	51
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 106 Insurance policy start date 2019-04-01 Insurance policy end date 2020-03-31 Total amount of commissions paid to insurance broker USD $3,283 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $93,218 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,283
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	MULTI-CONTRACTS
Policy instance	52
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 43 Insurance policy start date 2019-08-01 Insurance policy end date 2020-07-31 Total amount of commissions paid to insurance broker USD $3,750 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $36,996 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,750
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	1016822
Policy instance	53
Insurance contract or identification number 1016822 Number of Individuals Covered 26 Insurance policy start date 2019-04-01 Insurance policy end date 2020-03-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,793 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	54
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 559 Insurance policy start date 2019-08-01 Insurance policy end date 2020-07-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $25,667 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	55
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 122 Insurance policy start date 2019-12-01 Insurance policy end date 2020-11-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,585 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	56
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 33 Insurance policy start date 2019-02-01 Insurance policy end date 2020-01-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,109 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number	10165689
Policy instance	57
Insurance contract or identification number 10165689 Number of Individuals Covered 69 Insurance policy start date 2019-04-01 Insurance policy end date 2020-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $383,342 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number	MULTI-CONTRACTS
Policy instance	58
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 622 Insurance policy start date 2019-03-01 Insurance policy end date 2020-02-28 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,030,289 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	59
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 89 Insurance policy start date 2019-10-01 Insurance policy end date 2020-09-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $933,296 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F018138
Policy instance	60
Insurance contract or identification number F018138 Number of Individuals Covered 21 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,249 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F012556-1
Policy instance	61
Insurance contract or identification number F012556-1 Number of Individuals Covered 186 Insurance policy start date 2019-07-01 Insurance policy end date 2020-06-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $9,309 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F018630
Policy instance	62
Insurance contract or identification number F018630 Number of Individuals Covered 232 Insurance policy start date 2019-11-01 Insurance policy end date 2020-10-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,264 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	63
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 187 Insurance policy start date 2019-07-01 Insurance policy end date 2020-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,499,019 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	007657
Policy instance	64
Insurance contract or identification number 007657 Number of Individuals Covered 44 Insurance policy start date 2019-03-01 Insurance policy end date 2020-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $644,381 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	65
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 52 Insurance policy start date 2019-11-01 Insurance policy end date 2020-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $663,114 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	66
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 264 Insurance policy start date 2019-10-01 Insurance policy end date 2020-09-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,859,942 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	67
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 148 Insurance policy start date 2019-09-01 Insurance policy end date 2020-08-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,361,938 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	68
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 133 Insurance policy start date 2019-04-01 Insurance policy end date 2020-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,833,637 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	69
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 54 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,075 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	70
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 82 Insurance policy start date 2019-07-01 Insurance policy end date 2020-06-30 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $44,147 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	71
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 118 Insurance policy start date 2019-03-01 Insurance policy end date 2020-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,912,446 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	72
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 106 Insurance policy start date 2019-05-01 Insurance policy end date 2020-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,519,693 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	73
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1054 Insurance policy start date 2019-04-01 Insurance policy end date 2020-03-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $299,449 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	74
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1321 Insurance policy start date 2019-08-01 Insurance policy end date 2020-07-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $407,452 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	75
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 464 Insurance policy start date 2019-12-01 Insurance policy end date 2020-11-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $105,035 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	76
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 969 Insurance policy start date 2019-02-01 Insurance policy end date 2020-01-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $352,429 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	77
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 5862 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $13,991 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $1,775,084 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $9,224
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	78
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 8835 Insurance policy start date 2019-07-01 Insurance policy end date 2020-06-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $2,975,493 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	79
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 471 Insurance policy start date 2019-06-01 Insurance policy end date 2020-05-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $85,343 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	80
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1491 Insurance policy start date 2019-03-01 Insurance policy end date 2020-02-28 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $249,785 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	81
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 337 Insurance policy start date 2019-05-01 Insurance policy end date 2020-04-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $33,451 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	82
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 414 Insurance policy start date 2019-11-01 Insurance policy end date 2020-10-31 Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $121,282 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	83
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 414 Insurance policy start date 2019-10-01 Insurance policy end date 2020-09-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $105,289 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	84
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2226 Insurance policy start date 2019-09-01 Insurance policy end date 2020-08-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $553,044 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	85
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 75 Insurance policy start date 2019-12-01 Insurance policy end date 2020-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,233,329 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	86
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 902 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $3,727 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,158,106 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,727
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	87
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 64 Insurance policy start date 2019-07-01 Insurance policy end date 2020-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $828,456 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	88
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 206 Insurance policy start date 2019-06-01 Insurance policy end date 2020-05-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,317,513 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	89
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 91 Insurance policy start date 2019-03-01 Insurance policy end date 2020-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,095,418 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	1140944
Policy instance	90
Insurance contract or identification number 1140944 Number of Individuals Covered 55 Insurance policy start date 2019-10-01 Insurance policy end date 2020-09-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $949,094 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	11403431001
Policy instance	91
Insurance contract or identification number 11403431001 Number of Individuals Covered 90 Insurance policy start date 2019-09-01 Insurance policy end date 2020-08-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $863,433 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	GL-809870
Policy instance	92
Insurance contract or identification number GL-809870 Number of Individuals Covered 244 Insurance policy start date 2019-03-01 Insurance policy end date 2020-02-28 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,147 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTRACTS
Policy instance	93
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1070 Insurance policy start date 2019-11-01 Insurance policy end date 2020-10-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $27,723 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTRACTS
Policy instance	94
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1023 Insurance policy start date 2019-10-01 Insurance policy end date 2020-09-30 Total amount of commissions paid to insurance broker USD $8,805 Total amount of fees paid to insurance company USD $1,831 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $90,237 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $8,128 Amount paid for insurance broker fees 264
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTRACTS
Policy instance	95
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 425 Insurance policy start date 2019-09-01 Insurance policy end date 2020-08-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $54,985 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTRACTS
Policy instance	96
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 72 Insurance policy start date 2019-08-01 Insurance policy end date 2020-07-31 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $613 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTACTS
Policy instance	97
Insurance contract or identification number MULTI-CONTACTS Number of Individuals Covered 157 Insurance policy start date 2019-12-01 Insurance policy end date 2020-11-30 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $17,382 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTRACTS
Policy instance	98
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 297 Insurance policy start date 2019-02-01 Insurance policy end date 2020-01-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $27,181 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTRACTS
Policy instance	99
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 6546 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $450,940 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	GL-803423
Policy instance	100
Insurance contract or identification number GL-803423 Number of Individuals Covered 181 Insurance policy start date 2019-07-01 Insurance policy end date 2020-06-30 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $9,471 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	888118
Policy instance	101
Insurance contract or identification number 888118 Number of Individuals Covered 223 Insurance policy start date 2019-06-01 Insurance policy end date 2020-05-31 Total amount of commissions paid to insurance broker USD $361 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,150 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $361
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	MULTI-CONTRACTS
Policy instance	102
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 892 Insurance policy start date 2019-04-01 Insurance policy end date 2020-03-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $64,979 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	MULTI-CONTRACTS
Policy instance	103
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 521 Insurance policy start date 2019-08-01 Insurance policy end date 2020-07-31 Total amount of commissions paid to insurance broker USD $8 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $70,743 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $8
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	MULTI-CONTRACTS
Policy instance	104
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 156 Insurance policy start date 2019-12-01 Insurance policy end date 2020-11-30 Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,520 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	MULTI-CONTRACTS
Policy instance	105
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 288 Insurance policy start date 2019-02-01 Insurance policy end date 2020-01-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $66,505 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	MULTI-CONTRACTS
Policy instance	106
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2894 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $424 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $410,539 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $424
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	MULTI-CONTRACTS
Policy instance	107
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1614 Insurance policy start date 2019-07-01 Insurance policy end date 2020-06-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $212,113 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	MULTI-CONTRACTS
Policy instance	108
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 877 Insurance policy start date 2019-06-01 Insurance policy end date 2020-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $232,992 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	MULTI-CONTRACTS
Policy instance	109
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2101 Insurance policy start date 2019-03-01 Insurance policy end date 2020-02-28 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $243,320 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	MULTI-CONTRACTS
Policy instance	110
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2055 Insurance policy start date 2019-05-01 Insurance policy end date 2020-04-30 Total amount of commissions paid to insurance broker USD $524 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $205,252 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $524
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	MULTI-CONTRACTS
Policy instance	111
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 290 Insurance policy start date 2019-11-01 Insurance policy end date 2020-10-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $27,237 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	MULTI-CONTRACTS
Policy instance	112
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 627 Insurance policy start date 2019-10-01 Insurance policy end date 2020-09-30 Total amount of commissions paid to insurance broker USD $102 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $78,033 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $102
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	MULTI-CONTRACTS
Policy instance	113
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1673 Insurance policy start date 2019-09-01 Insurance policy end date 2020-08-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $196,489 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5578323
Policy instance	114
Insurance contract or identification number 5578323 Number of Individuals Covered 27 Insurance policy start date 2019-04-01 Insurance policy end date 2020-03-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $22,367 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5545589
Policy instance	115
Insurance contract or identification number 5545589 Number of Individuals Covered 141 Insurance policy start date 2019-02-01 Insurance policy end date 2020-01-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $110,388 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	MULTI-CONTRACTS
Policy instance	116
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 381 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $53,203 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	MULTI-CONTRACTS
Policy instance	117
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 10138 Insurance policy start date 2019-07-01 Insurance policy end date 2020-06-30 Total amount of commissions paid to insurance broker USD $814 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,252,534 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $694
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5917331
Policy instance	118
Insurance contract or identification number 5917331 Number of Individuals Covered 67 Insurance policy start date 2019-06-01 Insurance policy end date 2020-05-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $50,341 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	MULTI-CONTRACTS
Policy instance	119
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1173 Insurance policy start date 2019-04-01 Insurance policy end date 2020-03-31 Total amount of commissions paid to insurance broker USD $27,003 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $112,302 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $14,111
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	120
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 832 Insurance policy start date 2019-08-01 Insurance policy end date 2020-07-31 Total amount of commissions paid to insurance broker USD $16,653 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $82,406 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $8,641
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	121
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 510 Insurance policy start date 2019-12-01 Insurance policy end date 2020-11-30 Total amount of commissions paid to insurance broker USD $2,058 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $62,516 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $954
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	122
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 729 Insurance policy start date 2019-02-01 Insurance policy end date 2020-01-31 Total amount of commissions paid to insurance broker USD $7,371 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $75,704 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,115
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	123
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 6114 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $76,888 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $691,489 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $35,432
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	MULTI-CONTRACTS
Policy instance	124
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 13712 Insurance policy start date 2019-07-01 Insurance policy end date 2020-06-30 Total amount of commissions paid to insurance broker USD $241,048 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $1,314,780 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $114,268
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	125
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1612 Insurance policy start date 2019-06-01 Insurance policy end date 2020-05-31 Total amount of commissions paid to insurance broker USD $35,978 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $275,728 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $18,255
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	MULTI-CONTRACTS
Policy instance	126
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 310 Insurance policy start date 2019-03-01 Insurance policy end date 2020-02-28 Total amount of commissions paid to insurance broker USD $4,633 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $15,114 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,704
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	127
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 749 Insurance policy start date 2019-05-01 Insurance policy end date 2020-04-30 Total amount of commissions paid to insurance broker USD $18,031 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $116,154 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $8,858
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	128
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 593 Insurance policy start date 2019-11-01 Insurance policy end date 2020-10-31 Total amount of commissions paid to insurance broker USD $7,608 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $67,040 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,322
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	129
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1936 Insurance policy start date 2019-10-01 Insurance policy end date 2020-09-30 Total amount of commissions paid to insurance broker USD $33,379 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $180,495 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $17,152
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	130
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3814 Insurance policy start date 2019-09-01 Insurance policy end date 2020-08-31 Total amount of commissions paid to insurance broker USD $44,612 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $372,531 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $21,783
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	131
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 23 Insurance policy start date 2019-04-01 Insurance policy end date 2020-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $508,628 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	132
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 416 Insurance policy start date 2019-12-01 Insurance policy end date 2020-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,350,042 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	133
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1739 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $1,204 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $26,616,099 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,204
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	134
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1743 Insurance policy start date 2019-07-01 Insurance policy end date 2020-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,337,835 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	135
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 85 Insurance policy start date 2019-06-01 Insurance policy end date 2020-05-31 Total amount of commissions paid to insurance broker USD $612 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,556,775 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $612
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	136
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 387 Insurance policy start date 2019-03-01 Insurance policy end date 2020-02-28 Total amount of commissions paid to insurance broker USD $1,670 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,203,288 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,670
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	137
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 88 Insurance policy start date 2019-05-01 Insurance policy end date 2020-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,457,691 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	138
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 74 Insurance policy start date 2019-10-01 Insurance policy end date 2020-09-30 Total amount of commissions paid to insurance broker USD $17,824 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,171,974 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $17,824
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	139
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1437 Insurance policy start date 2019-09-01 Insurance policy end date 2020-08-31 Total amount of commissions paid to insurance broker USD $3,220 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,660,048 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,220
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	1026250
Policy instance	140
Insurance contract or identification number 1026250 Number of Individuals Covered 301 Insurance policy start date 2019-04-01 Insurance policy end date 2020-03-31 Total amount of commissions paid to insurance broker USD $8,653 Total amount of fees paid to insurance company USD $588 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $60,314 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,644 Amount paid for insurance broker fees 588
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	1114267
Policy instance	141
Insurance contract or identification number 1114267 Number of Individuals Covered 279 Insurance policy start date 2019-08-01 Insurance policy end date 2020-07-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $48,489 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	142
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 259 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $152,900 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	143
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 155 Insurance policy start date 2019-07-01 Insurance policy end date 2020-06-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $35,524 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	144
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 202 Insurance policy start date 2019-06-01 Insurance policy end date 2020-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $19,008 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	20727
Policy instance	145
Insurance contract or identification number 20727 Number of Individuals Covered 981 Insurance policy start date 2019-02-01 Insurance policy end date 2020-01-31 Total amount of commissions paid to insurance broker USD $11,497 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $61,639 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,874
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	146
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 925 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $10,048 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $95,243 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,803
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	62362
Policy instance	147
Insurance contract or identification number 62362 Number of Individuals Covered 408 Insurance policy start date 2019-07-01 Insurance policy end date 2020-06-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $49,682 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	148
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2269 Insurance policy start date 2019-10-01 Insurance policy end date 2020-09-30 Total amount of commissions paid to insurance broker USD $12,080 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $150,774 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $12,080
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	447024
Policy instance	149
Insurance contract or identification number 447024 Number of Individuals Covered 949 Insurance policy start date 2019-08-01 Insurance policy end date 2020-07-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $68,752 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	140455
Policy instance	150
Insurance contract or identification number 140455 Number of Individuals Covered 200 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $1,554 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $16,478 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,163
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	151
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 128 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $36,180 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	152
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1038 Insurance policy start date 2019-07-01 Insurance policy end date 2020-06-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $66,232 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	153
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 335 Insurance policy start date 2019-06-01 Insurance policy end date 2020-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $51,003 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	165893
Policy instance	154
Insurance contract or identification number 165893 Number of Individuals Covered 368 Insurance policy start date 2019-05-01 Insurance policy end date 2020-04-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $77,148 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	152404
Policy instance	155
Insurance contract or identification number 152404 Number of Individuals Covered 140 Insurance policy start date 2019-11-01 Insurance policy end date 2020-10-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $22,451 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACT
Policy instance	156
Insurance contract or identification number MULTI-CONTRACT Number of Individuals Covered 573 Insurance policy start date 2019-10-01 Insurance policy end date 2020-09-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $89,628 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	157
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1141 Insurance policy start date 2019-09-01 Insurance policy end date 2020-08-31 Total amount of commissions paid to insurance broker USD $10,076 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $203,974 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,562
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	MULTI-CONTRACTS
Policy instance	158
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 235 Insurance policy start date 2019-04-01 Insurance policy end date 2020-03-31 Total amount of commissions paid to insurance broker USD $1,147 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $25,866 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,147
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	224375
Policy instance	159
Insurance contract or identification number 224375 Number of Individuals Covered 8 Insurance policy start date 2019-08-01 Insurance policy end date 2020-07-31 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $126 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULT-CONTRACTS
Policy instance	160
Insurance contract or identification number MULT-CONTRACTS Number of Individuals Covered 1615 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $54,789 Total amount of fees paid to insurance company USD $11,896 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $379,611 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $39,599 Amount paid for insurance broker fees 11205
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULTI-CONTRACTS
Policy instance	161
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1713 Insurance policy start date 2019-07-01 Insurance policy end date 2020-06-30 Total amount of commissions paid to insurance broker USD $25,769 Total amount of fees paid to insurance company USD $38 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $188,182 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,684 Amount paid for insurance broker fees 38
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULTI-CONTRACTS
Policy instance	162
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1364 Insurance policy start date 2019-06-01 Insurance policy end date 2020-05-31 Total amount of commissions paid to insurance broker USD $15,416 Total amount of fees paid to insurance company USD $404 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $156,183 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $13,874 Amount paid for insurance broker fees 404
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULTI-CONTRACTS
Policy instance	163
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 31 Insurance policy start date 2019-11-01 Insurance policy end date 2020-10-31 Total amount of commissions paid to insurance broker USD $3,072 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,558 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,296
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULTI-CONTRACTS
Policy instance	164
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 4492 Insurance policy start date 2019-09-01 Insurance policy end date 2020-08-31 Total amount of commissions paid to insurance broker USD $514 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $327,216 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $514
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	165
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3672 Insurance policy start date 2019-04-01 Insurance policy end date 2020-03-31 Total amount of commissions paid to insurance broker USD $59,258 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $277,727 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $32,258
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	166
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 4306 Insurance policy start date 2019-08-01 Insurance policy end date 2020-07-31 Total amount of commissions paid to insurance broker USD $44,960 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $224,358 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $22,789
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	167
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 655 Insurance policy start date 2019-12-01 Insurance policy end date 2020-11-30 Total amount of commissions paid to insurance broker USD $20,738 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $70,204 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $10,197
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	168
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 336 Insurance policy start date 2019-02-01 Insurance policy end date 2020-01-31 Total amount of commissions paid to insurance broker USD $4,362 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $14,379 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,180
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	169
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 15647 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $272,638 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $2,293,367 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $168,552
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	170
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2550 Insurance policy start date 2019-07-01 Insurance policy end date 2020-06-30 Total amount of commissions paid to insurance broker USD $47,956 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $194,168 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $24,182
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	171
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2738 Insurance policy start date 2019-06-01 Insurance policy end date 2020-05-31 Total amount of commissions paid to insurance broker USD $64,922 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $301,559 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $30,597
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	172
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 608 Insurance policy start date 2019-03-01 Insurance policy end date 2020-02-28 Total amount of commissions paid to insurance broker USD $13,793 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $56,314 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,601
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	173
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 901 Insurance policy start date 2019-05-01 Insurance policy end date 2020-04-30 Total amount of commissions paid to insurance broker USD $28,215 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $175,229 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $16,023
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	174
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2900 Insurance policy start date 2019-11-01 Insurance policy end date 2020-10-31 Total amount of commissions paid to insurance broker USD $31,276 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $125,498 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $17,012
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	175
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1347 Insurance policy start date 2019-10-01 Insurance policy end date 2020-09-30 Total amount of commissions paid to insurance broker USD $16,421 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $93,161 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,551
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	MULTI-CONTRACTS
Policy instance	176
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 141 Insurance policy start date 2019-10-01 Insurance policy end date 2020-09-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $662 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 number	MULTI-CONTRACTS
Policy instance	177
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 914 Insurance policy start date 2019-09-01 Insurance policy end date 2020-08-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $707,315 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	178
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 82 Insurance policy start date 2019-04-01 Insurance policy end date 2020-03-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,087 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTACTS
Policy instance	179
Insurance contract or identification number MULTI-CONTACTS Number of Individuals Covered 221 Insurance policy start date 2019-12-01 Insurance policy end date 2020-11-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $28,656 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number	MULTI-CONTRACTS
Policy instance	180
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 344 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $1,029 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $55,058 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $879
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	181
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 314 Insurance policy start date 2019-07-01 Insurance policy end date 2020-06-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $42,627 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	182
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 280 Insurance policy start date 2019-06-01 Insurance policy end date 2020-05-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $35,242 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	183
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 76 Insurance policy start date 2019-03-01 Insurance policy end date 2020-02-28 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $18,234 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	184
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 192 Insurance policy start date 2019-10-01 Insurance policy end date 2020-09-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $27,946 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTACTS
Policy instance	185
Insurance contract or identification number MULTI-CONTACTS Number of Individuals Covered 159 Insurance policy start date 2019-09-01 Insurance policy end date 2020-08-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,969 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	186
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 267 Insurance policy start date 2019-10-01 Insurance policy end date 2020-09-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $27,753 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	187
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1059 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $112,083 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	188
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 729 Insurance policy start date 2019-07-01 Insurance policy end date 2020-06-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $68,133 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	189
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 20 Insurance policy start date 2019-06-01 Insurance policy end date 2020-05-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,314 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	190
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 184 Insurance policy start date 2019-12-01 Insurance policy end date 2020-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,638,549 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	191
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 426 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,415,340 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	192
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 129 Insurance policy start date 2019-07-01 Insurance policy end date 2020-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,149,057 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	0743360000
Policy instance	193
Insurance contract or identification number 0743360000 Number of Individuals Covered 46 Insurance policy start date 2019-03-01 Insurance policy end date 2020-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,043,755 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	194
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 81 Insurance policy start date 2019-11-01 Insurance policy end date 2020-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $747,084 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	195
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 300 Insurance policy start date 2019-05-01 Insurance policy end date 2020-04-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $35,816 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	1018816
Policy instance	196
Insurance contract or identification number 1018816 Number of Individuals Covered 150 Insurance policy start date 2019-11-01 Insurance policy end date 2020-10-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $17,402 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	197
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 900 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $14,014 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $82,086 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,635
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	198
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1261 Insurance policy start date 2019-07-01 Insurance policy end date 2020-06-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $115,690 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )
Policy contract number	MULTI-CONTRACTS
Policy instance	199
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1699 Insurance policy start date 2019-04-01 Insurance policy end date 2020-03-31 Total amount of commissions paid to insurance broker USD $8,212 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $102,267 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,081
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	200
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 150 Insurance policy start date 2019-06-01 Insurance policy end date 2020-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $25,668 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	201
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 317 Insurance policy start date 2019-10-01 Insurance policy end date 2020-09-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $44,482 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 number	MULTI-CONTRACTS
Policy instance	202
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 240 Insurance policy start date 2019-04-01 Insurance policy end date 2020-03-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $459,822 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 number	MULTI-CONTRACTS
Policy instance	203
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1226 Insurance policy start date 2019-08-01 Insurance policy end date 2020-07-31 Total amount of commissions paid to insurance broker USD $111,215 Total amount of fees paid to insurance company USD $139 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,899,665 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $74,168 Amount paid for insurance broker fees 139
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	MULTI-CONTRACTS
Policy instance	204
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 98 Insurance policy start date 2019-12-01 Insurance policy end date 2020-11-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $11,897 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 number	MULTI-CONTRACTS
Policy instance	205
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3603 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $966 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,032,466 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $966
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	MULTI-CONTRACTS
Policy instance	206
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 4216 Insurance policy start date 2019-07-01 Insurance policy end date 2020-06-30 Total amount of commissions paid to insurance broker USD $793,751 Total amount of fees paid to insurance company USD $5,507 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $23,739,703 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $354,766 Amount paid for insurance broker fees 878
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	MULTI-CONTRACTS
Policy instance	207
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 38 Insurance policy start date 2019-06-01 Insurance policy end date 2020-05-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,688 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 number	MULTI-CONTRACTS
Policy instance	208
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 279 Insurance policy start date 2019-03-01 Insurance policy end date 2020-02-28 Total amount of commissions paid to insurance broker USD $72,820 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,041,496 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $49,362
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	MULTI-CONTRACTS
Policy instance	209
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 593 Insurance policy start date 2019-05-01 Insurance policy end date 2020-04-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,377,838 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	210
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 683 Insurance policy start date 2019-05-01 Insurance policy end date 2020-04-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $71,132 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	211
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 251 Insurance policy start date 2019-10-01 Insurance policy end date 2020-09-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $36,351 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	212
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 257 Insurance policy start date 2019-09-01 Insurance policy end date 2020-08-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $48,865 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	MULTI-CONTRACTS
Policy instance	213
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 70 Insurance policy start date 2019-10-01 Insurance policy end date 2020-09-30 Total amount of commissions paid to insurance broker USD $2,479 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $52,222 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,479
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	10406-06001
Policy instance	214
Insurance contract or identification number 10406-06001 Number of Individuals Covered 29 Insurance policy start date 2019-02-01 Insurance policy end date 2020-01-31 Total amount of commissions paid to insurance broker USD $1,314 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,145 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,314
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	MULTI-CONTRACTS
Policy instance	215
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 393 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $5,236 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $207,464 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,236
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	MULTI-CONTRACTS
Policy instance	216
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1928 Insurance policy start date 2019-07-01 Insurance policy end date 2020-06-30 Total amount of commissions paid to insurance broker USD $65,999 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,146,879 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $65,999
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	1649
Policy instance	217
Insurance contract or identification number 1649 Number of Individuals Covered 4 Insurance policy start date 2019-06-01 Insurance policy end date 2020-05-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,203 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	3359
Policy instance	218
Insurance contract or identification number 3359 Number of Individuals Covered 60 Insurance policy start date 2019-11-01 Insurance policy end date 2020-10-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $58,540 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	219
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 217 Insurance policy start date 2019-09-01 Insurance policy end date 2020-08-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $24,844 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	6302
Policy instance	220
Insurance contract or identification number 6302 Number of Individuals Covered 9 Insurance policy start date 2019-04-01 Insurance policy end date 2020-03-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $524 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	6301
Policy instance	221
Insurance contract or identification number 6301 Number of Individuals Covered 29 Insurance policy start date 2019-02-01 Insurance policy end date 2020-01-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,172 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	6306
Policy instance	222
Insurance contract or identification number 6306 Number of Individuals Covered 34 Insurance policy start date 2019-07-01 Insurance policy end date 2020-06-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,634 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	MULTI-CONTRACTS
Policy instance	223
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 44 Insurance policy start date 2019-06-01 Insurance policy end date 2020-05-31 Total amount of commissions paid to insurance broker USD $178 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,168 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $178
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	6315
Policy instance	224
Insurance contract or identification number 6315 Number of Individuals Covered 38 Insurance policy start date 2019-10-01 Insurance policy end date 2020-09-30 Total amount of commissions paid to insurance broker USD $26 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,250 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $26
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number	701041
Policy instance	225
Insurance contract or identification number 701041 Number of Individuals Covered 1414 Insurance policy start date 2019-05-01 Insurance policy end date 2020-04-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $173,371 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	1
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 20313 Insurance policy start date 2018-08-01 Insurance policy end date 2019-09-30 Total amount of commissions paid to insurance broker USD $1,237,195 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,744,787 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $598,861
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	861323
Policy instance	2
Insurance contract or identification number 861323 Number of Individuals Covered 8141 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Total amount of commissions paid to insurance broker USD $110,107 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $903,293 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $55,103
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	3
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1179 Insurance policy start date 2018-07-01 Insurance policy end date 2019-06-30 Total amount of commissions paid to insurance broker USD $4,650 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $179,088 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,650
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	4
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 297 Insurance policy start date 2018-04-01 Insurance policy end date 2019-03-31 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,442,410 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	5
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 697 Insurance policy start date 2018-12-01 Insurance policy end date 2019-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,847,360 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	26-201516
Policy instance	6
Insurance contract or identification number 26-201516 Number of Individuals Covered 96 Insurance policy start date 2018-09-01 Insurance policy end date 2019-08-31 Total amount of commissions paid to insurance broker USD $2,306 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $35,772 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,306
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	7
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 50 Insurance policy start date 2018-02-01 Insurance policy end date 2019-01-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $489,799 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	8
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1055 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $11,083,204 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	9
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1351 Insurance policy start date 2018-07-01 Insurance policy end date 2019-06-30 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $11,882,146 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	10
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 106 Insurance policy start date 2018-06-01 Insurance policy end date 2019-05-31 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $238,812 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	11
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 695 Insurance policy start date 2018-03-01 Insurance policy end date 2019-02-28 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,702,080 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	12
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 169 Insurance policy start date 2018-05-01 Insurance policy end date 2019-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,053,814 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	13
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 62 Insurance policy start date 2018-11-01 Insurance policy end date 2019-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $708,402 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	14
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 440 Insurance policy start date 2018-10-01 Insurance policy end date 2019-09-30 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,332,609 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	15
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 356 Insurance policy start date 2018-09-01 Insurance policy end date 2019-08-31 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,721,053 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	16
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 238 Insurance policy start date 2018-04-01 Insurance policy end date 2019-03-31 Total amount of commissions paid to insurance broker USD $4,488 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $31,827 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,718
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	17
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 68 Insurance policy start date 2018-08-01 Insurance policy end date 2019-07-31 Total amount of commissions paid to insurance broker USD $2,355 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $42,537 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,284
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MUTLI-CONTRACTS
Policy instance	18
Insurance contract or identification number MUTLI-CONTRACTS Number of Individuals Covered 261 Insurance policy start date 2018-02-01 Insurance policy end date 2019-01-31 Total amount of commissions paid to insurance broker USD $2,402 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $28,830 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,480
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	19
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 415 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Total amount of commissions paid to insurance broker USD $9,656 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $133,032 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,554
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	20
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 350 Insurance policy start date 2018-07-01 Insurance policy end date 2019-06-30 Total amount of commissions paid to insurance broker USD $1,677 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $53,518 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,310
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-47850
Policy instance	21
Insurance contract or identification number 10-47850 Number of Individuals Covered 74 Insurance policy start date 2018-05-01 Insurance policy end date 2019-04-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,655 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	22
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 57 Insurance policy start date 2018-10-01 Insurance policy end date 2019-09-30 Total amount of commissions paid to insurance broker USD $1,677 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $24,535 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,310
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	23
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 913 Insurance policy start date 2018-08-01 Insurance policy end date 2019-07-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $551,228 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	24
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 171 Insurance policy start date 2018-12-01 Insurance policy end date 2019-11-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $432,523 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	00100221
Policy instance	25
Insurance contract or identification number 00100221 Number of Individuals Covered 38 Insurance policy start date 2018-02-01 Insurance policy end date 2019-01-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $473,091 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	26
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 227 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Total amount of commissions paid to insurance broker USD $50 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $67,617 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $50
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	27
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 79 Insurance policy start date 2018-12-01 Insurance policy end date 2019-11-30 Total amount of commissions paid to insurance broker USD $263 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,494 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $263
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	28
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 483 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Total amount of commissions paid to insurance broker USD $1,488 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $23,192 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $570
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-1363
Policy instance	29
Insurance contract or identification number 30790-1363 Number of Individuals Covered 127 Insurance policy start date 2018-07-01 Insurance policy end date 2019-06-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $17,922 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-215
Policy instance	30
Insurance contract or identification number 30790-215 Number of Individuals Covered 9 Insurance policy start date 2018-11-01 Insurance policy end date 2019-10-31 Total amount of commissions paid to insurance broker USD $1,259 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $732 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,259
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number	MULTI-CONTRACTS
Policy instance	31
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 369 Insurance policy start date 2018-07-01 Insurance policy end date 2019-06-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $945,771 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	32
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1354 Insurance policy start date 2018-07-01 Insurance policy end date 2019-06-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,107,448 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	33
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 168 Insurance policy start date 2018-06-01 Insurance policy end date 2019-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $24,318 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	00613275
Policy instance	34
Insurance contract or identification number 00613275 Number of Individuals Covered 218 Insurance policy start date 2018-04-01 Insurance policy end date 2019-03-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,456,889 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	35
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1742 Insurance policy start date 2018-08-01 Insurance policy end date 2019-07-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,602,040 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	36
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 672 Insurance policy start date 2018-12-01 Insurance policy end date 2019-11-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,397,777 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	37
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 868 Insurance policy start date 2018-02-01 Insurance policy end date 2019-01-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,169,507 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 number	MULTI-CONTRACTS
Policy instance	38
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 8620 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Total amount of commissions paid to insurance broker USD $1,519 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $15,419,770 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,519
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	39
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 8131 Insurance policy start date 2018-07-01 Insurance policy end date 2019-06-30 Total amount of commissions paid to insurance broker USD $24,790 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $15,110,073 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $14,240
CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 64548 )
Policy contract number	MULTI-CONTRACTS
Policy instance	40
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1185 Insurance policy start date 2018-06-01 Insurance policy end date 2019-05-31 Total amount of commissions paid to insurance broker USD $2,863 Total amount of fees paid to insurance company USD $954 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,180,194 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,863 Amount paid for insurance broker fees 954
CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 64548 )
Policy contract number	MULTI-CONTRACTS
Policy instance	41
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 4164 Insurance policy start date 2018-03-01 Insurance policy end date 2019-02-28 Total amount of commissions paid to insurance broker USD $1,183 Total amount of fees paid to insurance company USD $710 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,429,405 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,183 Amount paid for insurance broker fees 710
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	42
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 431 Insurance policy start date 2018-05-31 Insurance policy end date 2019-04-30 Total amount of commissions paid to insurance broker USD $1,183 Total amount of fees paid to insurance company USD $710 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,402,631 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,183 Amount paid for insurance broker fees 710
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	MULTI-CONTRACTS
Policy instance	43
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1354 Insurance policy start date 2018-11-01 Insurance policy end date 2019-10-31 Total amount of commissions paid to insurance broker USD $2,782 Total amount of fees paid to insurance company USD $2,226 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $335,742 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,782 Amount paid for insurance broker fees 2226
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	44
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 261 Insurance policy start date 2018-10-01 Insurance policy end date 2019-09-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $127,873 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 number	MULTI-CONTRACTS
Policy instance	45
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2431 Insurance policy start date 2018-09-01 Insurance policy end date 2019-08-31 Total amount of commissions paid to insurance broker USD $150,588 Total amount of fees paid to insurance company USD $133,608 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,120,066 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $150,588 Amount paid for insurance broker fees 3053
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	007954
Policy instance	46
Insurance contract or identification number 007954 Number of Individuals Covered 29 Insurance policy start date 2018-04-01 Insurance policy end date 2019-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $346,790 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	007719
Policy instance	47
Insurance contract or identification number 007719 Number of Individuals Covered 36 Insurance policy start date 2018-08-01 Insurance policy end date 2019-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $393,138 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	007771
Policy instance	48
Insurance contract or identification number 007771 Number of Individuals Covered 43 Insurance policy start date 2018-12-01 Insurance policy end date 2019-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $756,715 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	49
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 498 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Total amount of commissions paid to insurance broker USD $8,174 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,005,368 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,398
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	50
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 558 Insurance policy start date 2018-07-01 Insurance policy end date 2019-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,715,548 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	10792-0001
Policy instance	51
Insurance contract or identification number 10792-0001 Number of Individuals Covered 44 Insurance policy start date 2018-04-01 Insurance policy end date 2019-03-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,188 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	MULTI-CONTRACTS
Policy instance	52
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 580 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Total amount of commissions paid to insurance broker USD $5,347 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $359,577 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,347
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	1016822
Policy instance	53
Insurance contract or identification number 1016822 Number of Individuals Covered 24 Insurance policy start date 2018-04-01 Insurance policy end date 2019-03-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,676 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	54
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 477 Insurance policy start date 2018-08-01 Insurance policy end date 2019-07-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $25,188 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	55
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 121 Insurance policy start date 2018-12-01 Insurance policy end date 2019-11-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,147 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	1015934
Policy instance	56
Insurance contract or identification number 1015934 Number of Individuals Covered 32 Insurance policy start date 2018-02-01 Insurance policy end date 2019-01-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,326 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number	378942
Policy instance	57
Insurance contract or identification number 378942 Number of Individuals Covered 38 Insurance policy start date 2018-04-01 Insurance policy end date 2019-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $721,129 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number	30098
Policy instance	58
Insurance contract or identification number 30098 Number of Individuals Covered 70 Insurance policy start date 2018-12-01 Insurance policy end date 2019-11-30 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,851 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F014348
Policy instance	59
Insurance contract or identification number F014348 Number of Individuals Covered 47 Insurance policy start date 2018-08-01 Insurance policy end date 2019-07-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,059 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F018138
Policy instance	60
Insurance contract or identification number F018138 Number of Individuals Covered 50 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,988 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	FO18630
Policy instance	61
Insurance contract or identification number FO18630 Number of Individuals Covered 222 Insurance policy start date 2018-11-01 Insurance policy end date 2019-10-31 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,270 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F012556-1
Policy instance	62
Insurance contract or identification number F012556-1 Number of Individuals Covered 122 Insurance policy start date 2018-07-01 Insurance policy end date 2019-06-30 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,918 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	007657
Policy instance	63
Insurance contract or identification number 007657 Number of Individuals Covered 39 Insurance policy start date 2018-03-01 Insurance policy end date 2019-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $604,738 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	007957
Policy instance	64
Insurance contract or identification number 007957 Number of Individuals Covered 91 Insurance policy start date 2018-05-01 Insurance policy end date 2019-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,097,379 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	65
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 55 Insurance policy start date 2018-11-01 Insurance policy end date 2019-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $653,218 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	66
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 229 Insurance policy start date 2018-10-01 Insurance policy end date 2019-09-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,946,266 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	67
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 72 Insurance policy start date 2018-09-01 Insurance policy end date 2019-08-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $647,317 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	MULTI-CONTRACTS
Policy instance	68
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 8344 Insurance policy start date 2018-09-01 Insurance policy end date 2019-08-31 Total amount of commissions paid to insurance broker USD $201,768 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $950,994 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $107,934
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	69
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 460 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,301,975 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	549J1D749
Policy instance	70
Insurance contract or identification number 549J1D749 Number of Individuals Covered 95 Insurance policy start date 2018-07-31 Insurance policy end date 2019-06-30 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $50,922 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	468F1G551
Policy instance	71
Insurance contract or identification number 468F1G551 Number of Individuals Covered 81 Insurance policy start date 2018-03-01 Insurance policy end date 2019-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,237,943 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	72
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 112 Insurance policy start date 2018-05-01 Insurance policy end date 2019-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,538,829 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	73
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 69 Insurance policy start date 2018-10-01 Insurance policy end date 2019-09-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $706,377 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	74
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 788 Insurance policy start date 2018-04-01 Insurance policy end date 2019-03-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $487,654 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	75
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 971 Insurance policy start date 2018-08-01 Insurance policy end date 2019-07-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $385,721 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	76
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1690 Insurance policy start date 2018-12-01 Insurance policy end date 2019-11-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $412,494 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	77
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 432 Insurance policy start date 2018-02-01 Insurance policy end date 2019-01-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $191,892 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	78
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3443 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,486,558 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	79
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 7555 Insurance policy start date 2018-07-01 Insurance policy end date 2019-06-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,630,566 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	80
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 282 Insurance policy start date 2018-06-01 Insurance policy end date 2019-05-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $69,572 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	81
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 733 Insurance policy start date 2018-03-01 Insurance policy end date 2019-02-28 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $235,760 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	82
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 395 Insurance policy start date 2018-05-01 Insurance policy end date 2019-04-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $30,662 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	83
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 335 Insurance policy start date 2018-11-01 Insurance policy end date 2019-10-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $110,730 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number	10165689
Policy instance	84
Insurance contract or identification number 10165689 Number of Individuals Covered 60 Insurance policy start date 2018-04-01 Insurance policy end date 2019-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $357,906 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	11234961000
Policy instance	85
Insurance contract or identification number 11234961000 Number of Individuals Covered 62 Insurance policy start date 2018-04-01 Insurance policy end date 2019-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $67,811 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	86
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 76 Insurance policy start date 2018-12-01 Insurance policy end date 2019-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $973,942 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	87
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 76 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,552,206 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	88
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 170 Insurance policy start date 2018-07-01 Insurance policy end date 2019-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,805,172 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	89
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 204 Insurance policy start date 2018-06-01 Insurance policy end date 2019-05-31 Total amount of commissions paid to insurance broker USD $1,520 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,999,550 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,520
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	90
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 12 Insurance policy start date 2018-05-01 Insurance policy end date 2019-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $81,399 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	11403431001
Policy instance	91
Insurance contract or identification number 11403431001 Number of Individuals Covered 97 Insurance policy start date 2018-09-01 Insurance policy end date 2019-08-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $782,375 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	92
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 551 Insurance policy start date 2018-10-01 Insurance policy end date 2019-09-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $259,515 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	93
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1828 Insurance policy start date 2018-09-01 Insurance policy end date 2019-07-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $554,125 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	MULTI-CONTRACTS
Policy instance	94
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 367 Insurance policy start date 2018-11-01 Insurance policy end date 2019-10-31 Total amount of commissions paid to insurance broker USD $10,027 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $69,522 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,572
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	MULTI-CONTRACTS
Policy instance	95
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1084 Insurance policy start date 2018-10-01 Insurance policy end date 2019-09-30 Total amount of commissions paid to insurance broker USD $28,484 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $160,622 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $15,349
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	875635
Policy instance	96
Insurance contract or identification number 875635 Number of Individuals Covered 202 Insurance policy start date 2018-02-01 Insurance policy end date 2019-01-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $27,630 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTACTS
Policy instance	97
Insurance contract or identification number MULTI-CONTACTS Number of Individuals Covered 1305 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $223,049 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	877031
Policy instance	98
Insurance contract or identification number 877031 Number of Individuals Covered 445 Insurance policy start date 2018-11-01 Insurance policy end date 2019-10-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $111,618 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	877578
Policy instance	99
Insurance contract or identification number 877578 Number of Individuals Covered 289 Insurance policy start date 2018-10-01 Insurance policy end date 2019-09-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $81,060 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	881864
Policy instance	100
Insurance contract or identification number 881864 Number of Individuals Covered 249 Insurance policy start date 2018-09-01 Insurance policy end date 2019-08-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $43,744 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	MULTI-CONTRACTS
Policy instance	101
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 626 Insurance policy start date 2018-04-01 Insurance policy end date 2019-03-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $218,208 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	MULTI-CONTRACTS
Policy instance	102
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 337 Insurance policy start date 2018-08-01 Insurance policy end date 2019-07-31 Total amount of commissions paid to insurance broker USD $468 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $52,389 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $468
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	MULTI-CONTRACTS
Policy instance	103
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 508 Insurance policy start date 2018-12-01 Insurance policy end date 2019-11-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $77,771 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	MULTI-CONTRACTS
Policy instance	104
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 186 Insurance policy start date 2018-02-01 Insurance policy end date 2019-01-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $57,809 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	MULTI-CONTRACTS
