401k Plan data: ACCELERATED HEALTH SYSTEMS LLC HEALTH PLAN plan

ACCELERATED HEALTH SYSTEMS LLC HEALTH PLAN 401k Plan overview

Plan Name	ACCELERATED HEALTH SYSTEMS LLC HEALTH PLAN
Plan identification number	501

ACCELERATED HEALTH SYSTEMS LLC HEALTH PLAN Benefits

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

401k Sponsoring company profile

ACCELERATED HEALTH SYSTEMS, LLC has sponsored the creation of one or more 401k plans.

Company Name: ACCELERATED HEALTH SYSTEMS, LLC

Employer identification number (EIN): 364280414

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

Additional information about ACCELERATED HEALTH SYSTEMS, LLC

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division

Incorporation Date: 2012-05-29

Company Identification Number: 2110560

Legal Registered Office Address: 4568 MAYFIELD ROAD, STE 204
-
CLEVELAND
United States of America (USA)
44121

More information about ACCELERATED HEALTH SYSTEMS, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ACCELERATED HEALTH SYSTEMS LLC HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2015-01-01 MARK KAUFMAN
501 2014-01-01 LISA PRINCE 2015-08-28
501 2013-01-01 LISA PRINCE 2014-08-07
501 2012-01-01 LISA PRINCE 2013-09-10
501 2011-01-01 LISA PRINCE 2012-10-08
501 2009-01-01 LISA PRINCE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2015-01-01	MARK KAUFMAN
501	2014-01-01	LISA PRINCE	2015-08-28
501	2013-01-01	LISA PRINCE	2014-08-07
501	2012-01-01	LISA PRINCE	2013-09-10
501	2011-01-01	LISA PRINCE	2012-10-08
501	2009-01-01	LISA PRINCE

Plan Statistics for ACCELERATED HEALTH SYSTEMS LLC HEALTH PLAN

401k plan membership statisitcs for ACCELERATED HEALTH SYSTEMS LLC HEALTH PLAN

Measure Date Value
2015: ACCELERATED HEALTH SYSTEMS LLC HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,194
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 0
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 0
2014: ACCELERATED HEALTH SYSTEMS LLC HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 2,142
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 2,247
Number of retired or separated participants receiving benefits 2014-01-01 0
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 2,247
2013: ACCELERATED HEALTH SYSTEMS LLC HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,850
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 2,142
Total of all active and inactive participants 2013-01-01 2,142
2012: ACCELERATED HEALTH SYSTEMS LLC HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,773
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,850
Total of all active and inactive participants 2012-01-01 1,850
2011: ACCELERATED HEALTH SYSTEMS LLC HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,047
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,773
Total of all active and inactive participants 2011-01-01 1,773
2009: ACCELERATED HEALTH SYSTEMS LLC HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 701
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 701
Total of all active and inactive participants 2009-01-01 701

Measure	Date	Value
2015: ACCELERATED HEALTH SYSTEMS LLC HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,194
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
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	0
2014: ACCELERATED HEALTH SYSTEMS LLC HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	2,142
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	2,247
Number of retired or separated participants receiving benefits	2014-01-01	0
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	2,247
2013: ACCELERATED HEALTH SYSTEMS LLC HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,850
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	2,142
Total of all active and inactive participants	2013-01-01	2,142
2012: ACCELERATED HEALTH SYSTEMS LLC HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,773
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,850
Total of all active and inactive participants	2012-01-01	1,850
2011: ACCELERATED HEALTH SYSTEMS LLC HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,047
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,773
Total of all active and inactive participants	2011-01-01	1,773
2009: ACCELERATED HEALTH SYSTEMS LLC HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	701
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	701
Total of all active and inactive participants	2009-01-01	701

Form 5500 Responses for ACCELERATED HEALTH SYSTEMS LLC HEALTH PLAN

2015: ACCELERATED HEALTH SYSTEMS LLC HEALTH PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	Yes
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: ACCELERATED HEALTH SYSTEMS LLC HEALTH PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: ACCELERATED HEALTH SYSTEMS LLC HEALTH PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Multi-employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: ACCELERATED HEALTH SYSTEMS LLC HEALTH PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Multi-employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: ACCELERATED HEALTH SYSTEMS LLC HEALTH PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Multi-employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: ACCELERATED HEALTH SYSTEMS LLC HEALTH PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Multi-employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

031485,031486

Policy instance

Insurance contract or identification number	031485,031486
Number of Individuals Covered	79
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Other welfare benefits provided	OTHER (SPECIFY)
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

767608G

Policy instance

Insurance contract or identification number	767608G
Number of Individuals Covered	1504
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $146,457
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD
Insurance broker name	MERCER HEALTH AND BENEFITS

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

767608G

Policy instance

Insurance contract or identification number	767608G
Number of Individuals Covered	1501
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $234,282
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD
Insurance broker name	MERCER HEALTH BENEFITS

