MUNSON HEALTHCARE has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan MUNSON HEALTH AND WELFARE PLAN
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | FLX965991 |
Policy instance | 3 |
Insurance contract or identification number | FLX965991 | Number of Individuals Covered | 6527 | Insurance policy end date | 2023-06-30 | Total amount of commissions paid to insurance broker | USD $13,735 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Welfare Benefit Premiums Paid to Carrier | USD $5,774,657 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $13,735 | Insurance broker organization code? | 3 |
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VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 30075690 |
Policy instance | 2 |
Insurance contract or identification number | 30075690 | Number of Individuals Covered | 5075 | Insurance policy start date | 2022-07-01 | Insurance policy end date | 2023-06-30 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,796,372 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
Policy contract number | 600001 |
Policy instance | 1 |
Insurance contract or identification number | 600001 | Number of Individuals Covered | 12110 | Insurance policy start date | 2022-07-01 | Insurance policy end date | 2023-06-30 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $73,679,966 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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METROPOLITAN PROPERTY AND CASUALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26298 ) |
Policy contract number | 6090205 |
Policy instance | 4 |
Insurance contract or identification number | 6090205 | Number of Individuals Covered | 1273 | Insurance policy start date | 2022-07-01 | Insurance policy end date | 2023-06-30 | Other welfare benefits provided | LEGAL | Welfare Benefit Premiums Paid to Carrier | USD $234,135 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
Policy contract number | 600001 |
Policy instance | 1 |
Insurance contract or identification number | 600001 | Number of Individuals Covered | 12286 | 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 $72,067,846 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 30075690 |
Policy instance | 2 |
Insurance contract or identification number | 30075690 | Number of Individuals Covered | 5167 | 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 $1,841,035 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | FLX965991 |
Policy instance | 3 |
Insurance contract or identification number | FLX965991 | Number of Individuals Covered | 6557 | Insurance policy end date | 2022-06-30 | Total amount of commissions paid to insurance broker | USD $22,453 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Welfare Benefit Premiums Paid to Carrier | USD $5,587,173 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $22,453 | Insurance broker organization code? | 3 |
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METROPOLITAN PROPERTY AND CASUALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26298 ) |
Policy contract number | 6090205 |
Policy instance | 4 |
Insurance contract or identification number | 6090205 | Number of Individuals Covered | 1238 | Insurance policy start date | 2021-07-01 | Insurance policy end date | 2022-06-30 | Other welfare benefits provided | LEGAL | Welfare Benefit Premiums Paid to Carrier | USD $252,170 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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METROPOLITAN PROPERTY AND CASUALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26298 ) |
Policy contract number | 6090205 |
Policy instance | 4 |
Insurance contract or identification number | 6090205 | Number of Individuals Covered | 1214 | Insurance policy start date | 2020-07-01 | Insurance policy end date | 2021-06-30 | Other welfare benefits provided | LEGAL | Welfare Benefit Premiums Paid to Carrier | USD $249,197 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | FLX965991 |
Policy instance | 3 |
Insurance contract or identification number | FLX965991 | Number of Individuals Covered | 6017 | Insurance policy end date | 2021-06-30 | Total amount of commissions paid to insurance broker | USD $4,270 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | ADDITIONAL DEATH AND DISMEMBERMENT | Welfare Benefit Premiums Paid to Carrier | USD $3,766,334 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $4,270 | Insurance broker organization code? | 3 |
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VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 30075690 |
Policy instance | 2 |
Insurance contract or identification number | 30075690 | Number of Individuals Covered | 5193 | 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 $1,360,174 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
Policy contract number | 600001 |
Policy instance | 1 |
Insurance contract or identification number | 600001 | Number of Individuals Covered | 11454 | 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 $71,379,224 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
Policy contract number | 600001 |
Policy instance | 1 |
Insurance contract or identification number | 600001 | Number of Individuals Covered | 11800 | 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 $62,607,989 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | FLX965991 |
Policy instance | 3 |
Insurance contract or identification number | FLX965991 | Number of Individuals Covered | 6472 | Insurance policy end date | 2020-06-30 | Total amount of commissions paid to insurance broker | USD $13,262 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | ADDITIONAL DEATH AND DISMEMBERMENT | Welfare Benefit Premiums Paid to Carrier | USD $4,389,618 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $13,262 | Insurance broker organization code? | 3 |
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VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 30075690 |
Policy instance | 2 |
Insurance contract or identification number | 30075690 | Number of Individuals Covered | 4966 | 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 $1,361,944 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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METROPOLITAN PROPERTY AND CASUALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26298 ) |