Policy instance	105
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1445 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $261,713 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	MULTI-CONTRACTS
Policy instance	106
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2029 Insurance policy start date 2018-07-01 Insurance policy end date 2019-06-30 Total amount of commissions paid to insurance broker USD $583 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $364,995 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $583
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	MULTI-CONTRACTS
Policy instance	107
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1516 Insurance policy start date 2018-03-01 Insurance policy end date 2019-02-28 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $207,987 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	MULTI-CONTRACTS
Policy instance	108
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 359 Insurance policy start date 2018-05-01 Insurance policy end date 2019-04-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $129,415 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	MULTI-CONTRACTS
Policy instance	109
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 204 Insurance policy start date 2018-11-01 Insurance policy end date 2019-10-31 Total amount of commissions paid to insurance broker USD $109 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $30,865 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $109
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	MULTI-CONTRACTS
Policy instance	110
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 158 Insurance policy start date 2018-10-01 Insurance policy end date 2019-09-30 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,104 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	MULTI-CONTRACTS
Policy instance	111
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1276 Insurance policy start date 2018-09-01 Insurance policy end date 2019-08-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $167,056 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5545589
Policy instance	112
Insurance contract or identification number 5545589 Number of Individuals Covered 135 Insurance policy start date 2018-02-01 Insurance policy end date 2019-01-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $113,692 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5578323
Policy instance	113
Insurance contract or identification number 5578323 Number of Individuals Covered 29 Insurance policy start date 2018-04-01 Insurance policy end date 2019-03-01 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $22,760 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	MULTI-CONTRACTS
Policy instance	114
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 305 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $69,563 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5333775
Policy instance	115
Insurance contract or identification number 5333775 Number of Individuals Covered 6904 Insurance policy start date 2018-07-01 Insurance policy end date 2019-06-30 Total amount of commissions paid to insurance broker USD $159 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,228,748 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $159
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5917331
Policy instance	116
Insurance contract or identification number 5917331 Number of Individuals Covered 74 Insurance policy start date 2018-06-01 Insurance policy end date 2019-05-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $54,602 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5580274
Policy instance	117
Insurance contract or identification number 5580274 Number of Individuals Covered 33 Insurance policy start date 2018-11-01 Insurance policy end date 2019-10-01 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $14,261 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5947245
Policy instance	118
Insurance contract or identification number 5947245 Number of Individuals Covered 48 Insurance policy start date 2018-10-01 Insurance policy end date 2019-09-30 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $48,476 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	MULTI-CONTRACTS
Policy instance	119
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 726 Insurance policy start date 2018-04-01 Insurance policy end date 2019-03-31 Total amount of commissions paid to insurance broker USD $26,481 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $124,421 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $13,485
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	120
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 778 Insurance policy start date 2018-08-01 Insurance policy end date 2019-07-31 Total amount of commissions paid to insurance broker USD $20,222 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $79,612 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $11,549
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	121
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 85 Insurance policy start date 2018-12-01 Insurance policy end date 2019-11-30 Total amount of commissions paid to insurance broker USD $2,358 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,652 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,293
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	122
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 179 Insurance policy start date 2018-02-01 Insurance policy end date 2019-01-31 Total amount of commissions paid to insurance broker USD $6,655 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $30,754 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,799
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	123
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 4142 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Total amount of commissions paid to insurance broker USD $96,795 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $628,604 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $49,541
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	MULTI-CONTRACTS
Policy instance	124
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 5344 Insurance policy start date 2018-07-01 Insurance policy end date 2019-06-30 Total amount of commissions paid to insurance broker USD $127,900 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $686,792 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $61,161
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	125
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1107 Insurance policy start date 2018-06-01 Insurance policy end date 2019-05-31 Total amount of commissions paid to insurance broker USD $35,435 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $244,724 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $17,751
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	MULTI-CONTRACTS
Policy instance	126
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 207 Insurance policy start date 2018-03-01 Insurance policy end date 2019-02-28 Total amount of commissions paid to insurance broker USD $8,426 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $32,600 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,075
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	127
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 63 Insurance policy start date 2018-05-01 Insurance policy end date 2019-04-30 Total amount of commissions paid to insurance broker USD $2,099 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,876 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,339
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	128
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 168 Insurance policy start date 2018-04-01 Insurance policy end date 2019-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,355,983 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	HF7590
Policy instance	129
Insurance contract or identification number HF7590 Number of Individuals Covered 124 Insurance policy start date 2018-08-01 Insurance policy end date 2019-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,556,816 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	130
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 578 Insurance policy start date 2018-12-01 Insurance policy end date 2019-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,085,726 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	131
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2034 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $29,689,390 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	132
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 826 Insurance policy start date 2018-07-01 Insurance policy end date 2019-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,871,107 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	133
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 155 Insurance policy start date 2018-06-01 Insurance policy end date 2019-05-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,878,621 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	134
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 356 Insurance policy start date 2018-03-31 Insurance policy end date 2019-02-28 Total amount of commissions paid to insurance broker USD $2,980 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,406,880 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,620
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	AI23965
Policy instance	135
Insurance contract or identification number AI23965 Number of Individuals Covered 96 Insurance policy start date 2018-05-01 Insurance policy end date 2019-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,703,202 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	136
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 149 Insurance policy start date 2018-10-01 Insurance policy end date 2019-09-30 Total amount of commissions paid to insurance broker USD $18,857 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,410,458 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $18,857
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	137
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1353 Insurance policy start date 2018-09-01 Insurance policy end date 2019-08-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,625,351 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number	MULTI-CONTRACTS
Policy instance	138
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 84 Insurance policy start date 2018-11-01 Insurance policy end date 2019-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $706,804 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	1026250
Policy instance	139
Insurance contract or identification number 1026250 Number of Individuals Covered 411 Insurance policy start date 2018-04-01 Insurance policy end date 2019-03-31 Total amount of commissions paid to insurance broker USD $9,796 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $78,207 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $8,071
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	140
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 321 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Total amount of commissions paid to insurance broker USD $4,977 Total amount of fees paid to insurance company USD $6,020 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $237,145 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $49 Amount paid for insurance broker fees 5932
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	141
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 104 Insurance policy start date 2018-06-01 Insurance policy end date 2019-04-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $45,069 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	H56552-1
Policy instance	142
Insurance contract or identification number H56552-1 Number of Individuals Covered 13 Insurance policy start date 2018-05-01 Insurance policy end date 2019-04-30 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,497 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	1004916
Policy instance	143
Insurance contract or identification number 1004916 Number of Individuals Covered 5 Insurance policy start date 2018-10-01 Insurance policy end date 2019-09-30 Total amount of commissions paid to insurance broker USD $54 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,409 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $54
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	H39642-2
Policy instance	144
Insurance contract or identification number H39642-2 Number of Individuals Covered 677 Insurance policy start date 2018-09-01 Insurance policy end date 2019-08-31 Total amount of commissions paid to insurance broker USD $26,184 Total amount of fees paid to insurance company USD $13,164 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $373,954 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $13,164 Amount paid for insurance broker fees 13164
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	20727
Policy instance	145
Insurance contract or identification number 20727 Number of Individuals Covered 712 Insurance policy start date 2018-02-01 Insurance policy end date 2019-01-31 Total amount of commissions paid to insurance broker USD $11,861 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $63,488 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,099
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	146
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 654 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Total amount of commissions paid to insurance broker USD $8,030 Total amount of fees paid to insurance company USD $57 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $84,061 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,593 Amount paid for insurance broker fees 57
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	147
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1962 Insurance policy start date 2018-10-01 Insurance policy end date 2019-09-30 Total amount of commissions paid to insurance broker USD $29,456 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $705,791 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $29,456
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	148
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 647 Insurance policy start date 2018-08-01 Insurance policy end date 2019-07-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $114,844 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	754692
Policy instance	149
Insurance contract or identification number 754692 Number of Individuals Covered 123 Insurance policy start date 2018-12-01 Insurance policy end date 2019-11-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,846 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	140455
Policy instance	150
Insurance contract or identification number 140455 Number of Individuals Covered 153 Insurance policy start date 2018-02-01 Insurance policy end date 2019-01-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $16,029 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	151
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 55 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $41,533 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	152
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 851 Insurance policy start date 2018-07-01 Insurance policy end date 2019-06-30 Total amount of commissions paid to insurance broker USD $6,137 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $109,312 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,800
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	153
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 230 Insurance policy start date 2018-06-01 Insurance policy end date 2019-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $49,763 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	154
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 193 Insurance policy start date 2018-11-01 Insurance policy end date 2019-10-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $62,585 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	155
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 634 Insurance policy start date 2018-09-01 Insurance policy end date 2019-08-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $197,245 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 number	MULTI-CONTRACT
Policy instance	156
Insurance contract or identification number MULTI-CONTRACT Number of Individuals Covered 459 Insurance policy start date 2018-04-01 Insurance policy end date 2019-03-31 Total amount of commissions paid to insurance broker USD $5,549 Total amount of fees paid to insurance company USD $1,980 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $60,290 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,025 Amount paid for insurance broker fees 1980
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	224375
Policy instance	157
Insurance contract or identification number 224375 Number of Individuals Covered 8 Insurance policy start date 2018-08-01 Insurance policy end date 2019-07-31 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $213 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULTI-CONTRACTS
Policy instance	158
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 470 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Total amount of commissions paid to insurance broker USD $47,598 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $291,734 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $31,290
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULTI-CONTRACTS
Policy instance	159
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1054 Insurance policy start date 2018-07-01 Insurance policy end date 2019-06-30 Total amount of commissions paid to insurance broker USD $12,226 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $143,430 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,408
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULT-CONTRACTS
Policy instance	160
Insurance contract or identification number MULT-CONTRACTS Number of Individuals Covered 1300 Insurance policy start date 2018-06-01 Insurance policy end date 2019-05-31 Total amount of commissions paid to insurance broker USD $20,426 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $196,264 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $12,329
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	61943
Policy instance	161
Insurance contract or identification number 61943 Number of Individuals Covered 839 Insurance policy start date 2018-05-01 Insurance policy end date 2019-04-30 Total amount of commissions paid to insurance broker USD $9,455 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $85,197 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,256
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	824492
Policy instance	162
Insurance contract or identification number 824492 Number of Individuals Covered 31 Insurance policy start date 2018-11-01 Insurance policy end date 2019-10-31 Total amount of commissions paid to insurance broker USD $2,222 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $11,970 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,754
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	818550-001
Policy instance	163
Insurance contract or identification number 818550-001 Number of Individuals Covered 3540 Insurance policy start date 2018-09-01 Insurance policy end date 2019-08-31 Total amount of commissions paid to insurance broker USD $839 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $317,114 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $839
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	164
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2658 Insurance policy start date 2018-04-01 Insurance policy end date 2019-03-31 Total amount of commissions paid to insurance broker USD $76,127 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $360,538 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $38,435
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	165
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2288 Insurance policy start date 2018-08-01 Insurance policy end date 2019-07-31 Total amount of commissions paid to insurance broker USD $62,225 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $310,678 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $32,661
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	166
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 314 Insurance policy start date 2018-12-01 Insurance policy end date 2019-11-30 Total amount of commissions paid to insurance broker USD $9,434 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $41,162 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,211
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	167
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 127 Insurance policy start date 2018-02-01 Insurance policy end date 2019-01-31 Total amount of commissions paid to insurance broker USD $4,958 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $16,970 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,684
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	168
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 8106 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Total amount of commissions paid to insurance broker USD $189,803 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,305,783 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $94,869
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	169
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3609 Insurance policy start date 2018-07-01 Insurance policy end date 2019-06-30 Total amount of commissions paid to insurance broker USD $80,098 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $404,463 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $41,312
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	170
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1946 Insurance policy start date 2018-06-01 Insurance policy end date 2019-05-31 Total amount of commissions paid to insurance broker USD $62,008 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $269,668 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $33,035
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	171
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 417 Insurance policy start date 2018-03-01 Insurance policy end date 2019-02-28 Total amount of commissions paid to insurance broker USD $62,008 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $40,831 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $33,035
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	172
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 670 Insurance policy start date 2018-05-01 Insurance policy end date 2019-04-30 Total amount of commissions paid to insurance broker USD $24,236 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $156,089 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $14,376
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	173
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2627 Insurance policy start date 2018-11-01 Insurance policy end date 2019-10-31 Total amount of commissions paid to insurance broker USD $47,634 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $203,385 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $25,393
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	174
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 864 Insurance policy start date 2018-10-01 Insurance policy end date 2019-09-30 Total amount of commissions paid to insurance broker USD $37,332 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $84,652 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $18,666
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	175
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2716 Insurance policy start date 2018-09-01 Insurance policy end date 2019-08-31 Total amount of commissions paid to insurance broker USD $144,796 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $392,227 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $72,398
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	09063337
Policy instance	176
Insurance contract or identification number 09063337 Number of Individuals Covered 125 Insurance policy start date 2018-10-01 Insurance policy end date 2019-09-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,977 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 number	MULTI-CONTRACTS
Policy instance	177
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 815 Insurance policy start date 2018-09-01 Insurance policy end date 2019-08-31 Total amount of commissions paid to insurance broker USD $175 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $74,251 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $175 Additional information about fees paid to insurance broker 2901
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 48321 )
Policy contract number	MULTI-CONTRACTS
Policy instance	178
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 40 Insurance policy start date 2018-04-01 Insurance policy end date 2019-03-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,221 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTACTS
Policy instance	179
Insurance contract or identification number MULTI-CONTACTS Number of Individuals Covered 271 Insurance policy start date 2018-12-01 Insurance policy end date 2019-11-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $29,655 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	180
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 382 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $59,381 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	181
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 317 Insurance policy start date 2018-07-01 Insurance policy end date 2019-06-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $42,343 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	182
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 264 Insurance policy start date 2018-06-01 Insurance policy end date 2019-05-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $30,744 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	30036329
Policy instance	183
Insurance contract or identification number 30036329 Number of Individuals Covered 69 Insurance policy start date 2018-03-01 Insurance policy end date 2019-02-28 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $16,891 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	30029143
Policy instance	184
Insurance contract or identification number 30029143 Number of Individuals Covered 92 Insurance policy start date 2018-11-01 Insurance policy end date 2019-10-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,245 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTACTS
Policy instance	185
Insurance contract or identification number MULTI-CONTACTS Number of Individuals Covered 187 Insurance policy start date 2018-10-01 Insurance policy end date 2019-09-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $25,806 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	186
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 184 Insurance policy start date 2018-09-01 Insurance policy end date 2019-08-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $22,118 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	187
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 981 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $28,345 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	188
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1060 Insurance policy start date 2018-07-01 Insurance policy end date 2019-06-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $102,252 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	189
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 87 Insurance policy start date 2018-06-01 Insurance policy end date 2019-05-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $9,747 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number	MULTI-CONTRACTS
Policy instance	190
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 171 Insurance policy start date 2018-12-01 Insurance policy end date 2019-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,585,430 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number	MULTI-CONTRACTS
Policy instance	191
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 65 Insurance policy start date 2018-02-01 Insurance policy end date 2019-01-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $369,989 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number	MULTI-CONTRACTS
Policy instance	192
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 319 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,751,778 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number	MULTI-CONTRACTS
Policy instance	193
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 69 Insurance policy start date 2018-07-01 Insurance policy end date 2019-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $714,418 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number	MULTI-CONTRACTS
Policy instance	194
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 62 Insurance policy start date 2018-03-01 Insurance policy end date 2019-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $977,107 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	195
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 292 Insurance policy start date 2018-05-01 Insurance policy end date 2019-04-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $34,157 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	1018816
Policy instance	196
Insurance contract or identification number 1018816 Number of Individuals Covered 125 Insurance policy start date 2018-11-01 Insurance policy end date 2019-10-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $14,534 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )
Policy contract number	MULTI-CONTRACTS
Policy instance	197
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1435 Insurance policy start date 2018-04-01 Insurance policy end date 2019-03-31 Total amount of commissions paid to insurance broker USD $512 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $83,394 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $512
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	198
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 970 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Total amount of commissions paid to insurance broker USD $299 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $103,030 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $299
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	199
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1526 Insurance policy start date 2018-07-01 Insurance policy end date 2019-06-30 Total amount of commissions paid to insurance broker USD $12,512 Total amount of fees paid to insurance company USD $1,758 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $172,768 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $8,572 Amount paid for insurance broker fees 1758
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	200
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 122 Insurance policy start date 2018-06-01 Insurance policy end date 2019-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $24,984 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	201
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 425 Insurance policy start date 2018-10-01 Insurance policy end date 2019-09-30 Total amount of commissions paid to insurance broker USD $1,331 Total amount of fees paid to insurance company USD $17 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $55,629 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $699 Amount paid for insurance broker fees 17
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	MULTI-CONTRACTS
Policy instance	202
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 547 Insurance policy start date 2018-04-01 Insurance policy end date 2019-03-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,731,967 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 number	MULTI-CONTRACTS
Policy instance	203
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 409 Insurance policy start date 2018-08-01 Insurance policy end date 2019-07-31 Total amount of commissions paid to insurance broker USD $100,543 Health Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,828,324 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $73,581
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	MULTI-CONTRACTS
Policy instance	204
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 119 Insurance policy start date 2018-12-01 Insurance policy end date 2019-11-30 Total amount of commissions paid to insurance broker USD $175 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,655 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $175
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	MULTI-CONTRACTS
Policy instance	205
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1953 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Total amount of commissions paid to insurance broker USD $26,637 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,647,130 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $22,831
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	MULTI-CONTRACTS
Policy instance	206
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3752 Insurance policy start date 2018-07-01 Insurance policy end date 2019-06-30 Total amount of commissions paid to insurance broker USD $633,818 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $23,145,344 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $287,756
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	05U1216
Policy instance	207
Insurance contract or identification number 05U1216 Number of Individuals Covered 49 Insurance policy start date 2018-06-01 Insurance policy end date 2019-05-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,898 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 number	MULTI-CONTRACTS
Policy instance	208
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 215 Insurance policy start date 2018-03-01 Insurance policy end date 2019-02-28 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,765,258 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 number	MULTI-CONTRACTS
Policy instance	209
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 889 Insurance policy start date 2018-05-01 Insurance policy end date 2019-04-30 Total amount of commissions paid to insurance broker USD $89,211 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,075,070 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $60,963
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	210
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 161 Insurance policy start date 2018-03-01 Insurance policy end date 2019-02-28 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $45,195 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	211
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 264 Insurance policy start date 2018-05-01 Insurance policy end date 2019-04-30 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $38,533 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	212
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 799 Insurance policy start date 2018-10-01 Insurance policy end date 2019-09-30 Total amount of commissions paid to insurance broker USD $1,315 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $244,946 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,300
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	213
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 240 Insurance policy start date 2018-09-01 Insurance policy end date 2019-08-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $475,625 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	9560
Policy instance	214
Insurance contract or identification number 9560 Number of Individuals Covered 137 Insurance policy start date 2018-07-01 Insurance policy end date 2019-06-30 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $199,009 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	1649
Policy instance	215
Insurance contract or identification number 1649 Number of Individuals Covered 5 Insurance policy start date 2018-06-01 Insurance policy end date 2019-05-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,665 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	3359
Policy instance	216
Insurance contract or identification number 3359 Number of Individuals Covered 57 Insurance policy start date 2018-11-01 Insurance policy end date 2019-10-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $62,040 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	1007679
Policy instance	217
Insurance contract or identification number 1007679 Number of Individuals Covered 38 Insurance policy start date 2018-10-01 Insurance policy end date 2019-09-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,032 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	218
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 112 Insurance policy start date 2018-09-01 Insurance policy end date 2019-08-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $9,788 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK 4D DENTAL (National Association of Insurance Commissioners NAIC id number: 81477 )
Policy contract number	85640
Policy instance	1
Insurance contract or identification number 85640 Number of Individuals Covered 381 Insurance policy start date 2017-06-01 Insurance policy end date 2018-05-31 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $111,168 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	2
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 23924 Insurance policy start date 2017-08-01 Insurance policy end date 2018-07-31 Total amount of commissions paid to insurance broker USD $1,465,683 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,189,885 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $720,300
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	4
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 86 Insurance policy start date 2017-08-01 Insurance policy end date 2018-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $884,802 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	3
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 185 Insurance policy start date 2017-04-01 Insurance policy end date 2018-03-31 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,309,320 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	5
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 754 Insurance policy start date 2017-12-01 Insurance policy end date 2018-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,574,248 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	6
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 77 Insurance policy start date 2017-02-01 Insurance policy end date 2018-01-31 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $265,669 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	7
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 860 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $43,714 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,616,209 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $30,487
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	8
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1184 Insurance policy start date 2017-07-01 Insurance policy end date 2018-06-30 Total amount of commissions paid to insurance broker USD $10,927 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $15,690,804 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $10,927
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	9
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 858 Insurance policy start date 2017-06-01 Insurance policy end date 2018-05-31 Total amount of commissions paid to insurance broker USD $243,191 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,844,965 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $122,797
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	10
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 644 Insurance policy start date 2017-03-01 Insurance policy end date 2018-02-28 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,971,408 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	11
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 267 Insurance policy start date 2017-05-01 Insurance policy end date 2018-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,968,309 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	12
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 244 Insurance policy start date 2017-11-01 Insurance policy end date 2018-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,920,430 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	13
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 360 Insurance policy start date 2017-10-01 Insurance policy end date 2018-09-30 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,085,671 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	14
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 412 Insurance policy start date 2017-09-01 Insurance policy end date 2018-08-30 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,175,263 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	861323
Policy instance	15
Insurance contract or identification number 861323 Number of Individuals Covered 14392 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $138,982 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,168,682 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $42,593
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	16
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2743 Insurance policy start date 2017-07-01 Insurance policy end date 2018-06-30 Total amount of commissions paid to insurance broker USD $21,874 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $243,122 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,947
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	26-201899
Policy instance	17
Insurance contract or identification number 26-201899 Number of Individuals Covered 70 Insurance policy start date 2017-04-01 Insurance policy end date 2018-03-31 Total amount of commissions paid to insurance broker USD $715 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,151 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $715
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	18
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 217 Insurance policy start date 2017-08-01 Insurance policy end date 2018-07-31 Total amount of commissions paid to insurance broker USD $5,396 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $133,987 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,993
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MUTLI-CONTRACTS
Policy instance	19
Insurance contract or identification number MUTLI-CONTRACTS Number of Individuals Covered 265 Insurance policy start date 2017-02-01 Insurance policy end date 2018-01-31 Total amount of commissions paid to insurance broker USD $2,577 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $32,457 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,622
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	20
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 205 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $5,237 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $67,816 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,949
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	26-202212
Policy instance	21
Insurance contract or identification number 26-202212 Number of Individuals Covered 240 Insurance policy start date 2017-07-01 Insurance policy end date 2018-06-30 Total amount of commissions paid to insurance broker USD $2,005 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $31,666 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,005
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	26-201592
Policy instance	22
Insurance contract or identification number 26-201592 Number of Individuals Covered 18 Insurance policy start date 2017-10-01 Insurance policy end date 2018-09-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,330 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	23
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 138 Insurance policy start date 2017-09-01 Insurance policy end date 2018-08-31 Total amount of commissions paid to insurance broker USD $2,587 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $42,546 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,587
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	24
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 562 Insurance policy start date 2017-08-01 Insurance policy end date 2018-07-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $89,499 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	AL00006363
Policy instance	25
Insurance contract or identification number AL00006363 Number of Individuals Covered 1103 Insurance policy start date 2017-12-01 Insurance policy end date 2018-11-30 Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $150,182 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	00100221
Policy instance	26
Insurance contract or identification number 00100221 Number of Individuals Covered 35 Insurance policy start date 2017-02-01 Insurance policy end date 2018-01-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $569,623 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	27
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 768 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $55 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,109,709 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $55
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-427
Policy instance	28
Insurance contract or identification number 30790-427 Number of Individuals Covered 12 Insurance policy start date 2017-04-01 Insurance policy end date 2018-03-31 Total amount of commissions paid to insurance broker USD $177 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $351 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $142
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	30
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 535 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $2,047 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $37,617 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $589
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	29
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 66 Insurance policy start date 2017-12-01 Insurance policy end date 2018-11-30 Total amount of commissions paid to insurance broker USD $213 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,821 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $213
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-1363
Policy instance	31
Insurance contract or identification number 30790-1363 Number of Individuals Covered 123 Insurance policy start date 2017-07-01 Insurance policy end date 2018-06-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $14,471 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-215
Policy instance	32
Insurance contract or identification number 30790-215 Number of Individuals Covered 6 Insurance policy start date 2017-11-01 Insurance policy end date 2018-10-31 Total amount of commissions paid to insurance broker USD $89 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $655 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $89
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	33
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 756 Insurance policy start date 2017-07-01 Insurance policy end date 2018-06-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $260,779 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	35
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 708 Insurance policy start date 2017-04-01 Insurance policy end date 2018-03-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,334,657 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	34
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 755 Insurance policy start date 2017-10-01 Insurance policy end date 2018-09-30 Total amount of commissions paid to insurance broker USD $1,483 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $201,536 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $723
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	36
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1399 Insurance policy start date 2017-08-01 Insurance policy end date 2018-07-31 Total amount of commissions paid to insurance broker USD $2,737 Total amount of fees paid to insurance company USD $33,523 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,210,693 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,737 Amount paid for insurance broker fees 22892
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	37
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 561 Insurance policy start date 2017-12-01 Insurance policy end date 2018-11-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $541,907 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	38
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1045 Insurance policy start date 2017-02-01 Insurance policy end date 2018-01-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,033,627 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 number	MULTI-CONTRACTS
Policy instance	39
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 8407 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $4,313 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,979,108 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,313
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	40
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 9645 Insurance policy start date 2017-07-01 Insurance policy end date 2018-06-30 Total amount of commissions paid to insurance broker USD $19,706 Total amount of fees paid to insurance company USD $4,794 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $14,659,620 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $13,713 Amount paid for insurance broker fees 4794
CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 64548 )
Policy contract number	MULTI-CONTRACTS
Policy instance	41
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1396 Insurance policy start date 2017-06-01 Insurance policy end date 2018-05-31 Total amount of commissions paid to insurance broker USD $2,585 Total amount of fees paid to insurance company USD $862 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,343,647 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,585 Amount paid for insurance broker fees 862
CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 64548 )
Policy contract number	MULTI-CONTRACTS
Policy instance	42
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 4449 Insurance policy start date 2017-03-01 Insurance policy end date 2018-02-28 Total amount of commissions paid to insurance broker USD $7,049 Total amount of fees paid to insurance company USD $2,323 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,987,631 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,049 Amount paid for insurance broker fees 2323
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	43
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1432 Insurance policy start date 2017-05-01 Insurance policy end date 2018-04-30 Total amount of commissions paid to insurance broker USD $6,792 Total amount of fees paid to insurance company USD $4,942 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,163,127 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,792 Amount paid for insurance broker fees 4942
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	44
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 954 Insurance policy start date 2017-11-01 Insurance policy end date 2018-10-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $229,162 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	45
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 560 Insurance policy start date 2017-10-01 Insurance policy end date 2018-09-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $164,488 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 number	MULTI-CONTRACTS
Policy instance	46
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1427 Insurance policy start date 2017-09-01 Insurance policy end date 2018-08-30 Total amount of commissions paid to insurance broker USD $130,050 Total amount of fees paid to insurance company USD $65,025 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,434,835 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $130,050 Amount paid for insurance broker fees 65025
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	007278
Policy instance	47
Insurance contract or identification number 007278 Number of Individuals Covered 93 Insurance policy start date 2017-04-01 Insurance policy end date 2018-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,209,746 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	48
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 32 Insurance policy start date 2017-08-01 Insurance policy end date 2018-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $363,156 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	49
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 93 Insurance policy start date 2017-12-01 Insurance policy end date 2018-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,118,591 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	50
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 297 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $4,693 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,028,893 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,693
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	51
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 366 Insurance policy start date 2017-07-01 Insurance policy end date 2018-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,307,563 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	MULTI-CONTRACTS
Policy instance	52
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 253 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $137,619 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	1649
Policy instance	53
Insurance contract or identification number 1649 Number of Individuals Covered 4 Insurance policy start date 2017-06-01 Insurance policy end date 2018-05-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,040 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	9907304
Policy instance	54
Insurance contract or identification number 9907304 Number of Individuals Covered 44 Insurance policy start date 2017-04-01 Insurance policy end date 2018-03-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,285 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	1012311
Policy instance	55
Insurance contract or identification number 1012311 Number of Individuals Covered 52 Insurance policy start date 2017-08-01 Insurance policy end date 2018-07-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,879 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	56
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 112 Insurance policy start date 2017-12-01 Insurance policy end date 2018-11-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,700 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	57
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 825 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $81,675 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number	378942
Policy instance	58
Insurance contract or identification number 378942 Number of Individuals Covered 38 Insurance policy start date 2017-04-01 Insurance policy end date 2018-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $642,763 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number	30098
Policy instance	59
Insurance contract or identification number 30098 Number of Individuals Covered 70 Insurance policy start date 2017-12-01 Insurance policy end date 2018-11-30 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $69,182 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F018138
Policy instance	61
Insurance contract or identification number F018138 Number of Individuals Covered 90 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,604 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F014348
Policy instance	60
Insurance contract or identification number F014348 Number of Individuals Covered 29 Insurance policy start date 2017-08-01 Insurance policy end date 2018-07-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,956 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	FO18630
Policy instance	62
Insurance contract or identification number FO18630 Number of Individuals Covered 220 Insurance policy start date 2017-11-01 Insurance policy end date 2018-10-31 Total amount of commissions paid to insurance broker USD $464 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,848 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $464
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F012556-1
Policy instance	63
Insurance contract or identification number F012556-1 Number of Individuals Covered 198 Insurance policy start date 2017-07-01 Insurance policy end date 2018-06-30 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,919 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	007657
Policy instance	64
Insurance contract or identification number 007657 Number of Individuals Covered 41 Insurance policy start date 2017-03-01 Insurance policy end date 2018-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $657,596 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	65
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 17 Insurance policy start date 2017-11-01 Insurance policy end date 2018-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $265,338 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	67
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 119 Insurance policy start date 2017-09-01 Insurance policy end date 2018-08-31 Total amount of commissions paid to insurance broker USD $643 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,007,670 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $643
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	007896
Policy instance	66
Insurance contract or identification number 007896 Number of Individuals Covered 49 Insurance policy start date 2017-10-01 Insurance policy end date 2018-09-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $742,797 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	3359
Policy instance	68
Insurance contract or identification number 3359 Number of Individuals Covered 54 Insurance policy start date 2017-11-01 Insurance policy end date 2018-10-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $58,787 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	18801GL60
Policy instance	69
Insurance contract or identification number 18801GL60 Number of Individuals Covered 21 Insurance policy start date 2017-08-01 Insurance policy end date 2018-07-31 Total amount of commissions paid to insurance broker USD $4,263 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $423,273 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,263
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	70
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 171 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,662,648 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	549J1D749
Policy instance	71
Insurance contract or identification number 549J1D749 Number of Individuals Covered 105 Insurance policy start date 2017-07-01 Insurance policy end date 2018-06-30 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $45,002 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	72
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 81 Insurance policy start date 2017-03-01 Insurance policy end date 2018-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,283,835 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	73
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 67 Insurance policy start date 2017-10-01 Insurance policy end date 2018-09-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $55,297 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	74
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1233 Insurance policy start date 2017-04-01 Insurance policy end date 2018-03-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $547,477 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	75
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1113 Insurance policy start date 2017-08-01 Insurance policy end date 2018-07-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $360,648 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	76
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1112 Insurance policy start date 2017-12-01 Insurance policy end date 2018-11-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $310,890 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00434614
Policy instance	77
Insurance contract or identification number 00434614 Number of Individuals Covered 48 Insurance policy start date 2017-02-01 Insurance policy end date 2018-01-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $52,461 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	78
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3200 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $11,832 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,230,371 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,563
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	79
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 6184 Insurance policy start date 2017-07-01 Insurance policy end date 2018-06-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,371,380 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	80
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 391 Insurance policy start date 2017-06-01 Insurance policy end date 2018-05-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $86,221 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	81
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2090 Insurance policy start date 2017-05-01 Insurance policy end date 2018-04-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $424,134 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	82
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 480 Insurance policy start date 2017-11-01 Insurance policy end date 2018-10-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $128,821 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	83
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 874 Insurance policy start date 2017-10-01 Insurance policy end date 2018-09-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $301,401 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	84
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1953 Insurance policy start date 2017-09-01 Insurance policy end date 2018-08-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $499,795 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number	10165689
Policy instance	85
Insurance contract or identification number 10165689 Number of Individuals Covered 68 Insurance policy start date 2017-04-01 Insurance policy end date 2018-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $419,046 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	1000607000
Policy instance	86
Insurance contract or identification number 1000607000 Number of Individuals Covered 64 Insurance policy start date 2017-11-01 Insurance policy end date 2018-10-31 Total amount of commissions paid to insurance broker USD $27,891 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $732,824 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $27,891
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	11000864003
Policy instance	87
Insurance contract or identification number 11000864003 Number of Individuals Covered 62 Insurance policy start date 2017-10-01 Insurance policy end date 2018-09-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $75,895 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	10026FR001
Policy instance	88
Insurance contract or identification number 10026FR001 Number of Individuals Covered 38 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $1,100 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,035 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,100
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	89
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 127 Insurance policy start date 2017-07-01 Insurance policy end date 2018-06-30 Total amount of commissions paid to insurance broker USD $66,855 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $795,175 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $66,855
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	90
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 196 Insurance policy start date 2017-06-01 Insurance policy end date 2018-05-31 Total amount of commissions paid to insurance broker USD $68,385 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,907,643 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $68,385
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	92
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 425 Insurance policy start date 2017-08-01 Insurance policy end date 2018-07-01 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,644,920 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	91
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 18 Insurance policy start date 2017-05-01 Insurance policy end date 2018-04-30 Total amount of commissions paid to insurance broker USD $8,902 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $219,459 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $8,902
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	93
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 201 Insurance policy start date 2017-12-01 Insurance policy end date 2018-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,640,306 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	94
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 574 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,489,156 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	95
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1208 Insurance policy start date 2017-10-01 Insurance policy end date 2018-09-30 Total amount of commissions paid to insurance broker USD $26,144 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $146,905 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $12,774
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	96
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 10976 Insurance policy start date 2017-09-01 Insurance policy end date 2018-08-01 Total amount of commissions paid to insurance broker USD $205,944 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $1,046,870 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $102,387
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTACTS
Policy instance	98
Insurance contract or identification number MULTI-CONTACTS Number of Individuals Covered 1718 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $236,679 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	875635
Policy instance	97
Insurance contract or identification number 875635 Number of Individuals Covered 309 Insurance policy start date 2017-02-01 Insurance policy end date 2018-01-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $26,909 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	877031
Policy instance	99
Insurance contract or identification number 877031 Number of Individuals Covered 912 Insurance policy start date 2018-11-01 Insurance policy end date 2018-10-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $132,708 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	877578
Policy instance	100
Insurance contract or identification number 877578 Number of Individuals Covered 418 Insurance policy start date 2017-10-01 Insurance policy end date 2018-09-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $52,753 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	881864
Policy instance	101
Insurance contract or identification number 881864 Number of Individuals Covered 351 Insurance policy start date 2017-09-01 Insurance policy end date 2018-08-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $39,910 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	MULTI-CONTRACTS
Policy instance	102
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 483 Insurance policy start date 2017-08-01 Insurance policy end date 2018-07-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $39,955 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	MULTI-CONTRACTS
Policy instance	103
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 761 Insurance policy start date 2017-12-01 Insurance policy end date 2018-11-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $101,375 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	MULTI-CONTRACTS
Policy instance	104
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 785 Insurance policy start date 2017-04-01 Insurance policy end date 2018-03-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $218,111 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	MULTI-CONTRACTS
Policy instance	105
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 244 Insurance policy start date 2017-02-01 Insurance policy end date 2018-01-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $54,341 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	MULTI-CONTRACTS
Policy instance	106
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1291 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $177,407 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	MULTI-CONTRACTS
Policy instance	107
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2917 Insurance policy start date 2017-07-01 Insurance policy end date 2018-06-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $301,239 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	MULTI-CONTRACTS
Policy instance	108
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1892 Insurance policy start date 2017-03-01 Insurance policy end date 2018-02-28 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $201,929 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	001D034449
Policy instance	109
Insurance contract or identification number 001D034449 Number of Individuals Covered 2106 Insurance policy start date 2017-05-01 Insurance policy end date 2018-04-30 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $79,463 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	MULTI-CONTRACTS
Policy instance	110
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 312 Insurance policy start date 2017-11-01 Insurance policy end date 2018-10-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $26,035 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	MULTI-CONTRACTS
Policy instance	111
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 720 Insurance policy start date 2017-10-01 Insurance policy end date 2018-09-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $39,267 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	MULTI-CONTRACTS
Policy instance	112
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1578 Insurance policy start date 2017-09-01 Insurance policy end date 2018-08-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $131,068 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5545589
Policy instance	113
Insurance contract or identification number 5545589 Number of Individuals Covered 140 Insurance policy start date 2017-02-01 Insurance policy end date 2018-01-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $113,252 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	MULTI-CONTRACTS
Policy instance	114
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 436 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $41,190 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5333775
Policy instance	115
Insurance contract or identification number 5333775 Number of Individuals Covered 11034 Insurance policy start date 2017-07-01 Insurance policy end date 2018-06-30 Total amount of commissions paid to insurance broker USD $38,122 Total amount of fees paid to insurance company USD $11,326 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,064,278 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $38,122 Amount paid for insurance broker fees 11326
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5917331
Policy instance	116
Insurance contract or identification number 5917331 Number of Individuals Covered 84 Insurance policy start date 2017-06-01 Insurance policy end date 2018-05-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $54,210 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	MULTI-CONTRACTS
Policy instance	117
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 347 Insurance policy start date 2017-11-01 Insurance policy end date 2018-10-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $84,670 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	MUTLI-CONTRACTS
Policy instance	118
Insurance contract or identification number MUTLI-CONTRACTS Number of Individuals Covered 326 Insurance policy start date 2017-10-01 Insurance policy end date 2018-09-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $96,834 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	MULTI-CONTRACTS
Policy instance	119
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1141 Insurance policy start date 2017-04-01 Insurance policy end date 2018-03-31 Total amount of commissions paid to insurance broker USD $30,686 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $127,331 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $15,175
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	120
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1123 Insurance policy start date 2017-08-01 Insurance policy end date 2018-07-31 Total amount of commissions paid to insurance broker USD $22,826 Total amount of fees paid to insurance company USD $2,310 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $94,698 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $12,268 Amount paid for insurance broker fees 2091
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	122
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 175 Insurance policy start date 2017-02-01 Insurance policy end date 2018-01-31 Total amount of commissions paid to insurance broker USD $6,504 Total amount of fees paid to insurance company USD $2,552 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $30,554 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,720 Amount paid for insurance broker fees 2552
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	121
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 579 Insurance policy start date 2017-12-01 Insurance policy end date 2018-11-30 Total amount of commissions paid to insurance broker USD $8,970 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $44,009 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,301
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	123
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 4894 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $93,646 Total amount of fees paid to insurance company USD $17,271 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $565,995 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $44,848 Amount paid for insurance broker fees 14144
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	124
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3873 Insurance policy start date 2017-07-01 Insurance policy end date 2018-06-30 Total amount of commissions paid to insurance broker USD $97,706 Total amount of fees paid to insurance company USD $28,141 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $503,042 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $47,768 Amount paid for insurance broker fees 25330
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	125
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 780 Insurance policy start date 2017-06-01 Insurance policy end date 2018-05-31 Total amount of commissions paid to insurance broker USD $29,858 Total amount of fees paid to insurance company USD $12,192 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $151,315 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $14,691 Amount paid for insurance broker fees 10823
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	G000B62Z
Policy instance	127
Insurance contract or identification number G000B62Z Number of Individuals Covered 60 Insurance policy start date 2017-05-01 Insurance policy end date 2018-04-30 Total amount of commissions paid to insurance broker USD $814 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,672 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $757
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	MULTI-CONTRACTS
Policy instance	126
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 887 Insurance policy start date 2017-03-01 Insurance policy end date 2018-02-28 Total amount of commissions paid to insurance broker USD $11,209 Total amount of fees paid to insurance company USD $562 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $43,390 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,355 Amount paid for insurance broker fees 498
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	128
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 506 Insurance policy start date 2017-11-01 Insurance policy end date 2018-10-31 Total amount of commissions paid to insurance broker USD $8,595 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $61,380 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,768
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	129
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 179 Insurance policy start date 2017-04-01 Insurance policy end date 2018-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,032,628 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	HF7590
Policy instance	130
Insurance contract or identification number HF7590 Number of Individuals Covered 125 Insurance policy start date 2017-08-01 Insurance policy end date 2018-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,408,489 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	131
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 534 Insurance policy start date 2017-12-01 Insurance policy end date 2018-11-30 Total amount of commissions paid to insurance broker USD $870 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,950,531 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $870
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	II8342
Policy instance	132
Insurance contract or identification number II8342 Number of Individuals Covered 68 Insurance policy start date 2017-02-01 Insurance policy end date 2018-01-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $376,086 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	133
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1912 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $25,938,769 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	134
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 781 Insurance policy start date 2017-07-01 Insurance policy end date 2018-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,437,338 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	135
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 241 Insurance policy start date 2017-06-01 Insurance policy end date 2018-05-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,690,420 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	136
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 212 Insurance policy start date 2017-03-01 Insurance policy end date 2018-02-28 Total amount of commissions paid to insurance broker USD $922 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,920,865 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $922
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	F02309
Policy instance	137
Insurance contract or identification number F02309 Number of Individuals Covered 34 Insurance policy start date 2017-05-01 Insurance policy end date 2018-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $275,106 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	138
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 152 Insurance policy start date 2017-10-01 Insurance policy end date 2018-09-30 Total amount of commissions paid to insurance broker USD $15,433 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,444,771 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $15,433
OXFORD HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 78026 )
Policy contract number	MULTI-CONTRACTS
Policy instance	139
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1396 Insurance policy start date 2017-09-01 Insurance policy end date 2018-08-31 Total amount of commissions paid to insurance broker USD $4,438 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,231,685 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,438
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	1026250
Policy instance	140
Insurance contract or identification number 1026250 Number of Individuals Covered 393 Insurance policy start date 2017-04-01 Insurance policy end date 2018-03-31 Total amount of commissions paid to insurance broker USD $7,639 Total amount of fees paid to insurance company USD $1,088 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $70,053 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,909 Amount paid for insurance broker fees 1088
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	141
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 120 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $44,079 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	142
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 136 Insurance policy start date 2017-06-01 Insurance policy end date 2018-05-31 Total amount of commissions paid to insurance broker USD $2,631 Total amount of fees paid to insurance company USD $699 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $38,737 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,699 Amount paid for insurance broker fees 699
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	H56552-1
Policy instance	143
Insurance contract or identification number H56552-1 Number of Individuals Covered 12 Insurance policy start date 2017-05-01 Insurance policy end date 2018-04-30 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,717 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	1004916
Policy instance	144
Insurance contract or identification number 1004916 Number of Individuals Covered 5 Insurance policy start date 2017-10-01 Insurance policy end date 2018-09-30 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,063 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	H39642-2
Policy instance	145
Insurance contract or identification number H39642-2 Number of Individuals Covered 684 Insurance policy start date 2017-09-01 Insurance policy end date 2018-08-30 Total amount of commissions paid to insurance broker USD $25,708 Total amount of fees paid to insurance company USD $12,904 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $428,111 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $12,904 Amount paid for insurance broker fees 12904
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	146
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 519 Insurance policy start date 2017-12-01 Insurance policy end date 2018-11-30 Total amount of commissions paid to insurance broker USD $9,398 Total amount of fees paid to insurance company USD $63 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $53,702 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,376 Amount paid for insurance broker fees 63
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	20727
Policy instance	147
Insurance contract or identification number 20727 Number of Individuals Covered 1074 Insurance policy start date 2017-02-01 Insurance policy end date 2018-01-31 Total amount of commissions paid to insurance broker USD $6,067 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $87,297 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,067
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	02792
Policy instance	148
Insurance contract or identification number 02792 Number of Individuals Covered 414 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $7,473 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $38,670 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,329
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	20755
Policy instance	149