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

767608G

Policy instance

Insurance contract or identification number	767608G
Number of Individuals Covered	1501
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $507
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $352,186
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $507
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD
Insurance broker name	MERCER HEALTH & BENEFITS LLC

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

031485,031486

Policy instance

Insurance contract or identification number	031485,031486
Number of Individuals Covered	2247
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of fees paid to insurance company	USD $7,377
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $298,841
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	7377
Additional information about fees paid to insurance broker	BASE COMMISSIONS
Insurance broker name	MERCER HEALTH & BENEFITS

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

031485,031486

Policy instance

Insurance contract or identification number	031485,031486
Number of Individuals Covered	114
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Other welfare benefits provided	FLEX SPENDING
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Additional information about fees paid to insurance broker	ADMINISTRATION FLEX SPENDING
Insurance broker name	PAYFLEX

DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )

Policy contract number

20248

Policy instance

Insurance contract or identification number	20248
Number of Individuals Covered	1175
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $16,553
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $57,077
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $16,553
Additional information about fees paid to insurance broker	BASE COMMISSIONS SUPPLEMENTAL COMPENSATION
Insurance broker name	MERCER HEALTH & BENEFITS

DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )

Policy contract number

20248

Policy instance

Insurance contract or identification number	20248
Number of Individuals Covered	1120
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $18,041
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $53,750
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $18,041
Additional information about fees paid to insurance broker	BASE COMMISSIONS SUPPLEMENTAL COMPENSATION
Insurance broker name	MERCER HEALTH & BENEFITS

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

031485,031486

Policy instance

Insurance contract or identification number	031485,031486
Number of Individuals Covered	56
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Other welfare benefits provided	OTHER (SPECIFY)
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

031485,031486

Policy instance

Insurance contract or identification number	031485,031486
Number of Individuals Covered	94
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Other welfare benefits provided	FLEX SPENDING
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Additional information about fees paid to insurance broker	ADMINISTRATION FLEX SPENDING
Insurance broker name	PAYFLEX

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

031485,031486

Policy instance

Insurance contract or identification number	031485,031486
Number of Individuals Covered	2142
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $6,756
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $252,445
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,756
Additional information about fees paid to insurance broker	BASE COMMISSIONS
Insurance broker name	MERCER HEALTH & BENEFITS

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

767608G

Policy instance

Insurance contract or identification number	767608G
Number of Individuals Covered	1489
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $4
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $220,284
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD
Insurance broker name	MERCER HEALTH & BENEFITS LLC

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

767608G

Policy instance

Insurance contract or identification number	767608G
Number of Individuals Covered	1487
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $55,545
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $331,644
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $55,545
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD
Insurance broker name	MERCER HEALTH BENEFITS

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

767608G

Policy instance

Insurance contract or identification number	767608G
Number of Individuals Covered	1494
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $5,083
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $136,911
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,083
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD
Insurance broker name	MERCER HEALTH AND BENEFITS

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

767608G

Policy instance

Insurance contract or identification number	767608G
Number of Individuals Covered	1270
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of fees paid to insurance company	USD $11,279
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $131,465
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	11279
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD
Insurance broker name	MERCER HEALTH AND BENEFITS

DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )

Policy contract number

20248

Policy instance

Insurance contract or identification number	20248
Number of Individuals Covered	965
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $12,358
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $46,216
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $12,358
Additional information about fees paid to insurance broker	BASE COMMISSIONS SUPPLEMENTAL COMPENSATION
Insurance broker name	MERCER HEALTH & BENEFITS

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

767608G

Policy instance

Insurance contract or identification number	767608G
Number of Individuals Covered	1269
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $15,660
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $327,100
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $15,660
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD
Insurance broker name	MERCER HEALTH BENEFITS

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

767608G

Policy instance

Insurance contract or identification number	767608G
Number of Individuals Covered	1270
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $82,094
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $215,397
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $82,094
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD
Insurance broker name	MERCER HEALTH & BENEFITS LLC

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

031485,031486

Policy instance

Insurance contract or identification number	031485,031486
Number of Individuals Covered	1850
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $98,517
Total amount of fees paid to insurance company	USD $6,455
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $98,517
Amount paid for insurance broker fees	6455
Additional information about fees paid to insurance broker	BASE COMMISSIONS
Insurance broker name	MERCER HEALTH & BENEFITS

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

031485,031486

Policy instance

Insurance contract or identification number	031485,031486
Number of Individuals Covered	99
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Other welfare benefits provided	FLEX SPENDING
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Additional information about fees paid to insurance broker	ADMINISTRATION FLEX SPENDING
Insurance broker name	PAYFLEX

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

031485,031486

Policy instance

Insurance contract or identification number	031485,031486
Number of Individuals Covered	55
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Other welfare benefits provided	OTHER (SPECIFY)
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

GOOOABR5

Policy instance

Insurance contract or identification number	GOOOABR5
Number of Individuals Covered	851
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $37,398
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $249,320
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