Policy contract number | 6090205 |
Policy instance | 4 |
Insurance contract or identification number | 6090205 | Number of Individuals Covered | 1223 | Insurance policy start date | 2019-07-01 | Insurance policy end date | 2020-06-30 | Other welfare benefits provided | LEGAL | Welfare Benefit Premiums Paid to Carrier | USD $246,048 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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METROPOLITAN PROPERTY AND CASUALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26298 ) |
Policy contract number | 6090205 |
Policy instance | 4 |
Insurance contract or identification number | 6090205 | Number of Individuals Covered | 1100 | Insurance policy start date | 2018-07-01 | Insurance policy end date | 2019-06-30 | Other welfare benefits provided | LEGAL | Welfare Benefit Premiums Paid to Carrier | USD $219,978 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | FLX965991 |
Policy instance | 3 |
Insurance contract or identification number | FLX965991 | Number of Individuals Covered | 6196 | Insurance policy end date | 2019-06-30 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | ADDITIONAL DEATH AND DISMEMBERMENT | Welfare Benefit Premiums Paid to Carrier | USD $3,877,089 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
Policy contract number | 600001 |
Policy instance | 1 |
Insurance contract or identification number | 600001 | Number of Individuals Covered | 11604 | 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 $65,786,055 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 30075690 |
Policy instance | 2 |
Insurance contract or identification number | 30075690 | Number of Individuals Covered | 4757 | 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 $1,269,804 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
Policy contract number | 600001 |
Policy instance | 1 |
Insurance contract or identification number | 600001 | Number of Individuals Covered | 11117 | 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 $60,064,117 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | FLX965991 |
Policy instance | 3 |
Insurance contract or identification number | FLX965991 | Number of Individuals Covered | 5885 | Insurance policy end date | 2018-06-30 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | ADDITIONAL DEATH AND DISMEMBERMENT | Welfare Benefit Premiums Paid to Carrier | USD $3,697,602 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 30075690 |
Policy instance | 2 |
Insurance contract or identification number | 30075690 | Number of Individuals Covered | 4258 | 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 $1,094,604 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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HYATT LEGAL PLANS (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 6090205 |
Policy instance | 4 |
Insurance contract or identification number | 6090205 | Number of Individuals Covered | 967 | Insurance policy start date | 2017-07-01 | Insurance policy end date | 2018-06-30 | Other welfare benefits provided | LEGAL | Welfare Benefit Premiums Paid to Carrier | USD $204,204 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
Policy contract number | 000099061022 |
Policy instance | 5 |
Insurance contract or identification number | 000099061022 | Number of Individuals Covered | 7995 | Insurance policy start date | 2017-04-01 | Insurance policy end date | 2018-04-01 | Temporary Disability Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9907858 |
Policy instance | 13 |
Insurance contract or identification number | 9907858 | Number of Individuals Covered | 48 | Insurance policy start date | 2015-07-01 | Insurance policy end date | 2016-06-30 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $2,772 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9907866 |
Policy instance | 12 |
Insurance contract or identification number | 9907866 | Number of Individuals Covered | 295 | Insurance policy start date | 2015-07-01 | Insurance policy end date | 2016-06-30 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $16,246 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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HYATT LEGAL PLANS (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 6090205 |
Policy instance | 11 |
Insurance contract or identification number | 6090205 | Number of Individuals Covered | 846 | Insurance policy start date | 2015-07-01 | Insurance policy end date | 2016-06-30 | Other welfare benefits provided | LEGAL | Welfare Benefit Premiums Paid to Carrier | USD $178,728 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | VDT961619 |
Policy instance | 10 |
Insurance contract or identification number | VDT961619 | Number of Individuals Covered | 622 | Insurance policy start date | 2015-07-01 | Insurance policy end date | 2016-06-30 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $262,012 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9907874 |
Policy instance | 9 |
Insurance contract or identification number | 9907874 | Number of Individuals Covered | 107 | Insurance policy start date | 2015-07-01 | Insurance policy end date | 2016-06-30 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $6,428 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9907841 |
Policy instance | 8 |
Insurance contract or identification number | 9907841 | Number of Individuals Covered | 9 | Insurance policy start date | 2015-07-01 | Insurance policy end date | 2016-06-30 | 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 |
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EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9907833 |
Policy instance | 7 |
Insurance contract or identification number | 9907833 | Number of Individuals Covered | 5775 | Insurance policy start date | 2015-07-01 | Insurance policy end date | 2016-06-30 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $322,980 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | OK 967547 |
Policy instance | 6 |