Insurance contract or identification number 20755 Number of Individuals Covered 1555 Insurance policy start date 2017-07-01 Insurance policy end date 2018-06-30 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $56,427 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTACTS
Policy instance	150
Insurance contract or identification number MULTI-CONTACTS Number of Individuals Covered 1979 Insurance policy start date 2017-10-01 Insurance policy end date 2018-09-30 Total amount of commissions paid to insurance broker USD $63,956 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $734,145 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $63,956
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	152
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 618 Insurance policy start date 2017-08-01 Insurance policy end date 2018-07-31 Total amount of commissions paid to insurance broker USD $12,552 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $138,579 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $8,351
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	147501
Policy instance	151
Insurance contract or identification number 147501 Number of Individuals Covered 98 Insurance policy start date 2017-04-01 Insurance policy end date 2018-03-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $237 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	754692
Policy instance	153
Insurance contract or identification number 754692 Number of Individuals Covered 255 Insurance policy start date 2017-12-01 Insurance policy end date 2018-11-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $45,614 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	155
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1874 Insurance policy start date 2017-07-01 Insurance policy end date 2018-06-30 Total amount of commissions paid to insurance broker USD $29,131 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $310,739 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $11,191
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	154
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 84 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $41,193 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	159994
Policy instance	156
Insurance contract or identification number 159994 Number of Individuals Covered 297 Insurance policy start date 2017-06-01 Insurance policy end date 2018-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $26,858 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACT
Policy instance	157
Insurance contract or identification number MULTI-CONTRACT Number of Individuals Covered 263 Insurance policy start date 2017-11-01 Insurance policy end date 2018-10-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $103,025 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULTI-CONTRACTS
Policy instance	158
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 414 Insurance policy start date 2017-04-01 Insurance policy end date 2018-03-31 Total amount of commissions paid to insurance broker USD $6,861 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $79,526 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,613
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	224375
Policy instance	159
Insurance contract or identification number 224375 Number of Individuals Covered 12 Insurance policy start date 2017-08-01 Insurance policy end date 2018-07-31 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $171 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 number	MULTI-CONTRACTS
Policy instance	160
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2362 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $24,890 Total amount of fees paid to insurance company USD $1,521 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $601,124 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $14,647 Amount paid for insurance broker fees 139
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULT-CONTRACTS
Policy instance	161
Insurance contract or identification number MULT-CONTRACTS Number of Individuals Covered 827 Insurance policy start date 2017-07-01 Insurance policy end date 2018-06-30 Total amount of commissions paid to insurance broker USD $5,136 Total amount of fees paid to insurance company USD $139 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $119,702 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,577 Amount paid for insurance broker fees 139
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULTI-ONTRACTS
Policy instance	162
Insurance contract or identification number MULTI-ONTRACTS Number of Individuals Covered 804 Insurance policy start date 2017-06-01 Insurance policy end date 2018-05-31 Total amount of commissions paid to insurance broker USD $8,513 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $56,997 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,323
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	818452
Policy instance	163
Insurance contract or identification number 818452 Number of Individuals Covered 21 Insurance policy start date 2017-03-01 Insurance policy end date 2018-02-28 Total amount of commissions paid to insurance broker USD $129 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $682 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $102
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULT-CONTRACTS
Policy instance	164
Insurance contract or identification number MULT-CONTRACTS Number of Individuals Covered 780 Insurance policy start date 2017-05-01 Insurance policy end date 2018-04-30 Total amount of commissions paid to insurance broker USD $11,371 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $100,561 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,666
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULTI-CONTRACTS
Policy instance	165
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 711 Insurance policy start date 2017-11-01 Insurance policy end date 2018-10-31 Total amount of commissions paid to insurance broker USD $140 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $22,067 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $140
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULTI-CONTRACTS
Policy instance	166
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 5129 Insurance policy start date 2017-09-01 Insurance policy end date 2018-08-31 Total amount of commissions paid to insurance broker USD $22,249 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $254,352 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $13,073
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	167
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3812 Insurance policy start date 2017-04-01 Insurance policy end date 2018-03-31 Total amount of commissions paid to insurance broker USD $69,302 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $324,686 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $36,926
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	MULTI-CONTRACTS
Policy instance	168
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3667 Insurance policy start date 2017-08-01 Insurance policy end date 2018-07-31 Total amount of commissions paid to insurance broker USD $57,287 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $319,921 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $28,364
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	169
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 699 Insurance policy start date 2017-12-01 Insurance policy end date 2018-11-30 Total amount of commissions paid to insurance broker USD $13,970 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $56,368 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,268
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	170
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 333 Insurance policy start date 2017-02-01 Insurance policy end date 2018-01-31 Total amount of commissions paid to insurance broker USD $16,604 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $69,937 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $8,199
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	171
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 7939 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $164,034 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $1,128,044 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $81,318
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	172
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 6162 Insurance policy start date 2017-07-01 Insurance policy end date 2018-06-30 Total amount of commissions paid to insurance broker USD $93,017 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $528,981 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $45,453
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	173
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2813 Insurance policy start date 2017-06-01 Insurance policy end date 2018-05-31 Total amount of commissions paid to insurance broker USD $65,717 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $275,375 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $34,256
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	174
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 428 Insurance policy start date 2017-03-01 Insurance policy end date 2018-02-28 Total amount of commissions paid to insurance broker USD $9,658 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $23,187 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,589
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	175
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 914 Insurance policy start date 2017-05-01 Insurance policy end date 2018-04-30 Total amount of commissions paid to insurance broker USD $18,566 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $126,348 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $9,870
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	176
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3502 Insurance policy start date 2017-11-01 Insurance policy end date 2018-10-31 Total amount of commissions paid to insurance broker USD $39,357 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $178,608 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $20,639
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	MULTI-CONTRACTS
Policy instance	177
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1033 Insurance policy start date 2017-10-01 Insurance policy end date 2018-09-30 Total amount of commissions paid to insurance broker USD $20,961 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $82,449 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $10,456
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	178
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2994 Insurance policy start date 2017-09-01 Insurance policy end date 2018-08-30 Total amount of commissions paid to insurance broker USD $45,863 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $444,020 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $24,454 Additional information about fees paid to insurance broker 2901
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number	MULTI-CONTRACTS
Policy instance	179
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 306 Insurance policy start date 2017-12-01 Insurance policy end date 2018-11-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $33,376 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number	MULTI-CONTACTS
Policy instance	180
Insurance contract or identification number MULTI-CONTACTS Number of Individuals Covered 544 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $67,326 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	182
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 212 Insurance policy start date 2017-06-01 Insurance policy end date 2018-05-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $25,993 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	181
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 305 Insurance policy start date 2017-07-01 Insurance policy end date 2018-06-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $37,534 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	30036329
Policy instance	183
Insurance contract or identification number 30036329 Number of Individuals Covered 64 Insurance policy start date 2017-03-01 Insurance policy end date 2018-02-28 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $15,183 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	185
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 164 Insurance policy start date 2017-10-01 Insurance policy end date 2018-09-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $22,671 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	30029143
Policy instance	184
Insurance contract or identification number 30029143 Number of Individuals Covered 105 Insurance policy start date 2017-11-01 Insurance policy end date 2018-10-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $15,587 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	MULTI-CONTACTS
Policy instance	186
Insurance contract or identification number MULTI-CONTACTS Number of Individuals Covered 177 Insurance policy start date 2017-09-01 Insurance policy end date 2018-08-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $18,495 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	187
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 868 Insurance policy start date 2017-07-01 Insurance policy end date 2018-06-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $85,229 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	188
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 74 Insurance policy start date 2017-06-01 Insurance policy end date 2018-05-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,763 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	189
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 207 Insurance policy start date 2017-05-01 Insurance policy end date 2018-04-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $26,510 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	1007649
Policy instance	190
Insurance contract or identification number 1007649 Number of Individuals Covered 38 Insurance policy start date 2017-10-01 Insurance policy end date 2018-09-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,130 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number	MULTI-CONTRACTS
Policy instance	191
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 140 Insurance policy start date 2017-12-01 Insurance policy end date 2018-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,415,341 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number	MULTI-CONTRACTS
Policy instance	192
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 381 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,915,242 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number	MULTI-CONTRACTS
Policy instance	193
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 166 Insurance policy start date 2017-07-01 Insurance policy end date 2018-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,722,552 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number	MULTI-CONTRACTS
Policy instance	194
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 136 Insurance policy start date 2017-11-01 Insurance policy end date 2018-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,457,350 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number	MULTI-CONTRACTS
Policy instance	195
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 126 Insurance policy start date 2017-10-01 Insurance policy end date 2018-09-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,250,146 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	196
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 110 Insurance policy start date 2017-09-01 Insurance policy end date 2018-08-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,532 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 number	MULTI-CONTRACTS
Policy instance	197
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 806 Insurance policy start date 2017-09-01 Insurance policy end date 2018-08-01 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $65,183 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )
Policy contract number	MULTI-CONTRACTS
Policy instance	198
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1092 Insurance policy start date 2017-04-01 Insurance policy end date 2018-03-31 Total amount of commissions paid to insurance broker USD $2,711 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $61,208 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,728
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	199
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1071 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $34 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided PFL Welfare Benefit Premiums Paid to Carrier USD $142,766 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $34
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	200
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1223 Insurance policy start date 2017-07-01 Insurance policy end date 2018-06-30 Total amount of fees paid to insurance company USD $4,527 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $171,963 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 4527
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	201
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 120 Insurance policy start date 2017-06-01 Insurance policy end date 2018-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $20,145 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	202
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 327 Insurance policy start date 2017-10-01 Insurance policy end date 2018-09-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $51,333 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 number	MULTI-CONTRACTS
Policy instance	203
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 233 Insurance policy start date 2017-04-01 Insurance policy end date 2018-03-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $522,561 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 number	911507
Policy instance	204
Insurance contract or identification number 911507 Number of Individuals Covered 258 Insurance policy start date 2017-08-01 Insurance policy end date 2018-07-31 Total amount of commissions paid to insurance broker USD $115,784 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,801,210 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $74,878
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	MULTI-CONTRACTS
Policy instance	205
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 72 Insurance policy start date 2017-12-01 Insurance policy end date 2018-11-30 Total amount of commissions paid to insurance broker USD $120 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $644,865 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $120
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	MULTI-CONTRACTS
Policy instance	206
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1631 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $192,788 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,982,867 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $148,148
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	MULTI-CONTRACTS
Policy instance	207
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3302 Insurance policy start date 2017-07-01 Insurance policy end date 2018-06-30 Total amount of commissions paid to insurance broker USD $520,471 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $16,901,529 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $300,544
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	O5SU1216
Policy instance	208
Insurance contract or identification number O5SU1216 Number of Individuals Covered 40 Insurance policy start date 2017-06-01 Insurance policy end date 2018-05-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,411 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 number	MULTI-CONTRACTS
Policy instance	209
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 209 Insurance policy start date 2017-05-01 Insurance policy end date 2018-04-30 Total amount of commissions paid to insurance broker USD $172,774 Total amount of fees paid to insurance company USD $75,509 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,278,188 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $951 Amount paid for insurance broker fees 75098
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	MULTI-CONTRACTS
Policy instance	210
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 346 Insurance policy start date 2017-10-01 Insurance policy end date 2018-09-30 Total amount of commissions paid to insurance broker USD $362 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,313,457 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $362
UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK 4D DENTAL (National Association of Insurance Commissioners NAIC id number: 81477 )
Policy contract number	85640
Policy instance	1
Insurance contract or identification number 85640 Number of Individuals Covered 400 Insurance policy start date 2016-06-01 Insurance policy end date 2017-05-31 Total amount of commissions paid to insurance broker USD $9,799 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $113,986 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,240 Insurance broker name B.E.S.T. ADVISORY GROUP
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	2
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 24944 Insurance policy start date 2016-08-01 Insurance policy end date 2017-07-31 Total amount of commissions paid to insurance broker USD $1,595,783 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,802,500 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $781,459 Insurance broker name MG BENEFITS CONSULTING GROUP, LLC D
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	861323
Policy instance	3
Insurance contract or identification number 861323 Number of Individuals Covered 16099 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $154,923 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,322,828 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $52,483 Insurance broker name CAPACITY BENEFITS & FINANCIAL SERVI
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	657329
Policy instance	4
Insurance contract or identification number 657329 Number of Individuals Covered 2825 Insurance policy start date 2016-07-01 Insurance policy end date 2017-06-30 Total amount of commissions paid to insurance broker USD $22,691 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $250,590 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,027 Insurance broker name POWER & WALSH INSURANCE ADVISORS
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	5
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 255 Insurance policy start date 2016-04-01 Insurance policy end date 2017-03-31 Total amount of commissions paid to insurance broker USD $2,198 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,835,993 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,198 Insurance broker name PROFESSIONAL PENSIONS INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	6
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 477 Insurance policy start date 2016-08-01 Insurance policy end date 2017-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,298,360 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	7
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 851 Insurance policy start date 2016-12-01 Insurance policy end date 2017-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,372,802 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	8
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 69 Insurance policy start date 2016-02-01 Insurance policy end date 2017-01-31 Total amount of commissions paid to insurance broker USD $53 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $518,081 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $53 Insurance broker name PROFESSIONAL PENSIONS INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	9
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2154 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $3,296 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $17,073,834 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,296 Insurance broker name PROFESSIONAL PENSIONS INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	10
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1160 Insurance policy start date 2016-07-01 Insurance policy end date 2017-06-30 Total amount of commissions paid to insurance broker USD $8,579 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,889,078 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $8,579 Insurance broker name PROFESSIONAL PENSIONS INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	11
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1152 Insurance policy start date 2016-06-01 Insurance policy end date 2017-05-31 Total amount of commissions paid to insurance broker USD $210,803 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,172,985 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $112,922 Insurance broker name PROFESSIONAL PENSIONS INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	12
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 706 Insurance policy start date 2016-03-01 Insurance policy end date 2017-02-28 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,916,028 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	13
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 274 Insurance policy start date 2016-05-01 Insurance policy end date 2017-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,587,430 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	14
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 301 Insurance policy start date 2016-11-01 Insurance policy end date 2017-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,304,230 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	15
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 456 Insurance policy start date 2016-10-01 Insurance policy end date 2017-09-30 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,957,635 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	16
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 563 Insurance policy start date 2016-09-01 Insurance policy end date 2017-08-31 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,869,018 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	26-201899
Policy instance	17
Insurance contract or identification number 26-201899 Number of Individuals Covered 72 Insurance policy start date 2016-04-01 Insurance policy end date 2017-03-31 Total amount of commissions paid to insurance broker USD $744 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,436 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $744 Insurance broker name CORPORATE SYNERGIES GROUP, LLC
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	18
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 72 Insurance policy start date 2016-08-01 Insurance policy end date 2017-07-31 Total amount of commissions paid to insurance broker USD $2,324 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $41,914 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,193 Insurance broker name DIGITAL INSURANCE, INC
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MUTLI-CONTRACTS
Policy instance	19
Insurance contract or identification number MUTLI-CONTRACTS Number of Individuals Covered 329 Insurance policy start date 2016-02-01 Insurance policy end date 2017-01-31 Total amount of commissions paid to insurance broker USD $2,781 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $40,298 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,907 Insurance broker name LAMBERT & CARNEY BENEFITS
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	20
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 222 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $54,446 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-39779
Policy instance	21
Insurance contract or identification number 10-39779 Number of Individuals Covered 37 Insurance policy start date 2016-07-01 Insurance policy end date 2017-06-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,130 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-41756
Policy instance	22
Insurance contract or identification number 10-41756 Number of Individuals Covered 49 Insurance policy start date 2016-03-01 Insurance policy end date 2017-02-28 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $37,408 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	23
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 205 Insurance policy start date 2016-05-01 Insurance policy end date 2017-04-30 Total amount of commissions paid to insurance broker USD $3,032 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $104,946 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,032 Insurance broker name BONGIOVANNI INSURANCE & FINANCIAL S
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	2621592
Policy instance	24
Insurance contract or identification number 2621592 Number of Individuals Covered 18 Insurance policy start date 2016-10-01 Insurance policy end date 2017-09-30 Total amount of commissions paid to insurance broker USD $755 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,119 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $755 Insurance broker name HUB INTERNATIONAL NE (WOODBURY)
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	25
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 639 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $4 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,911,421 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4 Insurance broker name PPI BENEFIT SOLUTIONS
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	26
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 603 Insurance policy start date 2016-07-01 Insurance policy end date 2017-06-30 Total amount of commissions paid to insurance broker USD $1,349 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $291,655 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,345 Insurance broker name PROFESIONAL PENSIONS INC
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-538
Policy instance	27
Insurance contract or identification number 30790-538 Number of Individuals Covered 112 Insurance policy start date 2016-08-01 Insurance policy end date 2017-07-31 Total amount of commissions paid to insurance broker USD $636 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,063 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $330 Insurance broker name EXUDE BENEFITS GROUP INC
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACT
Policy instance	28
Insurance contract or identification number MULTI-CONTRACT Number of Individuals Covered 115 Insurance policy start date 2016-12-01 Insurance policy end date 2017-11-30 Total amount of commissions paid to insurance broker USD $1,075 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,244 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $398 Insurance broker name EXUDE BENEFITS GROUP INC
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	29
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 561 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $2,442 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $37,153 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $503 Insurance broker name KENNETH STEILL
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-1363
Policy instance	30
Insurance contract or identification number 30790-1363 Number of Individuals Covered 118 Insurance policy start date 2016-07-01 Insurance policy end date 2017-06-30 Total amount of commissions paid to insurance broker USD $749 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,742 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $749 Insurance broker name BENEFITS CONSULTING GROUP
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	31
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 188 Insurance policy start date 2016-04-01 Insurance policy end date 2017-03-31 Total amount of commissions paid to insurance broker USD $1,777 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $9,628 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $807 Insurance broker name BENEFITS CONSULTING GROUP
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-215
Policy instance	32
Insurance contract or identification number 30790-215 Number of Individuals Covered 6 Insurance policy start date 2016-11-01 Insurance policy end date 2017-10-31 Total amount of commissions paid to insurance broker USD $42 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $709 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $42 Insurance broker name BENEFITS CONSULTING GROUP
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	33
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 146 Insurance policy start date 2016-09-01 Insurance policy end date 2017-08-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,549 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
BOSTON MUTUAL LIFE INS. (National Association of Insurance Commissioners NAIC id number: 61476 )
Policy contract number	G-54373
Policy instance	34
Insurance contract or identification number G-54373 Number of Individuals Covered 922 Insurance policy start date 2016-07-01 Insurance policy end date 2017-06-30 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $81,810 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	35
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1567 Insurance policy start date 2016-09-01 Insurance policy end date 2017-08-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,799,124 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	36
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 233 Insurance policy start date 2016-04-01 Insurance policy end date 2017-03-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,200,972 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	37
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1291 Insurance policy start date 2016-08-01 Insurance policy end date 2017-07-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $612,415 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	38
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1066 Insurance policy start date 2016-12-01 Insurance policy end date 2017-11-30 Total amount of commissions paid to insurance broker USD $7,559 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,536,328 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,067 Insurance broker name PPI BENEFIT SOLUTIONS
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	39
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 525 Insurance policy start date 2016-02-01 Insurance policy end date 2017-01-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $31,034 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 number	MULTI-CONTRACTS
Policy instance	40
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 9244 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $19,121 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,854,459 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $10,027 Insurance broker name PPI BENEFIT SOLUTIONS
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	41
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 9336 Insurance policy start date 2016-07-01 Insurance policy end date 2017-06-30 Total amount of commissions paid to insurance broker USD $25,377 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $11,211,196 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $15,651 Insurance broker name GALLAGHER BENEFIT SERVICE
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	MULTI-CONTRACTS
Policy instance	42
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2452 Insurance policy start date 2016-06-01 Insurance policy end date 2017-05-31 Total amount of commissions paid to insurance broker USD $2,492 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,439,002 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,492 Insurance broker name PPI BENEFIT SOLUTIONS
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	43
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3573 Insurance policy start date 2016-03-01 Insurance policy end date 2017-02-28 Total amount of commissions paid to insurance broker USD $5,794 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,121,660 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,465 Insurance broker name ROSE AND KIERNAN, INC
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	44
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2680 Insurance policy start date 2016-05-01 Insurance policy end date 2017-04-30 Total amount of commissions paid to insurance broker USD $313 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,957,708 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $313 Insurance broker name PROFESSIONAL PENSIONS INC
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	45
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 952 Insurance policy start date 2016-11-01 Insurance policy end date 2017-10-31 Total amount of commissions paid to insurance broker USD $6,823 Total amount of fees paid to insurance company USD $3,599 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $236,551 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,823 Amount paid for insurance broker fees 3599 Insurance broker name PPI BENEFIT SOLUTIONS
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	46
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 619 Insurance policy start date 2016-10-01 Insurance policy end date 2017-09-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $106,447 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	007278
Policy instance	47
Insurance contract or identification number 007278 Number of Individuals Covered 96 Insurance policy start date 2016-04-01 Insurance policy end date 2017-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,236,605 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	48
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 152 Insurance policy start date 2016-08-01 Insurance policy end date 2017-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $335,126 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	49
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 948 Insurance policy start date 2016-07-01 Insurance policy end date 2017-06-30 Total amount of commissions paid to insurance broker USD $1,226 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,174,315 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,226 Insurance broker name PPI BENEFIT SOLUTIONS
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	007657
Policy instance	50
Insurance contract or identification number 007657 Number of Individuals Covered 50 Insurance policy start date 2016-03-01 Insurance policy end date 2017-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $614,222 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	51
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 283 Insurance policy start date 2016-11-01 Insurance policy end date 2017-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,881,268 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	1649
Policy instance	52
Insurance contract or identification number 1649 Number of Individuals Covered 5 Insurance policy start date 2016-06-01 Insurance policy end date 2017-05-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,138 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	3359
Policy instance	53
Insurance contract or identification number 3359 Number of Individuals Covered 53 Insurance policy start date 2016-11-01 Insurance policy end date 2017-10-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $57,878 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	54
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 768 Insurance policy start date 2016-07-01 Insurance policy end date 2017-06-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $72,519 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	9907304
Policy instance	55
Insurance contract or identification number 9907304 Number of Individuals Covered 43 Insurance policy start date 2016-04-01 Insurance policy end date 2017-03-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,210 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	56
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 874 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $77,866 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	57
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 106 Insurance policy start date 2016-12-01 Insurance policy end date 2017-11-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $11,696 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number	378942
Policy instance	58
Insurance contract or identification number 378942 Number of Individuals Covered 39 Insurance policy start date 2016-04-01 Insurance policy end date 2017-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $637,323 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number	MULTI-CONTRACTS
Policy instance	59
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 13 Insurance policy start date 2016-07-01 Insurance policy end date 2017-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $230,815 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F018574-0001
Policy instance	60
Insurance contract or identification number F018574-0001 Number of Individuals Covered 624 Insurance policy start date 2016-04-01 Insurance policy end date 2017-03-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $46,949 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F014348
Policy instance	61
Insurance contract or identification number F014348 Number of Individuals Covered 102 Insurance policy start date 2016-08-01 Insurance policy end date 2017-07-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,941 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	MULTI-CONTRACTS
Policy instance	62
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 363 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $24,425 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	MULTI-CONTRACTS
Policy instance	63
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 256 Insurance policy start date 2016-06-01 Insurance policy end date 2017-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $20,170 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	FO18630
Policy instance	64
Insurance contract or identification number FO18630 Number of Individuals Covered 182 Insurance policy start date 2016-11-01 Insurance policy end date 2017-10-31 Total amount of commissions paid to insurance broker USD $428 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,884 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $428 Insurance broker name EXUDE BENEFITS GR
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	007771
Policy instance	65
Insurance contract or identification number 007771 Number of Individuals Covered 47 Insurance policy start date 2016-12-01 Insurance policy end date 2017-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $615,521 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	66
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 74 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $908,967 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	007723
Policy instance	67
Insurance contract or identification number 007723 Number of Individuals Covered 35 Insurance policy start date 2016-09-01 Insurance policy end date 2017-08-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $274,630 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	MULTI-CONTACTS
Policy instance	68
Insurance contract or identification number MULTI-CONTACTS Number of Individuals Covered 293 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $106,171 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	18801GL60
Policy instance	69
Insurance contract or identification number 18801GL60 Number of Individuals Covered 27 Insurance policy start date 2016-08-01 Insurance policy end date 2017-07-31 Total amount of commissions paid to insurance broker USD $12,094 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $502,379 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $12,094 Insurance broker name PROFESSIONAL PENSIONS INC
HEALTHYCT (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	70
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 486 Insurance policy start date 2016-07-01 Insurance policy end date 2017-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,576,561 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	71
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 97 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,178,520 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	549J1D749
Policy instance	72
Insurance contract or identification number 549J1D749 Number of Individuals Covered 110 Insurance policy start date 2016-04-01 Insurance policy end date 2017-03-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $45,751 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	73
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 141 Insurance policy start date 2016-06-01 Insurance policy end date 2017-05-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,250,643 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	468F1G551
Policy instance	74
Insurance contract or identification number 468F1G551 Number of Individuals Covered 90 Insurance policy start date 2016-03-01 Insurance policy end date 2017-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,439,755 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	75
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1190 Insurance policy start date 2016-07-01 Insurance policy end date 2017-03-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $397,308 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	76
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1098 Insurance policy start date 2016-08-01 Insurance policy end date 2017-07-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $337,269 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	77
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 970 Insurance policy start date 2016-12-01 Insurance policy end date 2017-11-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $289,904 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	78
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 998 Insurance policy start date 2016-02-01 Insurance policy end date 2017-01-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $196,956 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	79
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2880 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $11,260 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,165,022 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,116 Insurance broker name WILLIS OF CONNECTICUT LC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	80
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 6406 Insurance policy start date 2016-07-01 Insurance policy end date 2017-06-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,364,976 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	81
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 510 Insurance policy start date 2016-06-01 Insurance policy end date 2017-05-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $111,054 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	82
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1075 Insurance policy start date 2016-03-31 Insurance policy end date 2017-02-28 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $158,254 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	83
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 593 Insurance policy start date 2016-05-31 Insurance policy end date 2017-04-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $82,326 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	84
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1071 Insurance policy start date 2016-11-01 Insurance policy end date 2017-10-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $197,551 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	85
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1296 Insurance policy start date 2016-10-01 Insurance policy end date 2017-09-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $370,192 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	86
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2179 Insurance policy start date 2016-09-01 Insurance policy end date 2017-08-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $521,193 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	1000607000
Policy instance	87
Insurance contract or identification number 1000607000 Number of Individuals Covered 61 Insurance policy start date 2016-04-01 Insurance policy end date 2017-03-31 Total amount of commissions paid to insurance broker USD $48,156 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $630,655 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $24,769 Insurance broker name GFI INSURANCE BROKERAGE, INC.
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	88
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 852 Insurance policy start date 2016-08-01 Insurance policy end date 2017-07-31 Total amount of commissions paid to insurance broker USD $205,463 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,251,607 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $103,103 Insurance broker name PROFESSIONAL PENSIONS INC
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	89
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 68 Insurance policy start date 2016-12-01 Insurance policy end date 2017-11-30 Total amount of commissions paid to insurance broker USD $73,296 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $823,083 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $41,667 Insurance broker name HUB INTERNATIONAL NE (WOODBURY)
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	90
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 508 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $356,814 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,679,553 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $180,406 Insurance broker name CORPORATE SYNERGIES GROUP, LLC
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	91
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 380 Insurance policy start date 2016-07-01 Insurance policy end date 2017-06-30 Total amount of commissions paid to insurance broker USD $334,458 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,478,947 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $160,379 Insurance broker name CORPORATE SYNERGIES GROUP, LLC
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	1072047-000
Policy instance	92
Insurance contract or identification number 1072047-000 Number of Individuals Covered 48 Insurance policy start date 2016-06-01 Insurance policy end date 2017-05-31 Total amount of commissions paid to insurance broker USD $36,573 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $435,216 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $15,356 Insurance broker name CITY UNDERWRITING AGENCY, INC.
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	93
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 20 Insurance policy start date 2016-05-01 Insurance policy end date 2017-04-30 Total amount of commissions paid to insurance broker USD $13,081 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $182,362 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,993 Insurance broker name PROFESSIONAL PENSIONS INC
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	10093PJ001
Policy instance	94
Insurance contract or identification number 10093PJ001 Number of Individuals Covered 79 Insurance policy start date 2016-02-01 Insurance policy end date 2017-01-31 Total amount of commissions paid to insurance broker USD $46,322 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $657,511 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $25,209 Insurance broker name CORPORATE CONSULTING SERVICES LTD.,
HEALTHYCT (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	95
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 100 Insurance policy start date 2016-04-01 Insurance policy end date 2017-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $608,978 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HEALTHYCT (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	96
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 61 Insurance policy start date 2016-08-01 Insurance policy end date 2017-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $62,549 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5545589
Policy instance	97
Insurance contract or identification number 5545589 Number of Individuals Covered 145 Insurance policy start date 2016-02-01 Insurance policy end date 2017-01-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $36,825 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HEALTHYCT (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	98
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 106 Insurance policy start date 2016-02-01 Insurance policy end date 2017-01-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $341,828 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HEALTHYCT (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	99
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 96 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $17,313 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTRACTS
Policy instance	100
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1713 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $159,195 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	MULTI-CONTACTS
Policy instance	101
Insurance contract or identification number MULTI-CONTACTS Number of Individuals Covered 766 Insurance policy start date 2016-11-01 Insurance policy end date 2017-10-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $117,422 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	877578
Policy instance	102
Insurance contract or identification number 877578 Number of Individuals Covered 433 Insurance policy start date 2016-10-01 Insurance policy end date 2017-09-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $48,253 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number	10165689
Policy instance	103
Insurance contract or identification number 10165689 Number of Individuals Covered 123 Insurance policy start date 2016-04-01 Insurance policy end date 2017-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $635,828 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number	MULTI-CONTRACTS
Policy instance	104
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 176 Insurance policy start date 2016-12-01 Insurance policy end date 2017-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $689,872 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number	MULTI-CONTRACTS
Policy instance	105
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2 Insurance policy start date 2016-02-01 Insurance policy end date 2017-01-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,725 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	MULTI-CONTRACTS
Policy instance	106
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 856 Insurance policy start date 2016-04-01 Insurance policy end date 2017-03-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $138,931 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	MULTI-CONTRACTS
Policy instance	107
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 738 Insurance policy start date 2016-08-01 Insurance policy end date 2017-07-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $39,793 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	MULTI-CONTRACTS
Policy instance	108
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 980 Insurance policy start date 2016-12-01 Insurance policy end date 2017-11-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $55,534 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	MULTI-CONTRACTS
Policy instance	109
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 235 Insurance policy start date 2016-02-01 Insurance policy end date 2017-01-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $46,001 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	MULTI-CONTRACTS
Policy instance	110
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1891 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $1,070 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $493,560 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,070 Insurance broker name PROFESSIONAL PENSIONS INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	MULTI-CONTRACTS
Policy instance	111
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2287 Insurance policy start date 2016-07-01 Insurance policy end date 2017-06-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $218,898 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	MULTI-CONTRACTS
Policy instance	112
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1491 Insurance policy start date 2016-05-01 Insurance policy end date 2017-04-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $183,417 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	MULTI-CONTRACTS
Policy instance	113
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 468 Insurance policy start date 2016-11-01 Insurance policy end date 2017-10-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $45,726 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	MULTI-CONTRACTS
Policy instance	114
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 604 Insurance policy start date 2016-10-01 Insurance policy end date 2017-09-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $33,654 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	MULTI-CONTRACTS
Policy instance	115
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2576 Insurance policy start date 2016-09-01 Insurance policy end date 2017-08-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $214,627 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	MULTI-CONTRACTS
Policy instance	116
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 280 Insurance policy start date 2016-04-01 Insurance policy end date 2017-03-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $122,569 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5997225
Policy instance	117
Insurance contract or identification number 5997225 Number of Individuals Covered 132 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $23,708 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5757313
Policy instance	118
Insurance contract or identification number 5757313 Number of Individuals Covered 46 Insurance policy start date 2016-03-01 Insurance policy end date 2017-02-28 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $23,237 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	MULTI-CONTRACTS
Policy instance	119
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 378 Insurance policy start date 2016-11-01 Insurance policy end date 2017-10-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $90,262 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5917331
Policy instance	120
Insurance contract or identification number 5917331 Number of Individuals Covered 95 Insurance policy start date 2016-06-01 Insurance policy end date 2017-05-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $55,695 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	MUTLI-CONTRACTS
Policy instance	121
Insurance contract or identification number MUTLI-CONTRACTS Number of Individuals Covered 7575 Insurance policy start date 2016-07-01 Insurance policy end date 2017-06-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,689,379 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	MULTI-CONTRACTS
Policy instance	122
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 932 Insurance policy start date 2016-04-01 Insurance policy end date 2017-03-31 Total amount of commissions paid to insurance broker USD $22,399 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $91,778 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $12,624 Insurance broker name BROWN & BROWN OF GARDEN CITY, INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	123
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 756 Insurance policy start date 2016-08-01 Insurance policy end date 2017-07-31 Total amount of commissions paid to insurance broker USD $9,334 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $60,536 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,900 Insurance broker name EXUDE BENEFITS GROUP INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	124
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 421 Insurance policy start date 2016-12-01 Insurance policy end date 2017-11-30 Total amount of commissions paid to insurance broker USD $5,570 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $22,769 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,632 Insurance broker name PIERSON & SMITH, A DIVISION OF FIRS
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	125
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 282 Insurance policy start date 2016-02-01 Insurance policy end date 2017-01-31 Total amount of commissions paid to insurance broker USD $7,061 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $33,446 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,119 Insurance broker name THE JONES GROUP(WETHERSFIELD,CT)
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	126
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 4484 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $67,620 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $410,680 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $31,203 Insurance broker name DIRECT ACCESS GROUP BENEFITS, INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	127
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2361 Insurance policy start date 2016-07-01 Insurance policy end date 2017-06-30 Total amount of commissions paid to insurance broker USD $78,977 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $400,419 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $37,848 Insurance broker name WELLS FARGO INSURANCE SERVICES
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	128
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 509 Insurance policy start date 2016-06-01 Insurance policy end date 2017-05-31 Total amount of commissions paid to insurance broker USD $24,917 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $144,523 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $12,623 Insurance broker name HUB INTERNATIONAL NE (WOODBURY)
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	MULTI-CONTRACTS
Policy instance	129
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 719 Insurance policy start date 2016-03-01 Insurance policy end date 2017-02-28 Total amount of commissions paid to insurance broker USD $18,194 Total amount of fees paid to insurance company USD $2,999 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $74,983 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $8,907 Amount paid for insurance broker fees 2999 Insurance broker name GROUP INSURANCE ASSOCIATES
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	G000AIWY
Policy instance	130
Insurance contract or identification number G000AIWY Number of Individuals Covered 45 Insurance policy start date 2016-05-01 Insurance policy end date 2017-04-30 Total amount of commissions paid to insurance broker USD $400 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,853 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $400 Insurance broker name PROFESSIONAL PENSIONS INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	131
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 385 Insurance policy start date 2016-11-01 Insurance policy end date 2017-10-31 Total amount of commissions paid to insurance broker USD $6,084 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $40,864 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,484 Insurance broker name MBL BENEFITS CONSULTING
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	132
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 166 Insurance policy start date 2016-04-01 Insurance policy end date 2017-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,739,659 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	HF7590
Policy instance	133
Insurance contract or identification number HF7590 Number of Individuals Covered 131 Insurance policy start date 2016-08-01 Insurance policy end date 2017-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,430,715 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	134
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 377 Insurance policy start date 2016-12-01 Insurance policy end date 2017-11-30 Total amount of commissions paid to insurance broker USD $1,414 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,460,718 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,414 Insurance broker name PROFESSIONAL PENSIONS INC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	135
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 285 Insurance policy start date 2016-02-01 Insurance policy end date 2017-01-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,619,004 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	136
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1944 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $25,646,562 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	137
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 684 Insurance policy start date 2016-07-01 Insurance policy end date 2017-06-30 Total amount of commissions paid to insurance broker USD $11,336 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,818,947 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $11,336 Insurance broker name PROFESSIONAL PENSIONS INC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	138
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 173 Insurance policy start date 2016-06-01 Insurance policy end date 2017-05-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,103,909 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	139
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 144 Insurance policy start date 2016-03-01 Insurance policy end date 2017-02-28 Total amount of commissions paid to insurance broker USD $2,298 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,794,851 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,232 Insurance broker name EKA BROKERAGE SERVICES INC.
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	140
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 228 Insurance policy start date 2016-10-01 Insurance policy end date 2017-09-30 Total amount of commissions paid to insurance broker USD $14,696 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,824,249 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $14,696 Insurance broker name PROFESSIONAL PENSIONS INC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	141
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1357 Insurance policy start date 2016-09-01 Insurance policy end date 2017-08-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $11,616,391 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	1026250
Policy instance	142
Insurance contract or identification number 1026250 Number of Individuals Covered 531 Insurance policy start date 2016-04-01 Insurance policy end date 2017-03-31 Total amount of commissions paid to insurance broker USD $9,875 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $71,442 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,550 Insurance broker name PROFESSIONAL PENSIONS INC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	143
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 50 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $34,496 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HEALTHYCT (National Association of Insurance Commissioners NAIC id number: 15046 )
Policy contract number	MULTI-CONTRACTS
Policy instance	144
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 85 Insurance policy start date 2016-03-01 Insurance policy end date 2017-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $672,610 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	145
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 138 Insurance policy start date 2016-06-01 Insurance policy end date 2017-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $32,381 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	H56552-1
Policy instance	146
Insurance contract or identification number H56552-1 Number of Individuals Covered 11 Insurance policy start date 2016-05-01 Insurance policy end date 2017-04-30 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,082 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	1004916
Policy instance	147
Insurance contract or identification number 1004916 Number of Individuals Covered 8 Insurance policy start date 2016-10-01 Insurance policy end date 2017-09-30 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,905 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	148
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 851 Insurance policy start date 2016-09-01 Insurance policy end date 2017-08-31 Total amount of commissions paid to insurance broker USD $24,478 Total amount of fees paid to insurance company USD $12,179 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $453,738 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $12,279 Amount paid for insurance broker fees 12179 Insurance broker name MDG BENEFITS SOLUTIONS LLC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MRI15662
Policy instance	149
Insurance contract or identification number MRI15662 Number of Individuals Covered 85 Insurance policy start date 2016-11-01 Insurance policy end date 2017-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,137,869 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	150
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1569 Insurance policy start date 2016-02-01 Insurance policy end date 2017-01-31 Total amount of commissions paid to insurance broker USD $23,585 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $89,727 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $13,602 Insurance broker name CM SMITH AGENCY INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	151
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1051 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $7,190 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $90,684 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,946 Insurance broker name PROFESSIONAL PENSIONS INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	152
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1686 Insurance policy start date 2016-07-01 Insurance policy end date 2017-06-30 Total amount of commissions paid to insurance broker USD $16,233 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $97,645 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $8,655 Insurance broker name LINCOLN BENEFITS GROUP INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	24336
Policy instance	153
Insurance contract or identification number 24336 Number of Individuals Covered 164 Insurance policy start date 2016-06-01 Insurance policy end date 2017-05-31 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $71 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HEALTHYCT (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTACTS
Policy instance	154
Insurance contract or identification number MULTI-CONTACTS Number of Individuals Covered 106 Insurance policy start date 2016-05-01 Insurance policy end date 2017-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $774,602 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HEALTHYCT (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	HCTFXL000029
Policy instance	155
Insurance contract or identification number HCTFXL000029 Number of Individuals Covered 1 Insurance policy start date 2016-10-01 Insurance policy end date 2017-09-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,428 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	156
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2361 Insurance policy start date 2016-10-01 Insurance policy end date 2017-09-30 Total amount of commissions paid to insurance broker USD $31,025 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $756,480 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $31,025 Insurance broker name PROFESSIONAL PENSIONS INC
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	08W5916
Policy instance	157
Insurance contract or identification number 08W5916 Number of Individuals Covered 32 Insurance policy start date 2016-12-01 Insurance policy end date 2017-11-30 Total amount of commissions paid to insurance broker USD $117 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,619 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $117 Insurance broker name PROFESSIONAL PENSIONS INC
SECURITY MUTUAL LIFE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 68772 )
Policy contract number	GIC034964
Policy instance	158
Insurance contract or identification number GIC034964 Number of Individuals Covered 75 Insurance policy start date 2016-12-01 Insurance policy end date 2017-01-30 Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $14,987 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	159
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 152 Insurance policy start date 2016-12-01 Insurance policy end date 2017-11-30 Total amount of commissions paid to insurance broker USD $4,602 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $40,563 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,098 Insurance broker name NFP INSURANCE SERVICES INC
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	147501
Policy instance	160
Insurance contract or identification number 147501 Number of Individuals Covered 97 Insurance policy start date 2016-04-01 Insurance policy end date 2017-03-31 Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $36,661 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	161
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 884 Insurance policy start date 2016-08-01 Insurance policy end date 2017-07-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $133,005 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	162
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 216 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $17,234 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	163
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2233 Insurance policy start date 2016-07-01 Insurance policy end date 2017-06-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $221,376 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACT
Policy instance	164
Insurance contract or identification number MULTI-CONTRACT Number of Individuals Covered 615 Insurance policy start date 2016-06-01 Insurance policy end date 2017-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $68,433 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	165
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 245 Insurance policy start date 2016-11-01 Insurance policy end date 2017-10-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $82,752 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	166
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 332 Insurance policy start date 2016-10-01 Insurance policy end date 2017-09-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $36,909 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	MULTI-CONTRACTS
Policy instance	167
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 488 Insurance policy start date 2016-03-01 Insurance policy end date 2017-02-28 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $61,172 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 number	MULT-CONTRACTS
Policy instance	168
Insurance contract or identification number MULT-CONTRACTS Number of Individuals Covered 2658 Insurance policy start date 2016-08-01 Insurance policy end date 2017-07-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $205,527 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	819987-001
Policy instance	169
Insurance contract or identification number 819987-001 Number of Individuals Covered 24 Insurance policy start date 2016-04-01 Insurance policy end date 2017-03-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $26,116 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 number	MULTI-CONTRACTS
Policy instance	170
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2399 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $15,882 Total amount of fees paid to insurance company USD $1,382 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $354,225 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,469 Amount paid for insurance broker fees 1382 Insurance broker name NFP CORPORATE SERV ICES (PA) INC
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULT-CONTRACTS
Policy instance	171
Insurance contract or identification number MULT-CONTRACTS Number of Individuals Covered 815 Insurance policy start date 2016-07-01 Insurance policy end date 2017-06-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $81,603 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULTI-CONTRACTS
Policy instance	172
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 377 Insurance policy start date 2016-06-01 Insurance policy end date 2017-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $35,486 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	818452
Policy instance	173
Insurance contract or identification number 818452 Number of Individuals Covered 40 Insurance policy start date 2016-03-01 Insurance policy end date 2017-02-28 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $633 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULTI- CONTRACT
Policy instance	174
Insurance contract or identification number MULTI- CONTRACT Number of Individuals Covered 1224 Insurance policy start date 2016-05-01 Insurance policy end date 2017-04-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $108,595 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULTI-CONTRACTS
Policy instance	175
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 600 Insurance policy start date 2016-11-01 Insurance policy end date 2017-10-31 Total amount of commissions paid to insurance broker USD $6,586 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $54,295 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,764 Insurance broker name PROFESSIONAL PENSIONS INC
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULTI-CONTRACTS
Policy instance	176
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3110 Insurance policy start date 2016-09-01 Insurance policy end date 2017-08-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $183,788 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	MULTI-CONTRACTS
Policy instance	177
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1226 Insurance policy start date 2016-10-01 Insurance policy end date 2017-09-30 Total amount of commissions paid to insurance broker USD $22,138 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $104,037 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $10,691 Insurance broker name GRINSPEC OF NJ DBA CENTRIC BENEFITS
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	178
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 9304 Insurance policy start date 2016-09-01 Insurance policy end date 2017-08-31 Total amount of commissions paid to insurance broker USD $209,537 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $944,619 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $112,580 Insurance broker name CORPORATE SYNERGIES GROUP, LLC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	179
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3455 Insurance policy start date 2016-04-01 Insurance policy end date 2017-03-31 Total amount of commissions paid to insurance broker USD $64,616 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $288,753 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $34,739 Insurance broker name ONEGROUP NY, INC.(SYRACUSE,NY)
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	MULTI-CONTRACTS
Policy instance	180
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 4338 Insurance policy start date 2016-08-01 Insurance policy end date 2017-07-31 Total amount of commissions paid to insurance broker USD $60,108 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $304,778 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $32,499 Insurance broker name MARSH & MCLENNAN AGENCY LLC(PARAMUS
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	181
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 545 Insurance policy start date 2016-12-01 Insurance policy end date 2017-11-30 Total amount of commissions paid to insurance broker USD $10,229 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $40,352 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,433 Insurance broker name FRENKEL BENEFITS, LLC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	182
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 339 Insurance policy start date 2016-02-01 Insurance policy end date 2017-01-31 Total amount of commissions paid to insurance broker USD $15,534 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $62,718 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,762 Insurance broker name ISLAND GROUP PLANS INC.
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	183
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 9604 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $192,118 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,091,639 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $99,640 Insurance broker name BROWN & BROWN OF CT DBA DILL JOYCE
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	184
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 4947 Insurance policy start date 2016-07-01 Insurance policy end date 2017-06-30 Total amount of commissions paid to insurance broker USD $82,388 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $440,460 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $41,549 Insurance broker name MDG BENEFIT SOLUTIONS
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	185
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3089 Insurance policy start date 2016-06-01 Insurance policy end date 2017-05-31 Total amount of commissions paid to insurance broker USD $76,144 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $313,181 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $40,155 Insurance broker name WILLIS OF CT
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	186
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2670 Insurance policy start date 2016-03-01 Insurance policy end date 2017-02-28 Total amount of commissions paid to insurance broker USD $55,327 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $238,081 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $31,421 Insurance broker name AUSTIN & CO. INC.
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	187
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 893 Insurance policy start date 2016-05-01 Insurance policy end date 2017-04-30 Total amount of commissions paid to insurance broker USD $29,972 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $126,143 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $16,082 Insurance broker name LAMBERT & CARNEY BENEFITS
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	188
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1828 Insurance policy start date 2016-11-01 Insurance policy end date 2017-10-31 Total amount of commissions paid to insurance broker USD $23,698 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $103,991 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $13,722 Insurance broker name CARA LOVENSON
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	MULTI-CONTRACTS
Policy instance	189
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 938 Insurance policy start date 2016-10-01 Insurance policy end date 2017-09-30 Total amount of commissions paid to insurance broker USD $14,064 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $54,912 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,987 Insurance broker name KEVIN DOLPH
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	190
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3163 Insurance policy start date 2016-09-01 Insurance policy end date 2017-08-31 Total amount of commissions paid to insurance broker USD $35,351 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $393,432 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $25,961 Insurance broker name ALLIANT INSURANCE SERVICES INC.