031485031486

Policy instance

Insurance contract or identification number	031485031486
Number of Individuals Covered	1773
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $88,682
Total amount of fees paid to insurance company	USD $30,556
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $275,547
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

031485031486

Policy instance

Insurance contract or identification number	031485031486
Number of Individuals Covered	105
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Other welfare benefits provided	FLEX SPENDING
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

031485031486

Policy instance

Insurance contract or identification number	031485031486
Number of Individuals Covered	43
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Other welfare benefits provided	DEPENDENT CARE
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

0139546

Policy instance

Insurance contract or identification number	0139546
Number of Individuals Covered	1208
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $8,953
Total amount of fees paid to insurance company	USD $3,881
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $396,256
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

GVLT0ABR5

Policy instance

Insurance contract or identification number	GVLT0ABR5
Number of Individuals Covered	238
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $4,437
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ADD
Welfare Benefit Premiums Paid to Carrier	USD $29,578
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

G161133

Policy instance

Insurance contract or identification number	G161133
Number of Individuals Covered	249
Insurance policy start date	2011-07-01
Insurance policy end date	2011-12-31
Temporary Disability Insurance Welfare Benefit	Yes
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

GL147268

Policy instance

Insurance contract or identification number	GL147268
Number of Individuals Covered	249
Insurance policy start date	2011-07-01
Insurance policy end date	2011-12-31
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ADD
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

G000ABR5

Policy instance

Insurance contract or identification number	G000ABR5
Number of Individuals Covered	844
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $36,648
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $244,323
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

G000ABR5

Policy instance

Insurance contract or identification number	G000ABR5
Number of Individuals Covered	855
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $2,484
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ADD
Welfare Benefit Premiums Paid to Carrier	USD $16,558
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

LTD120916

Policy instance

Insurance contract or identification number	LTD120916
Number of Individuals Covered	249
Insurance policy start date	2011-07-01
Insurance policy end date	2011-12-31
Long Term Disability Insurance Welfare Benefit	Yes
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

G000ABR5

Policy instance

Insurance contract or identification number	G000ABR5
Number of Individuals Covered	741
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $31,625
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $210,830
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $31,625
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD
Insurance broker organization code?	3
Insurance broker name	MERCER HEALTH AND BENEFITS

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000ABR5

Policy instance

Insurance contract or identification number	G000ABR5
Number of Individuals Covered	740
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $27,016
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $180,107
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $27,016
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD
Insurance broker organization code?	3
Insurance broker name	MERCER HEALTH BENEFITS

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GOOOABR5

Policy instance

Insurance contract or identification number	GOOOABR5
Number of Individuals Covered	742
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $2,072
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD D
Welfare Benefit Premiums Paid to Carrier	USD $13,815
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,072
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD
Insurance broker organization code?	3
Insurance broker name	MERCER HEALTH & BENEFITS LLC

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

031485031486

Policy instance

Insurance contract or identification number	031485031486
Number of Individuals Covered	1047
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $52,259
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $157,040
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $52,259
Additional information about fees paid to insurance broker	BASE COMMISSIONS
Insurance broker organization code?	3
Insurance broker name	MERCER HEALTH & BENEFITS

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

031485031486

Policy instance

Insurance contract or identification number	031485031486
Number of Individuals Covered	153
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Other welfare benefits provided	FLEX SPENDING
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Additional information about fees paid to insurance broker	ADMINISTRATION FLEX SPENDING
Insurance broker organization code?	5
Insurance broker name	PAYFLEX

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

031485031486

Policy instance

Insurance contract or identification number	031485031486
Number of Individuals Covered	153
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Health Insurance Welfare Benefit	Yes
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

GVLT0ABR5

Policy instance

Insurance contract or identification number	GVLT0ABR5
Number of Individuals Covered	202
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $7,673
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $51,152
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,673
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD
Insurance broker organization code?	3
Insurance broker name	MERCER HEALTH & BENEFITS

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0139546

Policy instance

Insurance contract or identification number	0139546
Number of Individuals Covered	1069
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $7,833
Total amount of fees paid to insurance company	USD $6,339
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,833
Amount paid for insurance broker fees	6339
Additional information about fees paid to insurance broker	BASE COMMISSIONS
Insurance broker organization code?	3
Insurance broker name	MERCER HEALTH & BENEFITS

Was this data useful?

If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us. Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer

The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Company Name:	ACCELERATED HEALTH SYSTEMS, LLC
Employer identification number (EIN):	364280414
NAIC Classification:	621340
NAIC Description:	Offices of Physical, Occupational and Speech Therapists, and Audiologists

Jurisdiction of Incorporation:	Ohio Secretary of State Business Services Division
Incorporation Date:	2012-05-29
Company Identification Number:	2110560
Legal Registered Office Address:	4568 MAYFIELD ROAD, STE 204 - CLEVELAND United States of America (USA) 44121