Insurance contract or identification number | OK 967547 | Number of Individuals Covered | 3191 | Insurance policy start date | 2015-07-01 | Insurance policy end date | 2016-06-30 | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | Welfare Benefit Premiums Paid to Carrier | USD $31,445 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 1000042 |
Policy instance | 14 |
Insurance contract or identification number | 1000042 | Number of Individuals Covered | 320 | Insurance policy start date | 2015-07-01 | Insurance policy end date | 2016-06-30 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $16,940 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 1000041 |
Policy instance | 15 |
Insurance contract or identification number | 1000041 | Number of Individuals Covered | 535 | Insurance policy start date | 2015-07-01 | Insurance policy end date | 2016-06-30 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $26,327 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 1000036 |
Policy instance | 16 |
Insurance contract or identification number | 1000036 | Number of Individuals Covered | 9 | Insurance policy start date | 2015-07-01 | Insurance policy end date | 2016-06-30 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,145 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9907395 |
Policy instance | 24 |
Insurance contract or identification number | 9907395 | Number of Individuals Covered | 11 | Insurance policy start date | 2015-07-01 | Insurance policy end date | 2016-06-30 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $521 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 1000035 |
Policy instance | 23 |
Insurance contract or identification number | 1000035 | Number of Individuals Covered | 1193 | Insurance policy start date | 2015-07-01 | Insurance policy end date | 2016-06-30 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $178,524 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 1000040 |
Policy instance | 22 |
Insurance contract or identification number | 1000040 | Number of Individuals Covered | 2 | Insurance policy start date | 2015-07-01 | Insurance policy end date | 2016-06-30 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $408 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 1000039 |
Policy instance | 21 |
Insurance contract or identification number | 1000039 | Number of Individuals Covered | 20 | Insurance policy start date | 2015-07-01 | Insurance policy end date | 2016-06-30 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $3,034 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 1000038 |
Policy instance | 20 |
Insurance contract or identification number | 1000038 | Number of Individuals Covered | 142 | Insurance policy start date | 2015-07-01 | Insurance policy end date | 2016-06-30 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $20,544 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 1000044 |
Policy instance | 19 |
Insurance contract or identification number | 1000044 | Number of Individuals Covered | 587 | Insurance policy start date | 2015-07-01 | Insurance policy end date | 2016-06-30 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $98,187 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 1000043 |
Policy instance | 18 |
Insurance contract or identification number | 1000043 | Number of Individuals Covered | 535 | Insurance policy start date | 2015-07-01 | Insurance policy end date | 2016-06-30 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $87,592 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 1000037 |
Policy instance | 17 |
Insurance contract or identification number | 1000037 | Number of Individuals Covered | 1 | Insurance policy start date | 2015-07-01 | Insurance policy end date | 2016-06-30 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $36 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | OK 967564 |
Policy instance | 5 |
Insurance contract or identification number | OK 967564 | Number of Individuals Covered | 8617 | Insurance policy start date | 2015-07-01 | Insurance policy end date | 2016-06-30 | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Welfare Benefit Premiums Paid to Carrier | USD $204,079 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
Policy contract number | 000099061022 |
Policy instance | 4 |
Insurance contract or identification number | 000099061022 | Number of Individuals Covered | 5986 | Insurance policy start date | 2015-07-01 | Insurance policy end date | 2016-06-30 | Temporary Disability Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | LK964121 |
Policy instance | 3 |
Insurance contract or identification number | LK964121 | Number of Individuals Covered | 2652 | Insurance policy start date | 2015-07-01 | Insurance policy end date | 2016-06-30 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,270,853 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | FLX965991 |
Policy instance | 2 |
Insurance contract or identification number | FLX965991 | Number of Individuals Covered | 5426 | Insurance policy start date | 2015-07-01 | Insurance policy end date | 2016-06-30 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,432,689 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
Policy contract number | 600001 |
Policy instance | 1 |
Insurance contract or identification number | 600001 | Number of Individuals Covered | 10776 | Insurance policy start date | 2015-07-01 | Insurance policy end date | 2016-06-30 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $48,078,046 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | OK 967547 |
Policy instance | 6 |
Insurance contract or identification number | OK 967547 | Number of Individuals Covered | 2576 | Insurance policy start date | 2014-07-01 | Insurance policy end date | 2015-06-30 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $21,742 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | OK 967564 |
Policy instance | 5 |
Insurance contract or identification number | OK 967564 | Number of Individuals Covered | 6827 | Insurance policy start date | 2014-07-01 | Insurance policy end date | 2015-06-30 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $149,952 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