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number	MULTI-CONTRACTS
Policy instance	191
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 162 Insurance policy start date 2016-12-01 Insurance policy end date 2017-11-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,746 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	30056382
Policy instance	192
Insurance contract or identification number 30056382 Number of Individuals Covered 115 Insurance policy start date 2016-02-01 Insurance policy end date 2017-01-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,916 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number	MULTI-CONTRACTS
Policy instance	193
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 438 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $64,966 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	194
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 274 Insurance policy start date 2016-07-01 Insurance policy end date 2017-06-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $34,005 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	195
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 324 Insurance policy start date 2016-06-01 Insurance policy end date 2017-05-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $42,501 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	3006329
Policy instance	196
Insurance contract or identification number 3006329 Number of Individuals Covered 58 Insurance policy start date 2016-03-01 Insurance policy end date 2017-02-28 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $14,678 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	30028486
Policy instance	197
Insurance contract or identification number 30028486 Number of Individuals Covered 36 Insurance policy start date 2016-10-01 Insurance policy end date 2017-09-01 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $9,827 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	MULTI-CONTACTS
Policy instance	198
Insurance contract or identification number MULTI-CONTACTS Number of Individuals Covered 153 Insurance policy start date 2016-09-01 Insurance policy end date 2017-08-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $17,499 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	30029143
Policy instance	199
Insurance contract or identification number 30029143 Number of Individuals Covered 113 Insurance policy start date 2016-11-01 Insurance policy end date 2017-10-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $16,977 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	100679
Policy instance	200
Insurance contract or identification number 100679 Number of Individuals Covered 33 Insurance policy start date 2016-10-01 Insurance policy end date 2017-09-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,915 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	201
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 411 Insurance policy start date 2016-05-01 Insurance policy end date 2017-04-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $51,447 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	202
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 106 Insurance policy start date 2016-09-01 Insurance policy end date 2017-08-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,020 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number	MULTI-CONTRACTS
Policy instance	203
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 39 Insurance policy start date 2016-08-01 Insurance policy end date 2017-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $143,004 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number	MULTI-CONTRACTS
Policy instance	204
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 214 Insurance policy start date 2016-12-01 Insurance policy end date 2017-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,167,685 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number	MULTI-CONTRACTS
Policy instance	205
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 414 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,269,958 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number	MULTI-CONTRACTS
Policy instance	206
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 208 Insurance policy start date 2016-07-01 Insurance policy end date 2017-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,309,420 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number	MULTI-CONTRACTS
Policy instance	207
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 37 Insurance policy start date 2016-05-01 Insurance policy end date 2017-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $336,441 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number	MULTI-CONTRACTS
Policy instance	208
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 36 Insurance policy start date 2016-11-01 Insurance policy end date 2017-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $405,032 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number	MULTI-CONTRACTS
Policy instance	209
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 161 Insurance policy start date 2016-10-01 Insurance policy end date 2017-09-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,032,278 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )
Policy contract number	MULTI-CONTRACTS
Policy instance	210
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1130 Insurance policy start date 2016-04-01 Insurance policy end date 2017-03-31 Total amount of commissions paid to insurance broker USD $2,699 Health Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $26,096 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,821 Insurance broker name PPI BENEFIT SOLUTIONS
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	211
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 561 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $81,353 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	212
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1683 Insurance policy start date 2016-07-01 Insurance policy end date 2017-06-30 Total amount of commissions paid to insurance broker USD $1,914 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $122,573 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,914 Insurance broker name PROFESIONAL PENSIONS INC
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	213
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 334 Insurance policy start date 2016-10-01 Insurance policy end date 2017-09-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $45,246 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	214
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 137 Insurance policy start date 2016-03-01 Insurance policy end date 2017-02-28 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,582 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 number	303356
Policy instance	215
Insurance contract or identification number 303356 Number of Individuals Covered 363 Insurance policy start date 2016-08-01 Insurance policy end date 2017-07-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $42,942 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 number	MULTI-CONTRACTS
Policy instance	216
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 570 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $136,943 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,165,664 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $104,193 Insurance broker name PROFESSIONAL PENSIONS INC
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	MULTI-CONTRACTS
Policy instance	217
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2241 Insurance policy start date 2016-07-01 Insurance policy end date 2017-06-30 Total amount of commissions paid to insurance broker USD $316,709 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,613,726 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $264,727 Insurance broker name PROFESSIONAL PENSIONS INC
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	05U1216
Policy instance	218
Insurance contract or identification number 05U1216 Number of Individuals Covered 35 Insurance policy start date 2016-06-01 Insurance policy end date 2017-05-31 Total amount of commissions paid to insurance broker USD $4 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,222 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4 Insurance broker name PROFESSIONAL PENSIONS INC
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	MULTI-CONTRACTS
Policy instance	219
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 748 Insurance policy start date 2016-03-01 Insurance policy end date 2017-02-28 Total amount of commissions paid to insurance broker USD $72,717 Total amount of fees paid to insurance company USD $63,103 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,957,200 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $778 Amount paid for insurance broker fees 57979 Insurance broker name NFP CORPORATE SERVICES (PA) INC
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	MULTI-CONTRACTS
Policy instance	220
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 147 Insurance policy start date 2016-04-01 Insurance policy end date 2017-03-31 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $445,513 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 number	0906337
Policy instance	221
Insurance contract or identification number 0906337 Number of Individuals Covered 123 Insurance policy start date 2016-10-01 Insurance policy end date 2017-09-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,432 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 number	MULTI-CONTRACTS
Policy instance	222
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 585 Insurance policy start date 2016-09-01 Insurance policy end date 2017-08-31 Total amount of commissions paid to insurance broker USD $3,452 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $38,324 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,452 Insurance broker name PROFESSIONAL PENSIONS INC
UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK 4D DENTAL (National Association of Insurance Commissioners NAIC id number: 81477 )
Policy contract number	85640
Policy instance	1
Insurance contract or identification number 85640 Number of Individuals Covered 436 Insurance policy start date 2014-06-01 Insurance policy end date 2015-05-31 Total amount of commissions paid to insurance broker USD $10,328 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $124,573 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,345 Insurance broker name B.E.S.T. ADVISORY GROUP
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	2
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 27415 Insurance policy start date 2014-08-01 Insurance policy end date 2015-07-31 Total amount of commissions paid to insurance broker USD $1,676,187 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,469,615 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $809,186 Insurance broker name CAMBRIDGE LIFE BROKERAGE LLC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	3
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 441 Insurance policy start date 2014-04-01 Insurance policy end date 2015-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,585,755 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	4
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 582 Insurance policy start date 2014-08-01 Insurance policy end date 2015-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,387,139 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	5
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1174 Insurance policy start date 2014-12-01 Insurance policy end date 2015-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $11,324,708 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULT-CONTRACTS
Policy instance	6
Insurance contract or identification number MULT-CONTRACTS Number of Individuals Covered 372 Insurance policy start date 2014-02-01 Insurance policy end date 2015-01-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,216,339 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	7
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1600 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $99,507 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $18,205,126 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $13,978 Insurance broker name JONATHAN YASNER
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	8
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2462 Insurance policy start date 2014-07-01 Insurance policy end date 2015-06-30 Total amount of commissions paid to insurance broker USD $3,813 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $21,285,507 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,813 Insurance broker name PROFESSIONAL PENSIONS INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	9
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 592 Insurance policy start date 2014-06-01 Insurance policy end date 2015-05-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $9,016,432 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract number	MULTI-CONTRACTS
Policy instance	10
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1091 Insurance policy start date 2014-03-01 Insurance policy end date 2015-02-28 Total amount of commissions paid to insurance broker USD $1,153 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,823,742 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,153 Insurance broker name PROFESSIONAL PENSIONS INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	11
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 442 Insurance policy start date 2014-05-01 Insurance policy end date 2015-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,216,409 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	12
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 874 Insurance policy start date 2014-11-01 Insurance policy end date 2015-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $9,353,080 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	13
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 427 Insurance policy start date 2014-10-01 Insurance policy end date 2015-09-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,298,468 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	14
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 530 Insurance policy start date 2014-09-01 Insurance policy end date 2015-08-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,783,925 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	15
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 11352 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $94,489 Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $739,714 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $13,978 Insurance broker name JONATHAN YASNER
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	16
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3596 Insurance policy start date 2014-07-01 Insurance policy end date 2015-06-30 Total amount of commissions paid to insurance broker USD $18,560 Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $275,557 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,859 Insurance broker name POWER & WALSH INSURANCE ADVISORS
AETNA (National Association of Insurance Commissioners NAIC id number: 78700 )
Policy contract number	MULTI-CONTRACTS
Policy instance	17
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 407 Insurance policy start date 2014-03-01 Insurance policy end date 2015-02-01 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,857 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERIHEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60061 )
Policy contract number	520996
Policy instance	18
Insurance contract or identification number 520996 Number of Individuals Covered 128 Insurance policy start date 2014-03-01 Insurance policy end date 2015-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $517 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	19
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 88 Insurance policy start date 2014-08-01 Insurance policy end date 2015-07-31 Total amount of commissions paid to insurance broker USD $157 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $46,829 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $157 Insurance broker name DIGITAL INSURANCE, INC
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MUTLI-CONTRACTS
Policy instance	20
Insurance contract or identification number MUTLI-CONTRACTS Number of Individuals Covered 273 Insurance policy start date 2014-02-01 Insurance policy end date 2015-01-31 Total amount of commissions paid to insurance broker USD $2,631 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $34,151 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,760 Insurance broker name PROFESSIONAL PENSIONS INC
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	21
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 83 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $3,718 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $56,016 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,320 Insurance broker name MICHAEL WRIGHT
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MUTLI-CONTRACTS
Policy instance	22
Insurance contract or identification number MUTLI-CONTRACTS Number of Individuals Covered 17 Insurance policy start date 2014-07-01 Insurance policy end date 2015-06-30 Total amount of commissions paid to insurance broker USD $203 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,304 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $126 Insurance broker name BENEFITS CONSULTING GROUP
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-38073
Policy instance	23
Insurance contract or identification number 10-38073 Number of Individuals Covered 27 Insurance policy start date 2014-03-01 Insurance policy end date 2015-02-28 Total amount of commissions paid to insurance broker USD $10 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $101 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $10 Insurance broker name BROWN & BROWN OF CT DBA DILL JOYCE
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-33810
Policy instance	24
Insurance contract or identification number 10-33810 Number of Individuals Covered 32 Insurance policy start date 2014-05-01 Insurance policy end date 2015-04-30 Total amount of commissions paid to insurance broker USD $1,865 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $29,858 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,865 Insurance broker name MICHAEL STROUCH
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	26-201592
Policy instance	25
Insurance contract or identification number 26-201592 Number of Individuals Covered 19 Insurance policy start date 2014-10-01 Insurance policy end date 2015-09-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,871 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	800930
Policy instance	26
Insurance contract or identification number 800930 Number of Individuals Covered 62 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $25,799 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $558,533 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $10,400 Insurance broker name PPI
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	27
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 73 Insurance policy start date 2014-07-01 Insurance policy end date 2015-06-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $418,201 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	800876000
Policy instance	28
Insurance contract or identification number 800876000 Number of Individuals Covered 65 Insurance policy start date 2014-09-01 Insurance policy end date 2015-08-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,005,400 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	29
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 176 Insurance policy start date 2014-04-01 Insurance policy end date 2015-03-31 Total amount of commissions paid to insurance broker USD $1,794 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $9,636 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $795 Insurance broker name EXUDE BENEFITS GROUP INC
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-538
Policy instance	30
Insurance contract or identification number 30790-538 Number of Individuals Covered 85 Insurance policy start date 2014-08-01 Insurance policy end date 2015-07-31 Total amount of commissions paid to insurance broker USD $491 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,457 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $245 Insurance broker name EXUDE BENEFITS GROUP INC
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACT
Policy instance	31
Insurance contract or identification number MULTI-CONTRACT Number of Individuals Covered 88 Insurance policy start date 2014-12-01 Insurance policy end date 2015-11-30 Total amount of commissions paid to insurance broker USD $1,383 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,262 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $795 Insurance broker name EXUDE BENEFITS GROUP INC
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-1688
Policy instance	32
Insurance contract or identification number 30790-1688 Number of Individuals Covered 47 Insurance policy start date 2014-02-28 Insurance policy end date 2015-01-31 Total amount of commissions paid to insurance broker USD $245 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,108 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $140 Insurance broker name EXUDE BENEFITS GROUP INC
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	33
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 705 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $3,892 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $50,110 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $800 Insurance broker name KENNETH STEILL
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-1363
Policy instance	34
Insurance contract or identification number 30790-1363 Number of Individuals Covered 114 Insurance policy start date 2014-07-01 Insurance policy end date 2015-06-30 Total amount of commissions paid to insurance broker USD $847 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $14,415 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $847 Insurance broker name BENEFITS CONSULTING GROUP
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-529
Policy instance	35
Insurance contract or identification number 30790-529 Number of Individuals Covered 48 Insurance policy start date 2014-03-01 Insurance policy end date 2015-02-28 Total amount of commissions paid to insurance broker USD $370 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,695 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $200 Insurance broker name EXUDE BENEFITS GROUP INC
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	36
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 86 Insurance policy start date 2014-11-01 Insurance policy end date 2015-10-31 Total amount of commissions paid to insurance broker USD $163 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,200 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $163 Insurance broker name BENEFITS CONSULTING GROUP
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	37
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 84 Insurance policy start date 2014-09-01 Insurance policy end date 2015-08-31 Total amount of commissions paid to insurance broker USD $634 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,307 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $303 Insurance broker name EXUDE BENEFITS GROUP INC
BOSTON MUTUAL LIFE INS. (National Association of Insurance Commissioners NAIC id number: 61476 )
Policy contract number	G-54373
Policy instance	38
Insurance contract or identification number G-54373 Number of Individuals Covered 960 Insurance policy start date 2014-07-01 Insurance policy end date 2015-06-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $76,897 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	39
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2274 Insurance policy start date 2014-08-01 Insurance policy end date 2015-07-31 Total amount of commissions paid to insurance broker USD $2,055 Total amount of fees paid to insurance company USD $651 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,793,102 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,361 Amount paid for insurance broker fees 195 Insurance broker name PPI BENEFIT SOLUTIONS
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	40
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1279 Insurance policy start date 2014-12-01 Insurance policy end date 2015-11-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $515,492 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	41
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 549 Insurance policy start date 2014-02-01 Insurance policy end date 2015-01-31 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $30,499 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 number	MULTI-CONTRACTS
Policy instance	42
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 4135 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,260,600 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 number	MULTI-CONTRACTS
Policy instance	43
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 6700 Insurance policy start date 2014-07-01 Insurance policy end date 2015-06-30 Total amount of commissions paid to insurance broker USD $16,716 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $9,006,317 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $16,716 Insurance broker name PROFESSIONAL PENSIONS INC
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	MULTI-CONTRACTS
Policy instance	44
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2290 Insurance policy start date 2014-06-01 Insurance policy end date 2015-05-31 Total amount of commissions paid to insurance broker USD $10,107 Total amount of fees paid to insurance company USD $120,601 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,910,538 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $10,107 Amount paid for insurance broker fees 76684 Insurance broker name PPI BENEFIT SOLUTIONS
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	45
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2303 Insurance policy start date 2014-03-01 Insurance policy end date 2015-02-28 Total amount of commissions paid to insurance broker USD $10,739 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,428,956 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,524 Insurance broker name PROFESSIONAL PENSIONS INC
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	46
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 578 Insurance policy start date 2014-05-01 Insurance policy end date 2015-04-30 Health Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $745,906 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	47
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1974 Insurance policy start date 2014-11-01 Insurance policy end date 2015-10-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $232,872 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	48
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1494 Insurance policy start date 2014-10-01 Insurance policy end date 2015-09-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,925,302 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	49
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2204 Insurance policy start date 2014-09-01 Insurance policy end date 2015-08-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,225,928 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	007278
Policy instance	50
Insurance contract or identification number 007278 Number of Individuals Covered 99 Insurance policy start date 2014-04-01 Insurance policy end date 2015-03-31 Total amount of commissions paid to insurance broker USD $1,491 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,094,373 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,491 Insurance broker name PROFESSIONAL PENSIONS INC
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	51
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 228 Insurance policy start date 2014-08-01 Insurance policy end date 2015-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,963,571 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	52
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 614 Insurance policy start date 2014-07-01 Insurance policy end date 2015-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,188,841 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	007195
Policy instance	53
Insurance contract or identification number 007195 Number of Individuals Covered 131 Insurance policy start date 2014-05-01 Insurance policy end date 2015-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,424,529 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	006626
Policy instance	54
Insurance contract or identification number 006626 Number of Individuals Covered 170 Insurance policy start date 2014-11-01 Insurance policy end date 2015-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,466,450 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	1649
Policy instance	55
Insurance contract or identification number 1649 Number of Individuals Covered 4 Insurance policy start date 2014-06-01 Insurance policy end date 2015-05-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,070 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	3359
Policy instance	56
Insurance contract or identification number 3359 Number of Individuals Covered 52 Insurance policy start date 2014-11-01 Insurance policy end date 2015-10-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $49,111 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	9790940
Policy instance	57
Insurance contract or identification number 9790940 Number of Individuals Covered 82 Insurance policy start date 2014-08-01 Insurance policy end date 2015-07-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $9,129 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	58
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 483 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $698 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $39,336 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $698 Insurance broker name PROFESSIONAL PENSIONS INC
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	59
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 481 Insurance policy start date 2014-07-01 Insurance policy end date 2015-06-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $36,174 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	60
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 158 Insurance policy start date 2014-05-01 Insurance policy end date 2015-04-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,265 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number	378942
Policy instance	61
Insurance contract or identification number 378942 Number of Individuals Covered 40 Insurance policy start date 2014-04-01 Insurance policy end date 2015-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $515,194 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number	MULTI-CONTRACTS
Policy instance	62
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 21 Insurance policy start date 2014-07-01 Insurance policy end date 2015-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $288,517 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F018574-00
Policy instance	63
Insurance contract or identification number F018574-00 Number of Individuals Covered 358 Insurance policy start date 2014-04-01 Insurance policy end date 2015-03-31 Total amount of commissions paid to insurance broker USD $2,055 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $34,884 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,966 Insurance broker name TRINITY BENEFIT ADVISORS LLC
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F018562
Policy instance	64
Insurance contract or identification number F018562 Number of Individuals Covered 656 Insurance policy start date 2014-02-01 Insurance policy end date 2015-01-31 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,158 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	MULTI-CONTRACTS
Policy instance	65
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 390 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $24,983 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	MULTI-CONTRACTS
Policy instance	66
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1443 Insurance policy start date 2014-07-01 Insurance policy end date 2015-06-30 Total amount of commissions paid to insurance broker USD $2,113 Total amount of fees paid to insurance company USD $330 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $146,300 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $922 Amount paid for insurance broker fees 5 Insurance broker name PROFESSIONAL PENSIONS INC
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	MULTI-CONTRACTS
Policy instance	67
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 270 Insurance policy start date 2014-06-01 Insurance policy end date 2015-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,714 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F018630
Policy instance	68
Insurance contract or identification number F018630 Number of Individuals Covered 163 Insurance policy start date 2014-11-01 Insurance policy end date 2015-10-31 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,162 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F018114
Policy instance	69
Insurance contract or identification number F018114 Number of Individuals Covered 186 Insurance policy start date 2014-09-01 Insurance policy end date 2015-08-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $11,653 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
SUN LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	810284
Policy instance	70
Insurance contract or identification number 810284 Number of Individuals Covered 16 Insurance policy start date 2014-03-01 Insurance policy end date 2015-02-28 Total amount of commissions paid to insurance broker USD $151 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $285 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $85 Insurance broker name PROFESSIONAL PENSIONS INC
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	71
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 52 Insurance policy start date 2014-04-01 Insurance policy end date 2015-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $809,256 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	72
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 261 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,901,052 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	549J1D749
Policy instance	73
Insurance contract or identification number 549J1D749 Number of Individuals Covered 115 Insurance policy start date 2014-07-01 Insurance policy end date 2015-06-30 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $46,804 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	74
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 115 Insurance policy start date 2014-06-01 Insurance policy end date 2015-05-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $700,963 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	468F1G551
Policy instance	75
Insurance contract or identification number 468F1G551 Number of Individuals Covered 109 Insurance policy start date 2014-03-01 Insurance policy end date 2015-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,420,860 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	76
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 153 Insurance policy start date 2014-11-01 Insurance policy end date 2015-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $132,665 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	77
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 119 Insurance policy start date 2014-09-01 Insurance policy end date 2015-08-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $706,549 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	78
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2642 Insurance policy start date 2014-04-01 Insurance policy end date 2015-03-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $313,888 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	79
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1824 Insurance policy start date 2014-08-01 Insurance policy end date 2015-07-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $460,603 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	80
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 580 Insurance policy start date 2014-12-01 Insurance policy end date 2015-11-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $258,244 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00454812
Policy instance	81
Insurance contract or identification number 00454812 Number of Individuals Covered 44 Insurance policy start date 2014-02-01 Insurance policy end date 2015-01-31 Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,969 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	82
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2365 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,032,684 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	83
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 6179 Insurance policy start date 2014-07-01 Insurance policy end date 2015-06-30 Total amount of commissions paid to insurance broker USD $618 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,065,791 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $618 Insurance broker name PROFESSIONAL PENSIONS INC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	84
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 702 Insurance policy start date 2014-06-01 Insurance policy end date 2015-05-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $161,371 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	85
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1103 Insurance policy start date 2014-03-01 Insurance policy end date 2015-02-28 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $255,475 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	86
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 202 Insurance policy start date 2014-05-01 Insurance policy end date 2015-04-30 Total amount of commissions paid to insurance broker USD $145 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $115,544 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $145 Insurance broker name PROFESSIONAL PENSIONS INC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	87
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 725 Insurance policy start date 2014-11-01 Insurance policy end date 2015-10-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $140,280 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	88
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2514 Insurance policy start date 2014-10-01 Insurance policy end date 2015-09-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $392,844 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	89
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 4943 Insurance policy start date 2014-09-01 Insurance policy end date 2015-08-31 Total amount of commissions paid to insurance broker USD $4,536 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,079,284 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,024 Insurance broker name MDG BENEFITS SOLUTIONS
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	1000607000
Policy instance	90
Insurance contract or identification number 1000607000 Number of Individuals Covered 52 Insurance policy start date 2014-04-01 Insurance policy end date 2015-03-31 Total amount of commissions paid to insurance broker USD $33,001 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $434,726 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $15,612 Insurance broker name CORPORATE SYNERGIES GROUP, LLC
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	1070433000
Policy instance	91
Insurance contract or identification number 1070433000 Number of Individuals Covered 58 Insurance policy start date 2014-12-01 Insurance policy end date 2015-11-30 Total amount of commissions paid to insurance broker USD $45,200 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $583,665 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $21,853 Insurance broker name PREFERRED BENEFITS GROUP, INC
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	92
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 532 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $313,584 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,992,699 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $147,205 Insurance broker name CORPORATE SYNERGIES GROUP, LLC
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	93
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 337 Insurance policy start date 2014-07-01 Insurance policy end date 2015-06-30 Total amount of commissions paid to insurance broker USD $272,712 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,571,250 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $141,990 Insurance broker name WILLIS OF NEW YORK, INC
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	1072047-00
Policy instance	94
Insurance contract or identification number 1072047-00 Number of Individuals Covered 41 Insurance policy start date 2014-06-01 Insurance policy end date 2015-05-31 Total amount of commissions paid to insurance broker USD $26,938 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $299,845 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $11,947 Insurance broker name JCM CONSULTING GROUP INC
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	1072903000
Policy instance	95
Insurance contract or identification number 1072903000 Number of Individuals Covered 30 Insurance policy start date 2014-05-01 Insurance policy end date 2015-04-30 Total amount of commissions paid to insurance broker USD $16,910 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $212,565 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $8,503 Insurance broker name PROFESSIONAL PENSIONS INC
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	1079673000
Policy instance	96
Insurance contract or identification number 1079673000 Number of Individuals Covered 26 Insurance policy start date 2014-09-01 Insurance policy end date 2015-08-31 Total amount of commissions paid to insurance broker USD $18,628 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $225,198 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $9,620 Insurance broker name CORPORATE SYNERGIES GROUP, LLC
HEALTHYCT (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	97
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 167 Insurance policy start date 2014-08-01 Insurance policy end date 2015-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,550,299 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HEALTHYCT (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	98
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 145 Insurance policy start date 2014-12-01 Insurance policy end date 2015-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,492,260 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HEALTHYCT (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	99
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 318 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,636,454 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HEALTHYCT (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	100
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 411 Insurance policy start date 2014-07-01 Insurance policy end date 2015-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,778,026 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HEALTHYCT (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	101
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 41 Insurance policy start date 2014-11-01 Insurance policy end date 2015-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $367,032 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HEALTHYCT (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	102
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 141 Insurance policy start date 2014-10-01 Insurance policy end date 2015-09-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,244,776 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	863771
Policy instance	103
Insurance contract or identification number 863771 Number of Individuals Covered 487 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $45,471 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	OGL 677959
Policy instance	104
Insurance contract or identification number OGL 677959 Number of Individuals Covered 1155 Insurance policy start date 2014-07-01 Insurance policy end date 2015-06-30 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,718 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	871260
Policy instance	105
Insurance contract or identification number 871260 Number of Individuals Covered 100 Insurance policy start date 2014-05-01 Insurance policy end date 2016-04-30 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $110 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number	MULTI-CONTRACTS
Policy instance	106
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 137 Insurance policy start date 2014-12-01 Insurance policy end date 2015-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,388,260 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number	MULTI-CONTRACTS
Policy instance	107
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 217 Insurance policy start date 2014-02-01 Insurance policy end date 2015-01-31 Total amount of commissions paid to insurance broker USD $1,757 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $691,231 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,757 Insurance broker name PROFESSIONAL PENSIONS INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	MULTI-CONTRACTS
Policy instance	108
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 598 Insurance policy start date 2014-04-01 Insurance policy end date 2015-03-31 Total amount of commissions paid to insurance broker USD $823 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $46,166 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $823 Insurance broker name EMERSON REID & COMPANY, INC. (LEADE
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	MULTI-CONTRACTS
Policy instance	109
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1333 Insurance policy start date 2014-08-01 Insurance policy end date 2015-07-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $116,058 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	MULTI-CONTRACTS
Policy instance	110
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1077 Insurance policy start date 2014-12-01 Insurance policy end date 2015-11-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $121,717 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	MULTI-CONTRACTS
Policy instance	111
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 508 Insurance policy start date 2014-02-01 Insurance policy end date 2015-01-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $56,873 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	MULTI-CONTRACTS
Policy instance	112
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 4252 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $772,536 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	MULTI-CONTRACTS
Policy instance	113
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 7401 Insurance policy start date 2014-07-01 Insurance policy end date 2015-06-30 Total amount of commissions paid to insurance broker USD $50 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $688,615 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $50 Insurance broker name PROFESSIONAL PENSIONS INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	MULTI-CONTRACTS
Policy instance	114
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 962 Insurance policy start date 2014-03-01 Insurance policy end date 2015-02-28 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $85,203 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	MULTI-CONTRACTS
Policy instance	115
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2537 Insurance policy start date 2014-05-01 Insurance policy end date 2015-04-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $237,279 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	MULTI-CONTRACTS
Policy instance	116
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 661 Insurance policy start date 2014-11-01 Insurance policy end date 2015-10-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $49,743 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	MULTI-CONTRACTS
Policy instance	117
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2038 Insurance policy start date 2014-10-01 Insurance policy end date 2015-09-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $148,521 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	MULTI-CONTRACTS
Policy instance	118
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1702 Insurance policy start date 2014-09-01 Insurance policy end date 2015-08-31 Total amount of commissions paid to insurance broker USD $1,599 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $188,578 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $922 Insurance broker name CORPORATE SYNERGIES GROUP INC
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	MULTI-CONTRACTS
Policy instance	119
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 142 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $29,268 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	5333775
Policy instance	120
Insurance contract or identification number 5333775 Number of Individuals Covered 5968 Insurance policy start date 2014-07-01 Insurance policy end date 2015-06-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,247,159 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	5757313
Policy instance	121
Insurance contract or identification number 5757313 Number of Individuals Covered 49 Insurance policy start date 2014-03-01 Insurance policy end date 2015-02-28 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $30,163 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	5580274
Policy instance	122
Insurance contract or identification number 5580274 Number of Individuals Covered 36 Insurance policy start date 2014-11-01 Insurance policy end date 2015-10-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,824 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	123
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 840 Insurance policy start date 2014-04-01 Insurance policy end date 2015-03-31 Total amount of commissions paid to insurance broker USD $16,573 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $61,950 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $8,413 Insurance broker name WILLIS OF NEW JERSEY
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	124
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 233 Insurance policy start date 2014-08-01 Insurance policy end date 2014-07-31 Total amount of commissions paid to insurance broker USD $6,797 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $28,138 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,726 Insurance broker name CAMBRIDGE LIFE BROKERAGE LLC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	125
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 277 Insurance policy start date 2014-12-01 Insurance policy end date 2015-11-30 Total amount of commissions paid to insurance broker USD $4,758 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $17,189 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,417 Insurance broker name ML GROUP, LLC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	126
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 408 Insurance policy start date 2014-02-01 Insurance policy end date 2015-01-31 Total amount of commissions paid to insurance broker USD $6,700 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $36,798 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,649 Insurance broker name THE JONES GROUP(WETHERSFIELD,CT)
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	127
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3071 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $61,562 Total amount of fees paid to insurance company USD $6,227 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $290,600 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $36,433 Amount paid for insurance broker fees 6227 Insurance broker name DIRECT ACCESS GROUP BENEFITS, INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	128
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3838 Insurance policy start date 2014-07-01 Insurance policy end date 2015-06-30 Total amount of commissions paid to insurance broker USD $116,985 Total amount of fees paid to insurance company USD $19,792 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $593,291 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $71,529 Amount paid for insurance broker fees 19792 Insurance broker name STRATFORD FINANCIAL GROUP, INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	129
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 883 Insurance policy start date 2014-06-01 Insurance policy end date 2015-05-31 Total amount of commissions paid to insurance broker USD $39,281 Total amount of fees paid to insurance company USD $11,080 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $142,463 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $25,368 Amount paid for insurance broker fees 11080 Insurance broker name PREFERRED BENEFITS GROUP, INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	130
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1247 Insurance policy start date 2014-03-01 Insurance policy end date 2015-02-28 Total amount of commissions paid to insurance broker USD $21,640 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $95,017 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $10,216 Insurance broker name HUB INTL NORTHEAST
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	131
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 679 Insurance policy start date 2014-05-01 Insurance policy end date 2015-04-30 Total amount of commissions paid to insurance broker USD $8,417 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $36,782 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,461 Insurance broker name GALLAGHER BENEFIT SERVICES(ITASCA,I
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	132
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 343 Insurance policy start date 2014-11-01 Insurance policy end date 2015-10-31 Total amount of commissions paid to insurance broker USD $2,268 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,315 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,826 Insurance broker name PROFESSIONAL GROUP PLANS, INC
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	MULTI-CONTRACTS
Policy instance	133
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1843 Insurance policy start date 2014-10-01 Insurance policy end date 2015-09-30 Total amount of commissions paid to insurance broker USD $42,246 Total amount of fees paid to insurance company USD $6,349 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $148,804 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $24,752 Amount paid for insurance broker fees 6349 Insurance broker name OVATION BENEFITS GROUP, LLC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	134
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 6780 Insurance policy start date 2014-09-01 Insurance policy end date 2015-08-31 Total amount of commissions paid to insurance broker USD $139,387 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $641,525 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $70,195 Insurance broker name MDG ASSOCIATES OF CT, LLC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	GC18814
Policy instance	135
Insurance contract or identification number GC18814 Number of Individuals Covered 22 Insurance policy start date 2014-04-01 Insurance policy end date 2015-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $209,793 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	BS28212
Policy instance	136
Insurance contract or identification number BS28212 Number of Individuals Covered 21 Insurance policy start date 2014-08-01 Insurance policy end date 2015-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $245,656 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	137
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 115 Insurance policy start date 2014-12-01 Insurance policy end date 2015-11-30 Total amount of commissions paid to insurance broker USD $991 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $562,515 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $985 Insurance broker name FRENKEL BENEFITS, LLC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	138
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1098 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $17,625 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,077,994 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,192 Insurance broker name MICHAEL PONTILLO
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	139
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 325 Insurance policy start date 2014-07-01 Insurance policy end date 2015-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,974,984 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	140
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 179 Insurance policy start date 2014-06-01 Insurance policy end date 2015-05-31 Total amount of commissions paid to insurance broker USD $18,209 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,863,464 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $18,209 Insurance broker name PROFESSIONAL PENSIONS INC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	BC24250
Policy instance	141
Insurance contract or identification number BC24250 Number of Individuals Covered 5 Insurance policy start date 2014-03-01 Insurance policy end date 2015-02-28 Total amount of commissions paid to insurance broker USD $3,437 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $53,838 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,822 Insurance broker name EKA BROKERAGE SERVICES INC.
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	142
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 88 Insurance policy start date 2014-05-01 Insurance policy end date 2015-04-30 Total amount of commissions paid to insurance broker USD $80 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $9,736 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $80 Insurance broker name PROFESSIONAL PENSIONS INC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	143
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 290 Insurance policy start date 2014-10-01 Insurance policy end date 2015-09-30 Total amount of commissions paid to insurance broker USD $11,894 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,230,619 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $11,894 Insurance broker name PROFESSIONAL PENSIONS INC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	144
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 697 Insurance policy start date 2014-09-01 Insurance policy end date 2015-08-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,067,017 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	1026250
Policy instance	145
Insurance contract or identification number 1026250 Number of Individuals Covered 552 Insurance policy start date 2014-04-01 Insurance policy end date 2015-03-31 Total amount of commissions paid to insurance broker USD $8,649 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $66,905 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,656 Insurance broker name SCHUSTER DRISCOLL LLC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	146
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 69 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $48,938 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	H37448-1
Policy instance	147
Insurance contract or identification number H37448-1 Number of Individuals Covered 240 Insurance policy start date 2014-07-01 Insurance policy end date 2015-06-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $35,973 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	148
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 103 Insurance policy start date 2014-06-01 Insurance policy end date 2015-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $24,887 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	H56552-1
Policy instance	149
Insurance contract or identification number H56552-1 Number of Individuals Covered 7 Insurance policy start date 2014-05-01 Insurance policy end date 2015-04-30 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,458 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	1004916
Policy instance	150
Insurance contract or identification number 1004916 Number of Individuals Covered 8 Insurance policy start date 2014-10-01 Insurance policy end date 2015-09-30 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,299 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	151
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1155 Insurance policy start date 2014-09-01 Insurance policy end date 2015-08-31 Total amount of commissions paid to insurance broker USD $23,243 Total amount of fees paid to insurance company USD $11,560 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $400,443 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $11,560 Amount paid for insurance broker fees 11560 Insurance broker name MDG BENEFITS SOLUTIONS LLC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	152
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 399 Insurance policy start date 2014-04-01 Insurance policy end date 2015-03-31 Total amount of commissions paid to insurance broker USD $12,587 Total amount of fees paid to insurance company USD $11,571 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $19,022 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $12,269 Amount paid for insurance broker fees 11571 Insurance broker name MARSH & MCLENNAN AGENCY
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	153
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 136 Insurance policy start date 2014-08-01 Insurance policy end date 2015-07-31 Total amount of commissions paid to insurance broker USD $918 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $21,997 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $918 Insurance broker name PROFESSIONAL PENSIONS INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	154
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1205 Insurance policy start date 2014-02-01 Insurance policy end date 2015-01-31 Total amount of commissions paid to insurance broker USD $21,997 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $115,654 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $14,059 Insurance broker name CM SMITH AGENCY INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	155
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 655 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $9,468 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $82,813 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,704 Insurance broker name TARPEY GROUP LLC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	156
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2229 Insurance policy start date 2014-07-01 Insurance policy end date 2015-06-30 Total amount of commissions paid to insurance broker USD $12,222 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $141,061 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,122 Insurance broker name JOHN GARRISH
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	157
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 299 Insurance policy start date 2014-06-01 Insurance policy end date 2015-05-31 Total amount of commissions paid to insurance broker USD $4,926 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $43,446 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,939 Insurance broker name ROSE & KIERNAN INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	158
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1376 Insurance policy start date 2014-03-01 Insurance policy end date 2015-02-28 Total amount of commissions paid to insurance broker USD $7,820 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $89,082 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,951 Insurance broker name BENEFITS ADVISORY SERVICE, INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	159
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 325 Insurance policy start date 2014-11-01 Insurance policy end date 2015-10-31 Total amount of commissions paid to insurance broker USD $5,304 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $54,983 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,304 Insurance broker name PROFESSIONAL PENSIONS INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	160
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2132 Insurance policy start date 2014-10-01 Insurance policy end date 2015-09-30 Total amount of commissions paid to insurance broker USD $63,359 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $641,079 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $63,359 Insurance broker name PROFESSIONAL PENSIONS INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	161
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 42 Insurance policy start date 2014-09-01 Insurance policy end date 2015-08-31 Total amount of commissions paid to insurance broker USD $164 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,073 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $164 Insurance broker name PROFESSIONAL PENSIONS INC
SECURITY MUTUAL LIFE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 68772 )
Policy contract number	MULTI-CONTRACTS
Policy instance	162
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 282 Insurance policy start date 2014-12-01 Insurance policy end date 2015-11-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $17,365 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
SECURITY MUTUAL LIFE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 68772 )
Policy contract number	GRP070447
Policy instance	163
Insurance contract or identification number GRP070447 Number of Individuals Covered 294 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $3,548 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $24,213 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,337 Insurance broker name PROFESSIONAL PENSIONS INC
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	164
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 230 Insurance policy start date 2014-04-01 Insurance policy end date 2015-03-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $65,603 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	165
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 429 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $99,358 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	154714
Policy instance	166
Insurance contract or identification number 154714 Number of Individuals Covered 282 Insurance policy start date 2014-06-01 Insurance policy end date 2015-05-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $35,892 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	167
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 527 Insurance policy start date 2014-03-01 Insurance policy end date 2015-02-28 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $63,752 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	153262
Policy instance	168
Insurance contract or identification number 153262 Number of Individuals Covered 159 Insurance policy start date 2014-05-01 Insurance policy end date 2015-04-30 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $24,324 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	169
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 228 Insurance policy start date 2014-11-01 Insurance policy end date 2015-10-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $23,505 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	819987-001
Policy instance	170
Insurance contract or identification number 819987-001 Number of Individuals Covered 58 Insurance policy start date 2014-04-01 Insurance policy end date 2015-03-31 Total amount of commissions paid to insurance broker USD $3,977 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $35,028 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,109 Insurance broker name PROFESSIONAL PENSIONS INC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	MULTI-CONTRACTS
Policy instance	171
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2433 Insurance policy start date 2014-08-01 Insurance policy end date 2015-07-31 Total amount of commissions paid to insurance broker USD $85 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $413,269 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $57 Insurance broker name PROFESSIONAL PENSIONS INC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	MULT-CONTRACTS
Policy instance	172
Insurance contract or identification number MULT-CONTRACTS Number of Individuals Covered 3069 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $7,196 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $551,584 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,352 Insurance broker name THE GANIM GROUP INC
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULT-CONTRACTS
Policy instance	173
Insurance contract or identification number MULT-CONTRACTS Number of Individuals Covered 1096 Insurance policy start date 2014-07-01 Insurance policy end date 2015-06-30 Total amount of commissions paid to insurance broker USD $9,572 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $53,290 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,813 Insurance broker name THE BENEFITS CONSULTING GR INC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	MULTI-CONTRACTS
Policy instance	174
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 387 Insurance policy start date 2014-06-01 Insurance policy end date 2015-05-31 Total amount of commissions paid to insurance broker USD $6,459 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $40,082 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,486 Insurance broker name PRES WHITE AGENCY INC
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULT-CONTRACTS
Policy instance	175
Insurance contract or identification number MULT-CONTRACTS Number of Individuals Covered 201 Insurance policy start date 2014-03-01 Insurance policy end date 2015-02-28 Total amount of commissions paid to insurance broker USD $1,277 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,886 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $576 Insurance broker name PROFESSIONAL PENSIONS INC
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULTI-CONTRACTS
Policy instance	176
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 5185 Insurance policy start date 2014-05-01 Insurance policy end date 2015-04-30 Total amount of commissions paid to insurance broker USD $15,147 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $275,126 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $9,288 Insurance broker name PROFESSIONAL PENSIONS INC
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	729567
Policy instance	177
Insurance contract or identification number 729567 Number of Individuals Covered 168 Insurance policy start date 2014-05-01 Insurance policy end date 2015-04-30 Total amount of commissions paid to insurance broker USD $15,147 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $11,348 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $9,288 Insurance broker name PROFESSIONAL PENSIONS INC
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	303356
Policy instance	178
Insurance contract or identification number 303356 Number of Individuals Covered 373 Insurance policy start date 2014-08-01 Insurance policy end date 2015-07-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $33,804 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 number	07S9550
Policy instance	179
Insurance contract or identification number 07S9550 Number of Individuals Covered 12 Insurance policy start date 2014-02-01 Insurance policy end date 2015-01-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,520 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 number	MULTI-CONTRACTS
Policy instance	180
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 327 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $114,439 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,586,352 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $98,045 Insurance broker name PROFESSIONAL PENSIONS INC
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	MULTI-CONTRACTS
Policy instance	181
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 210 Insurance policy start date 2014-07-01 Insurance policy end date 2015-06-30 Total amount of commissions paid to insurance broker USD $16,111 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $618,507 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $16,111 Insurance broker name PROFESSIONAL PENSIONS INC
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	MULTI-CONTRACTS
Policy instance	182
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 381 Insurance policy start date 2014-09-01 Insurance policy end date 2015-08-31 Total amount of commissions paid to insurance broker USD $32 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $24,323 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $32 Insurance broker name PROFESSIONAL PENSIONS INC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	183
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2778 Insurance policy start date 2014-04-01 Insurance policy end date 2015-03-31 Total amount of commissions paid to insurance broker USD $65,752 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $268,489 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $32,430 Insurance broker name ALLIANT INSURANCE SERVICES INC.
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	MULTI-CONTRACTS
Policy instance	184
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2924 Insurance policy start date 2014-08-01 Insurance policy end date 2015-07-31 Total amount of commissions paid to insurance broker USD $59,085 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $326,673 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $33,245 Insurance broker name USI INS SERVICES OF CT(MERIDEN,CT)
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	185
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 507 Insurance policy start date 2014-12-01 Insurance policy end date 2015-11-30 Total amount of commissions paid to insurance broker USD $13,597 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $49,151 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,750 Insurance broker name FRENKEL BENEFITS, LLC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	186
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 337 Insurance policy start date 2014-02-28 Insurance policy end date 2015-01-31 Total amount of commissions paid to insurance broker USD $7,367 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $18,146 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,290 Insurance broker name ROCKVILLE BENEFIT ADVISORS LLC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	187
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 7658 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $161,132 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $791,993 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $84,898 Insurance broker name EMERSON REID & COMPANY, INC. (LEADE
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	188
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3754 Insurance policy start date 2014-07-01 Insurance policy end date 2015-06-30 Total amount of commissions paid to insurance broker USD $61,696 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $251,345 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $31,552 Insurance broker name TZEDAKAH HOUSE, LLC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	189
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1340 Insurance policy start date 2014-06-01 Insurance policy end date 2015-05-31 Total amount of commissions paid to insurance broker USD $35,172 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $145,304 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $17,729 Insurance broker name FOA & SON
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	190
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1161 Insurance policy start date 2014-03-01 Insurance policy end date 2015-02-28 Total amount of commissions paid to insurance broker USD $26,700 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $106,067 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $15,437 Insurance broker name AUSTIN & CO. INC.
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	191
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 866 Insurance policy start date 2014-05-01 Insurance policy end date 2015-04-30 Total amount of commissions paid to insurance broker USD $24,318 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $106,054 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $12,607 Insurance broker name LAMBERT & CARNEY BENEFITS
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	192
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1653 Insurance policy start date 2014-11-01 Insurance policy end date 2015-10-31 Total amount of commissions paid to insurance broker USD $19,693 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $87,936 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $11,234 Insurance broker name ROSE AND KIERNAN, INC
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	MULTI-CONTRACTS
Policy instance	193
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 977 Insurance policy start date 2014-10-01 Insurance policy end date 2015-09-30 Total amount of commissions paid to insurance broker USD $18,438 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $54,641 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $9,267 Insurance broker name USI INSURANCE SERVICES, LLC(NEW YOR
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	194
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3094 Insurance policy start date 2014-09-01 Insurance policy end date 2015-08-31 Total amount of commissions paid to insurance broker USD $58,268 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $322,890 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $31,693 Insurance broker name MICHELE MIRTO VALENZUELA
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number	MULTI-CONTRACTS
Policy instance	195
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 292 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $35,979 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	196
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 111 Insurance policy start date 2014-07-01 Insurance policy end date 2015-06-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $9,919 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	197
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 278 Insurance policy start date 2014-06-01 Insurance policy end date 2015-05-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $40,749 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	30028486
Policy instance	198
Insurance contract or identification number 30028486 Number of Individuals Covered 34 Insurance policy start date 2014-10-01 Insurance policy end date 2015-09-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,671 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	12192117
Policy instance	199
Insurance contract or identification number 12192117 Number of Individuals Covered 72 Insurance policy start date 2014-09-01 Insurance policy end date 2015-08-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,068 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK 4D DENTAL (National Association of Insurance Commissioners NAIC id number: 81477 )
Policy contract number	85640
Policy instance	1
Insurance contract or identification number 85640 Number of Individuals Covered 434 Insurance policy start date 2013-06-01 Insurance policy end date 2014-05-31 Total amount of commissions paid to insurance broker USD $10,016 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $122,339 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,122 Insurance broker name B.E.S.T. ADVISORY GROUP
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	2
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 27540 Insurance policy start date 2013-07-01 Insurance policy end date 2014-07-31 Total amount of commissions paid to insurance broker USD $1,748,221 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $14,155,224 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $844,159 Insurance broker name AON CONSULTING, INC. NY
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	3
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 163 Insurance policy start date 2013-04-01 Insurance policy end date 2014-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,770,691 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	4
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 369 Insurance policy start date 2013-08-01 Insurance policy end date 2014-07-31 Total amount of commissions paid to insurance broker USD $1,502 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,242,345 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,502 Insurance broker name C M SMITH AGENCY INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	5
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 871 Insurance policy start date 2013-12-01 Insurance policy end date 2014-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,165,687 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	6
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 328 Insurance policy start date 2013-02-01 Insurance policy end date 2014-01-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,513,722 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	7
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1865 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $212,643 Total amount of fees paid to insurance company USD $6,875 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $16,906,895 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $150,963 Amount paid for insurance broker fees 6875 Insurance broker name PROFESSIONAL PENSIONS INC
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract number	MULTI-CONTRACTS
Policy instance	8
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3058 Insurance policy start date 2013-07-01 Insurance policy end date 2014-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $25,524,736 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	9
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 643 Insurance policy start date 2013-06-01 Insurance policy end date 2014-05-31 Total amount of commissions paid to insurance broker USD $1,845 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $9,167,815 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,845 Insurance broker name PREFERRED BENEFITS GROUP, INC
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract number	MULTI-CONTRACTS
Policy instance	10
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 906 Insurance policy start date 2013-03-01 Insurance policy end date 2014-02-28 Total amount of commissions paid to insurance broker USD $138,660 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,492,735 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $102,711 Insurance broker name PROFESSIONAL PENSIONS INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	11
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 355 Insurance policy start date 2013-05-01 Insurance policy end date 2014-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,727,299 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	12
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 944 Insurance policy start date 2013-11-01 Insurance policy end date 2014-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,361,222 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI=CONTRACTS
Policy instance	13
Insurance contract or identification number MULTI=CONTRACTS Number of Individuals Covered 449 Insurance policy start date 2013-10-01 Insurance policy end date 2014-09-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,021,001 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	14
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 318 Insurance policy start date 2013-09-01 Insurance policy end date 2014-08-31 Total amount of commissions paid to insurance broker USD $48,572 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,368,675 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $27,062 Insurance broker name COMPAIN ANDERSON AZAR LTD
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	360276
Policy instance	15
Insurance contract or identification number 360276 Number of Individuals Covered 101 Insurance policy start date 2013-04-01 Insurance policy end date 2014-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $504,159 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	454755
Policy instance	16
Insurance contract or identification number 454755 Number of Individuals Covered 72 Insurance policy start date 2013-08-01 Insurance policy end date 2014-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $450,216 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	397595
Policy instance	17
Insurance contract or identification number 397595 Number of Individuals Covered 40 Insurance policy start date 2013-12-01 Insurance policy end date 2014-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $285,078 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract number	MULTI-CONTRACTS
Policy instance	18
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 194 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,618,167 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract number	MULTI-CONTRACTS
Policy instance	20
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 456 Insurance policy start date 2013-03-01 Insurance policy end date 2014-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,433,293 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	19
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 395 Insurance policy start date 2013-07-01 Insurance policy end date 2014-06-30 Total amount of commissions paid to insurance broker USD $7,589 Total amount of fees paid to insurance company USD $1,350 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,939,683 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,589 Amount paid for insurance broker fees 1350 Insurance broker name EXUDE BENEFITS GROUP
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	314212
Policy instance	21
Insurance contract or identification number 314212 Number of Individuals Covered 56 Insurance policy start date 2013-05-01 Insurance policy end date 2014-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $187,357 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	366260
Policy instance	22
Insurance contract or identification number 366260 Number of Individuals Covered 67 Insurance policy start date 2013-11-01 Insurance policy end date 2014-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $75,555 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	86579
Policy instance	23
Insurance contract or identification number 86579 Number of Individuals Covered 145 Insurance policy start date 2013-10-01 Insurance policy end date 2014-09-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,709,699 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	410222
Policy instance	24
Insurance contract or identification number 410222 Number of Individuals Covered 47 Insurance policy start date 2013-09-01 Insurance policy end date 2014-08-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $645,598 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	861323
Policy instance	25
Insurance contract or identification number 861323 Number of Individuals Covered 12428 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $87,553 Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $706,899 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $13,268 Insurance broker name WILLIS OF NEW JERSEY
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	657329
Policy instance	26
Insurance contract or identification number 657329 Number of Individuals Covered 3733 Insurance policy start date 2013-07-01 Insurance policy end date 2014-06-30 Total amount of commissions paid to insurance broker USD $32,507 Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $335,386 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,109 Insurance broker name HRH METRO NORTHEAST, LLC
AMERIHEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60061 )
Policy contract number	MULTI-CONTACTS
Policy instance	27
Insurance contract or identification number MULTI-CONTACTS Number of Individuals Covered 222 Insurance policy start date 2013-03-01 Insurance policy end date 2014-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,478,033 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	28
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 110 Insurance policy start date 2013-08-01 Insurance policy end date 2014-07-31 Total amount of commissions paid to insurance broker USD $2,109 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $47,823 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,899 Insurance broker name PROFESSIONAL PENSIONS INC
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-34570
Policy instance	29
Insurance contract or identification number 10-34570 Number of Individuals Covered 44 Insurance policy start date 2013-12-01 Insurance policy end date 2014-11-30 Total amount of commissions paid to insurance broker USD $270 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $33,157 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $270 Insurance broker name PROFESSIONAL PENSIONS INC
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	30
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 279 Insurance policy start date 2013-02-01 Insurance policy end date 2014-01-31 Total amount of commissions paid to insurance broker USD $2,366 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $32,892 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,636 Insurance broker name MARSH & MCLENNAN AGENCY LLC
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	31
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 348 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $22,078 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $250,677 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $10,556 Insurance broker name HUB INTL NORTHEAST
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	32
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 30 Insurance policy start date 2013-07-01 Insurance policy end date 2014-06-30 Total amount of commissions paid to insurance broker USD $469 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,745 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $275 Insurance broker name PROFESSIONAL PENSIONS INC
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-38073
Policy instance	33
Insurance contract or identification number 10-38073 Number of Individuals Covered 25 Insurance policy start date 2013-03-01 Insurance policy end date 2014-02-28 Total amount of commissions paid to insurance broker USD $2,953 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $27,532 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,686 Insurance broker name PROFESSIONAL PENSIONS INC
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-33810
Policy instance	34
Insurance contract or identification number 10-33810 Number of Individuals Covered 32 Insurance policy start date 2013-05-01 Insurance policy end date 2014-04-30 Total amount of commissions paid to insurance broker USD $2,629 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $34,220 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,784 Insurance broker name PROFESSIONAL PENSIONS INC
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	26201592
Policy instance	35
Insurance contract or identification number 26201592 Number of Individuals Covered 18 Insurance policy start date 2013-10-01 Insurance policy end date 2014-09-30 Total amount of commissions paid to insurance broker USD $46 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,743 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $46 Insurance broker name PROFESSIONAL PENSIONS INC
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	800861
Policy instance	36
Insurance contract or identification number 800861 Number of Individuals Covered 97 Insurance policy start date 2013-08-01 Insurance policy end date 2014-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,077,641 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	MULTI-CONTRACTS
Policy instance	37
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1394 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Health Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,295,371 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	800876000
Policy instance	38
Insurance contract or identification number 800876000 Number of Individuals Covered 63 Insurance policy start date 2013-09-01 Insurance policy end date 2014-08-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $929,185 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	39
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 47 Insurance policy start date 2013-04-01 Insurance policy end date 2014-03-31 Total amount of commissions paid to insurance broker USD $769 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,442 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $490 Insurance broker name PROFESSIONAL PENSIONS INC
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	40
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 25 Insurance policy start date 2013-12-01 Insurance policy end date 2014-11-30 Total amount of commissions paid to insurance broker USD $465 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,719 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $465 Insurance broker name BENEFITS CONSULTING GROUP
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	41
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 874 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $3,883 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $56,505 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $525 Insurance broker name PAYCHEX INSURANCE AGENCY, INC.
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-1363
Policy instance	42
Insurance contract or identification number 30790-1363 Number of Individuals Covered 112 Insurance policy start date 2013-07-01 Insurance policy end date 2014-06-30 Total amount of commissions paid to insurance broker USD $886 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $15,065 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $886 Insurance broker name BENEFITS CONSULTING GROUP
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	43
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 28 Insurance policy start date 2013-11-01 Insurance policy end date 2014-10-31 Total amount of commissions paid to insurance broker USD $214 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,390 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $214 Insurance broker name BENEFITS CONSULTING GROUP
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	45
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1991 Insurance policy start date 2013-08-01 Insurance policy end date 2014-07-31 Total amount of commissions paid to insurance broker USD $4,954 Total amount of fees paid to insurance company USD $3,088 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,246,608 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,542 Amount paid for insurance broker fees 3088 Insurance broker name PROFESSIONAL PENSIONS INC
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	46
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 526 Insurance policy start date 2013-12-01 Insurance policy end date 2014-11-30 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $47,349 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	47
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 572 Insurance policy start date 2013-02-01 Insurance policy end date 2014-01-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $29,109 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 number	MULTI-CONTRACTS
Policy instance	48
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 4241 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $101,803 Total amount of fees paid to insurance company USD $54,525 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,529,102 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $101,803 Amount paid for insurance broker fees 54525 Insurance broker name PROFESSIONAL PENSIONS INC
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	MULTI-CONTRACTS
Policy instance	49
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 5856 Insurance policy start date 2013-07-01 Insurance policy end date 2014-06-30 Total amount of commissions paid to insurance broker USD $46,594 Total amount of fees paid to insurance company USD $16,324 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,731,020 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $34,217 Amount paid for insurance broker fees 16324 Insurance broker name CORPORATE SYNERGIES GROUP, LLC
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	MULTI-CONTRACTS
Policy instance	50
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 747 Insurance policy start date 2013-06-01 Insurance policy end date 2014-05-31 Total amount of commissions paid to insurance broker USD $8,689 Total amount of fees paid to insurance company USD $16,324 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,800,778 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $8,689 Amount paid for insurance broker fees 16324 Insurance broker name PROFESSIONAL PENSIONS INC
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	51
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1616 Insurance policy start date 2013-03-01 Insurance policy end date 2013-02-28 Total amount of commissions paid to insurance broker USD $2,219 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,555,254 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,219 Insurance broker name PROFESSIONAL PENSIONS INC
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	52
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 680 Insurance policy start date 2013-05-01 Insurance policy end date 2014-04-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $872,035 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	54
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1029 Insurance policy start date 2013-10-01 Insurance policy end date 2014-09-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,320,478 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	53
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 603 Insurance policy start date 2013-11-01 Insurance policy end date 2014-10-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $707,540 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	55
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2266 Insurance policy start date 2013-09-01 Insurance policy end date 2014-08-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,892,703 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	007122
Policy instance	56
Insurance contract or identification number 007122 Number of Individuals Covered 134 Insurance policy start date 2013-08-01 Insurance policy end date 2014-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $885,060 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	57
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 470 Insurance policy start date 2013-07-01 Insurance policy end date 2014-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,026,781 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	007195
Policy instance	58
Insurance contract or identification number 007195 Number of Individuals Covered 127 Insurance policy start date 2013-05-01 Insurance policy end date 2014-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,477,536 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	006626
Policy instance	59
Insurance contract or identification number 006626 Number of Individuals Covered 161 Insurance policy start date 2013-11-01 Insurance policy end date 2014-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,348,239 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	MULTI-CONTRACTS
Policy instance	60
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 46 Insurance policy start date 2013-11-01 Insurance policy end date 2014-10-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $43,950 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	61
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 734 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $864 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $41,492 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $864 Insurance broker name PROFESSIONAL PENSIONS INC
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	62
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 224 Insurance policy start date 2013-07-01 Insurance policy end date 2014-06-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $19,447 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	63
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 49 Insurance policy start date 2013-05-01 Insurance policy end date 2014-04-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,579 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number	378942
Policy instance	64
Insurance contract or identification number 378942 Number of Individuals Covered 33 Insurance policy start date 2013-04-01 Insurance policy end date 2014-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $465,086 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number	MULTI-CONTRACTS
Policy instance	65
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 21 Insurance policy start date 2013-07-01 Insurance policy end date 2014-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $265,061 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F018574-0001
Policy instance	66
Insurance contract or identification number F018574-0001 Number of Individuals Covered 495 Insurance policy start date 2013-04-01 Insurance policy end date 2014-03-31 Total amount of commissions paid to insurance broker USD $3,396 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $27,657 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,214 Insurance broker name PROFESSIONAL PENSIONS INC
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F012622
Policy instance	67
Insurance contract or identification number F012622 Number of Individuals Covered 128 Insurance policy start date 2013-12-01 Insurance policy end date 2014-11-30 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,892 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F018562
Policy instance	68
Insurance contract or identification number F018562 Number of Individuals Covered 628 Insurance policy start date 2013-02-01 Insurance policy end date 2014-01-31 Total amount of commissions paid to insurance broker USD $1,162 Total amount of fees paid to insurance company USD $1,104 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,635 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,162 Amount paid for insurance broker fees 873 Insurance broker name PROFESSIONAL PENSIONS INC
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	MULTI-CONTRACTS
Policy instance	69
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 77 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $15,740 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	MULTI-CONTRACTS
Policy instance	70
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 168 Insurance policy start date 2013-07-01 Insurance policy end date 2014-06-30 Total amount of commissions paid to insurance broker USD $2,353 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,698 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,353 Insurance broker name EXUDE BENEFITS GROUP
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F018630
Policy instance	71
Insurance contract or identification number F018630 Number of Individuals Covered 161 Insurance policy start date 2013-11-01 Insurance policy end date 2014-10-31 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,842 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F018114
Policy instance	72
Insurance contract or identification number F018114 Number of Individuals Covered 159 Insurance policy start date 2013-09-01 Insurance policy end date 2014-08-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,509 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	73
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 47 Insurance policy start date 2013-04-01 Insurance policy end date 2014-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $636,554 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	74
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 53 Insurance policy start date 2013-12-01 Insurance policy end date 2014-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $387,036 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	75
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 242 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,610,845 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	76
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 188 Insurance policy start date 2013-07-01 Insurance policy end date 2014-06-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $847,079 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	77
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 65 Insurance policy start date 2013-06-01 Insurance policy end date 2014-05-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $722,916 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	468F1G551
Policy instance	78
Insurance contract or identification number 468F1G551 Number of Individuals Covered 110 Insurance policy start date 2013-03-01 Insurance policy end date 2014-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,233,515 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	79
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 156 Insurance policy start date 2013-11-01 Insurance policy end date 2014-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,329,692 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	80
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 772 Insurance policy start date 2013-04-01 Insurance policy end date 2014-03-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $173,248 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	81
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 494 Insurance policy start date 2013-08-01 Insurance policy end date 2014-07-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $301,936 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00454812
Policy instance	83
Insurance contract or identification number 00454812 Number of Individuals Covered 39 Insurance policy start date 2013-02-01 Insurance policy end date 2014-01-31 Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,624 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	82
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 354 Insurance policy start date 2013-12-01 Insurance policy end date 2014-11-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $196,330 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULT-CONTRACTS
Policy instance	84
Insurance contract or identification number MULT-CONTRACTS Number of Individuals Covered 2002 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $7,138 Total amount of fees paid to insurance company USD $2,679 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $695,506 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,735 Amount paid for insurance broker fees 2679 Insurance broker name INTERNAL PLANNING ALL LLC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	85
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 5452 Insurance policy start date 2013-07-01 Insurance policy end date 2014-06-30 Total amount of commissions paid to insurance broker USD $42 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,895,415 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $42 Insurance broker name PROFESSIONAL PENSIONS INC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	86
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 536 Insurance policy start date 2013-06-01 Insurance policy end date 2014-05-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $122,164 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	87
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1426 Insurance policy start date 2013-03-01 Insurance policy end date 2014-02-28 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $271,139 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	88
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 177 Insurance policy start date 2013-05-01 Insurance policy end date 2014-04-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $602,748 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	89
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 970 Insurance policy start date 2013-11-01 Insurance policy end date 2013-10-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $190,231 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	90
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1797 Insurance policy start date 3013-10-01 Insurance policy end date 2014-09-30 Total amount of commissions paid to insurance broker USD $9,217 Total amount of fees paid to insurance company USD $2,382 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $274,744 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,195 Amount paid for insurance broker fees 2382 Insurance broker name PROFESSIONAL PENSIONS INC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	91
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3408 Insurance policy start date 2013-09-01 Insurance policy end date 2014-08-31 Total amount of commissions paid to insurance broker USD $50 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $836,839 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $50 Insurance broker name PROFESSIONAL PENSIONS INC
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	1000607000
Policy instance	92
Insurance contract or identification number 1000607000 Number of Individuals Covered 41 Insurance policy start date 2013-04-01 Insurance policy end date 2014-03-31 Total amount of commissions paid to insurance broker USD $30,689 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $365,335 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $16,076 Insurance broker name CORPORATE SYNERGIES GROUP, LLC
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	1070433000
Policy instance	93
Insurance contract or identification number 1070433000 Number of Individuals Covered 61 Insurance policy start date 2013-12-01 Insurance policy end date 2014-11-30 Total amount of commissions paid to insurance broker USD $37,308 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $574,167 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $22,597 Insurance broker name PROFESSIONAL PENSIONS INC
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	94
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 507 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $260,199 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,793,756 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $106,048 Insurance broker name CORPORATE SYNERGIES GROUP, LLC
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	95
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 322 Insurance policy start date 2013-07-01 Insurance policy end date 2014-06-30 Total amount of commissions paid to insurance broker USD $266,331 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,348,174 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $133,356 Insurance broker name PROFESSIONAL PENSIONS INC
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	1072047-000
Policy instance	96
Insurance contract or identification number 1072047-000 Number of Individuals Covered 39 Insurance policy start date 2013-06-01 Insurance policy end date 2014-05-31 Total amount of commissions paid to insurance broker USD $24,393 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $272,665 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $10,759 Insurance broker name JCM CONSULTING GROUP INC
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	1072903000
Policy instance	97
Insurance contract or identification number 1072903000 Number of Individuals Covered 31 Insurance policy start date 2013-05-01 Insurance policy end date 2014-04-30 Total amount of commissions paid to insurance broker USD $17,957 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $225,325 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $9,013 Insurance broker name PROFESSIONAL PENSIONS INC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	870904
Policy instance	98
Insurance contract or identification number 870904 Number of Individuals Covered 421 Insurance policy start date 2013-03-01 Insurance policy end date 2014-02-28 Total amount of commissions paid to insurance broker USD $4,989 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $41,093 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,989 Insurance broker name CONNER STRONG COMPANIES INC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	871260
Policy instance	99
Insurance contract or identification number 871260 Number of Individuals Covered 1779 Insurance policy start date 2013-05-01 Insurance policy end date 2014-04-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $193,240 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number	MULTI-CONTRACTS
Policy instance	100
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 109 Insurance policy start date 2013-12-01 Insurance policy end date 2014-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,096,300 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number	MULTI-CONTRACTS
Policy instance	101
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 99 Insurance policy start date 2013-02-01 Insurance policy end date 2014-01-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $536,250 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	MULTI-CONTRACTS
Policy instance	102
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 948 Insurance policy start date 2013-04-01 Insurance policy end date 2014-03-31 Total amount of commissions paid to insurance broker USD $1,019 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $50,475 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,019 Insurance broker name EMERSON REID & COMPANY, INC. (LEADE
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	MULTI-CONTRACTS
Policy instance	103
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 651 Insurance policy start date 2013-08-01 Insurance policy end date 2014-07-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $11,216 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	MULTI-CONTRACTS
Policy instance	104
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 724 Insurance policy start date 2013-12-01 Insurance policy end date 2014-11-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $95,647 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	MULTI-CONTRACTS
Policy instance	105
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 472 Insurance policy start date 2013-02-01 Insurance policy end date 2014-01-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $48,544 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	MULTI-CONTRACTS
Policy instance	106
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 5778 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $8 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $869,804 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $8 Insurance broker name PROFESSIONAL PENSIONS INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	MUTLI-CONTRACTS
Policy instance	107
Insurance contract or identification number MUTLI-CONTRACTS Number of Individuals Covered 7665 Insurance policy start date 2013-07-01 Insurance policy end date 2014-06-30 Total amount of commissions paid to insurance broker USD $25 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $692,211 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $25 Insurance broker name PROFESSIONAL PENSIONS INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	MULTI-CONTRACTS
Policy instance	108
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 241 Insurance policy start date 2013-06-01 Insurance policy end date 2014-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $32,166 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	MULTI-CONTRACTS
Policy instance	109
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 9028 Insurance policy start date 2013-03-01 Insurance policy end date 2014-02-28 Total amount of commissions paid to insurance broker USD $8,958 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $829,461 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,658 Insurance broker name PROFESSIONAL PENSIONS INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	MULTI-CONTRACTS
Policy instance	110
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 11015 Insurance policy start date 2013-05-01 Insurance policy end date 2014-04-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,024,421 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	MULTI-CONTRACTS
Policy instance	111
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1124 Insurance policy start date 2013-11-01 Insurance policy end date 2014-10-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $78,409 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	MULTI-CONTRACTS
Policy instance	113
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 920 Insurance policy start date 2013-09-01 Insurance policy end date 2014-08-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $81,374 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	MULTI-CONTRACTS
Policy instance	112
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2339 Insurance policy start date 2013-10-01 Insurance policy end date 2014-09-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $120,811 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	MULTI-CONTRACTS
Policy instance	114
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 317 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $189,392 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5333775
Policy instance	115
Insurance contract or identification number 5333775 Number of Individuals Covered 4708 Insurance policy start date 2013-07-01 Insurance policy end date 2014-06-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,065,941 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5727048
Policy instance	116
Insurance contract or identification number 5727048 Number of Individuals Covered 35 Insurance policy start date 2013-06-01 Insurance policy end date 2014-05-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $22,976 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5757313
Policy instance	117
Insurance contract or identification number 5757313 Number of Individuals Covered 65 Insurance policy start date 2013-03-01 Insurance policy end date 2014-02-28 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $30,978 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	G000ALA9
Policy instance	118
Insurance contract or identification number G000ALA9 Number of Individuals Covered 680 Insurance policy start date 2013-04-01 Insurance policy end date 2013-03-31 Total amount of commissions paid to insurance broker USD $18,293 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $64,324 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $9,762 Insurance broker name PROFESSIONAL PENSIONS INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	119
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 611 Insurance policy start date 2013-08-01 Insurance policy end date 2014-07-31 Total amount of commissions paid to insurance broker USD $11,222 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $47,434 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,691 Insurance broker name WILLIS OF CT
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	120
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 423 Insurance policy start date 2013-12-01 Insurance policy end date 2014-11-30 Total amount of commissions paid to insurance broker USD $4,846 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $25,446 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,959 Insurance broker name ALLIANT INSURANCE SERVICES INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000AKU1
Policy instance	121
Insurance contract or identification number G000AKU1 Number of Individuals Covered 27 Insurance policy start date 2013-02-01 Insurance policy end date 2014-01-31 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $296 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	122
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2747 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $39,675 Total amount of fees paid to insurance company USD $1,774 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $268,151 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $15,479 Amount paid for insurance broker fees 1774 Insurance broker name GARY NELSON
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	123
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2504 Insurance policy start date 2013-07-01 Insurance policy end date 2014-06-30 Total amount of commissions paid to insurance broker USD $67,112 Total amount of fees paid to insurance company USD $8,751 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $357,659 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $33,726 Amount paid for insurance broker fees 8751 Insurance broker name STRATFORD FINANCIAL GROUP, INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	124
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 770 Insurance policy start date 2013-06-01 Insurance policy end date 2014-05-31 Total amount of commissions paid to insurance broker USD $25,591 Total amount of fees paid to insurance company USD $10,300 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $136,354 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $12,076 Amount paid for insurance broker fees 10300 Insurance broker name PREFERRED BENEFITS GROUP, INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	125
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 604 Insurance policy start date 2013-03-01 Insurance policy end date 2014-02-28 Total amount of commissions paid to insurance broker USD $9,611 Total amount of fees paid to insurance company USD $2,283 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $35,036 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,786 Amount paid for insurance broker fees 2283 Insurance broker name BENEFITS CONSULTING GROUP
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	126
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 372 Insurance policy start date 3013-05-01 Insurance policy end date 2014-04-30 Total amount of commissions paid to insurance broker USD $6,799 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $29,871 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,686 Insurance broker name CAPACITY BENEFITS & FINANCIAL SERVI
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	127
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 757 Insurance policy start date 2013-11-01 Insurance policy end date 2014-10-31 Total amount of commissions paid to insurance broker USD $10,642 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $37,797 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,751 Insurance broker name CARA LOVENSON
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	MULTI-CONTRACTS
Policy instance	128
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2271 Insurance policy start date 2013-10-01 Insurance policy end date 2014-09-30 Total amount of commissions paid to insurance broker USD $36,867 Total amount of fees paid to insurance company USD $7,190 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $193,524 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $16,478 Amount paid for insurance broker fees 7190 Insurance broker name OVATION BENEFITS GROUP, LLC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	129
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 6012 Insurance policy start date 2013-09-01 Insurance policy end date 2014-08-31 Total amount of commissions paid to insurance broker USD $119,615 Total amount of fees paid to insurance company USD $1,386 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $571,792 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $58,080 Amount paid for insurance broker fees 1386 Insurance broker name BOLLINGER, INC. ( SPALDING ASSOC. D
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	GC18814
Policy instance	130
Insurance contract or identification number GC18814 Number of Individuals Covered 26 Insurance policy start date 2013-04-01 Insurance policy end date 2014-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $223,730 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	BS28212
Policy instance	131
Insurance contract or identification number BS28212 Number of Individuals Covered 44 Insurance policy start date 2013-08-01 Insurance policy end date 2014-07-31 Total amount of commissions paid to insurance broker USD $2,657 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $392,522 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,657 Insurance broker name PROFESSIONAL PENSIONS INC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	LH5531
Policy instance	132
Insurance contract or identification number LH5531 Number of Individuals Covered 33 Insurance policy start date 2013-12-01 Insurance policy end date 2014-11-30 Total amount of commissions paid to insurance broker USD $9,738 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $272,350 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,540 Insurance broker name FRENKEL BENEFITS, LLC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	133
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 899 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $8 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,965,879 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $8 Insurance broker name PROFESSIONAL PENSIONS INC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	134
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 202 Insurance policy start date 2013-07-01 Insurance policy end date 2014-06-30 Total amount of commissions paid to insurance broker USD $23,863 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,848,742 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $23,736 Insurance broker name MDG ASSOCIATES OF CT, LLC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	135
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 112 Insurance policy start date 2013-06-01 Insurance policy end date 2014-05-31 Total amount of commissions paid to insurance broker USD $27,705 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,168,049 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $14,801 Insurance broker name MICHAEL PONTILLO
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	BC24250
Policy instance	136
Insurance contract or identification number BC24250 Number of Individuals Covered 8 Insurance policy start date 2013-03-01 Insurance policy end date 2014-02-28 Total amount of commissions paid to insurance broker USD $4,519 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $102,488 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,531 Insurance broker name EKA BROKERAGE SERVICES INC.
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	137
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 12 Insurance policy start date 2013-05-01 Insurance policy end date 2014-04-30 Total amount of commissions paid to insurance broker USD $226 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $61,767 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $226 Insurance broker name PROFESSIONAL PENSIONS INC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	138
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 298 Insurance policy start date 2013-10-01 Insurance policy end date 2014-09-30 Total amount of commissions paid to insurance broker USD $7,658 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,561,285 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,658 Insurance broker name PROFESSIONAL PENSIONS INC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	139
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1041 Insurance policy start date 2013-09-01 Insurance policy end date 2014-08-31 Total amount of commissions paid to insurance broker USD $10,052 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $64,339 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $10,052 Insurance broker name PROFESSIONAL PENSIONS INC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	1026250
Policy instance	140
Insurance contract or identification number 1026250 Number of Individuals Covered 417 Insurance policy start date 2013-04-01 Insurance policy end date 2014-03-31 Total amount of commissions paid to insurance broker USD $6,777 Total amount of fees paid to insurance company USD $1,945 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $64,339 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,777 Amount paid for insurance broker fees 1945 Insurance broker name PROFESSIONAL PENSIONS INC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	141
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 95 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $69,522 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	143
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 107 Insurance policy start date 2013-06-01 Insurance policy end date 2014-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $26,191 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	142
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 451 Insurance policy start date 2013-07-01 Insurance policy end date 2014-06-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $55,017 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	H56552-1
Policy instance	144
Insurance contract or identification number H56552-1 Number of Individuals Covered 8 Insurance policy start date 2013-05-01 Insurance policy end date 2014-04-30 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,579 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	10049116
Policy instance	145
Insurance contract or identification number 10049116 Number of Individuals Covered 7 Insurance policy start date 2013-10-01 Insurance policy end date 2014-09-30 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,041 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	146
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1444 Insurance policy start date 2013-09-01 Insurance policy end date 2014-08-31 Total amount of commissions paid to insurance broker USD $18,906 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $380,247 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $9,712 Insurance broker name PROFESSIONAL PENSIONS INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	147
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 173 Insurance policy start date 2013-04-01 Insurance policy end date 2014-03-31 Total amount of commissions paid to insurance broker USD $2,940 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $15,280 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,529 Insurance broker name AXA ASSISTANCE, USA
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	148
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 165 Insurance policy start date 2013-08-01 Insurance policy end date 2014-07-31 Total amount of commissions paid to insurance broker USD $3,510 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $14,513 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,450 Insurance broker name ROSE & KIERNAN INC.
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	149
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 331 Insurance policy start date 2013-12-01 Insurance policy end date 2014-11-30 Total amount of commissions paid to insurance broker USD $4,434 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $17,284 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,846 Insurance broker name EXUDE BENEFITS GROUP
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	150
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1121 Insurance policy start date 2013-02-01 Insurance policy end date 2014-01-31 Total amount of commissions paid to insurance broker USD $21,515 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $110,051 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $8,316 Insurance broker name TARPEY GROUP
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	151
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1382 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $14,754 Total amount of fees paid to insurance company USD $22 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $116,628 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,167 Amount paid for insurance broker fees 22 Insurance broker name AXA ASSISTANCE, USA
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	152
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2088 Insurance policy start date 2013-07-01 Insurance policy end date 2014-06-30 Total amount of commissions paid to insurance broker USD $21,944 Total amount of fees paid to insurance company USD $31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $126,445 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $9,455 Amount paid for insurance broker fees 31 Insurance broker name AXA ASSISTANCE, USA
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	153
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 308 Insurance policy start date 3013-06-01 Insurance policy end date 2014-05-31 Total amount of commissions paid to insurance broker USD $4,036 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $22,607 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,112 Insurance broker name AXA ASSISTANCE, USA
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	154
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 818 Insurance policy start date 2013-03-01 Insurance policy end date 2014-02-28 Total amount of commissions paid to insurance broker USD $12,661 Total amount of fees paid to insurance company USD $55 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $81,263 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,015 Amount paid for insurance broker fees 55 Insurance broker name AXA ASSISTANCE, USA
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	155
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 338 Insurance policy start date 2013-11-01 Insurance policy end date 2014-10-31 Total amount of commissions paid to insurance broker USD $8,325 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $54,706 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,049 Insurance broker name PLANNED BENEFITS INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	156
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2367 Insurance policy start date 2013-10-01 Insurance policy end date 2014-09-30 Total amount of commissions paid to insurance broker USD $33,789 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $687,070 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $30,577 Insurance broker name USI INSURANCE SERVICES LLC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	157
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 196 Insurance policy start date 2013-09-01 Insurance policy end date 2014-08-31 Total amount of commissions paid to insurance broker USD $662 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $32,117 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $420 Insurance broker name WELLS FARGO INS SVCS USA
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	158
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 232 Insurance policy start date 2013-04-01 Insurance policy end date 2013-03-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $66,872 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	159
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 941 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $138,356 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	154714
Policy instance	160
Insurance contract or identification number 154714 Number of Individuals Covered 261 Insurance policy start date 2013-06-01 Insurance policy end date 2014-05-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $29,594 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	161
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 608 Insurance policy start date 2013-03-01 Insurance policy end date 2014-02-28 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $64,570 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	153262
Policy instance	162
Insurance contract or identification number 153262 Number of Individuals Covered 168 Insurance policy start date 2013-05-01 Insurance policy end date 2014-04-30 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $16,465 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	163
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 296 Insurance policy start date 2013-11-01 Insurance policy end date 2014-10-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $25,225 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 number	MULTI-CONTRACTS
Policy instance	164
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2232 Insurance policy start date 2013-08-01 Insurance policy end date 2014-07-31 Total amount of commissions paid to insurance broker USD $100 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $345,988 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $68 Insurance broker name PROFESSIONAL PENSIONS INC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	227968
Policy instance	165
Insurance contract or identification number 227968 Number of Individuals Covered 270 Insurance policy start date 2013-02-01 Insurance policy end date 2014-01-31 Total amount of commissions paid to insurance broker USD $3,366 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $19,576 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,203 Insurance broker name PROFESSIONAL PENSIONS INC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	MULTI-CONTRACTS
Policy instance	166
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 890 Insurance policy start date 2013-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $5,033 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $171,787 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,427 Insurance broker name EBENEFITS GROUP NORTHEAST LLC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	MULTI-CONTRACTS
Policy instance	167
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 654 Insurance policy start date 2013-07-01 Insurance policy end date 2014-06-30 Total amount of commissions paid to insurance broker USD $3,785 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $25,206 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,170 Insurance broker name MDG ASSOCIATES OF CONNECTICUT LLC
SUN LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULTI-CONTRACTS
Policy instance	168
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 687 Insurance policy start date 2013-06-01 Insurance policy end date 2014-05-31 Total amount of commissions paid to insurance broker USD $4,953 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $29,269 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,512 Insurance broker name BROWN & BROWN OF CT INC
SUN LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	810885
Policy instance	169
Insurance contract or identification number 810885 Number of Individuals Covered 93 Insurance policy start date 2013-03-01 Insurance policy end date 2014-02-28 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,562 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 number	MULTI-CONTRACTS
Policy instance	170
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 154 Insurance policy start date 2013-11-01 Insurance policy end date 2014-10-31 Total amount of commissions paid to insurance broker USD $2,565 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $20,289 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,896 Insurance broker name DIGITAL INSURANCE, INC.
SUN LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULTI-CONTRACTS
Policy instance	171
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2580 Insurance policy start date 2013-09-01 Insurance policy end date 2014-08-30 Total amount of commissions paid to insurance broker USD $7,641 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $88,992 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,722 Insurance broker name PROFESSIONAL PENSIONS INC
SUN LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	810931-001
Policy instance	172
Insurance contract or identification number 810931-001 Number of Individuals Covered 60 Insurance policy start date 2013-04-01 Insurance policy end date 2014-03-31 Total amount of commissions paid to insurance broker USD $4,410 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $34,100 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,384 Insurance broker name PROFESSIONAL PENSIONS INC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	219817
Policy instance	174
Insurance contract or identification number 219817 Number of Individuals Covered 67 Insurance policy start date 2013-07-01 Insurance policy end date 2014-06-30 Total amount of commissions paid to insurance broker USD $308 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,296 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $210 Insurance broker name PROFESSIONAL PENSIONS INC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	219444-001
Policy instance	173
Insurance contract or identification number 219444-001 Number of Individuals Covered 37 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,200 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 number	810286
Policy instance	175
Insurance contract or identification number 810286 Number of Individuals Covered 48 Insurance policy start date 2013-03-01 Insurance policy end date 2014-02-28 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,409 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 number	729567
Policy instance	176
Insurance contract or identification number 729567 Number of Individuals Covered 101 Insurance policy start date 2013-04-01 Insurance policy end date 2014-03-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,285 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 number	303356
Policy instance	177
Insurance contract or identification number 303356 Number of Individuals Covered 358 Insurance policy start date 2013-08-01 Insurance policy end date 2014-07-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $30,685 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 number	MULTI-CONTRACTS
Policy instance	178
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 437 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $96,215 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,787,496 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $67,699 Insurance broker name PROFESSIONAL PENSIONS INC
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	03S2957
Policy instance	179
Insurance contract or identification number 03S2957 Number of Individuals Covered 102 Insurance policy start date 2013-07-01 Insurance policy end date 2014-06-30 Total amount of commissions paid to insurance broker USD $78 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $29,308 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $78 Insurance broker name PROFESSIONAL PENSIONS INC
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	MULTI-CONTRACTS
Policy instance	180
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 52 Insurance policy start date 2013-09-01 Insurance policy end date 2014-08-31 Total amount of commissions paid to insurance broker USD $11 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $16,295 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $11 Insurance broker name PROFESSIONAL PENSIONS INC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	181
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1976 Insurance policy start date 2013-04-01 Insurance policy end date 2014-03-31 Total amount of commissions paid to insurance broker USD $46,842 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $204,319 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $23,013 Insurance broker name CARPEZZI-LIEBERT GROUP, INC.
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	MULTI-CONTRACTS
Policy instance	182
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3443 Insurance policy start date 2013-08-01 Insurance policy end date 2014-07-31 Total amount of commissions paid to insurance broker USD $62,120 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $335,610 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $35,434 Insurance broker name USI NORTHEAST
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	183
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1432 Insurance policy start date 2013-12-01 Insurance policy end date 2014-11-30 Total amount of commissions paid to insurance broker USD $4,275 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $23,099 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,472 Insurance broker name EBENEFITS GROUP NORTHEAST, LLC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	184
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 974 Insurance policy start date 2013-02-01 Insurance policy end date 2014-01-31 Total amount of commissions paid to insurance broker USD $9,036 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $42,166 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,167 Insurance broker name PILOT BENEFITS GROUP, LLC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	185
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 7274 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $75,815 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $691,110 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $27,647 Insurance broker name JAMES F MAIELLA
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	186
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 4332 Insurance policy start date 2013-07-01 Insurance policy end date 2014-06-30 Total amount of commissions paid to insurance broker USD $67,861 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $234,007 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $36,926 Insurance broker name CARPEZZI-LIEBERT GROUP, INC.
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	187
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 826 Insurance policy start date 2013-06-01 Insurance policy end date 2014-05-31 Total amount of commissions paid to insurance broker USD $32,504 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $122,149 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $17,295 Insurance broker name MAY, BONEE & WALSH
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	188
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 776 Insurance policy start date 2013-03-01 Insurance policy end date 2014-02-28 Total amount of commissions paid to insurance broker USD $19,362 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $68,366 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $12,199 Insurance broker name AUSTIN & CO. INC.