Policy contract number | 000099061022 |
Policy instance | 4 |
Insurance contract or identification number | 000099061022 | Number of Individuals Covered | 6546 | Insurance policy start date | 2014-07-01 | Insurance policy end date | 2015-06-30 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $12,852 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | LK964121 |
Policy instance | 3 |
Insurance contract or identification number | LK964121 | Number of Individuals Covered | 2259 | Insurance policy start date | 2014-07-01 | Insurance policy end date | 2015-06-30 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $959,866 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | FLX965991 |
Policy instance | 2 |
Insurance contract or identification number | FLX965991 | Number of Individuals Covered | 4149 | Insurance policy start date | 2014-07-01 | Insurance policy end date | 2015-06-30 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $983,714 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
Policy contract number | 600001-600013 |
Policy instance | 1 |
Insurance contract or identification number | 600001-600013 | Number of Individuals Covered | 8902 | 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 $40,681,448 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9907833 |
Policy instance | 7 |
Insurance contract or identification number | 9907833 | Number of Individuals Covered | 5866 | 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 $373,990 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9907841 |
Policy instance | 8 |
Insurance contract or identification number | 9907841 | Number of Individuals Covered | 13 | 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 $964 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9907874 |
Policy instance | 9 |
Insurance contract or identification number | 9907874 | Number of Individuals Covered | 118 | 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 $6,761 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 1000041 |
Policy instance | 15 |
Insurance contract or identification number | 1000041 | Number of Individuals Covered | 470 | Insurance policy start date | 2014-07-01 | Insurance policy end date | 2015-06-30 | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 1000042 |
Policy instance | 14 |
Insurance contract or identification number | 1000042 | Number of Individuals Covered | 297 | Insurance policy start date | 2014-07-01 | Insurance policy end date | 2015-06-30 | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9907858 |
Policy instance | 13 |
Insurance contract or identification number | 9907858 | Number of Individuals Covered | 55 | 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 $2,305 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9907866 |
Policy instance | 12 |
Insurance contract or identification number | 9907866 | Number of Individuals Covered | 296 | 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 $17,778 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HYATT LEGAL PLANS (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 6090205 |
Policy instance | 11 |
Insurance contract or identification number | 6090205 | Number of Individuals Covered | 620 | Insurance policy start date | 2014-07-01 | Insurance policy end date | 2015-06-30 | Other welfare benefits provided | LEGAL | Welfare Benefit Premiums Paid to Carrier | USD $110,913 | 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 | VDT961619 |
Policy instance | 10 |
Insurance contract or identification number | VDT961619 | Number of Individuals Covered | 41 | Insurance policy start date | 2014-07-01 | Insurance policy end date | 2015-06-30 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $17,752 | 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 | GL 148346 |
Policy instance | 10 |
Insurance contract or identification number | GL 148346 | Number of Individuals Covered | 152 | Insurance policy start date | 2013-07-01 | Insurance policy end date | 2014-06-30 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $42,968 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Insurance broker name | ASSIGNED AGENT |
|
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | LTD 111833 |
Policy instance | 2 |
Insurance contract or identification number | LTD 111833 | Number of Individuals Covered | 2097 | Insurance policy start date | 2013-07-01 | Insurance policy end date | 2014-06-30 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,106,125 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Insurance broker name | RSL INC CO |
|
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
Policy contract number | 000099061022 |
Policy instance | 4 |
Insurance contract or identification number | 000099061022 | Number of Individuals Covered | 4882 | Insurance policy start date | 2013-04-01 | Insurance policy end date | 2014-04-01 | 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 | LTD 119014 |
Policy instance | 3 |
Insurance contract or identification number | LTD 119014 | Number of Individuals Covered | 272 | Insurance policy start date | 2013-07-01 | Insurance policy end date | 2014-06-30 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $191,250 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Insurance broker name | ASSIGNED AGENT |
|
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | GL 138022 |
Policy instance | 5 |
Insurance contract or identification number | GL 138022 | Number of Individuals Covered | 4701 | Insurance policy start date | 2013-07-01 | Insurance policy end date | 2014-06-30 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,010,261 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Insurance broker name | ASSIGNED AGENT |
|
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9785205 |
Policy instance | 7 |
Insurance contract or identification number | 9785205 | Number of Individuals Covered | 6288 | 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 $253,709 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9817834 |
Policy instance | 12 |