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	189
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1202 Insurance policy start date 2013-05-01 Insurance policy end date 2014-04-30 Total amount of commissions paid to insurance broker USD $24,565 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $100,928 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $13,178 Insurance broker name PUTNEY PLANNING CORP
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	190
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1052 Insurance policy start date 2013-11-01 Insurance policy end date 2014-10-31 Total amount of commissions paid to insurance broker USD $14,185 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $72,185 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,525 Insurance broker name ROSE AND KIERNAN, INC
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	MULTI-CONTRACTS
Policy instance	191
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 322 Insurance policy start date 2013-10-01 Insurance policy end date 2014-09-30 Total amount of commissions paid to insurance broker USD $4,699 Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $16,213 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,267 Insurance broker name GRINSPEC OF NJ DBA CENTRIC BENEFITS
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	192
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2990 Insurance policy start date 2013-09-01 Insurance policy end date 2014-08-31 Total amount of commissions paid to insurance broker USD $41,849 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $183,806 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $25,312 Insurance broker name MICHELE MIRTO VALENZUELA
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number	MULTI-CONTRACTS
Policy instance	193
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 208 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $758 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $29,217 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $758 Insurance broker name FRENKEL BENEFITS, LLC
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	194
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 367 Insurance policy start date 2013-07-01 Insurance policy end date 2014-06-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $39,550 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	195
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 159 Insurance policy start date 2013-06-01 Insurance policy end date 2014-05-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $29,331 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	196
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 28 Insurance policy start date 2013-10-01 Insurance policy end date 2014-09-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,949 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	197
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 77 Insurance policy start date 2013-09-01 Insurance policy end date 2014-08-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,662 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK 4D DENTAL (National Association of Insurance Commissioners NAIC id number: 81477 )
Policy contract number	85640
Policy instance	1
Insurance contract or identification number 85640 Number of Individuals Covered 432 Insurance policy start date 2012-06-01 Insurance policy end date 2013-05-31 Total amount of commissions paid to insurance broker USD $10,276 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $125,534 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,255 Insurance broker name B.E.S.T. ADVISORY GROUP
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	2
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 31231 Insurance policy start date 2012-08-01 Insurance policy end date 2013-07-31 Total amount of commissions paid to insurance broker USD $1,835,219 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $14,680,373 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $888,867 Insurance broker name BREITSTONE & CO. LTD
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	861323
Policy instance	3
Insurance contract or identification number 861323 Number of Individuals Covered 11798 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $87,702 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided EAP Welfare Benefit Premiums Paid to Carrier USD $698,906 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $17,462 Insurance broker name G.R. MURRAY, A DIVISION OF OGORMAN
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	657329
Policy instance	4
Insurance contract or identification number 657329 Number of Individuals Covered 5058 Insurance policy start date 2012-07-01 Insurance policy end date 2013-06-30 Total amount of commissions paid to insurance broker USD $43,922 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $412,037 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,492 Insurance broker name ALLISON JENNINGS
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	5
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 266 Insurance policy start date 2012-04-01 Insurance policy end date 2013-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,164,773 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	6
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 595 Insurance policy start date 2012-08-01 Insurance policy end date 2013-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,989,569 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	7
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 823 Insurance policy start date 2012-12-01 Insurance policy end date 2013-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,764,987 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	8
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 252 Insurance policy start date 2012-02-01 Insurance policy end date 2013-01-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,645,990 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	9
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 723 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,268,045 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	10
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1518 Insurance policy start date 2012-07-01 Insurance policy end date 2013-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $14,312,977 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	11
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 496 Insurance policy start date 2012-06-01 Insurance policy end date 2013-05-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,610,881 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	12
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 274 Insurance policy start date 2012-03-01 Insurance policy end date 2013-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,886,484 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	13
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 362 Insurance policy start date 2012-05-01 Insurance policy end date 2013-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,634,774 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	14
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 134 Insurance policy start date 2012-11-01 Insurance policy end date 2013-10-31 Total amount of commissions paid to insurance broker USD $53,593 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,431,731 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $37,051 Insurance broker name PROFESSIONAL PENSIONS INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	15
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 521 Insurance policy start date 2012-10-01 Insurance policy end date 2013-09-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,420,668 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	16
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 353 Insurance policy start date 2012-09-01 Insurance policy end date 2013-08-31 Total amount of commissions paid to insurance broker USD $57,851 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,303,518 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $32,115 Insurance broker name PROFESSIONAL PENSIONS INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	360276
Policy instance	17
Insurance contract or identification number 360276 Number of Individuals Covered 73 Insurance policy start date 2012-04-01 Insurance policy end date 2013-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $361,069 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	454755
Policy instance	18
Insurance contract or identification number 454755 Number of Individuals Covered 58 Insurance policy start date 2012-08-01 Insurance policy end date 2013-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $342,309 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	19
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 197 Insurance policy start date 2012-12-01 Insurance policy end date 2013-11-30 Total amount of commissions paid to insurance broker USD $19,671 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,206,453 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $15,424 Insurance broker name KISTLER - TIFFANY BENEFITS
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	20
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 148 Insurance policy start date 2012-02-01 Insurance policy end date 2013-01-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,024,085 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract number	MULTI-CONTRACTS
Policy instance	21
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 670 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,170,570 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	22
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1121 Insurance policy start date 2012-07-01 Insurance policy end date 2013-06-30 Total amount of commissions paid to insurance broker USD $158,150 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $9,373,963 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $117,148 Insurance broker name PROFESSIONAL PENSIONS INC
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract number	MULTI-CONTRACTS
Policy instance	24
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 648 Insurance policy start date 2012-03-01 Insurance policy end date 2013-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,584,239 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	23
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 368 Insurance policy start date 2012-06-01 Insurance policy end date 2013-05-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,319,286 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	25
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 190 Insurance policy start date 2012-05-01 Insurance policy end date 2013-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,876,223 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	26
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 128 Insurance policy start date 2012-11-01 Insurance policy end date 2013-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $515,103 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	27
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 109 Insurance policy start date 2012-09-01 Insurance policy end date 2013-08-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $654,180 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	28
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 224 Insurance policy start date 2012-03-01 Insurance policy end date 2013-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,776,937 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	26-201509
Policy instance	29
Insurance contract or identification number 26-201509 Number of Individuals Covered 31 Insurance policy start date 2012-08-01 Insurance policy end date 2013-07-31 Total amount of commissions paid to insurance broker USD $548 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,107 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $311 Insurance broker name PROFESSIONAL PENSIONS INC
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-34570
Policy instance	30
Insurance contract or identification number 10-34570 Number of Individuals Covered 41 Insurance policy start date 2012-12-01 Insurance policy end date 2013-11-30 Total amount of commissions paid to insurance broker USD $3,277 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $29,002 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,809 Insurance broker name PROFESSIONAL PENSIONS INC
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-348886
Policy instance	31
Insurance contract or identification number 10-348886 Number of Individuals Covered 194 Insurance policy start date 2012-02-01 Insurance policy end date 2013-01-31 Total amount of commissions paid to insurance broker USD $3,121 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $22,554 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,609 Insurance broker name PROFESSIONAL PENSIONS INC
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	32
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 405 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $41,026 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $279,587 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $16,660 Insurance broker name PROFESSIONAL BENEFITS SERVICE
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	33
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 112 Insurance policy start date 2012-07-01 Insurance policy end date 2013-06-30 Total amount of commissions paid to insurance broker USD $5,241 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $41,652 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,633 Insurance broker name BENEFITS CONSULTING GROUP
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	34
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 61 Insurance policy start date 2012-03-01 Insurance policy end date 2013-02-28 Total amount of commissions paid to insurance broker USD $8,914 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $28,041 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,563 Insurance broker name MICHAEL STROUCH
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-33810
Policy instance	35
Insurance contract or identification number 10-33810 Number of Individuals Covered 30 Insurance policy start date 2012-05-01 Insurance policy end date 2013-04-30 Total amount of commissions paid to insurance broker USD $1,669 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $24,222 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,669 Insurance broker name PROFESSIONAL PENSIONS INC
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	26-201592
Policy instance	36
Insurance contract or identification number 26-201592 Number of Individuals Covered 20 Insurance policy start date 2012-10-01 Insurance policy end date 2013-09-30 Total amount of commissions paid to insurance broker USD $127 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,768 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $127 Insurance broker name PROFESSIONAL PENSIONS INC
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-38904
Policy instance	37
Insurance contract or identification number 10-38904 Number of Individuals Covered 144 Insurance policy start date 2012-09-01 Insurance policy end date 2013-08-31 Total amount of commissions paid to insurance broker USD $3,080 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $21,550 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,687 Insurance broker name PROFESSIONAL PENSIONS INC
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	800776000
Policy instance	38
Insurance contract or identification number 800776000 Number of Individuals Covered 269 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,023,916 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	800735000
Policy instance	39
Insurance contract or identification number 800735000 Number of Individuals Covered 86 Insurance policy start date 2012-07-01 Insurance policy end date 2013-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $752,336 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	40
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 45 Insurance policy start date 2012-04-01 Insurance policy end date 2013-03-31 Total amount of commissions paid to insurance broker USD $908 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,586 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $624 Insurance broker name PROFESSIONAL PENSIONS INC
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	41
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 25 Insurance policy start date 2012-12-01 Insurance policy end date 2013-11-30 Total amount of commissions paid to insurance broker USD $472 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,014 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $472 Insurance broker name BENEFITS CONSULTING GROUP
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-337
Policy instance	42
Insurance contract or identification number 30790-337 Number of Individuals Covered 28 Insurance policy start date 2012-02-01 Insurance policy end date 2013-01-31 Total amount of commissions paid to insurance broker USD $394 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,062 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $106 Insurance broker name PROFESSIONAL PENSIONS INC
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	43
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 835 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $4,152 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $58,243 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $741 Insurance broker name ROSE AND KIERNAN, INC
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-1363
Policy instance	44
Insurance contract or identification number 30790-1363 Number of Individuals Covered 116 Insurance policy start date 2012-07-01 Insurance policy end date 2013-06-30 Total amount of commissions paid to insurance broker USD $921 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $23,224 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $921 Insurance broker name BENEFITS CONSULTING GROUP
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-304
Policy instance	45
Insurance contract or identification number 30790-304 Number of Individuals Covered 25 Insurance policy start date 2012-06-01 Insurance policy end date 2013-05-31 Total amount of commissions paid to insurance broker USD $329 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,800 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $329 Insurance broker name BENEFITS CONSULTING GROUP
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	46
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 37 Insurance policy start date 2012-11-01 Insurance policy end date 2013-10-31 Total amount of commissions paid to insurance broker USD $358 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,538 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $358 Insurance broker name BENEFITS CONSULTING GROUP
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	47
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2999 Insurance policy start date 2012-08-01 Insurance policy end date 2013-07-01 Total amount of commissions paid to insurance broker USD $12,665 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,380,298 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $12,197 Insurance broker name WILLIS OF CT
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	49
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 531 Insurance policy start date 2012-02-01 Insurance policy end date 2013-01-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $28,754 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	48
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 481 Insurance policy start date 2012-12-01 Insurance policy end date 2013-11-30 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $48,783 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	50
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2723 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $27,285 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,472,832 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $15,843 Insurance broker name MERCER HEALTH & BENEFITS LLC
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	MULTI-CONTRACTS
Policy instance	51
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 399 Insurance policy start date 2012-06-01 Insurance policy end date 2013-05-31 Total amount of commissions paid to insurance broker USD $3,080 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $22,072 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,080 Insurance broker name SCHUSTER-DRISCOLL & CO
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	52
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2830 Insurance policy start date 2012-07-01 Insurance policy end date 2013-06-30 Total amount of commissions paid to insurance broker USD $45,576 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,337,009 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $45,576 Insurance broker name PROFESSIONAL PENSIONS INC
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	3335801
Policy instance	53
Insurance contract or identification number 3335801 Number of Individuals Covered 42 Insurance policy start date 2012-03-01 Insurance policy end date 2013-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $593,659 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	54
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 232 Insurance policy start date 2012-12-01 Insurance policy end date 2013-11-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $126,899 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	55
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 649 Insurance policy start date 2012-05-01 Insurance policy end date 2013-04-30 Health Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,426,857 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	3336490
Policy instance	56
Insurance contract or identification number 3336490 Number of Individuals Covered 231 Insurance policy start date 2012-11-01 Insurance policy end date 2013-10-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $554,479 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	57
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 304 Insurance policy start date 2012-10-01 Insurance policy end date 2013-09-30 Health Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $463,885 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	58
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1251 Insurance policy start date 2012-09-01 Insurance policy end date 2013-08-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,253,034 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	0077122
Policy instance	59
Insurance contract or identification number 0077122 Number of Individuals Covered 130 Insurance policy start date 2012-08-01 Insurance policy end date 2013-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $756,175 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	60
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 76 Insurance policy start date 2012-07-01 Insurance policy end date 2013-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $584,001 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	006626
Policy instance	61
Insurance contract or identification number 006626 Number of Individuals Covered 154 Insurance policy start date 2012-11-01 Insurance policy end date 2013-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,228,174 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	1649
Policy instance	62
Insurance contract or identification number 1649 Number of Individuals Covered 5 Insurance policy start date 2012-06-01 Insurance policy end date 2013-05-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,620 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	3359
Policy instance	63
Insurance contract or identification number 3359 Number of Individuals Covered 43 Insurance policy start date 2012-11-01 Insurance policy end date 2013-10-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $43,101 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	64
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 628 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $1,394 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $52,552 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,394 Insurance broker name PROFESSIONAL PENSIONS INC
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	65
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 204 Insurance policy start date 2012-07-01 Insurance policy end date 2013-06-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $19,231 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number	378942
Policy instance	66
Insurance contract or identification number 378942 Number of Individuals Covered 31 Insurance policy start date 2012-04-01 Insurance policy end date 2013-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $384,767 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number	MULTI-CONTRACTS
Policy instance	67
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 22 Insurance policy start date 2012-07-01 Insurance policy end date 2013-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $282,833 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F018574-001
Policy instance	68
Insurance contract or identification number F018574-001 Number of Individuals Covered 291 Insurance policy start date 2012-04-01 Insurance policy end date 2013-03-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $16,137 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F018562
Policy instance	69
Insurance contract or identification number F018562 Number of Individuals Covered 630 Insurance policy start date 2012-02-01 Insurance policy end date 2013-01-31 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,529 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	MULTI-CONTRACTS
Policy instance	70
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 469 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $27,196 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	MULTI-CONTRACTS
Policy instance	71
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 747 Insurance policy start date 2012-07-01 Insurance policy end date 2013-06-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $76,777 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F0161132-1
Policy instance	72
Insurance contract or identification number F0161132-1 Number of Individuals Covered 122 Insurance policy start date 2012-03-01 Insurance policy end date 2013-02-28 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,405 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	F018630
Policy instance	73
Insurance contract or identification number F018630 Number of Individuals Covered 148 Insurance policy start date 2012-11-01 Insurance policy end date 2013-10-31 Total amount of commissions paid to insurance broker USD $524 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,356 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $524 Insurance broker name EXUDE BENEFITS GROUP INC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	810931
Policy instance	74
Insurance contract or identification number 810931 Number of Individuals Covered 30 Insurance policy start date 2012-04-01 Insurance policy end date 2013-03-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $37,778 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 number	219444
Policy instance	75
Insurance contract or identification number 219444 Number of Individuals Covered 72 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $22,897 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 number	219817
Policy instance	76
Insurance contract or identification number 219817 Number of Individuals Covered 124 Insurance policy start date 2012-07-01 Insurance policy end date 2013-06-30 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,304 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 number	810284
Policy instance	77
Insurance contract or identification number 810284 Number of Individuals Covered 54 Insurance policy start date 2012-03-01 Insurance policy end date 2013-02-28 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,564 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	79
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 136 Insurance policy start date 2012-12-01 Insurance policy end date 2013-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $465,612 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	324E1G388
Policy instance	78
Insurance contract or identification number 324E1G388 Number of Individuals Covered 48 Insurance policy start date 2012-04-01 Insurance policy end date 2013-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $545,903 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	546G1TILZ
Policy instance	80
Insurance contract or identification number 546G1TILZ Number of Individuals Covered 33 Insurance policy start date 2012-02-01 Insurance policy end date 2013-01-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $27,247 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	81
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 285 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,280,922 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	82
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 72 Insurance policy start date 2012-07-01 Insurance policy end date 2013-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $721,771 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	83
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 112 Insurance policy start date 2012-06-01 Insurance policy end date 2013-05-31 Total amount of commissions paid to insurance broker USD $21,991 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,118,614 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $12,709 Insurance broker name CORPORATE SYNERGIES GROUP LLC
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	468F1G551
Policy instance	84
Insurance contract or identification number 468F1G551 Number of Individuals Covered 130 Insurance policy start date 2012-03-01 Insurance policy end date 2013-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,750,253 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	881C1G660
Policy instance	85
Insurance contract or identification number 881C1G660 Number of Individuals Covered 96 Insurance policy start date 2012-05-01 Insurance policy end date 2013-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $129,331 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	86
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 161 Insurance policy start date 2012-11-01 Insurance policy end date 2013-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,628,183 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	79-4801
Policy instance	87
Insurance contract or identification number 79-4801 Number of Individuals Covered 25 Insurance policy start date 2012-09-01 Insurance policy end date 2013-08-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $965 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	88
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 553 Insurance policy start date 2012-04-01 Insurance policy end date 2013-03-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $70,372 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	89
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 501 Insurance policy start date 2012-08-01 Insurance policy end date 2013-07-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $274,729 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00454812
Policy instance	90
Insurance contract or identification number 00454812 Number of Individuals Covered 54 Insurance policy start date 2012-02-01 Insurance policy end date 2013-01-31 Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,953 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	91
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1964 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $267 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $652,177 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $267 Insurance broker name PROFESSIONAL PENSIONS INC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	92
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 6463 Insurance policy start date 2012-07-01 Insurance policy end date 2013-06-30 Total amount of commissions paid to insurance broker USD $702 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,969,346 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $702 Insurance broker name PROFESSIONAL PENSIONS INC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	93
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 616 Insurance policy start date 2012-06-01 Insurance policy end date 2013-05-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $153,309 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	94
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 47 Insurance policy start date 2012-05-01 Insurance policy end date 2013-04-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,572 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	95
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1339 Insurance policy start date 2012-10-01 Insurance policy end date 2013-09-30 Total amount of commissions paid to insurance broker USD $9,593 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $328,487 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,952 Insurance broker name PROFESSIONAL PENSIONS INC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	96
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1856 Insurance policy start date 2012-09-01 Insurance policy end date 2013-08-31 Total amount of commissions paid to insurance broker USD $645 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $541,195 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $645 Insurance broker name PROFESSIONAL PENSIONS INC
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	98
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 63 Insurance policy start date 2012-12-01 Insurance policy end date 2013-11-30 Total amount of commissions paid to insurance broker USD $49,567 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $595,411 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $25,908 Insurance broker name PREFERRED BENEFITS GROUP, INC
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	1000607000
Policy instance	97
Insurance contract or identification number 1000607000 Number of Individuals Covered 39 Insurance policy start date 2012-04-01 Insurance policy end date 2013-03-31 Total amount of commissions paid to insurance broker USD $27,854 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $344,123 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $14,089 Insurance broker name CORPORATE SYNERGIES GROUP, LLC
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	99
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 543 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $328,532 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,975,592 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $164,742 Insurance broker name CORPORATE SYNERGIES GROUP, LLC
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	100
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 323 Insurance policy start date 2012-07-01 Insurance policy end date 2013-06-30 Total amount of commissions paid to insurance broker USD $283,378 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,509,104 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $143,619 Insurance broker name WILLIS OF NEW YORK, INC(NEW YORK,NY
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	1072047-000
Policy instance	101
Insurance contract or identification number 1072047-000 Number of Individuals Covered 36 Insurance policy start date 2012-06-01 Insurance policy end date 2013-05-31 Total amount of commissions paid to insurance broker USD $22,923 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $670,934 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $10,533 Insurance broker name JCM CONSULTING GROUP INC
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	1072903900
Policy instance	102
Insurance contract or identification number 1072903900 Number of Individuals Covered 29 Insurance policy start date 2012-05-01 Insurance policy end date 2013-04-30 Total amount of commissions paid to insurance broker USD $15,271 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $191,865 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,639 Insurance broker name THE TARPEY GROUP, LLC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	870904
Policy instance	103
Insurance contract or identification number 870904 Number of Individuals Covered 370 Insurance policy start date 2012-03-01 Insurance policy end date 2013-02-28 Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided EAP Welfare Benefit Premiums Paid to Carrier USD $40,768 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	871260
Policy instance	104
Insurance contract or identification number 871260 Number of Individuals Covered 1829 Insurance policy start date 2012-05-01 Insurance policy end date 2013-04-01 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $199,888 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	BL1075305
Policy instance	105
Insurance contract or identification number BL1075305 Number of Individuals Covered 84 Insurance policy start date 2012-08-01 Insurance policy end date 2013-07-31 Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,811 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	MULTI-CONTRACTS
Policy instance	106
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1203 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $140,830 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	01-0139595
Policy instance	107
Insurance contract or identification number 01-0139595 Number of Individuals Covered 180 Insurance policy start date 2012-03-01 Insurance policy end date 2013-02-28 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,800 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	01-0145202
Policy instance	109
Insurance contract or identification number 01-0145202 Number of Individuals Covered 584 Insurance policy start date 2012-08-01 Insurance policy end date 2013-07-31 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,563 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	01-0157428
Policy instance	108
Insurance contract or identification number 01-0157428 Number of Individuals Covered 250 Insurance policy start date 2012-04-01 Insurance policy end date 2013-03-31 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,353 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	MULTI-CONTRACTS
Policy instance	110
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 709 Insurance policy start date 2012-12-01 Insurance policy end date 2013-11-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $83,203 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	MULTI-CONTRACTS
Policy instance	111
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 6848 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $727,065 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	MULTI-CONTRACTS
Policy instance	112
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 6805 Insurance policy start date 2012-07-01 Insurance policy end date 2013-06-30 Total amount of commissions paid to insurance broker USD $38 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $676,756 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $38 Insurance broker name PROFESSIONAL PENSIONS INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	01-0157006
Policy instance	113
Insurance contract or identification number 01-0157006 Number of Individuals Covered 37 Insurance policy start date 2012-03-01 Insurance policy end date 2013-02-28 Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,693 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	MULTI-CONTRACTS
Policy instance	114
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 672 Insurance policy start date 2012-05-01 Insurance policy end date 2013-04-30 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $59,768 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	MULTI-CONTRACTS
Policy instance	115
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 563 Insurance policy start date 2012-11-01 Insurance policy end date 2013-10-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $39,903 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	MULTI-CONTRACTS
Policy instance	116
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1954 Insurance policy start date 2012-10-01 Insurance policy end date 2013-09-30 Total amount of commissions paid to insurance broker USD $470 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $105,411 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $470 Insurance broker name PROFESSIONAL PENSIONS INC
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number	MULTI-CONTRACTS
Policy instance	117
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 932 Insurance policy start date 2012-09-01 Insurance policy end date 2013-08-31 Total amount of commissions paid to insurance broker USD $4,854 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $75,016 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,854 Insurance broker name MDG BENEFIT SOLUTIONS LLC
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	MULTI-CONTRACTS
Policy instance	119
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 4774 Insurance policy start date 2012-07-01 Insurance policy end date 2013-06-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,082,675 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	MULTI-CONTRACTS
Policy instance	118
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 282 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $161,901 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5727048
Policy instance	120
Insurance contract or identification number 5727048 Number of Individuals Covered 28 Insurance policy start date 2012-06-01 Insurance policy end date 2013-05-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $16,679 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	05190110
Policy instance	121
Insurance contract or identification number 05190110 Number of Individuals Covered 24 Insurance policy start date 2012-10-01 Insurance policy end date 2013-09-30 Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $935 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	G000ALA9
Policy instance	122
Insurance contract or identification number G000ALA9 Number of Individuals Covered 573 Insurance policy start date 2012-04-01 Insurance policy end date 2013-03-31 Total amount of commissions paid to insurance broker USD $13,821 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $55,199 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,814 Insurance broker name CORPORATE SYNERGIES GROUP, LLC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	123
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 561 Insurance policy start date 2012-08-01 Insurance policy end date 2013-07-31 Total amount of commissions paid to insurance broker USD $10,091 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $39,581 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,392 Insurance broker name WILLIS OF CT
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	124
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 403 Insurance policy start date 2012-12-01 Insurance policy end date 2013-11-30 Total amount of commissions paid to insurance broker USD $5,658 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $24,638 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,781 Insurance broker name COMMERCIAL COVERAGE INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	125
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 107 Insurance policy start date 2012-02-01 Insurance policy end date 2013-01-31 Total amount of commissions paid to insurance broker USD $940 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,375 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $940 Insurance broker name PROFESSIONAL PENSIONS INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	126
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3034 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $51,578 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $263,973 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $27,940 Insurance broker name EXUDE BENEFITS GROUP INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	127
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2155 Insurance policy start date 2012-07-01 Insurance policy end date 2013-06-30 Total amount of commissions paid to insurance broker USD $45,249 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $239,036 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $24,007 Insurance broker name CORPORATE SYNERGIES GROUP, LLC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	128
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 672 Insurance policy start date 2012-06-01 Insurance policy end date 2013-05-31 Total amount of commissions paid to insurance broker USD $21,367 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $110,704 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $10,374 Insurance broker name PREFERRED BENEFITS GROUP, INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	129
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 736 Insurance policy start date 2012-03-01 Insurance policy end date 2013-02-28 Total amount of commissions paid to insurance broker USD $10,821 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $40,205 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,916 Insurance broker name HUB INTL NORTHEAST
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	130
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 326 Insurance policy start date 2012-05-01 Insurance policy end date 2013-04-30 Total amount of commissions paid to insurance broker USD $4,244 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $22,407 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,056 Insurance broker name CORPORATE CONSULTING SERVICES LIMIT
MUTUAL OF OMAHA 130 G000AHC3 (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	MULTI-CONTRACTS
Policy instance	131
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 610 Insurance policy start date 2012-11-01 Insurance policy end date 2013-10-31 Total amount of commissions paid to insurance broker USD $17,484 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $66,220 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $9,404 Insurance broker name PROFESSIONAL GROUP PLANS, INC
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	MULTI-CONTRACTS
Policy instance	132
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2095 Insurance policy start date 2012-10-01 Insurance policy end date 2013-09-30 Total amount of commissions paid to insurance broker USD $32,615 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $154,238 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $15,458 Insurance broker name OVATION BENEFITS GROUP, LLC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	133
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 5396 Insurance policy start date 2012-09-01 Insurance policy end date 2013-08-31 Total amount of commissions paid to insurance broker USD $110,711 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $512,066 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $54,908 Insurance broker name NYBEST SERVICES, LLC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	GC18814
Policy instance	134
Insurance contract or identification number GC18814 Number of Individuals Covered 27 Insurance policy start date 2012-04-01 Insurance policy end date 2013-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $205,400 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	135
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 149 Insurance policy start date 2012-08-01 Insurance policy end date 2013-07-31 Total amount of commissions paid to insurance broker USD $5,203 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,482,888 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,203 Insurance broker name PROFESSIONAL PENSIONS INC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	LH5531
Policy instance	136
Insurance contract or identification number LH5531 Number of Individuals Covered 34 Insurance policy start date 2012-12-01 Insurance policy end date 2013-11-30 Total amount of commissions paid to insurance broker USD $17,684 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $278,937 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $12,803 Insurance broker name FRENKEL BENEFITS, LLC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	138
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1609 Insurance policy start date 2012-07-01 Insurance policy end date 2013-06-30 Total amount of commissions paid to insurance broker USD $361,284 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $11,053,018 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $224,494 Insurance broker name MDG ASSOCIATES OF CT, LLC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	137
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1218 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $33,052 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,291,035 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $33,052 Insurance broker name PROFESSIONAL PENSIONS INC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	139
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 125 Insurance policy start date 2012-06-01 Insurance policy end date 2013-05-31 Total amount of commissions paid to insurance broker USD $34,087 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $980,632 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $20,864 Insurance broker name JONATHAN CONAGHAN
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	140
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 14 Insurance policy start date 2012-03-01 Insurance policy end date 2013-02-28 Total amount of commissions paid to insurance broker USD $4,532 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $96,869 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,822 Insurance broker name EKA BROKERAGE SERVICES INC.
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	141
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 18 Insurance policy start date 2012-05-01 Insurance policy end date 2013-04-30 Total amount of commissions paid to insurance broker USD $1,032 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $74,369 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,032 Insurance broker name PROFESSIONAL PENSIONS INC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	143
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1025 Insurance policy start date 2012-09-01 Insurance policy end date 2013-08-30 Total amount of commissions paid to insurance broker USD $225,793 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,405,344 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $153,105 Insurance broker name PROFESSIONAL PENSIONS INC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	142
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 361 Insurance policy start date 2012-10-01 Insurance policy end date 2013-09-30 Total amount of commissions paid to insurance broker USD $28,687 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,608,420 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $28,687 Insurance broker name PROFESSIONAL PENSIONS INC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	1026250
Policy instance	144
Insurance contract or identification number 1026250 Number of Individuals Covered 582 Insurance policy start date 2012-04-01 Insurance policy end date 2013-03-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $63,428 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	H58435-1
Policy instance	145
Insurance contract or identification number H58435-1 Number of Individuals Covered 209 Insurance policy start date 2012-08-01 Insurance policy end date 2013-07-31 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $924 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	146
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 105 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $82,501 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	147
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 388 Insurance policy start date 2012-07-01 Insurance policy end date 2013-06-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $50,580 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	148
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 114 Insurance policy start date 2012-06-01 Insurance policy end date 2013-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $24,112 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	H56552-1
Policy instance	149
Insurance contract or identification number H56552-1 Number of Individuals Covered 7 Insurance policy start date 2012-05-01 Insurance policy end date 2013-04-30 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,780 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	1004916
Policy instance	150
Insurance contract or identification number 1004916 Number of Individuals Covered 8 Insurance policy start date 2012-10-01 Insurance policy end date 2013-09-30 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,431 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	151
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1457 Insurance policy start date 2012-09-01 Insurance policy end date 2013-08-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $487,323 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	152
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 11451 Insurance policy start date 2012-08-01 Insurance policy end date 2013-07-31 Total amount of commissions paid to insurance broker USD $69,116 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided EAP Welfare Benefit Premiums Paid to Carrier USD $1,032,637 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $25,521 Insurance broker name MARSH & MCLENNAN AGENCY
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	153
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 517 Insurance policy start date 2012-12-01 Insurance policy end date 2013-11-30 Total amount of commissions paid to insurance broker USD $965 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $19,575 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $965 Insurance broker name PROFESSIONAL PENSIONS INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	154
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1128 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $729 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $60,375 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $729 Insurance broker name PROFESSIONAL PENSIONS INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	155
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2543 Insurance policy start date 2012-07-01 Insurance policy end date 2013-06-30 Total amount of commissions paid to insurance broker USD $882 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $29,848 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $882 Insurance broker name PROFESSIONAL PENSIONS INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	156
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 580 Insurance policy start date 2012-06-01 Insurance policy end date 2013-05-31 Total amount of commissions paid to insurance broker USD $177 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,601 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $177 Insurance broker name PROFESSIONAL PENSIONS INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	157
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 419 Insurance policy start date 2012-11-01 Insurance policy end date 2013-10-31 Total amount of commissions paid to insurance broker USD $2,510 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $29,220 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,510 Insurance broker name PROFESSIONAL PENSIONS INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	158
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3720 Insurance policy start date 2012-10-01 Insurance policy end date 2013-09-30 Total amount of commissions paid to insurance broker USD $21,851 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided EAP Welfare Benefit Premiums Paid to Carrier USD $499,374 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $21,851 Insurance broker name PROFESSIONAL PENSIONS INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	159
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 50 Insurance policy start date 2012-09-01 Insurance policy end date 2013-08-31 Total amount of commissions paid to insurance broker USD $97 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,556 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $97 Insurance broker name PROFESSIONAL PENSIONS INC
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI=CONTRACTS
Policy instance	160
Insurance contract or identification number MULTI=CONTRACTS Number of Individuals Covered 740 Insurance policy start date 2012-03-01 Insurance policy end date 2013-02-28 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $66,867 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	161
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 246 Insurance policy start date 2012-04-01 Insurance policy end date 2013-03-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $56,654 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	162
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 959 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $66,695 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	648022
Policy instance	163
Insurance contract or identification number 648022 Number of Individuals Covered 244 Insurance policy start date 2012-07-01 Insurance policy end date 2013-06-30 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $16,389 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	154714
Policy instance	164
Insurance contract or identification number 154714 Number of Individuals Covered 185 Insurance policy start date 2012-06-01 Insurance policy end date 2013-05-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $20,753 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 89009 )
Policy contract number	153262
Policy instance	165
Insurance contract or identification number 153262 Number of Individuals Covered 135 Insurance policy start date 2012-05-01 Insurance policy end date 2013-04-30 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $14,313 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 number	224375
Policy instance	167
Insurance contract or identification number 224375 Number of Individuals Covered 168 Insurance policy start date 2012-08-01 Insurance policy end date 2013-07-31 Total amount of commissions paid to insurance broker USD $111 Life Insurance Welfare Benefit Yes Other welfare benefits provided EAP Welfare Benefit Premiums Paid to Carrier USD $793 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $34 Insurance broker name THE BENEFITS CONSULTING GROUP
THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 89009 )
Policy contract number	MULTI-CONTRACTS
Policy instance	166
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 286 Insurance policy start date 2012-11-01 Insurance policy end date 2013-10-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $27,189 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 number	MULTI-CONTRACTS
Policy instance	168
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 244 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $4,686 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $45,824 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,180 Insurance broker name J A ARCHAMBULT & SON INC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	MULTI-CONTRACTS
Policy instance	169
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 613 Insurance policy start date 2012-07-01 Insurance policy end date 2013-06-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $49,564 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
SUN LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULTI-CONTRACTS
Policy instance	170
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 483 Insurance policy start date 2012-06-01 Insurance policy end date 2013-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $42,350 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
SUN LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	810885
Policy instance	171
Insurance contract or identification number 810885 Number of Individuals Covered 93 Insurance policy start date 2012-03-01 Insurance policy end date 2013-02-28 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,538 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
SUN LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULTI-CONTRACTS
Policy instance	172
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 353 Insurance policy start date 2012-05-01 Insurance policy end date 2013-04-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $37,794 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 number	220403
Policy instance	173
Insurance contract or identification number 220403 Number of Individuals Covered 120 Insurance policy start date 2012-11-01 Insurance policy end date 2013-10-31 Total amount of commissions paid to insurance broker USD $4,849 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $26,285 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,377 Insurance broker name PROFESSIONAL PENSIONS INC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	220488
Policy instance	174
Insurance contract or identification number 220488 Number of Individuals Covered 260 Insurance policy start date 2012-10-01 Insurance policy end date 2013-09-30 Total amount of commissions paid to insurance broker USD $1,064 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $15,960 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,064 Insurance broker name PROFESSIONAL PENSIONS INC
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	729567
Policy instance	175
Insurance contract or identification number 729567 Number of Individuals Covered 97 Insurance policy start date 2012-04-01 Insurance policy end date 2013-03-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $14,136 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 number	MULTI-CONTRACTS
Policy instance	176
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 597 Insurance policy start date 2012-08-01 Insurance policy end date 2013-07-31 Total amount of commissions paid to insurance broker USD $6,106 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $124,777 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,697 Insurance broker name HUB INTERNATIONAL NORTHEAST LIMITED
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	0731025
Policy instance	177
Insurance contract or identification number 0731025 Number of Individuals Covered 279 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $105,918 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,648,216 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $92,678 Insurance broker name PROFESSIONAL PENSIONS INC
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	752254
Policy instance	178
Insurance contract or identification number 752254 Number of Individuals Covered 176 Insurance policy start date 2012-09-01 Insurance policy end date 2013-08-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,701 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	179
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2144 Insurance policy start date 2012-04-01 Insurance policy end date 2013-03-31 Total amount of commissions paid to insurance broker USD $48,698 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $204,212 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $24,322 Insurance broker name MORIN ASSOCIATES, LLC
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	MULTI-CONTRACTS
Policy instance	180
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3375 Insurance policy start date 2012-08-01 Insurance policy end date 2013-07-31 Total amount of commissions paid to insurance broker USD $64,770 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $393,685 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $35,268 Insurance broker name USI NORTHEAST
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	181
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1718 Insurance policy start date 2012-12-01 Insurance policy end date 2013-11-30 Total amount of commissions paid to insurance broker USD $15,852 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $94,118 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $8,343 Insurance broker name CORPORATE SYNERGIES GROUP, LLC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	182
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 544 Insurance policy start date 2012-02-01 Insurance policy end date 2013-01-31 Total amount of commissions paid to insurance broker USD $4,095 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $18,111 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,045 Insurance broker name PILOT BENEFITS GROUP, LLC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	183
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 5627 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $105,898 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $604,692 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $45,321 Insurance broker name HUB INTL NORTHEAST
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	185
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 908 Insurance policy start date 2012-06-01 Insurance policy end date 2013-05-31 Total amount of commissions paid to insurance broker USD $33,009 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $117,162 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $17,358 Insurance broker name SCHUSTER DRISCOLL LLC.(FARMINGTON,C
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	184
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 5650 Insurance policy start date 2012-07-01 Insurance policy end date 2013-06-30 Total amount of commissions paid to insurance broker USD $98,161 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $421,258 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $54,681 Insurance broker name PEOPLES UNITED INSURANCE AGENCY(HAR
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	186
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2776 Insurance policy start date 2012-03-01 Insurance policy end date 2013-02-28 Total amount of commissions paid to insurance broker USD $20,912 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $282,361 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $9,689 Insurance broker name NEWTEK INSURANCE AGENCY
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	MULTI-CONTRACTS
Policy instance	187
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 698 Insurance policy start date 2012-05-01 Insurance policy end date 2013-04-30 Total amount of commissions paid to insurance broker USD $11,257 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $44,026 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,612 Insurance broker name WELLS FARGO INSURANCE SERVICES
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	MULTI-CONTRACTS
Policy instance	188
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 874 Insurance policy start date 2012-11-01 Insurance policy end date 2013-10-31 Total amount of commissions paid to insurance broker USD $9,385 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $36,986 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,217 Insurance broker name ROSE AND KIERNAN, INC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	189
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 685 Insurance policy start date 2012-10-01 Insurance policy end date 2013-09-30 Total amount of commissions paid to insurance broker USD $11,072 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $33,734 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,721 Insurance broker name GRINSPEC OF NJ DBA CENTRIC BENEFITS
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	190
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3272 Insurance policy start date 2012-09-01 Insurance policy end date 2013-08-31 Total amount of commissions paid to insurance broker USD $34,144 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $212,617 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $15,227 Insurance broker name CORPORATE CONSULTING SERVICES LIMIT
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	12027737
Policy instance	191
Insurance contract or identification number 12027737 Number of Individuals Covered 81 Insurance policy start date 2012-04-01 Insurance policy end date 2013-03-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,913 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	192
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 228 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $27,703 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	193
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 125 Insurance policy start date 2012-06-01 Insurance policy end date 2013-05-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,150 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	30003631
Policy instance	194
Insurance contract or identification number 30003631 Number of Individuals Covered 55 Insurance policy start date 2012-06-01 Insurance policy end date 2013-05-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $11,673 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	30028486
Policy instance	195
Insurance contract or identification number 30028486 Number of Individuals Covered 29 Insurance policy start date 2012-10-01 Insurance policy end date 2013-09-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,265 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	12192117
Policy instance	196
Insurance contract or identification number 12192117 Number of Individuals Covered 83 Insurance policy start date 2012-09-01 Insurance policy end date 2013-08-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,455 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK 4D DENTAL (National Association of Insurance Commissioners NAIC id number: 81477 )
Policy contract number	5461291
Policy instance	1
Insurance contract or identification number 5461291 Number of Individuals Covered 57 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,929 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK 4D DENTAL (National Association of Insurance Commissioners NAIC id number: 81477 )
Policy contract number	85640
Policy instance	2
Insurance contract or identification number 85640 Number of Individuals Covered 440 Insurance policy start date 2011-06-01 Insurance policy end date 2012-05-31 Total amount of commissions paid to insurance broker USD $10,300 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $126,011 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,260 Insurance broker name B.E.S.T. ADVISORY GROUP
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	492334
Policy instance	3
Insurance contract or identification number 492334 Number of Individuals Covered 42 Insurance policy start date 2011-04-01 Insurance policy end date 2012-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $370,336 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	4
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 371 Insurance policy start date 2011-08-01 Insurance policy end date 2012-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,952,300 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	5
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 603 Insurance policy start date 2011-12-01 Insurance policy end date 2012-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,962,481 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	666684
Policy instance	6
Insurance contract or identification number 666684 Number of Individuals Covered 207 Insurance policy start date 2011-02-01 Insurance policy end date 2012-01-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,336,297 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	7
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 903 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,493,332 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	8
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1145 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Total amount of commissions paid to insurance broker USD $31,756 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $11,380,807 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $25,961 Insurance broker name PROFESSIONAL PENSIONS INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	9
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 415 Insurance policy start date 2011-06-01 Insurance policy end date 2012-05-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,518,143 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	888022
Policy instance	10
Insurance contract or identification number 888022 Number of Individuals Covered 50 Insurance policy start date 2011-03-01 Insurance policy end date 2012-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $474,358 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	477287
Policy instance	11
Insurance contract or identification number 477287 Number of Individuals Covered 163 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,196,541 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	12
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 101 Insurance policy start date 2011-11-01 Insurance policy end date 2012-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,262,759 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	13
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 391 Insurance policy start date 2011-10-01 Insurance policy end date 2012-09-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,386,465 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	14
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 199 Insurance policy start date 2011-09-01 Insurance policy end date 2012-08-31 Total amount of commissions paid to insurance broker USD $34,798 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,377,976 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $22,931 Insurance broker name PROFESSIONAL PENSIONS INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	15
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 172 Insurance policy start date 2011-04-01 Insurance policy end date 2012-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $831,417 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	16
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 306 Insurance policy start date 2011-12-01 Insurance policy end date 2012-11-30 Total amount of commissions paid to insurance broker USD $822 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,791,934 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $822 Insurance broker name PROFESSIONAL PENSIONS INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	17
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 189 Insurance policy start date 2011-02-01 Insurance policy end date 2012-01-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,671,988 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract number	MULTI-CONTRACTS
Policy instance	18
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1136 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $21,621 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,416,242 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $16,402 Insurance broker name PROFESSIONAL PENSIONS INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	19
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1468 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Total amount of commissions paid to insurance broker USD $193 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $14,550,577 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $193 Insurance broker name PROFESSIONAL PENSIONS INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	20
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 341 Insurance policy start date 2011-06-01 Insurance policy end date 2012-05-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,726,383 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	21
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 794 Insurance policy start date 2011-03-31 Insurance policy end date 2012-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,556,887 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	22
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 376 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,180,577 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	23
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 97 Insurance policy start date 2011-11-01 Insurance policy end date 2012-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $999,427 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	443290
Policy instance	24
Insurance contract or identification number 443290 Number of Individuals Covered 42 Insurance policy start date 2011-10-01 Insurance policy end date 2012-09-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $371,875 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	25
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 236 Insurance policy start date 2011-09-01 Insurance policy end date 2012-08-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,285,900 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	472785
Policy instance	26
Insurance contract or identification number 472785 Number of Individuals Covered 3682 Insurance policy start date 2011-08-01 Insurance policy end date 2012-07-31 Total amount of commissions paid to insurance broker USD $78,595 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,336,972 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $78,595 Insurance broker name PROFESSIONAL PENSIONS INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	472901
Policy instance	27
Insurance contract or identification number 472901 Number of Individuals Covered 447 Insurance policy start date 2011-08-01 Insurance policy end date 2012-07-31 Total amount of commissions paid to insurance broker USD $5,397 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $101,227 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,397 Insurance broker name PROFESSIONAL PENSIONS INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	472903
Policy instance	28
Insurance contract or identification number 472903 Number of Individuals Covered 2985 Insurance policy start date 2011-08-01 Insurance policy end date 2012-07-31 Total amount of commissions paid to insurance broker USD $51,151 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $897,555 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $51,151 Insurance broker name PROFESSIONAL PENSIONS INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	696706
Policy instance	29
Insurance contract or identification number 696706 Number of Individuals Covered 1963 Insurance policy start date 2011-08-01 Insurance policy end date 2012-07-31 Total amount of commissions paid to insurance broker USD $47,823 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $781,518 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $47,823 Insurance broker name PROFESSIONAL PENSIONS INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	696708
Policy instance	30
Insurance contract or identification number 696708 Number of Individuals Covered 3700 Insurance policy start date 2011-08-01 Insurance policy end date 2012-07-31 Total amount of commissions paid to insurance broker USD $168,769 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,541,901 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $91,470 Insurance broker name USI INSURANCE SERVICES OF CT INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	696712
Policy instance	32
Insurance contract or identification number 696712 Number of Individuals Covered 553 Insurance policy start date 2011-08-01 Insurance policy end date 2012-07-31 Total amount of commissions paid to insurance broker USD $7,169 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $131,601 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,169 Insurance broker name PROFESSIONAL PENSIONS INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	696710
Policy instance	31
Insurance contract or identification number 696710 Number of Individuals Covered 4459 Insurance policy start date 2011-08-01 Insurance policy end date 2012-07-31 Total amount of commissions paid to insurance broker USD $101,133 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,660,713 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $101,133 Insurance broker name PROFESSIONAL PENSIONS INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	812433
Policy instance	33
Insurance contract or identification number 812433 Number of Individuals Covered 14425 Insurance policy start date 2011-08-01 Insurance policy end date 2012-07-31 Total amount of commissions paid to insurance broker USD $487,753 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,121,319 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $487,753 Insurance broker name PROFESSIONAL PENSIONS INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	34
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 15875 Insurance policy start date 2011-08-01 Insurance policy end date 2012-07-31 Total amount of commissions paid to insurance broker USD $960,226 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,833,372 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $64,548 Insurance broker name MICHAEL PONTILLO
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	657329
Policy instance	35
Insurance contract or identification number 657329 Number of Individuals Covered 3932 Insurance policy start date 2011-06-01 Insurance policy end date 2012-05-31 Total amount of commissions paid to insurance broker USD $74,466 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,017,824 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $10,519 Insurance broker name THE HEALTH CONSULTANTS GROUP LLC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	861323
Policy instance	36