Insurance contract or identification number | 9817834 | Number of Individuals Covered | 268 | 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 $10,396 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9812637 |
Policy instance | 8 |
Insurance contract or identification number | 9812637 | Number of Individuals Covered | 54 | 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 $2,740 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9785908 |
Policy instance | 9 |
Insurance contract or identification number | 9785908 | Number of Individuals Covered | 119 | 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 $4,842 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
Policy contract number | 600001-600013 |
Policy instance | 1 |
Insurance contract or identification number | 600001-600013 | Number of Individuals Covered | 8676 | 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 $37,729,922 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9785585 |
Policy instance | 13 |
Insurance contract or identification number | 9785585 | Insurance policy start date | 2013-07-01 | Insurance policy end date | 2014-06-30 | Vision 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 | VAR 203164 |
Policy instance | 6 |
Insurance contract or identification number | VAR 203164 | Number of Individuals Covered | 2640 | Insurance policy start date | 2013-07-01 | Insurance policy end date | 2014-06-30 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $165,183 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Insurance broker name | ASSIGNED AGENT |
|
HYATT LEGAL PLANS (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 6090205 |
Policy instance | 11 |
Insurance contract or identification number | 6090205 | Number of Individuals Covered | 579 | Insurance policy start date | 2013-07-01 | Insurance policy end date | 2014-06-30 | Other welfare benefits provided | LEGAL | Welfare Benefit Premiums Paid to Carrier | USD $123,866 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HYATT LEGAL PLANS (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 6090205 |
Policy instance | 11 |
Insurance contract or identification number | 6090205 | Number of Individuals Covered | 554 | Insurance policy start date | 2012-07-01 | Insurance policy end date | 2013-06-30 | Other welfare benefits provided | LEGAL | Welfare Benefit Premiums Paid to Carrier | USD $100,832 | 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 | LTD 111833 |
Policy instance | 2 |
Insurance contract or identification number | LTD 111833 | Number of Individuals Covered | 2097 | Insurance policy start date | 2012-07-01 | Insurance policy end date | 2013-06-30 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $821,470 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Insurance broker name | RSL INC CO |
|
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
Policy contract number | 000099061022 |
Policy instance | 4 |
Insurance contract or identification number | 000099061022 | Number of Individuals Covered | 4890 | Insurance policy start date | 2012-04-01 | Insurance policy end date | 2013-04-01 | 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 | LTD 119014 |
Policy instance | 3 |
Insurance contract or identification number | LTD 119014 | Number of Individuals Covered | 272 | Insurance policy start date | 2012-07-01 | Insurance policy end date | 2013-06-30 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $133,154 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Insurance broker name | ASSIGNED AGENT |
|
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | GL 138022 |
Policy instance | 5 |
Insurance contract or identification number | GL 138022 | Number of Individuals Covered | 4701 | 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 $1,140,935 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Insurance broker name | ASSIGNED AGENT |
|
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | VAR 203164 |
Policy instance | 6 |
Insurance contract or identification number | VAR 203164 | Number of Individuals Covered | 2640 | 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 $179,396 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Insurance broker name | ASSIGNED AGENT |
|
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9785205 |
Policy instance | 7 |
Insurance contract or identification number | 9785205 | Number of Individuals Covered | 6265 | 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 $252,751 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9785908 |
Policy instance | 9 |
Insurance contract or identification number | 9785908 | Number of Individuals Covered | 132 | 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 $5,772 | 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 | GL 148346 |
Policy instance | 10 |
Insurance contract or identification number | GL 148346 | Number of Individuals Covered | 152 | 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 $36,410 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Insurance broker name | ASSIGNED AGENT |
|
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9817834 |
Policy instance | 12 |
Insurance contract or identification number | 9817834 | Number of Individuals Covered | 246 | 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 $9,618 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9785585 |
Policy instance | 13 |
Insurance contract or identification number | 9785585 | Insurance policy start date | 2012-07-01 | Insurance policy end date | 2013-06-30 | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
Policy contract number | 600001-600013 |
Policy instance | 1 |
Insurance contract or identification number | 600001-600013 | Number of Individuals Covered | 8348 | 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 $36,453,597 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9812637 |
Policy instance | 8 |
Insurance contract or identification number | 9812637 | Number of Individuals Covered | 47 | 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 $2,317 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HYATT LEGAL PLANS (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 6090205 |
Policy instance | 11 |
Insurance contract or identification number | 6090205 | Number of Individuals Covered | 529 | Insurance policy start date | 2011-07-01 | Insurance policy end date | 2012-06-30 | Other welfare benefits provided | LEGAL | Welfare Benefit Premiums Paid to Carrier | USD $104,346 | 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 | GL 138022 |
Policy instance | 5 |
Insurance contract or identification number | GL 138022 | Number of Individuals Covered | 4662 | 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 $922,199 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
Policy contract number | 600001-600013 |
Policy instance | 1 |
Insurance contract or identification number | 600001-600013 | Number of Individuals Covered | 8335 | 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 $35,028,871 | 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 | LTD 111833 |
Policy instance | 2 |
Insurance contract or identification number | LTD 111833 | Number of Individuals Covered | 2158 | Insurance policy start date | 2011-07-01 | Insurance policy end date | 2012-06-30 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $915,056 | 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 | LTD 119014 |
Policy instance | 3 |
Insurance contract or identification number | LTD 119014 | Number of Individuals Covered | 233 | Insurance policy start date | 2011-07-01 | Insurance policy end date | 2012-06-30 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $136,352 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
Policy contract number | 000099061022 |
Policy instance | 4 |
Insurance contract or identification number | 000099061022 | Number of Individuals Covered | 4839 | Insurance policy start date | 2011-04-01 | Insurance policy end date | 2012-03-31 | 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 | VAR 203164 |
Policy instance | 6 |
Insurance contract or identification number | VAR 203164 | Number of Individuals Covered | 2717 | 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 $148,735 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9785205 |
Policy instance | 7 |
Insurance contract or identification number | 9785205 | Number of Individuals Covered | 6023 | Insurance policy start date | 2011-07-01 | Insurance policy end date | 2012-06-30 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $241,618 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9812637 |
Policy instance | 8 |
Insurance contract or identification number | 9812637 | Number of Individuals Covered | 42 | Insurance policy start date | 2011-07-01 | Insurance policy end date | 2012-06-30 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,809 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9785908 |
Policy instance | 9 |
Insurance contract or identification number | 9785908 | Number of Individuals Covered | 118 | Insurance policy start date | 2011-07-01 | Insurance policy end date | 2012-06-30 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $4,312 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9817834 |
Policy instance | 12 |
Insurance contract or identification number | 9817834 | Number of Individuals Covered | 166 | Insurance policy start date | 2011-07-01 | Insurance policy end date | 2012-06-30 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $6,417 | 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 | GL 148346 |
Policy instance | 10 |
Insurance contract or identification number | GL 148346 | Number of Individuals Covered | 125 | 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 $20,933 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
Policy contract number | 600001-600013 |
Policy instance | 1 |
Insurance contract or identification number | 600001-600013 | Number of Individuals Covered | 7864 | Insurance policy start date | 2010-07-01 | Insurance policy end date | 2011-06-30 | Health 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 | LTD 111833 |
Policy instance | 2 |
Insurance contract or identification number | LTD 111833 | Number of Individuals Covered | 2063 | Insurance policy start date | 2010-07-01 | Insurance policy end date | 2011-06-30 | 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 |
|
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | LTD 119014 |
Policy instance | 3 |
Insurance contract or identification number | LTD 119014 | Number of Individuals Covered | 210 | Insurance policy start date | 2010-07-01 | Insurance policy end date | 2011-06-30 | 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 |
|
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
Policy contract number | 000099061022 |
Policy instance | 4 |
Insurance contract or identification number | 000099061022 | Number of Individuals Covered | 4776 | Insurance policy start date | 2010-04-01 | Insurance policy end date | 2011-03-31 | 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 | GL 138022 |
Policy instance | 5 |
Insurance contract or identification number | GL 138022 | Number of Individuals Covered | 4456 | 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 $926,924 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9785205 |
Policy instance | 7 |
Insurance contract or identification number | 9785205 | Number of Individuals Covered | 5271 | 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 $216,497 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9812637 |
Policy instance | 8 |
Insurance contract or identification number | 9812637 | Number of Individuals Covered | 30 | Insurance policy start date | 2011-02-01 | Insurance policy end date | 2011-06-30 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $551 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9785908 |
Policy instance | 9 |
Insurance contract or identification number | 9785908 | Number of Individuals Covered | 82 | 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 $3,546 | 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 | VAR 203164 |
Policy instance | 6 |
Insurance contract or identification number | VAR 203164 | Number of Individuals Covered | 2505 | Insurance policy start date | 2010-07-01 | Insurance policy end date | 2011-06-30 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $149,429 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|