Insurance contract or identification number 861323 Number of Individuals Covered 10196 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $40,430 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $596,661 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,662 Insurance broker name MARSH & MCLENNAN AGENCY LLC
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	1035089
Policy instance	37
Insurance contract or identification number 1035089 Number of Individuals Covered 25 Insurance policy start date 2011-04-01 Insurance policy end date 2012-03-31 Total amount of commissions paid to insurance broker USD $3,255 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $24,303 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,671 Insurance broker name PROFESSIONAL PENSIONS INC
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	38
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 40 Insurance policy start date 2011-08-01 Insurance policy end date 2012-07-31 Total amount of commissions paid to insurance broker USD $510 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,023 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $319 Insurance broker name WILLIS OF CT
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-34570
Policy instance	39
Insurance contract or identification number 10-34570 Number of Individuals Covered 33 Insurance policy start date 2011-12-01 Insurance policy end date 2012-11-30 Total amount of commissions paid to insurance broker USD $2,898 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $25,180 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,703 Insurance broker name PIERSON & SMITH, A DIVISION OF FIRS
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-34886
Policy instance	40
Insurance contract or identification number 10-34886 Number of Individuals Covered 200 Insurance policy start date 2011-02-01 Insurance policy end date 2012-01-31 Total amount of commissions paid to insurance broker USD $3,095 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $22,093 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,593 Insurance broker name PROFESSIONAL PENSIONS INC
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	41
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 374 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $33,600 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $235,571 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $22,353 Insurance broker name PROFESSIONAL BENEFITS SERVICE
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	42
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 137 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Total amount of commissions paid to insurance broker USD $5,782 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $41,859 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,927 Insurance broker name PIERSON & SMITH, A DIVISION OF FIRS
THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 89009 )
Policy contract number	MULTI-CONTRACTS
Policy instance	43
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 686 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $81,508 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-31526
Policy instance	44
Insurance contract or identification number 10-31526 Number of Individuals Covered 36 Insurance policy start date 2011-03-01 Insurance policy end date 2012-02-28 Total amount of commissions paid to insurance broker USD $3,432 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $24,699 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,748 Insurance broker name HUB INTL NORTHEAST
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-33810
Policy instance	45
Insurance contract or identification number 10-33810 Number of Individuals Covered 29 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Total amount of commissions paid to insurance broker USD $3,136 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $22,301 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,601 Insurance broker name PROFESSIONAL PENSIONS INC
ANTHEM BLUECROSS 46 800776000 (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	800776000
Policy instance	46
Insurance contract or identification number 800776000 Number of Individuals Covered 268 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $18,368 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,315,669 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $18,368 Insurance broker name PROFESSIONAL PENSIONS INC
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	800735000
Policy instance	47
Insurance contract or identification number 800735000 Number of Individuals Covered 80 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $679,413 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	48
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 45 Insurance policy start date 2011-04-01 Insurance policy end date 2012-03-31 Total amount of commissions paid to insurance broker USD $847 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,506 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $616 Insurance broker name PROFESSIONAL PENSIONS INC
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	49
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 31 Insurance policy start date 2011-12-01 Insurance policy end date 2012-11-30 Total amount of commissions paid to insurance broker USD $331 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,512 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $331 Insurance broker name BENEFITS CONSULTING GROUP
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-337
Policy instance	50
Insurance contract or identification number 30790-337 Number of Individuals Covered 29 Insurance policy start date 2011-02-01 Insurance policy end date 2012-01-31 Total amount of commissions paid to insurance broker USD $692 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,082 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $384 Insurance broker name BENEFITS CONSULTING GROUP
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	51
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1253 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $2,617 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $60,780 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $907 Insurance broker name KENNETH STEILL
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-1363
Policy instance	52
Insurance contract or identification number 30790-1363 Number of Individuals Covered 125 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Total amount of commissions paid to insurance broker USD $900 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $15,306 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $900 Insurance broker name BENEFITS CONSULTING GROUP
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-304
Policy instance	53
Insurance contract or identification number 30790-304 Number of Individuals Covered 24 Insurance policy start date 2011-06-01 Insurance policy end date 2012-05-31 Total amount of commissions paid to insurance broker USD $383 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,256 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $383 Insurance broker name BENEFITS CONSULTING GROUP
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-246
Policy instance	54
Insurance contract or identification number 30790-246 Number of Individuals Covered 7 Insurance policy start date 2011-03-01 Insurance policy end date 2012-02-28 Total amount of commissions paid to insurance broker USD $16 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $140 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $16 Insurance broker name BENEFITS CONSULTING GROUP
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-302
Policy instance	55
Insurance contract or identification number 30790-302 Number of Individuals Covered 7 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Total amount of commissions paid to insurance broker USD $98 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $832 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $98 Insurance broker name BENEFITS CONSULTING GROUP
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	56
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 290 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,882,251 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	57
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 61 Insurance policy start date 2011-11-01 Insurance policy end date 2012-10-31 Total amount of commissions paid to insurance broker USD $314 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,428 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $314 Insurance broker name BENEFITS CONSULTING GROUP
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	58
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 46 Insurance policy start date 2011-10-01 Insurance policy end date 2012-09-30 Total amount of commissions paid to insurance broker USD $554 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,614 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $379 Insurance broker name PROFESSIONAL PENSIONS INC
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	59
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2835 Insurance policy start date 2011-08-01 Insurance policy end date 2012-07-31 Total amount of commissions paid to insurance broker USD $1,000 Health Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,188,574 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,000 Insurance broker name PROFESSIONAL PENSIONS INC
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	60
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 452 Insurance policy start date 2011-12-01 Insurance policy end date 2012-11-30 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $46,606 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	62
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2126 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Total amount of commissions paid to insurance broker USD $57,220 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,526,885 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $57,220 Insurance broker name PROFESSIONAL PENSIONS INC
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	61
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 625 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $83,773 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,877,696 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $53,202 Insurance broker name MERCER HEALTH & BENEFITS LLC
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	63
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 327 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,938,861 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	64
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 793 Insurance policy start date 2011-10-01 Insurance policy end date 2012-09-30 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,864,736 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	65
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 621 Insurance policy start date 2011-09-01 Insurance policy end date 2012-08-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,710,208 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	66
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 238 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Total amount of commissions paid to insurance broker USD $16,074 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,096,669 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $16,074 Insurance broker name WILLIS OF CONNECTICUT, LLC
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	67
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 279 Insurance policy start date 2011-11-01 Insurance policy end date 2012-10-31 Total amount of commissions paid to insurance broker USD $81,664 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,061,441 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $60,114 Insurance broker name WILLIS OF CONNECTICUT, LLC
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	MULTI-CONTRACTS
Policy instance	68
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 57 Insurance policy start date 2011-11-01 Insurance policy end date 2012-10-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $39,344 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	69
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 368 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $1,263 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $38,883 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,263 Insurance broker name PROFESSIONAL PENSIONS INC
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	9789116
Policy instance	70
Insurance contract or identification number 9789116 Number of Individuals Covered 48 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Total amount of commissions paid to insurance broker USD $216 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,426 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $216 Insurance broker name PROFESSIONAL PENSIONS INC
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number	378942
Policy instance	71
Insurance contract or identification number 378942 Number of Individuals Covered 31 Insurance policy start date 2011-04-01 Insurance policy end date 2012-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $370,929 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number	MULTI-CONTRACTS
Policy instance	72
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 27 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $345,131 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number	MULTI-CONTRACTS
Policy instance	73
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 51 Insurance policy start date 2011-03-01 Insurance policy end date 2012-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $224,600 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK 4D DENTAL (National Association of Insurance Commissioners NAIC id number: 81477 )
Policy contract number	MULTI-CONTRACTS
Policy instance	74
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 500 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $32,290 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	75
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 53 Insurance policy start date 2011-04-01 Insurance policy end date 2012-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $501,204 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	818B1G716
Policy instance	76
Insurance contract or identification number 818B1G716 Number of Individuals Covered 75 Insurance policy start date 2011-08-01 Insurance policy end date 2012-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $858,974 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	77
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 139 Insurance policy start date 2011-12-01 Insurance policy end date 2012-11-30 Total amount of commissions paid to insurance broker USD $41,303 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,212,038 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $41,303 Insurance broker name THOMAS LERNA
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	546G1T1LZ
Policy instance	78
Insurance contract or identification number 546G1T1LZ Number of Individuals Covered 33 Insurance policy start date 2011-02-01 Insurance policy end date 2012-01-31 Total amount of commissions paid to insurance broker USD $850 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $287,542 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $850 Insurance broker name PROFESSIONAL PENSIONS INC
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	79
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 41 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $415,963 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	80
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 173 Insurance policy start date 2011-06-01 Insurance policy end date 2012-05-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,065,254 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	81
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 280 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Total amount of commissions paid to insurance broker USD $6,224 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,743,064 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,224 Insurance broker name PROFESSIONAL PENSIONS INC
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	82
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 158 Insurance policy start date 2011-11-01 Insurance policy end date 2012-10-31 Total amount of commissions paid to insurance broker USD $74,794 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,496,866 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $74,794 Insurance broker name JANICE SMITH
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00449685
Policy instance	83
Insurance contract or identification number 00449685 Number of Individuals Covered 43 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $14,470 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	79-4801
Policy instance	84
Insurance contract or identification number 79-4801 Number of Individuals Covered 30 Insurance policy start date 2011-09-01 Insurance policy end date 2012-08-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $20,661 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00466761
Policy instance	85
Insurance contract or identification number 00466761 Number of Individuals Covered 345 Insurance policy start date 2011-04-01 Insurance policy end date 2012-03-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $24,880 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	86
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 376 Insurance policy start date 2011-08-01 Insurance policy end date 2012-07-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $191,298 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	87
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 190 Insurance policy start date 2011-12-01 Insurance policy end date 2012-11-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $40,180 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00454812
Policy instance	88
Insurance contract or identification number 00454812 Number of Individuals Covered 50 Insurance policy start date 2011-02-01 Insurance policy end date 2012-01-31 Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,630 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	89
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3800 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $625 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $713,227 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $625 Insurance broker name PROFESSIONAL PENSIONS INC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	91
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 449 Insurance policy start date 2011-06-01 Insurance policy end date 2012-05-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $139,970 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	90
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 5659 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Total amount of commissions paid to insurance broker USD $1,298 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,715,514 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,298 Insurance broker name PROFESSIONAL PENSIONS INC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00462155
Policy instance	92
Insurance contract or identification number 00462155 Number of Individuals Covered 75 Insurance policy start date 2011-11-01 Insurance policy end date 2012-10-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $55,889 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	93
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1123 Insurance policy start date 2011-10-01 Insurance policy end date 2012-09-30 Total amount of commissions paid to insurance broker USD $7,264 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $213,672 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,132 Insurance broker name MICHELE M VALENZUELA PDI FINANCIAL
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	94
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1360 Insurance policy start date 2011-09-01 Insurance policy end date 2012-08-31 Total amount of commissions paid to insurance broker USD $88 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $315,835 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $88 Insurance broker name PROFESSIONAL PENSIONS INC
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	95
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 48 Insurance policy start date 2011-04-01 Insurance policy end date 2012-03-31 Total amount of commissions paid to insurance broker USD $29,256 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $336,904 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $15,707 Insurance broker name CORPORATE SYNERGIES GROUP, LLC
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	96
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 34 Insurance policy start date 2011-08-01 Insurance policy end date 2012-07-31 Total amount of commissions paid to insurance broker USD $3,656 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,097 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,132 Insurance broker name BRYAN ERDHEIM
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	97
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 64 Insurance policy start date 2011-12-01 Insurance policy end date 2012-11-30 Total amount of commissions paid to insurance broker USD $39,437 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $601,884 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $25,033 Insurance broker name PREFERRED BENEFITS GROUP, INC
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	98
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 501 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $174,383 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,483,485 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $130,025 Insurance broker name CORPORATE SYNERGIES GROUP, LLC
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	99
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 385 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Total amount of commissions paid to insurance broker USD $319,030 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,852,289 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $164,694 Insurance broker name SAMUEL PEREZ
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	1072047-000
Policy instance	100
Insurance contract or identification number 1072047-000 Number of Individuals Covered 35 Insurance policy start date 2011-06-01 Insurance policy end date 2012-05-31 Total amount of commissions paid to insurance broker USD $26,486 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $284,955 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $12,237 Insurance broker name JCM CONSULTING GROUP INC
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	101
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 34 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Total amount of commissions paid to insurance broker USD $10,532 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $201,539 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $8,876 Insurance broker name THE TARPEY GROUP, LLC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	OGL 767066
Policy instance	102
Insurance contract or identification number OGL 767066 Number of Individuals Covered 518 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $3,610 Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $39,098 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,610 Insurance broker name EXUDE BENEFITS GROUP INC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	870904
Policy instance	103
Insurance contract or identification number 870904 Number of Individuals Covered 1299 Insurance policy start date 2011-03-01 Insurance policy end date 2012-02-28 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $105,878 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	871260
Policy instance	104
Insurance contract or identification number 871260 Number of Individuals Covered 1899 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $200,565 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	MULTI-CONTRACTS
Policy instance	105
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 677 Insurance policy start date 2011-08-01 Insurance policy end date 2012-07-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $20,156 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	MULTI-CONTRACTS
Policy instance	106
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 588 Insurance policy start date 2011-12-01 Insurance policy end date 2012-11-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $25,560 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	MULTI-CONTRACTS
Policy instance	107
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 6852 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $36,643 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $758,846 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $24,407 Insurance broker name EXUDE BENEFITS GROUP INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	MULTI-CONTRACTS
Policy instance	108
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 656 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Total amount of commissions paid to insurance broker USD $698 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $77,157 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $698 Insurance broker name PROFESSIONAL PENSIONS INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	01-0139595
Policy instance	109
Insurance contract or identification number 01-0139595 Number of Individuals Covered 154 Insurance policy start date 2011-03-01 Insurance policy end date 2012-02-28 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,571 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	MULTI-CONTRACTS
Policy instance	110
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 661 Insurance policy start date 2011-11-01 Insurance policy end date 2012-10-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $39,325 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	10-107762
Policy instance	111
Insurance contract or identification number 10-107762 Number of Individuals Covered 428 Insurance policy start date 2011-10-01 Insurance policy end date 2012-09-30 Total amount of commissions paid to insurance broker USD $511 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,895 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $511 Insurance broker name PROFESSIONAL PENSIONS INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	MULTI-CONTRACTS
Policy instance	112
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 478 Insurance policy start date 2011-09-01 Insurance policy end date 2012-08-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $37,990 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	MULTI-CONTRACTS
Policy instance	113
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 156 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $105,245 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5333775
Policy instance	114
Insurance contract or identification number 5333775 Number of Individuals Covered 3915 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,082,190 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5727048
Policy instance	115
Insurance contract or identification number 5727048 Number of Individuals Covered 32 Insurance policy start date 2011-06-01 Insurance policy end date 2012-05-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $20,268 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	GOOOAFY5
Policy instance	116
Insurance contract or identification number GOOOAFY5 Number of Individuals Covered 159 Insurance policy start date 2011-04-01 Insurance policy end date 2012-03-31 Total amount of commissions paid to insurance broker USD $4,359 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $16,563 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,703 Insurance broker name NEMCO BROKERAGE INC (KOLINSKY HILL)
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	117
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1087 Insurance policy start date 2011-08-01 Insurance policy end date 2012-07-31 Total amount of commissions paid to insurance broker USD $15,213 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $68,265 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,793 Insurance broker name WILLIS OF CT
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	119
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2246 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $26,668 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $205,357 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $19,798 Insurance broker name WILLIS OF CT
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULT-CONTRACTS
Policy instance	118
Insurance contract or identification number MULT-CONTRACTS Number of Individuals Covered 421 Insurance policy start date 2011-12-01 Insurance policy end date 2012-11-30 Total amount of commissions paid to insurance broker USD $4,789 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $24,073 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,112 Insurance broker name PIERSON & SMITH, A DIVISION OF FIRS
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	MULTI-CONTRACTS
Policy instance	120
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3449 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Total amount of commissions paid to insurance broker USD $69,085 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $344,635 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $37,283 Insurance broker name STRATFORD FINANCIAL GROUP, INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	121
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 501 Insurance policy start date 2011-06-01 Insurance policy end date 2012-05-31 Total amount of commissions paid to insurance broker USD $21,338 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $201,506 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $11,465 Insurance broker name PREFERRED BENEFITS GROUP, INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	122
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 826 Insurance policy start date 2011-03-01 Insurance policy end date 2012-02-28 Total amount of commissions paid to insurance broker USD $12,996 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $61,183 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,087 Insurance broker name HUB INTL NORTHEAST
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	GOOOAJ1Q
Policy instance	123
Insurance contract or identification number GOOOAJ1Q Number of Individuals Covered 280 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Total amount of commissions paid to insurance broker USD $378 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,566 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $67 Insurance broker name PROFESSIONAL PENSIONS INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	124
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 880 Insurance policy start date 2011-11-01 Insurance policy end date 2012-10-31 Total amount of commissions paid to insurance broker USD $15,666 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $69,583 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $9,881 Insurance broker name ROSE AND KIERNAN, INC
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	MULTI-CONTRACTS
Policy instance	125
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1056 Insurance policy start date 2011-10-01 Insurance policy end date 2012-09-30 Total amount of commissions paid to insurance broker USD $10,656 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $75,691 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,450 Insurance broker name GRINSPEC OF NJ DBA CENTRIC BENEFITS
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	126
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 6225 Insurance policy start date 2011-09-01 Insurance policy end date 2012-08-31 Total amount of commissions paid to insurance broker USD $92,304 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $448,200 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $50,598 Insurance broker name NYBEST SERVICES, LLC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	GC18814
Policy instance	127
Insurance contract or identification number GC18814 Number of Individuals Covered 20 Insurance policy start date 2011-04-01 Insurance policy end date 2012-03-31 Total amount of commissions paid to insurance broker USD $2,925 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $238,832 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,924 Insurance broker name PROFESSIONAL PENSIONS INC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	128
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 154 Insurance policy start date 2011-08-01 Insurance policy end date 2012-07-31 Total amount of commissions paid to insurance broker USD $979 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,155,212 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $979 Insurance broker name PROFESSIONAL PENSIONS INC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	LH5531
Policy instance	129
Insurance contract or identification number LH5531 Number of Individuals Covered 32 Insurance policy start date 2011-12-01 Insurance policy end date 2012-11-30 Total amount of commissions paid to insurance broker USD $12,935 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $251,964 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $12,935 Insurance broker name PROFESSIONAL PENSIONS INC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	130
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1345 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $25,780 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,231,661 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $25,780 Insurance broker name PROFESSIONAL PENSIONS INC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	131
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1574 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Total amount of commissions paid to insurance broker USD $440,621 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,813,959 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $283,377 Insurance broker name MDG ASSOCIATES OF CT, LLC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	132
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 69 Insurance policy start date 2011-06-01 Insurance policy end date 2012-05-31 Total amount of commissions paid to insurance broker USD $21,761 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $799,022 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $21,761 Insurance broker name PROFESSIONAL PENSIONS INC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	133
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 59 Insurance policy start date 2011-03-01 Insurance policy end date 2012-02-28 Total amount of commissions paid to insurance broker USD $4,191 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $770,589 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,191 Insurance broker name PROFESSIONAL PENSIONS INC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	134
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 144 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Total amount of commissions paid to insurance broker USD $5,096 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $76,010 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,630 Insurance broker name EKA BROKERAGE SERVICES INC.
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	135
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 345 Insurance policy start date 2011-10-01 Insurance policy end date 2012-09-30 Total amount of commissions paid to insurance broker USD $3,190 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,847,984 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,190 Insurance broker name PROFESSIONAL PENSIONS INC
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	136
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 635 Insurance policy start date 2011-09-01 Insurance policy end date 2012-08-31 Total amount of commissions paid to insurance broker USD $130,876 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,601,885 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $52,171 Insurance broker name PROFESSIONAL PENSIONS INC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	137
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 79 Insurance policy start date 2011-04-01 Insurance policy end date 2012-03-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $55,978 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	138
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 615 Insurance policy start date 2011-08-01 Insurance policy end date 2012-07-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $120,885 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	139
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1182 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Total amount of commissions paid to insurance broker USD $17,049 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $331,538 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $8,868 Insurance broker name PROFESSIONAL PENSIONS INC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	140
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 387 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $114,145 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	141
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 106 Insurance policy start date 2011-06-01 Insurance policy end date 2012-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $23,718 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	142
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 63 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,933 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	143
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 284 Insurance policy start date 2011-10-01 Insurance policy end date 2012-09-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $125,806 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	144
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 189 Insurance policy start date 2011-09-01 Insurance policy end date 2012-08-31 Total amount of commissions paid to insurance broker USD $11,628 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $34,355 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $8,076 Insurance broker name PROFESSIONAL PENSIONS INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	31681
Policy instance	145
Insurance contract or identification number 31681 Number of Individuals Covered 18049 Insurance policy start date 2011-08-01 Insurance policy end date 2012-07-31 Total amount of commissions paid to insurance broker USD $95,832 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,616,397 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $93,578 Insurance broker name NYBEST SERVICES, LLC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	31753
Policy instance	147
Insurance contract or identification number 31753 Number of Individuals Covered 1080 Insurance policy start date 2011-10-01 Insurance policy end date 2012-09-30 Total amount of commissions paid to insurance broker USD $5,911 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $310,535 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,911 Insurance broker name PROFESSIONAL PENSIONS INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	MULTI-CONTRACTS
Policy instance	146
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1057 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $118,830 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	148
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 547 Insurance policy start date 2011-03-01 Insurance policy end date 2012-02-28 Total amount of commissions paid to insurance broker USD $5,992 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $69,317 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,992 Insurance broker name EXUDE BENEFITS GROUP INC
THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 89009 )
Policy contract number	147501
Policy instance	149
Insurance contract or identification number 147501 Number of Individuals Covered 125 Insurance policy start date 2011-04-01 Insurance policy end date 2012-03-31 Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $28,763 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	150
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 719 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $3,781 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $80,745 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,748 Insurance broker name PROFESSIONAL PENSIONS INC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	221430
Policy instance	151
Insurance contract or identification number 221430 Number of Individuals Covered 42 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $3,747 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $70,978 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,121 Insurance broker name PROFESSIONAL PENSIONS INC
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	152
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 534 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Total amount of commissions paid to insurance broker USD $2,314 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $97,035 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,491 Insurance broker name PROFESSIONAL PENSIONS INC
THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 89009 )
Policy contract number	MULTI-CONTRACTS
Policy instance	153
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 292 Insurance policy start date 2011-11-01 Insurance policy end date 2012-10-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $27,442 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE CO 154 442098 (National Association of Insurance Commissioners NAIC id number: 89009 )
Policy contract number	442098
Policy instance	154
Insurance contract or identification number 442098 Number of Individuals Covered 116 Insurance policy start date 2011-10-01 Insurance policy end date 2012-09-30 Total amount of commissions paid to insurance broker USD $1,621 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,389 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,102 Insurance broker name PROFESSIONAL PENSIONS INC
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	219444
Policy instance	155
Insurance contract or identification number 219444 Number of Individuals Covered 35 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $19,615 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 number	219817
Policy instance	156
Insurance contract or identification number 219817 Number of Individuals Covered 122 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,308 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 number	810284
Policy instance	157
Insurance contract or identification number 810284 Number of Individuals Covered 54 Insurance policy start date 2011-03-01 Insurance policy end date 2012-02-28 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,566 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 number	218684
Policy instance	158
Insurance contract or identification number 218684 Number of Individuals Covered 338 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Total amount of commissions paid to insurance broker USD $5,983 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $34,553 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,771 Insurance broker name USI INS SERVICES OF CONNECTICUT INC
SUN LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULTI-CONTRACTS
Policy instance	159
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 317 Insurance policy start date 2011-06-01 Insurance policy end date 2012-05-31 Total amount of commissions paid to insurance broker USD $63 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $33,647 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $63 Insurance broker name PROFESSIONAL PENSIONS INC
SUN LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULTI-CONTRACTS
Policy instance	160
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 353 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $39,543 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
SUN LIFE INS CO 162 220403 (National Association of Insurance Commissioners NAIC id number: 72664 )
Policy contract number	220403
Policy instance	161
Insurance contract or identification number 220403 Number of Individuals Covered 145 Insurance policy start date 2011-11-01 Insurance policy end date 2012-10-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $22,911 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 number	220488
Policy instance	162
Insurance contract or identification number 220488 Number of Individuals Covered 140 Insurance policy start date 2011-10-01 Insurance policy end date 2012-09-30 Total amount of commissions paid to insurance broker USD $922 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $36,372 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $922 Insurance broker name PROFESSIONAL PENSIONS INC
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	729567
Policy instance	163
Insurance contract or identification number 729567 Number of Individuals Covered 103 Insurance policy start date 2011-04-01 Insurance policy end date 2012-03-31 Total amount of commissions paid to insurance broker USD $2,023 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $14,672 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,349 Insurance broker name PROFESSIONAL PENSIONS INC
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	0742716
Policy instance	164
Insurance contract or identification number 0742716 Number of Individuals Covered 139 Insurance policy start date 2011-08-01 Insurance policy end date 2012-07-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $98,124 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 number	0731025
Policy instance	165
Insurance contract or identification number 0731025 Number of Individuals Covered 284 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $114,052 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,636,210 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $99,795 Insurance broker name PROFESSIONAL PENSIONS INC
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	07NO261
Policy instance	166
Insurance contract or identification number 07NO261 Number of Individuals Covered 57 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $649,555 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 number	0792965
Policy instance	167
Insurance contract or identification number 0792965 Number of Individuals Covered 25 Insurance policy start date 2011-09-01 Insurance policy end date 2012-08-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $411 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	168
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2722 Insurance policy start date 2011-04-01 Insurance policy end date 2012-03-31 Total amount of commissions paid to insurance broker USD $61,704 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $230,552 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $30,040 Insurance broker name MORIN ASSOCIATES, LLC
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	MULTI-CONTRACTS
Policy instance	169
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3287 Insurance policy start date 2011-08-01 Insurance policy end date 2012-07-31 Total amount of commissions paid to insurance broker USD $74,609 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $356,502 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $40,494 Insurance broker name WILLIS OF CT
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	170
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1612 Insurance policy start date 2011-12-01 Insurance policy end date 2012-11-30 Total amount of commissions paid to insurance broker USD $15,741 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $113,460 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $9,259 Insurance broker name FRENKEL BENEFITS, LLC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	171
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 681 Insurance policy start date 2011-02-01 Insurance policy end date 2012-01-31 Total amount of commissions paid to insurance broker USD $11,866 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $47,861 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,323 Insurance broker name PILOT BENEFITS GROUP, LLC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	172
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 7405 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $66,387 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $734,684 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $44,157 Insurance broker name PROFESSIONAL BENEFITS SERVICE
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	173
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 11796 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Total amount of commissions paid to insurance broker USD $209,088 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,000,057 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $107,884 Insurance broker name GEORGE HARTOFILIS
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	174
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1719 Insurance policy start date 2011-06-01 Insurance policy end date 2012-05-31 Total amount of commissions paid to insurance broker USD $42,023 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $153,405 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $20,508 Insurance broker name BENEFITS CONSULTING GROUP
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	175
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1373 Insurance policy start date 2011-03-01 Insurance policy end date 2012-02-28 Total amount of commissions paid to insurance broker USD $33,185 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $158,722 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $20,357 Insurance broker name MERCER (FORMERLY MARSH/SEABURY& SMI
UNUMPROVIDENT 177 135677 (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	MULTI-CONTRACTS
Policy instance	176
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1561 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Total amount of commissions paid to insurance broker USD $14,178 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $46,340 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,583 Insurance broker name GALLAGHER BENEFIT SERVICES, INC (OL
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	177
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 461 Insurance policy start date 2011-11-01 Insurance policy end date 2012-10-31 Total amount of commissions paid to insurance broker USD $7,724 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $30,877 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,977 Insurance broker name CORPORATE CONSULTING SERVICES LIMIT
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	MULTI-CONTRACTS
Policy instance	178
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 710 Insurance policy start date 2011-10-01 Insurance policy end date 2012-09-30 Total amount of commissions paid to insurance broker USD $13,518 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $57,278 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,596 Insurance broker name OVATION BENEFITS GROUP, LLC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	179
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1664 Insurance policy start date 2011-09-01 Insurance policy end date 2012-08-31 Total amount of commissions paid to insurance broker USD $14,605 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $118,388 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,764 Insurance broker name CORPORATE CONSULTING SERVICES LIMIT
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	12027737
Policy instance	180
Insurance contract or identification number 12027737 Number of Individuals Covered 87 Insurance policy start date 2011-04-01 Insurance policy end date 2012-03-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $11,293 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	MULTI-CONTRACTS
Policy instance	181
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 406 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $32,195 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	12214243
Policy instance	182
Insurance contract or identification number 12214243 Number of Individuals Covered 33 Insurance policy start date 2011-06-01 Insurance policy end date 2012-05-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,181 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	30028486
Policy instance	183
Insurance contract or identification number 30028486 Number of Individuals Covered 37 Insurance policy start date 2011-10-01 Insurance policy end date 2012-09-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $9,515 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	12192117
Policy instance	184
Insurance contract or identification number 12192117 Number of Individuals Covered 83 Insurance policy start date 2011-09-01 Insurance policy end date 2012-08-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,841 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	1
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 172 Insurance policy start date 2011-04-01 Insurance policy end date 2012-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $831,417 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	888022
Policy instance	2
Insurance contract or identification number 888022 Number of Individuals Covered 50 Insurance policy start date 2011-04-01 Insurance policy end date 2012-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $474,095 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	390961
Policy instance	3
Insurance contract or identification number 390961 Number of Individuals Covered 1 Insurance policy start date 2010-08-01 Insurance policy end date 2011-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,003 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	621641
Policy instance	4
Insurance contract or identification number 621641 Number of Individuals Covered 2 Insurance policy start date 2010-08-01 Insurance policy end date 2011-07-31 Total amount of commissions paid to insurance broker USD $671 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $16,552 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	5
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 118 Insurance policy start date 2010-12-01 Insurance policy end date 2011-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $630,847 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	6
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 449 Insurance policy start date 2011-02-01 Insurance policy end date 2012-01-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,725,341 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	7
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 326 Insurance policy start date 2011-02-01 Insurance policy end date 2012-01-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,648,537 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	8
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1178 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,662,684 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	9
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 432 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,309,755 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	10
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1127 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $11,406,768 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	11
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1442 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Total amount of commissions paid to insurance broker USD $193 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $14,550,577 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	12
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 295 Insurance policy start date 2011-06-01 Insurance policy end date 2012-05-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,726,383 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	13
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 415 Insurance policy start date 2011-06-01 Insurance policy end date 2012-05-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,518,143 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	14
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 535 Insurance policy start date 2011-03-01 Insurance policy end date 2012-02-29 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,674,232 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	15
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 359 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,180,577 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	477287
Policy instance	16
Insurance contract or identification number 477287 Number of Individuals Covered 163 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,196,541 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	17
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 59 Insurance policy start date 2010-11-01 Insurance policy end date 2011-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $979,589 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	620675
Policy instance	18
Insurance contract or identification number 620675 Number of Individuals Covered 145 Insurance policy start date 2010-11-01 Insurance policy end date 2011-10-31 Total amount of commissions paid to insurance broker USD $73,293 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,172,699 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	19
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 127 Insurance policy start date 2010-10-01 Insurance policy end date 2011-09-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,280,829 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	20
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 311 Insurance policy start date 2010-10-01 Insurance policy end date 2011-09-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,538,576 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	21
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 222 Insurance policy start date 2010-09-01 Insurance policy end date 2011-08-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,362,331 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	22
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 196 Insurance policy start date 2010-09-01 Insurance policy end date 2011-08-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,667,861 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	23
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 207 Insurance policy start date 2010-09-01 Insurance policy end date 2011-08-31 Total amount of commissions paid to insurance broker USD $56,708 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,471,653 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	24
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 15162 Insurance policy start date 2010-08-01 Insurance policy end date 2011-07-31 Total amount of commissions paid to insurance broker USD $738,486 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,082,348 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	472785
Policy instance	25
Insurance contract or identification number 472785 Number of Individuals Covered 2592 Insurance policy start date 2010-12-01 Insurance policy end date 2011-11-30 Total amount of commissions paid to insurance broker USD $150,328 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,239,876 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	818762
Policy instance	26
Insurance contract or identification number 818762 Number of Individuals Covered 2257 Insurance policy start date 2011-02-01 Insurance policy end date 2012-01-31 Total amount of commissions paid to insurance broker USD $84,710 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,137,698 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	27
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 10476 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $220,467 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,705,773 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	657329
Policy instance	28
Insurance contract or identification number 657329 Number of Individuals Covered 6571 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Total amount of commissions paid to insurance broker USD $72,164 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,017,824 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	885972
Policy instance	29
Insurance contract or identification number 885972 Number of Individuals Covered 4499 Insurance policy start date 2011-06-01 Insurance policy end date 2012-05-31 Total amount of commissions paid to insurance broker USD $139,898 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,555,367 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	469877
Policy instance	30
Insurance contract or identification number 469877 Number of Individuals Covered 182 Insurance policy start date 2011-03-01 Insurance policy end date 2012-02-29 Total amount of commissions paid to insurance broker USD $11,759 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $108,119 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	472901
Policy instance	31
Insurance contract or identification number 472901 Number of Individuals Covered 362 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Total amount of commissions paid to insurance broker USD $15,477 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $97,074 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	696714
Policy instance	32
Insurance contract or identification number 696714 Number of Individuals Covered 1989 Insurance policy start date 2010-11-01 Insurance policy end date 2011-10-31 Total amount of commissions paid to insurance broker USD $72,551 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $623,603 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	472903
Policy instance	33
Insurance contract or identification number 472903 Number of Individuals Covered 1518 Insurance policy start date 2010-09-01 Insurance policy end date 2011-08-31 Total amount of commissions paid to insurance broker USD $57,474 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $534,514 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	34
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 118 Insurance policy start date 2010-09-01 Insurance policy end date 2011-08-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $609,982 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	35
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 162 Insurance policy start date 2011-04-01 Insurance policy end date 2012-03-31 Total amount of commissions paid to insurance broker USD $6,709 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $94,780 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-35414
Policy instance	36
Insurance contract or identification number 10-35414 Number of Individuals Covered 80 Insurance policy start date 2010-08-01 Insurance policy end date 2011-07-31 Total amount of commissions paid to insurance broker USD $3,905 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $33,766 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-34570
Policy instance	37
Insurance contract or identification number 10-34570 Number of Individuals Covered 34 Insurance policy start date 2010-12-01 Insurance policy end date 2011-11-30 Total amount of commissions paid to insurance broker USD $3,296 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $23,637 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-34886
Policy instance	38
Insurance contract or identification number 10-34886 Number of Individuals Covered 200 Insurance policy start date 2011-02-01 Insurance policy end date 2012-01-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $22,093 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	39
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 382 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $42,418 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $249,497 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULT-CONTRACTS
Policy instance	40
Insurance contract or identification number MULT-CONTRACTS Number of Individuals Covered 137 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Total amount of commissions paid to insurance broker USD $5,782 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $41,859 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-31526
Policy instance	41
Insurance contract or identification number 10-31526 Number of Individuals Covered 36 Insurance policy start date 2011-03-01 Insurance policy end date 2012-02-29 Total amount of commissions paid to insurance broker USD $3,432 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $24,699 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-33810
Policy instance	42
Insurance contract or identification number 10-33810 Number of Individuals Covered 29 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Total amount of commissions paid to insurance broker USD $3,136 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $22,301 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	800735000
Policy instance	43
Insurance contract or identification number 800735000 Number of Individuals Covered 80 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $679,413 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	44
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 45 Insurance policy start date 2011-04-01 Insurance policy end date 2012-03-31 Total amount of commissions paid to insurance broker USD $847 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,506 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	45
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 32 Insurance policy start date 2010-12-01 Insurance policy end date 2011-11-30 Total amount of commissions paid to insurance broker USD $602 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,410 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-337
Policy instance	46
Insurance contract or identification number 30790-337 Number of Individuals Covered 29 Insurance policy start date 2011-02-01 Insurance policy end date 2012-01-31 Total amount of commissions paid to insurance broker USD $692 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,082 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	47
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 944 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $4,799 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $68,709 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-1363
Policy instance	48
Insurance contract or identification number 30790-1363 Number of Individuals Covered 125 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Total amount of commissions paid to insurance broker USD $900 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $15,306 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-304
Policy instance	49
Insurance contract or identification number 30790-304 Number of Individuals Covered 24 Insurance policy start date 2011-03-01 Insurance policy end date 2012-02-29 Total amount of commissions paid to insurance broker USD $383 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,256 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-246
Policy instance	50
Insurance contract or identification number 30790-246 Number of Individuals Covered 3 Insurance policy start date 2011-03-01 Insurance policy end date 2012-02-29 Total amount of commissions paid to insurance broker USD $16 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $140 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-302
Policy instance	51
Insurance contract or identification number 30790-302 Number of Individuals Covered 7 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Total amount of commissions paid to insurance broker USD $98 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $832 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	52
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 59 Insurance policy start date 2010-11-01 Insurance policy end date 2011-10-31 Total amount of commissions paid to insurance broker USD $686 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,467 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	53
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 42 Insurance policy start date 2010-10-01 Insurance policy end date 2011-09-30 Total amount of commissions paid to insurance broker USD $766 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,295 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	54
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 176 Insurance policy start date 2010-08-01 Insurance policy end date 2011-07-31 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $984,211 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	3311576
Policy instance	55
Insurance contract or identification number 3311576 Number of Individuals Covered 304 Insurance policy start date 2011-02-01 Insurance policy end date 2012-01-31 Total amount of commissions paid to insurance broker USD $63,390 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,114,009 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	56
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 199 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $232 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,127,528 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	57
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2126 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Total amount of commissions paid to insurance broker USD $57,220 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,526,885 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	58
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 327 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,938,861 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	59
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 413 Insurance policy start date 2010-10-01 Insurance policy end date 2011-09-30 Health Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $534,683 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	60
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 634 Insurance policy start date 2010-09-01 Insurance policy end date 2011-08-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,374,324 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	1894
Policy instance	61
Insurance contract or identification number 1894 Number of Individuals Covered 167 Insurance policy start date 2010-08-01 Insurance policy end date 2011-07-31 Total amount of commissions paid to insurance broker USD $33,440 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $954,631 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	006671
Policy instance	62
Insurance contract or identification number 006671 Number of Individuals Covered 5 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $258 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	63
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 127 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $712,858 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	1735
Policy instance	64
Insurance contract or identification number 1735 Number of Individuals Covered 210 Insurance policy start date 2010-11-01 Insurance policy end date 2011-10-31 Total amount of commissions paid to insurance broker USD $48,389 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,209,730 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number	1649
Policy instance	65
Insurance contract or identification number 1649 Number of Individuals Covered 10 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,435 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number	378942
Policy instance	66
Insurance contract or identification number 378942 Number of Individuals Covered 31 Insurance policy start date 2011-04-01 Insurance policy end date 2012-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $370,929 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number	MULTI-CONTRACTS
Policy instance	67
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 28 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $345,131 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number	MULTI-CONTRACTS
Policy instance	68
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 19 Insurance policy start date 2011-03-01 Insurance policy end date 2012-02-29 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $224,600 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	69
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 279 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $1,205 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $31,483 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	9789116
Policy instance	70
Insurance contract or identification number 9789116 Number of Individuals Covered 48 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Total amount of commissions paid to insurance broker USD $216 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,426 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK 4D DENTAL (National Association of Insurance Commissioners NAIC id number: 81477 )
Policy contract number	85640
Policy instance	71
Insurance contract or identification number 85640 Number of Individuals Covered 440 Insurance policy start date 2011-06-01 Insurance policy end date 2012-05-31 Total amount of commissions paid to insurance broker USD $11,056 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $126,011 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULTI-CONTRACTS
Policy instance	72
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 137 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $1,616 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $19,035 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 number	219817
Policy instance	73
Insurance contract or identification number 219817 Number of Individuals Covered 122 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,308 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 number	810284
Policy instance	74
Insurance contract or identification number 810284 Number of Individuals Covered 54 Insurance policy start date 2011-03-01 Insurance policy end date 2012-02-29 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,566 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 number	211330
Policy instance	75
Insurance contract or identification number 211330 Number of Individuals Covered 201 Insurance policy start date 2010-11-01 Insurance policy end date 2011-10-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $11,184 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	76
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 53 Insurance policy start date 2011-04-01 Insurance policy end date 2012-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $501,204 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	818B1G716
Policy instance	77
Insurance contract or identification number 818B1G716 Number of Individuals Covered 94 Insurance policy start date 2010-08-01 Insurance policy end date 2011-07-31 Total amount of commissions paid to insurance broker USD $37,096 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $927,417 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	78
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 136 Insurance policy start date 2010-12-01 Insurance policy end date 2011-11-30 Total amount of commissions paid to insurance broker USD $38,387 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,339,751 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	546G1TILZ
Policy instance	79
Insurance contract or identification number 546G1TILZ Number of Individuals Covered 33 Insurance policy start date 2011-02-01 Insurance policy end date 2012-01-31 Total amount of commissions paid to insurance broker USD $850 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $287,542 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	80
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 471 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $145,998 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,102,332 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	81
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 41 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $415,963 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	82
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 174 Insurance policy start date 2011-06-01 Insurance policy end date 2012-05-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,065,254 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	83
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 188 Insurance policy start date 2011-03-01 Insurance policy end date 2012-02-29 Total amount of commissions paid to insurance broker USD $6,140 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,177,799 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	881C1G660
Policy instance	84
Insurance contract or identification number 881C1G660 Number of Individuals Covered 92 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $565,264 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	85
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 445 Insurance policy start date 2010-11-01 Insurance policy end date 2011-10-31 Total amount of commissions paid to insurance broker USD $76,218 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,029,014 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	818B1G475
Policy instance	86
Insurance contract or identification number 818B1G475 Number of Individuals Covered 73 Insurance policy start date 2010-10-01 Insurance policy end date 2011-09-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $448,907 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	87
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 614 Insurance policy start date 2011-04-01 Insurance policy end date 2012-03-31 Total amount of commissions paid to insurance broker USD $529 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $114,278 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00459591
Policy instance	88
Insurance contract or identification number 00459591 Number of Individuals Covered 94 Insurance policy start date 2010-08-01 Insurance policy end date 2011-07-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $74,019 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00464252
Policy instance	89
Insurance contract or identification number 00464252 Number of Individuals Covered 29 Insurance policy start date 2010-12-01 Insurance policy end date 2011-11-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,401 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00454812
Policy instance	90
Insurance contract or identification number 00454812 Number of Individuals Covered 50 Insurance policy start date 2011-02-01 Insurance policy end date 2012-01-31 Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,630 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	91
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1614 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $395,627 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	92
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 5500 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Total amount of commissions paid to insurance broker USD $704 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,651,839 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	93
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 449 Insurance policy start date 2011-06-01 Insurance policy end date 2012-05-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $139,970 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00446985
Policy instance	94
Insurance contract or identification number 00446985 Number of Individuals Covered 43 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $14,470 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
GUARDIAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	95
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 850 Insurance policy start date 2010-11-01 Insurance policy end date 2011-10-31 Total amount of commissions paid to insurance broker USD $5,632 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $237,388 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	96
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1328 Insurance policy start date 2010-10-01 Insurance policy end date 2011-09-30 Total amount of commissions paid to insurance broker USD $235 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $147,695 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	97
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 152 Insurance policy start date 2010-09-01 Insurance policy end date 2011-08-31 Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $19,185 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number	694741542
Policy instance	98
Insurance contract or identification number 694741542 Number of Individuals Covered 1 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,145 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number	080214
Policy instance	99
Insurance contract or identification number 080214 Number of Individuals Covered 1 Insurance policy start date 2011-06-01 Insurance policy end date 2012-05-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $204 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number	03-86885
Policy instance	100
Insurance contract or identification number 03-86885 Number of Individuals Covered 10 Insurance policy start date 2010-10-01 Insurance policy end date 2011-09-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $39,467 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	101
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 52 Insurance policy start date 2011-04-01 Insurance policy end date 2012-03-31 Total amount of commissions paid to insurance broker USD $29,256 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $359,100 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	102
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 41 Insurance policy start date 2010-08-01 Insurance policy end date 2011-07-31 Total amount of commissions paid to insurance broker USD $20,113 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $253,503 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	103
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 67 Insurance policy start date 2010-12-01 Insurance policy end date 2011-11-30 Total amount of commissions paid to insurance broker USD $25,429 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $626,630 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	104
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 308 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $2,920 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,036,531 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	105
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 385 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Total amount of commissions paid to insurance broker USD $319,030 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,852,289 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	106
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 67 Insurance policy start date 2011-06-01 Insurance policy end date 2012-05-31 Total amount of commissions paid to insurance broker USD $26,486 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $332,749 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	1071019000
Policy instance	107
Insurance contract or identification number 1071019000 Number of Individuals Covered 151 Insurance policy start date 2011-03-01 Insurance policy end date 2012-02-29 Total amount of commissions paid to insurance broker USD $93,701 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,061,031 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	108
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 34 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Total amount of commissions paid to insurance broker USD $27,349 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $201,539 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HEALTHNET (National Association of Insurance Commissioners NAIC id number: 95351 )
Policy contract number	MULTI-CONTRACTS
Policy instance	109
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 14 Insurance policy start date 2010-12-01 Insurance policy end date 2011-11-30 Total amount of commissions paid to insurance broker USD $9,097 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $56,257 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HEALTH NET INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 43893 )
Policy contract number	MULTI-CONTRACTS
Policy instance	110
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 4 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $196 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,568 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HEALTH NET INSURANCE OF CONNECTICUT (National Association of Insurance Commissioners NAIC id number: 10360 )
Policy contract number	0B9133
Policy instance	111
Insurance contract or identification number 0B9133 Number of Individuals Covered 46 Insurance policy start date 2010-11-01 Insurance policy end date 2011-10-31 Total amount of commissions paid to insurance broker USD $14,765 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $369,122 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HEALTH NET INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 43893 )
Policy contract number	057636
Policy instance	112
Insurance contract or identification number 057636 Number of Individuals Covered 1 Insurance policy start date 2010-10-01 Insurance policy end date 2011-09-30 Total amount of commissions paid to insurance broker USD $169 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,931 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	OGL 767066
Policy instance	113
Insurance contract or identification number 69671410/110008 Number of Individuals Covered 437 Insurance policy start date 2015-07-01 Insurance policy end date 2016-06-30 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $5,735 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $132,001 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 5735 Additional information about fees paid to insurance broker SERVICE FEES Insurance broker organization code? 3
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	870904
Policy instance	114
Insurance contract or identification number 870904 Number of Individuals Covered 1139 Insurance policy start date 2011-03-01 Insurance policy end date 2012-02-29 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $105,878 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	871260
Policy instance	115
Insurance contract or identification number 871260 Number of Individuals Covered 1899 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $200,565 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	MULTI-CONTRACTS
Policy instance	116
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 95 Insurance policy start date 2010-08-01 Insurance policy end date 2011-07-31 Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,353 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	MULTI-CONTRACTS
Policy instance	117
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1299 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $163,234 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	000010081090
Policy instance	118
Insurance contract or identification number 000010081090 Number of Individuals Covered 328 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Total amount of commissions paid to insurance broker USD $698 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,777 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	01-0139595
Policy instance	119
Insurance contract or identification number 01-0139595 Number of Individuals Covered 154 Insurance policy start date 2011-03-01 Insurance policy end date 2012-02-29 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,571 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	MULTI-CONTRACTS
Policy instance	120
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 168 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,292 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	10-107762
Policy instance	121
Insurance contract or identification number 10-107762 Number of Individuals Covered 334 Insurance policy start date 2010-10-01 Insurance policy end date 2011-09-30 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $979 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	MULTI-CONTRACTS
Policy instance	122
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 86 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $57,349 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	MULTI-CONTRACTS
Policy instance	123
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3766 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,082,190 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5728048
Policy instance	124
Insurance contract or identification number 5728048 Number of Individuals Covered 32 Insurance policy start date 2011-06-01 Insurance policy end date 2012-05-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $20,268 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	GOOOAFY5
Policy instance	125
Insurance contract or identification number GOOOAFY5 Number of Individuals Covered 440 Insurance policy start date 2011-04-01 Insurance policy end date 2012-03-31 Total amount of commissions paid to insurance broker USD $2,703 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $16,563 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	126
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 586 Insurance policy start date 2010-08-01 Insurance policy end date 2011-07-31 Total amount of commissions paid to insurance broker USD $5,955 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $48,620 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	127
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 502 Insurance policy start date 2010-12-01 Insurance policy end date 2011-11-30 Total amount of commissions paid to insurance broker USD $4,853 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $23,381 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	128
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1155 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $26,183 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $123,188 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	129
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3480 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Total amount of commissions paid to insurance broker USD $38,927 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $268,798 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	130
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 501 Insurance policy start date 2011-06-01 Insurance policy end date 2012-05-31 Total amount of commissions paid to insurance broker USD $11,465 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $100,621 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	MULTI-CONTRACTS
Policy instance	131
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 313 Insurance policy start date 2011-03-01 Insurance policy end date 2012-02-29 Total amount of commissions paid to insurance broker USD $6,059 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $31,417 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GOOOAFKB
Policy instance	132
Insurance contract or identification number GOOOAFKB Number of Individuals Covered 132 Insurance policy start date 2011-03-01 Insurance policy end date 2012-02-29 Total amount of commissions paid to insurance broker USD $550 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,130 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	GOOOAFMG
Policy instance	133
Insurance contract or identification number GOOOAFMG Number of Individuals Covered 349 Insurance policy start date 2011-03-01 Insurance policy end date 2012-02-29 Total amount of commissions paid to insurance broker USD $3,971 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $26,635 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	134
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 81 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Total amount of commissions paid to insurance broker USD $378 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,537 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	135
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 541 Insurance policy start date 2010-11-01 Insurance policy end date 2011-10-31 Total amount of commissions paid to insurance broker USD $11,020 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $37,614 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	MULTI-CONTRACTS
Policy instance	136
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 573 Insurance policy start date 2010-10-01 Insurance policy end date 2011-09-30 Total amount of commissions paid to insurance broker USD $10,427 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $49,994 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	137
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 4086 Insurance policy start date 2010-09-01 Insurance policy end date 2011-08-31 Total amount of commissions paid to insurance broker USD $81,261 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $369,749 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	GC18814
Policy instance	138
Insurance contract or identification number GC18814 Number of Individuals Covered 20 Insurance policy start date 2011-04-01 Insurance policy end date 2012-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $238,832 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	NI7072
Policy instance	139
Insurance contract or identification number NI7072 Number of Individuals Covered 76 Insurance policy start date 2010-08-01 Insurance policy end date 2011-07-31 Total amount of commissions paid to insurance broker USD $1,001 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $519,596 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	140
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 81 Insurance policy start date 2010-12-01 Insurance policy end date 2011-11-30 Total amount of commissions paid to insurance broker USD $20,495 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $527,394 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	141
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1417 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $16,051 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,409,544 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	142
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1575 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Total amount of commissions paid to insurance broker USD $440,614 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,814,444 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	143
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 69 Insurance policy start date 2011-06-01 Insurance policy end date 2012-05-31 Total amount of commissions paid to insurance broker USD $21,761 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $799,022 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	144
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 59 Insurance policy start date 2011-03-01 Insurance policy end date 2012-02-29 Total amount of commissions paid to insurance broker USD $6,657 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $770,589 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	145
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 16 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Total amount of commissions paid to insurance broker USD $2,630 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $75,526 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	146
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 136 Insurance policy start date 2010-11-01 Insurance policy end date 2011-10-31 Total amount of commissions paid to insurance broker USD $1,365 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,292,744 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	147
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 327 Insurance policy start date 2010-10-01 Insurance policy end date 2011-09-30 Total amount of commissions paid to insurance broker USD $51,405 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,596,073 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	UH2806
Policy instance	148
Insurance contract or identification number UH2806 Number of Individuals Covered 319 Insurance policy start date 2010-09-01 Insurance policy end date 2011-08-31 Total amount of commissions paid to insurance broker USD $12,635 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,469,891 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 number	MULTI-CONTRACTS
Policy instance	149
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 330 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $94,062 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,911,880 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	150
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 86 Insurance policy start date 2011-04-01 Insurance policy end date 2012-03-31 Dental Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $60,749 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	151
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 628 Insurance policy start date 2010-08-01 Insurance policy end date 2011-07-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $138,309 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	H42107-1
Policy instance	152
Insurance contract or identification number H42107-1 Number of Individuals Covered 41 Insurance policy start date 2010-12-01 Insurance policy end date 2011-11-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,038 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	153
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 827 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $6,371 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $198,178 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	154
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 453 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $58,828 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	155
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 106 Insurance policy start date 2011-06-01 Insurance policy end date 2012-05-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $23,718 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	1004916
Policy instance	156
Insurance contract or identification number 1004916 Number of Individuals Covered 7 Insurance policy start date 2010-10-01 Insurance policy end date 2011-09-30 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,365 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	157
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1062 Insurance policy start date 2010-09-01 Insurance policy end date 2011-08-31 Total amount of commissions paid to insurance broker USD $29,927 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $394,573 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	31681
Policy instance	158
Insurance contract or identification number 31681 Number of Individuals Covered 23758 Insurance policy start date 2010-08-01 Insurance policy end date 2011-07-31 Total amount of commissions paid to insurance broker USD $139,636 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,122,866 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	02060
Policy instance	159
Insurance contract or identification number 02060 Number of Individuals Covered 811 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $11,531 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $102,613 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	31753
Policy instance	160
Insurance contract or identification number 31753 Number of Individuals Covered 1164 Insurance policy start date 2010-10-01 Insurance policy end date 2011-09-30 Total amount of commissions paid to insurance broker USD $13,709 Welfare Benefit Premiums Paid to Carrier USD $325,974 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	161
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 547 Insurance policy start date 2011-03-01 Insurance policy end date 2012-02-29 Total amount of commissions paid to insurance broker USD $6,709 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $69,317 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 89009 )
Policy contract number	147501
Policy instance	162
Insurance contract or identification number 147501 Number of Individuals Covered 125 Insurance policy start date 2011-04-01 Insurance policy end date 2012-03-31 Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $28,763 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 89009 )
Policy contract number	442033
Policy instance	163
Insurance contract or identification number 442033 Number of Individuals Covered 172 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,750 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	MULTI-CONTRACTS
Policy instance	164
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 431 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Total amount of commissions paid to insurance broker USD $2,314 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $96,637 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 89009 )
Policy contract number	153262
Policy instance	165
Insurance contract or identification number 153262 Number of Individuals Covered 686 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $81,508 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 89009 )
Policy contract number	MULTI-CONTRACTS
Policy instance	166
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 205 Insurance policy start date 2010-11-01 Insurance policy end date 2011-10-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $22,804 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 89009 )
Policy contract number	MULTI-CONTRACTS
Policy instance	167
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 668 Insurance policy start date 2010-10-01 Insurance policy end date 2011-09-30 Total amount of commissions paid to insurance broker USD $1,835 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $16,481 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
SUN LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	218594
Policy instance	168
Insurance contract or identification number 218594 Number of Individuals Covered 520 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $34,538 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
SUN LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULTI-CONTRACTS
Policy instance	169
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 317 Insurance policy start date 2011-06-01 Insurance policy end date 2012-05-31 Total amount of commissions paid to insurance broker USD $63 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $33,647 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
SUN LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULTI-CONTRACTS
Policy instance	170
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 353 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $39,543 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 number	MULTI-CONTRACTS
Policy instance	171
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 204 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Total amount of commissions paid to insurance broker USD $2,023 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $14,672 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	172
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2694 Insurance policy start date 2011-04-01 Insurance policy end date 2012-03-31 Total amount of commissions paid to insurance broker USD $61,353 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $228,733 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	MULTI-CONTRACTS
Policy instance	173
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2089 Insurance policy start date 2010-08-01 Insurance policy end date 2011-07-31 Total amount of commissions paid to insurance broker USD $48,270 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $206,666 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	174
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1388 Insurance policy start date 2010-12-01 Insurance policy end date 2011-11-30 Total amount of commissions paid to insurance broker USD $17,578 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $102,670 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	175
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 681 Insurance policy start date 2011-02-01 Insurance policy end date 2012-01-31 Total amount of commissions paid to insurance broker USD $11,866 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $47,861 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	176
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 9332 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $115,057 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $552,420 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	177
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 10793 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Total amount of commissions paid to insurance broker USD $185,132 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $888,398 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	178
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1494 Insurance policy start date 2011-06-01 Insurance policy end date 2012-05-31 Total amount of commissions paid to insurance broker USD $38,365 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $133,362 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	179
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 4526 Insurance policy start date 2011-03-01 Insurance policy end date 2012-02-29 Total amount of commissions paid to insurance broker USD $107,539 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $564,602 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	MULTI-CONTRACTS
Policy instance	180
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 875 Insurance policy start date 2011-05-01 Insurance policy end date 2012-04-30 Total amount of commissions paid to insurance broker USD $14,679 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $63,247 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	137309
Policy instance	181
Insurance contract or identification number 137309 Number of Individuals Covered 63 Insurance policy start date 2010-11-01 Insurance policy end date 2011-10-31 Total amount of commissions paid to insurance broker USD $3,702 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $11,541 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	MULI-CONTRACTS
Policy instance	182
Insurance contract or identification number MULI-CONTRACTS Number of Individuals Covered 733 Insurance policy start date 2010-10-01 Insurance policy end date 2011-09-30 Total amount of commissions paid to insurance broker USD $13,781 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $52,763 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	183
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 575 Insurance policy start date 2010-09-01 Insurance policy end date 2011-08-31 Total amount of commissions paid to insurance broker USD $18,069 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $96,526 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	12214243
Policy instance	184
Insurance contract or identification number 12214243 Number of Individuals Covered 37 Insurance policy start date 2011-04-01 Insurance policy end date 2012-03-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,872 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	12196326
Policy instance	185
Insurance contract or identification number 12196326 Number of Individuals Covered 251 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $21,996 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	12027737
Policy instance	186
Insurance contract or identification number 12027737 Number of Individuals Covered 84 Insurance policy start date 2011-03-01 Insurance policy end date 2012-02-29 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,144 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	885772
Policy instance	187
Insurance contract or identification number 885772 Number of Individuals Covered 292 Insurance policy start date 2010-12-01 Insurance policy end date 2011-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,312,875 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	MULTI-CONTRACTS
Policy instance	188
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 328 Insurance policy start date 2011-07-01 Insurance policy end date 2012-06-30 Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $69,380 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK 4D DENTAL (National Association of Insurance Commissioners NAIC id number: 81477 )
Policy contract number	85640
Policy instance	1
Insurance contract or identification number 85640 Number of Individuals Covered 439 Insurance policy start date 2010-06-01 Insurance policy end date 2011-05-31 Total amount of commissions paid to insurance broker USD $10,982 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $128,651 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	2
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 54 Insurance policy start date 2010-04-01 Insurance policy end date 2011-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $437,887 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	621641
Policy instance	3
Insurance contract or identification number 621641 Number of Individuals Covered 2 Insurance policy start date 2009-08-01 Insurance policy end date 2010-07-31 Total amount of commissions paid to insurance broker USD $770 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $18,833 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	885772
Policy instance	4
Insurance contract or identification number 885772 Number of Individuals Covered 286 Insurance policy start date 2009-12-01 Insurance policy end date 2010-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,795,012 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	5
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 343 Insurance policy start date 2010-02-01 Insurance policy end date 2011-01-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,360,420 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	6
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 991 Insurance policy start date 2010-07-01 Insurance policy end date 2011-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $9,690,374 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	7
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 522 Insurance policy start date 2010-01-01 Insurance policy end date 2011-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,141,635 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	8
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 213 Insurance policy start date 2010-06-01 Insurance policy end date 2011-05-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,922,999 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	9
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 224 Insurance policy start date 2010-03-01 Insurance policy end date 2011-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,604,241 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	10
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 834 Insurance policy start date 2009-10-01 Insurance policy end date 2010-09-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,827,342 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	11
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 207 Insurance policy start date 2009-09-01 Insurance policy end date 2010-08-31 Total amount of commissions paid to insurance broker USD $49,734 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,167,497 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	12
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 111 Insurance policy start date 2010-04-01 Insurance policy end date 2011-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $238,957 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	13
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 61 Insurance policy start date 2010-04-01 Insurance policy end date 2011-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $317,377 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	390961
Policy instance	14
Insurance contract or identification number 390961 Number of Individuals Covered 100 Insurance policy start date 2009-08-01 Insurance policy end date 2010-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $627,773 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	15
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 238 Insurance policy start date 2009-12-01 Insurance policy end date 2010-11-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,335,418 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	16
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 832 Insurance policy start date 2010-02-01 Insurance policy end date 2011-01-31 Total amount of commissions paid to insurance broker USD $56,093 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,507,027 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	17
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1114 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $9,626,326 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	18
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 515 Insurance policy start date 2010-07-01 Insurance policy end date 2011-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,936,037 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	19
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1124 Insurance policy start date 2010-07-01 Insurance policy end date 2011-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,118,855 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA (National Association of Insurance Commissioners NAIC id number: )
Policy contract number	MULTI-CONTRACTS
Policy instance	20
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 507 Insurance policy start date 2010-03-01 Insurance policy end date 2011-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,697,696 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	021791
Policy instance	21
Insurance contract or identification number 021791 Number of Individuals Covered 65 Insurance policy start date 2010-03-01 Insurance policy end date 2011-02-28 Total amount of commissions paid to insurance broker USD $1,604 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $798,471 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI CONTRACTS
Policy instance	22
Insurance contract or identification number MULTI CONTRACTS Number of Individuals Covered 531 Insurance policy start date 2010-06-01 Insurance policy end date 2011-05-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,937,693 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	385408
Policy instance	23
Insurance contract or identification number 385408 Number of Individuals Covered 103 Insurance policy start date 2010-03-01 Insurance policy end date 2011-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $805,225 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	24
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 94 Insurance policy start date 2010-05-01 Insurance policy end date 2011-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $906,463 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	314212
Policy instance	25
Insurance contract or identification number 314212 Number of Individuals Covered 88 Insurance policy start date 2010-05-01 Insurance policy end date 2011-04-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $709,365 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	360784
Policy instance	26
Insurance contract or identification number 360784 Number of Individuals Covered 184 Insurance policy start date 2010-05-01 Insurance policy end date 2011-04-30 Total amount of commissions paid to insurance broker USD $64,202 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,672,551 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	366260
Policy instance	27
Insurance contract or identification number 366260 Number of Individuals Covered 1 Insurance policy start date 2009-11-01 Insurance policy end date 2010-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,395 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	380317
Policy instance	28
Insurance contract or identification number 380317 Number of Individuals Covered 44 Insurance policy start date 2009-11-01 Insurance policy end date 2010-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $437,336 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	336529
Policy instance	29
Insurance contract or identification number 336529 Number of Individuals Covered 65 Insurance policy start date 2009-11-01 Insurance policy end date 2010-10-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $417,185 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	30
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 90 Insurance policy start date 2009-10-01 Insurance policy end date 2010-09-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $730,749 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	31
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 90 Insurance policy start date 2009-10-01 Insurance policy end date 2010-09-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,014,933 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MUTLI-CONTRACTS
Policy instance	32
Insurance contract or identification number MUTLI-CONTRACTS Number of Individuals Covered 203 Insurance policy start date 2009-09-01 Insurance policy end date 2010-08-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,831,622 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	MULTI-CONTRACTS
Policy instance	33
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 272 Insurance policy start date 2009-09-01 Insurance policy end date 2010-08-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,987,611 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	34
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 17958 Insurance policy start date 2009-08-01 Insurance policy end date 2010-07-31 Total amount of commissions paid to insurance broker USD $1,280,013 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,917,049 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	472785
Policy instance	35
Insurance contract or identification number 472785 Number of Individuals Covered 1900 Insurance policy start date 2009-12-01 Insurance policy end date 2010-11-30 Total amount of commissions paid to insurance broker USD $69,581 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $640,570 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	818762
Policy instance	36
Insurance contract or identification number 818762 Number of Individuals Covered 2052 Insurance policy start date 2010-02-01 Insurance policy end date 2011-01-31 Total amount of commissions paid to insurance broker USD $83,438 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,031,104 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	37
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2194 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $193,401 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,304,037 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	861323
Policy instance	38
Insurance contract or identification number 861323 Number of Individuals Covered 8146 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $67,242 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $654,539 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	657329
Policy instance	39
Insurance contract or identification number 657329 Number of Individuals Covered 10306 Insurance policy start date 2010-07-01 Insurance policy end date 2011-06-30 Total amount of commissions paid to insurance broker USD $105,963 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $910,110 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	885972
Policy instance	40
Insurance contract or identification number 885972 Number of Individuals Covered 4794 Insurance policy start date 2010-06-01 Insurance policy end date 2011-05-31 Total amount of commissions paid to insurance broker USD $144,054 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,576,081 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	469877
Policy instance	41
Insurance contract or identification number 469877 Number of Individuals Covered 175 Insurance policy start date 2010-03-01 Insurance policy end date 2011-02-28 Total amount of commissions paid to insurance broker USD $19,801 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $107,736 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	472901
Policy instance	42
Insurance contract or identification number 472901 Number of Individuals Covered 133 Insurance policy start date 2010-05-01 Insurance policy end date 2011-04-30 Total amount of commissions paid to insurance broker USD $4,777 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $33,125 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	696714
Policy instance	43
Insurance contract or identification number 696714 Number of Individuals Covered 1868 Insurance policy start date 2009-11-01 Insurance policy end date 2010-10-31 Total amount of commissions paid to insurance broker USD $72,006 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $547,543 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	472903
Policy instance	44
Insurance contract or identification number 472903 Number of Individuals Covered 609 Insurance policy start date 2009-09-01 Insurance policy end date 2010-08-31 Total amount of commissions paid to insurance broker USD $3,979 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $57,207 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	45
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 253 Insurance policy start date 2010-04-01 Insurance policy end date 2011-03-31 Total amount of commissions paid to insurance broker USD $12,899 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $144,371 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-34570
Policy instance	46
Insurance contract or identification number 10-34570 Number of Individuals Covered 35 Insurance policy start date 2009-12-01 Insurance policy end date 2010-11-30 Total amount of commissions paid to insurance broker USD $3,215 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $23,159 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-348886
Policy instance	47
Insurance contract or identification number 10-348886 Number of Individuals Covered 161 Insurance policy start date 2010-02-01 Insurance policy end date 2011-01-31 Total amount of commissions paid to insurance broker USD $2,967 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $19,011 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	48
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 327 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $32,078 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $183,894 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	49
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 63 Insurance policy start date 2010-07-01 Insurance policy end date 2011-06-30 Total amount of commissions paid to insurance broker USD $4,174 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $23,354 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-31526
Policy instance	50
Insurance contract or identification number 10-31526 Number of Individuals Covered 34 Insurance policy start date 2010-03-01 Insurance policy end date 2011-02-28 Total amount of commissions paid to insurance broker USD $2,996 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $19,798 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	MULTI-CONTRACTS
Policy instance	51
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 135 Insurance policy start date 2010-05-01 Insurance policy end date 2011-04-30 Total amount of commissions paid to insurance broker USD $2,918 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $17,953 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	52
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 45 Insurance policy start date 2010-04-01 Insurance policy end date 2011-03-31 Total amount of commissions paid to insurance broker USD $696 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,915 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	53
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 32 Insurance policy start date 2009-12-01 Insurance policy end date 2010-11-30 Total amount of commissions paid to insurance broker USD $555 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,923 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-337
Policy instance	54
Insurance contract or identification number 30790-337 Number of Individuals Covered 13 Insurance policy start date 2010-02-01 Insurance policy end date 2011-01-31 Total amount of commissions paid to insurance broker USD $455 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,866 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	55
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1242 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $4,534 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $74,483 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-1363
Policy instance	56
Insurance contract or identification number 30790-1363 Number of Individuals Covered 108 Insurance policy start date 2010-07-01 Insurance policy end date 2011-06-30 Total amount of commissions paid to insurance broker USD $865 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $14,719 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-304
Policy instance	57
Insurance contract or identification number 30790-304 Number of Individuals Covered 34 Insurance policy start date 2010-06-01 Insurance policy end date 2011-05-31 Total amount of commissions paid to insurance broker USD $448 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,810 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AVESIS 30790-302 (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-302
Policy instance	58
Insurance contract or identification number 30790-302 Number of Individuals Covered 8 Insurance policy start date 2010-05-01 Insurance policy end date 2011-04-30 Total amount of commissions paid to insurance broker USD $107 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $906 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	59
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 57 Insurance policy start date 2009-11-01 Insurance policy end date 2010-10-31 Total amount of commissions paid to insurance broker USD $711 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,849 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	MULTI-CONTRACTS
Policy instance	60
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 44 Insurance policy start date 2009-10-01 Insurance policy end date 2010-09-30 Total amount of commissions paid to insurance broker USD $674 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,601 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	61
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 151 Insurance policy start date 2009-08-01 Insurance policy end date 2010-07-31 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $974,521 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	62
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 362 Insurance policy start date 2010-02-01 Insurance policy end date 2011-01-31 Total amount of commissions paid to insurance broker USD $156,518 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,616,303 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	63
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 338 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $47,206 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $801,580 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	64
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1966 Insurance policy start date 2010-07-01 Insurance policy end date 2011-06-30 Total amount of commissions paid to insurance broker USD $147,291 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,709,506 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	3333346
Policy instance	65
Insurance contract or identification number 3333346 Number of Individuals Covered 190 Insurance policy start date 2010-05-01 Insurance policy end date 2011-04-30 Health Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,411,483 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	3332257
Policy instance	66
Insurance contract or identification number 3332257 Number of Individuals Covered 358 Insurance policy start date 2009-11-01 Insurance policy end date 2010-10-31 Total amount of commissions paid to insurance broker USD $20,060 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $404,105 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	MULTI-CONTRACTS
Policy instance	67
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 531 Insurance policy start date 2009-10-01 Insurance policy end date 2010-09-30 Total amount of commissions paid to insurance broker USD $1,007 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $554,269 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	3332093
Policy instance	68
Insurance contract or identification number 3332093 Number of Individuals Covered 113 Insurance policy start date 2009-09-01 Insurance policy end date 2010-08-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,113,484 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	006389
Policy instance	69
Insurance contract or identification number 006389 Number of Individuals Covered 168 Insurance policy start date 2009-08-01 Insurance policy end date 2010-07-31 Total amount of commissions paid to insurance broker USD $14,742 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,090,584 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	006671
Policy instance	70
Insurance contract or identification number 006671 Number of Individuals Covered 61 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $557,828 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	MULTI-CONTRACTS
Policy instance	71
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 140 Insurance policy start date 2010-07-01 Insurance policy end date 2011-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,371,633 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number	006626
Policy instance	72
Insurance contract or identification number 006626 Number of Individuals Covered 152 Insurance policy start date 2009-11-01 Insurance policy end date 2010-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,097,725 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	MULTI-CONTRACTS
Policy instance	73
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 309 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $1,093 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $28,268 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EYEMED/EYECARE PLAN 47 9835083 (National Association of Insurance Commissioners NAIC id number: 97055 )
Policy contract number	9789116
Policy instance	74
Insurance contract or identification number 9789116 Number of Individuals Covered 47 Insurance policy start date 2010-07-01 Insurance policy end date 2011-06-30 Total amount of commissions paid to insurance broker USD $422 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,585 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number	378942
Policy instance	75
Insurance contract or identification number 378942 Number of Individuals Covered 42 Insurance policy start date 2010-04-01 Insurance policy end date 2011-03-31 Total amount of commissions paid to insurance broker USD $13,462 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $430,402 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMPIRE BLUE CROSS-BLUE SHIELD 378332-000 378332-C1 378332-D1 378332-D2 (National Association of Insurance Commissioners NAIC id number: )
Policy contract number	MULTI-CONTRACTS
Policy instance	76
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 86 Insurance policy start date 2010-07-01 Insurance policy end date 2011-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $488,780 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number	378942-A
Policy instance	77
Insurance contract or identification number 378942-A Number of Individuals Covered 34 Insurance policy start date 2010-03-01 Insurance policy end date 2011-02-28 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $24,633 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	MULTI-CONTRACTS
Policy instance	78
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 703 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $87,045 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 number	211330
Policy instance	79
Insurance contract or identification number 211330 Number of Individuals Covered 158 Insurance policy start date 2009-11-01 Insurance policy end date 2010-10-31 Total amount of commissions paid to insurance broker USD $1,226 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $11,606 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	80
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 137 Insurance policy start date 2010-04-01 Insurance policy end date 2011-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $533,323 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	818B1G716
Policy instance	81
Insurance contract or identification number 818B1G716 Number of Individuals Covered 98 Insurance policy start date 2009-08-01 Insurance policy end date 2010-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $854,874 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	29641TILZ
Policy instance	82
Insurance contract or identification number 29641TILZ Number of Individuals Covered 28 Insurance policy start date 2010-02-01 Insurance policy end date 2011-01-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $107,104 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	83
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 337 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $29,125 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,054,450 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	84
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 186 Insurance policy start date 2010-07-01 Insurance policy end date 2011-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $988,215 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	85
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 206 Insurance policy start date 2010-06-01 Insurance policy end date 2011-05-31 Total amount of commissions paid to insurance broker USD $28,540 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,732,635 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	86
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 230 Insurance policy start date 2010-03-01 Insurance policy end date 2011-02-28 Total amount of commissions paid to insurance broker USD $5,775 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,100,537 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	MULTI-CONTRACTS
Policy instance	87
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 459 Insurance policy start date 2009-11-01 Insurance policy end date 2010-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,771,814 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number	818B1G475
Policy instance	88
Insurance contract or identification number 818B1G475 Number of Individuals Covered 91 Insurance policy start date 2009-10-01 Insurance policy end date 2010-09-30 Total amount of commissions paid to insurance broker USD $16,197 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $406,752 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	415189
Policy instance	89
Insurance contract or identification number 415189 Number of Individuals Covered 586 Insurance policy start date 2010-04-01 Insurance policy end date 2011-03-31 Dental Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $161,445 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00454812
Policy instance	90
Insurance contract or identification number 00454812 Number of Individuals Covered 60 Insurance policy start date 2010-02-01 Insurance policy end date 2011-01-31 Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $9,228 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	91
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1659 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $341,706 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	92
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 4069 Insurance policy start date 2010-07-01 Insurance policy end date 2011-06-30 Total amount of commissions paid to insurance broker USD $5,558 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,117,234 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	93
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 507 Insurance policy start date 2010-06-01 Insurance policy end date 2011-05-31 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $138,326 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00456191
Policy instance	94
Insurance contract or identification number 00456191 Number of Individuals Covered 30 Insurance policy start date 2010-03-01 Insurance policy end date 2011-02-28 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,791 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	406431
Policy instance	95
Insurance contract or identification number 406431 Number of Individuals Covered 53 Insurance policy start date 2009-11-01 Insurance policy end date 2010-10-31 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $54,468 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	MULTI-CONTRACTS
Policy instance	96
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 639 Insurance policy start date 2009-10-01 Insurance policy end date 2010-09-30 Total amount of commissions paid to insurance broker USD $12,163 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $311,904 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number	MULTI-CONTRACTS
Policy instance	97
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 80 Insurance policy start date 2010-07-01 Insurance policy end date 2011-06-30 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $578,769 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number	080214
Policy instance	98
Insurance contract or identification number 080214 Number of Individuals Covered 68 Insurance policy start date 2010-06-01 Insurance policy end date 2011-05-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $501,850 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	99
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 43 Insurance policy start date 2010-04-01 Insurance policy end date 2011-03-31 Total amount of commissions paid to insurance broker USD $25,836 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $328,167 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	100
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 82 Insurance policy start date 2009-08-01 Insurance policy end date 2010-07-31 Total amount of commissions paid to insurance broker USD $28,448 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $416,617 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	101
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 65 Insurance policy start date 2009-12-01 Insurance policy end date 2010-11-30 Total amount of commissions paid to insurance broker USD $40,391 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $514,593 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	102
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 102 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $2,805 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $887,545 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	103
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 390 Insurance policy start date 2010-07-01 Insurance policy end date 2011-06-30 Total amount of commissions paid to insurance broker USD $296,668 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,603,102 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	MULTI-CONTRACTS
Policy instance	104
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 79 Insurance policy start date 2010-06-01 Insurance policy end date 2011-05-31 Total amount of commissions paid to insurance broker USD $26,922 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $328,744 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	1071019000
Policy instance	105
Insurance contract or identification number 1071019000 Number of Individuals Covered 161 Insurance policy start date 2010-03-01 Insurance policy end date 2011-02-28 Total amount of commissions paid to insurance broker USD $74,158 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $976,628 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number	1072903000
Policy instance	106
Insurance contract or identification number 1072903000 Number of Individuals Covered 32 Insurance policy start date 2010-05-01 Insurance policy end date 2011-04-30 Total amount of commissions paid to insurance broker USD $7,808 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $191,017 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HEALTHNET (National Association of Insurance Commissioners NAIC id number: 95351 )
Policy contract number	MULTI-CONTRACTS
Policy instance	107
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 83 Insurance policy start date 2009-12-01 Insurance policy end date 2010-11-30 Total amount of commissions paid to insurance broker USD $46,006 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $871,278 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HEALTH NET INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 43893 )
Policy contract number	MULTI-CONTRACTS
Policy instance	108
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 635 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $225,082 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,657,999 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HEALTH NET INSURANCE OF CONNECTICUT (National Association of Insurance Commissioners NAIC id number: 10360 )
Policy contract number	MULTI-CONTRACTS
Policy instance	109
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 508 Insurance policy start date 2009-11-01 Insurance policy end date 2010-10-31 Total amount of commissions paid to insurance broker USD $173,415 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,733,371 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HEALTH NET INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 43893 )
Policy contract number	057636
Policy instance	110
Insurance contract or identification number 057636 Number of Individuals Covered 107 Insurance policy start date 2009-10-01 Insurance policy end date 2010-09-30 Total amount of commissions paid to insurance broker USD $35,562 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $662,749 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HEALTH NET INSURANCE OF CONNECTICUT (National Association of Insurance Commissioners NAIC id number: 10360 )
Policy contract number	0B9234
Policy instance	111
Insurance contract or identification number 0B9234 Number of Individuals Covered 129 Insurance policy start date 2009-09-01 Insurance policy end date 2010-08-31 Total amount of commissions paid to insurance broker USD $11,684 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $142,797 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	OGL 767066
Policy instance	112
Insurance contract or identification number OGL 767066 Number of Individuals Covered 998 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $130,825 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	MULTI-CONTRACTS
Policy instance	113
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 462 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $1,133 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $34,078 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	000010081090
Policy instance	114
Insurance contract or identification number 000010081090 Number of Individuals Covered 400 Insurance policy start date 2010-07-01 Insurance policy end date 2011-06-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,896 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	MULTI-CONTRACTS
Policy instance	115
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1352 Insurance policy start date 2010-03-01 Insurance policy end date 2011-02-28 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $147,559 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	05333775-05
Policy instance	116
Insurance contract or identification number 05333775-05 Number of Individuals Covered 75 Insurance policy start date 2010-04-01 Insurance policy end date 2011-03-31 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,400 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5334114
Policy instance	117
Insurance contract or identification number 5334114 Number of Individuals Covered 20 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $1,891 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,540 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	MULTI-CONTRACTS
Policy instance	118
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3722 Insurance policy start date 2010-07-01 Insurance policy end date 2011-06-30 Total amount of commissions paid to insurance broker USD $3,193 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $718,687 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	05333775
Policy instance	119
Insurance contract or identification number 05333775 Number of Individuals Covered 1092 Insurance policy start date 2010-05-01 Insurance policy end date 2011-04-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $152,504 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	120
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 507 Insurance policy start date 2010-04-01 Insurance policy end date 2011-03-31 Total amount of commissions paid to insurance broker USD $1,716 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $16,771 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	121
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 479 Insurance policy start date 2009-08-01 Insurance policy end date 2010-07-31 Total amount of commissions paid to insurance broker USD $12,160 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $51,961 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	122
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 390 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $9,449 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $45,125 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	MULTI-CONTRACTS
Policy instance	123
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3117 Insurance policy start date 2010-07-01 Insurance policy end date 2011-06-30 Total amount of commissions paid to insurance broker USD $73,014 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $342,610 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	G000AG9W
Policy instance	124
Insurance contract or identification number G000AG9W Number of Individuals Covered 154 Insurance policy start date 2010-06-01 Insurance policy end date 2011-05-31 Total amount of commissions paid to insurance broker USD $318 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,727 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	MULTI-CONTRACTS
Policy instance	125
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 712 Insurance policy start date 2010-03-01 Insurance policy end date 2011-02-28 Total amount of commissions paid to insurance broker USD $12,314 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $56,841 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	MULTI-CONTRACTS
Policy instance	126
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 671 Insurance policy start date 2009-10-01 Insurance policy end date 2010-09-30 Total amount of commissions paid to insurance broker USD $8,722 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $50,103 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	MULTI-CONTRACTS
Policy instance	127
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3047 Insurance policy start date 2009-09-01 Insurance policy end date 2010-08-31 Total amount of commissions paid to insurance broker USD $57,378 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $276,496 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	GC18814
Policy instance	128
Insurance contract or identification number GC18814 Number of Individuals Covered 19 Insurance policy start date 2010-04-01 Insurance policy end date 2011-03-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $198,899 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	NI7072
Policy instance	129
Insurance contract or identification number NI7072 Number of Individuals Covered 78 Insurance policy start date 2009-08-01 Insurance policy end date 2010-07-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $669,898 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	130
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 87 Insurance policy start date 2009-12-01 Insurance policy end date 2010-11-30 Total amount of commissions paid to insurance broker USD $15,741 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $499,475 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	131
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 552 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,140,100 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	132
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1517 Insurance policy start date 2010-07-01 Insurance policy end date 2011-06-30 Total amount of commissions paid to insurance broker USD $355,006 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,302,937 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	133
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 73 Insurance policy start date 2010-06-01 Insurance policy end date 2011-05-31 Total amount of commissions paid to insurance broker USD $14,069 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $680,402 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	134
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 26 Insurance policy start date 2010-05-01 Insurance policy end date 2011-04-30 Total amount of commissions paid to insurance broker USD $1,456 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $102,141 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRACTS
Policy instance	135
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 70 Insurance policy start date 2010-03-01 Insurance policy end date 2011-02-28 Total amount of commissions paid to insurance broker USD $4,235 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $773,859 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	MULTI-CONTRCTS
Policy instance	136
Insurance contract or identification number MULTI-CONTRCTS Number of Individuals Covered 83 Insurance policy start date 2009-11-01 Insurance policy end date 2010-10-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $818,638 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	FS1965
Policy instance	137
Insurance contract or identification number FS1965 Number of Individuals Covered 137 Insurance policy start date 2009-10-01 Insurance policy end date 2010-09-30 Total amount of commissions paid to insurance broker USD $57,915 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,291,055 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	UH2806
Policy instance	138
Insurance contract or identification number UH2806 Number of Individuals Covered 290 Insurance policy start date 2009-09-01 Insurance policy end date 2010-08-31 Total amount of commissions paid to insurance broker USD $2,955 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,013,335 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	139
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 258 Insurance policy start date 2010-04-01 Insurance policy end date 2011-03-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $80,050 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	140
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 802 Insurance policy start date 2009-08-01 Insurance policy end date 2010-07-31 Total amount of commissions paid to insurance broker USD $360 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $135,089 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	H42107-1
Policy instance	141
Insurance contract or identification number H42107-1 Number of Individuals Covered 313 Insurance policy start date 2009-12-01 Insurance policy end date 2010-11-30 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $55,588 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	142
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 779 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $121,246 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	143
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1386 Insurance policy start date 2010-07-01 Insurance policy end date 2011-06-30 Total amount of commissions paid to insurance broker USD $18,489 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $425,293 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	144
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 434 Insurance policy start date 2010-06-01 Insurance policy end date 2011-05-31 Total amount of commissions paid to insurance broker USD $9,050 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $148,306 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	145
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 109 Insurance policy start date 2010-03-01 Insurance policy end date 2011-02-28 Total amount of commissions paid to insurance broker USD $1,494 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,286 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	H47598-1
Policy instance	146
Insurance contract or identification number H47598-1 Number of Individuals Covered 53 Insurance policy start date 2010-05-01 Insurance policy end date 2011-04-30 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,651 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	H40605-1
Policy instance	147
Insurance contract or identification number H40605-1 Number of Individuals Covered 342 Insurance policy start date 2009-11-01 Insurance policy end date 2010-10-31 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $30,804 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	MULTI-CONTRACTS
Policy instance	148
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 994 Insurance policy start date 2009-09-01 Insurance policy end date 2010-08-31 Total amount of commissions paid to insurance broker USD $26,130 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $376,242 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	31681
Policy instance	149
Insurance contract or identification number 31681 Number of Individuals Covered 23797 Insurance policy start date 2009-08-01 Insurance policy end date 2010-07-31 Total amount of commissions paid to insurance broker USD $151,070 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Other welfare benefits provided EAP Welfare Benefit Premiums Paid to Carrier USD $2,215,889 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	61666
Policy instance	150
Insurance contract or identification number 61666 Number of Individuals Covered 42 Insurance policy start date 2009-12-01 Insurance policy end date 2010-11-30 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $635 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	02060
Policy instance	151
Insurance contract or identification number 02060 Number of Individuals Covered 968 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $4,676 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $138,744 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	31753
Policy instance	152
Insurance contract or identification number 31753 Number of Individuals Covered 1230 Insurance policy start date 2009-10-01 Insurance policy end date 2010-09-30 Total amount of commissions paid to insurance broker USD $1,298 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $339,943 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	MULTI-CONTRACTS
Policy instance	153
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 538 Insurance policy start date 2010-03-01 Insurance policy end date 2011-02-28 Total amount of commissions paid to insurance broker USD $6,350 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $64,463 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 89009 )
Policy contract number	147501
Policy instance	154
Insurance contract or identification number 147501 Number of Individuals Covered 137 Insurance policy start date 2010-04-01 Insurance policy end date 2011-03-31 Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $38,396 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 89009 )
Policy contract number	442033
Policy instance	155
Insurance contract or identification number 442033 Number of Individuals Covered 162 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,707 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 89009 )
Policy contract number	MULTI-CONTRACTS
Policy instance	156
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 656 Insurance policy start date 2010-07-01 Insurance policy end date 2011-06-30 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $145,502 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 89009 )
Policy contract number	143847
Policy instance	157
Insurance contract or identification number 143847 Number of Individuals Covered 95 Insurance policy start date 2009-11-01 Insurance policy end date 2010-10-31 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $949 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 89009 )
Policy contract number	MULTI-CONTRACTS
Policy instance	158
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 332 Insurance policy start date 2009-10-01 Insurance policy end date 2010-09-30 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $31,009 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 number	729567
Policy instance	159
Insurance contract or identification number 729567 Number of Individuals Covered 103 Insurance policy start date 2010-05-01 Insurance policy end date 2011-04-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $15,740 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	160
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1614 Insurance policy start date 2010-04-01 Insurance policy end date 2011-03-31 Total amount of commissions paid to insurance broker USD $29,732 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $123,239 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	161
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1656 Insurance policy start date 2009-08-01 Insurance policy end date 2010-07-31 Total amount of commissions paid to insurance broker USD $36,591 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $152,518 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	162
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1330 Insurance policy start date 2009-12-01 Insurance policy end date 2010-11-30 Total amount of commissions paid to insurance broker USD $19,082 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $99,954 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	163
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 316 Insurance policy start date 2010-02-01 Insurance policy end date 2011-01-31 Total amount of commissions paid to insurance broker USD $11,920 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $58,007 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	MULTI-CONTRACTS
Policy instance	164
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 3926 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $76,661 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $310,939 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	165
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 1073 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $16,071 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $81,554 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	MULTI-CONTRACTS
Policy instance	166
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 5978 Insurance policy start date 2010-07-01 Insurance policy end date 2011-06-30 Total amount of commissions paid to insurance broker USD $85,065 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $421,526 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	167
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 4881 Insurance policy start date 2010-07-01 Insurance policy end date 2011-06-30 Total amount of commissions paid to insurance broker USD $89,661 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $431,925 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	MULTI-CONTRACTS
Policy instance	168
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 733 Insurance policy start date 2010-06-01 Insurance policy end date 2011-05-31 Total amount of commissions paid to insurance broker USD $6,894 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $38,875 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	169
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 346 Insurance policy start date 2010-06-01 Insurance policy end date 2011-05-31 Total amount of commissions paid to insurance broker USD $7,890 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $35,994 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	MULTI-CONTRACTS
Policy instance	170
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 4468 Insurance policy start date 2010-03-01 Insurance policy end date 2011-02-28 Total amount of commissions paid to insurance broker USD $39,139 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $482,132 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	171
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 884 Insurance policy start date 2010-03-01 Insurance policy end date 2011-02-28 Total amount of commissions paid to insurance broker USD $23,996 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $96,324 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	MULTI-CONTRACTS
Policy instance	172
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 276 Insurance policy start date 2010-05-01 Insurance policy end date 2011-04-30 Total amount of commissions paid to insurance broker USD $4,517 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $18,217 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	173
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 2301 Insurance policy start date 2010-05-01 Insurance policy end date 2011-04-30 Total amount of commissions paid to insurance broker USD $29,487 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $228,023 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	174
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 497 Insurance policy start date 2009-11-01 Insurance policy end date 2010-10-31 Total amount of commissions paid to insurance broker USD $11,389 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $59,262 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	MULTI-CONTRACTS
Policy instance	175
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 539 Insurance policy start date 2009-10-01 Insurance policy end date 2010-09-30 Total amount of commissions paid to insurance broker USD $7,717 Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $32,750 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	MULTI-CONTRACTS
Policy instance	176
Insurance contract or identification number MULTI-CONTRACTS Number of Individuals Covered 53 Insurance policy start date 2009-09-01 Insurance policy end date 2010-08-30 Total amount of commissions paid to insurance broker USD $1,624 Life Insurance Welfare Benefit Yes Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,175 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	300003929
Policy instance	177
Insurance contract or identification number 300003929 Number of Individuals Covered 34 Insurance policy start date 2010-07-01 Insurance policy end date 2011-06-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,051 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	30790-246
Policy instance	178
Insurance contract or identification number 30790-246 Number of Individuals Covered 10 Insurance policy start date 2010-03-01 Insurance policy end date 2011-02-28 Total amount of commissions paid to insurance broker USD $125 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,059 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	1004916
Policy instance	179
Insurance contract or identification number 1004916 Number of Individuals Covered 8 Insurance policy start date 2009-10-01 Insurance policy end date 2010-09-30 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,967 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No