THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN 401k Plan overview

Plan Name	THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN
Plan identification number	501

THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN Benefits

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

401k Sponsoring company profile

LAW OFFICES OF PETER G. ANGELOS, PC has sponsored the creation of one or more 401k plans.

Company Name:	LAW OFFICES OF PETER G. ANGELOS, PC
Employer identification number (EIN):	521866796
NAIC Classification:	541110
NAIC Description:	Offices of Lawyers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2022-01-01	DANA VAN DYKE	2023-10-10	DANA VAN DYKE	2023-10-10
501	2021-01-01	DANA VAN DYKE	2022-10-27	DANA VAN DYKE	2022-10-27
501	2020-01-01	DANA VAN DYKE	2021-07-01	DANA VAN DYKE	2021-07-01
501	2019-01-01	DANA VAN DYKE	2020-04-13	DANA VAN DYKE	2020-04-13
501	2018-01-01
501	2017-01-01
501	2016-01-01
501	2015-01-01
501	2014-01-01	PETER ANGELOS
501	2013-01-01	PETER ANGELOS
501	2012-01-01	PETER ANGELOS
501	2011-01-01	PETER ANGELOS
501	2010-01-01	DANA VAN DYKE
501	2009-01-01	DANA VAN DYKE

Plan Statistics for THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN

401k plan membership statisitcs for THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN

Measure	Date	Value
2022: THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	88
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	81
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	81
2021: THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	109
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	88
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	88
2020: THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	146
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	109
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	109
Total participants	2020-01-01	109
2019: THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	156
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	146
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	146
Total participants	2019-01-01	146
2018: THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	180
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	156
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	156
2017: THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	191
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	180
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	180
2016: THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	200
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	191
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	191
2015: THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	229
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	200
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	200
2014: THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	233
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	229
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	229
2013: THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	248
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	233
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	233
2012: THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	284
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	248
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	248
2011: THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	287
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	284
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	284
2010: THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	266
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	287
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	287
2009: THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	263
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	266
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	266

Form 5500 Responses for THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN

2022: THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2021: THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2020: THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA 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	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: THE LAW OFFICES OF PETER G. ANGELOS CAFETERIA PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	62403
Policy instance	3
Insurance contract or identification number 62403 Number of Individuals Covered 76 Insurance policy start date 2022-01-01 Insurance policy end date 2022-09-30 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $934 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit Yes Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $14,506 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $0 Amount paid for insurance broker fees 934 Additional information about fees paid to insurance broker SUPPLEMENTAL COMMISSIONS Insurance broker organization code? 3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	3212708
Policy instance	1
Insurance contract or identification number 3212708 Number of Individuals Covered 91 Insurance policy start date 2021-10-01 Insurance policy end date 2022-09-30 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? Yes Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $474,881 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	010046060
Policy instance	2
Insurance contract or identification number 010046060 Number of Individuals Covered 110 Insurance policy start date 2021-10-01 Insurance policy end date 2022-09-30 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $101 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $9,424 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes Commission paid to Insurance Broker USD $0 Amount paid for insurance broker fees 101 Additional information about fees paid to insurance broker FEES Insurance broker organization code? 3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00040378
Policy instance	8
Insurance contract or identification number 00040378 Number of Individuals Covered 76 Insurance policy start date 2022-10-01 Insurance policy end date 2022-12-31 Total amount of commissions paid to insurance broker USD $142 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit Yes Unemployment Insurance Welfare Benefit No Other welfare benefits provided ACCIDENTAL DEATH Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $17,259 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $142 Amount paid for insurance broker fees 0 Additional information about fees paid to insurance broker OPTIONAL AD&D AND OPTIONAL LIFE Insurance broker organization code? 3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	62403
Policy instance	4
Insurance contract or identification number 62403 Number of Individuals Covered 76 Insurance policy start date 2022-01-01 Insurance policy end date 2022-09-30 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Other welfare benefits provided ACCIDENTAL DEATH Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $1,336 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	62403
Policy instance	5
Insurance contract or identification number 62403 Number of Individuals Covered 76 Insurance policy start date 2022-01-01 Insurance policy end date 2022-09-30 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $17,166 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	5730149
Policy instance	6
Insurance contract or identification number 5730149 Number of Individuals Covered 146 Insurance policy start date 2021-10-01 Insurance policy end date 2022-09-30 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $49,343 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
COMPSYCH (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	NA
Policy instance	7
Insurance contract or identification number NA Number of Individuals Covered 81 Insurance policy start date 2021-10-01 Insurance policy end date 2022-09-30 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Other welfare benefits provided EMPLOYEE ASSISTANCE PROGRAM Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $828 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	3212708
Policy instance	1
Insurance contract or identification number 3212708 Number of Individuals Covered 111 Insurance policy start date 2020-10-01 Insurance policy end date 2021-09-30 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? Yes Welfare Benefit Premiums Paid to Carrier USD $514,132 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	010046060
Policy instance	2
Insurance contract or identification number 010046060 Number of Individuals Covered 129 Insurance policy start date 2020-10-01 Insurance policy end date 2021-09-30 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $573 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $11,153 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes Amount paid for insurance broker fees 573 Additional information about fees paid to insurance broker FEES Insurance broker organization code? 3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	62403
Policy instance	3
Insurance contract or identification number 62403 Number of Individuals Covered 83 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $1,225 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit Yes Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $23,583 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 1225 Additional information about fees paid to insurance broker SUPPLEMENTAL COMMISSIONS Insurance broker organization code? 3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	62403
Policy instance	4
Insurance contract or identification number 62403 Number of Individuals Covered 83 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Other welfare benefits provided ACCIDENTAL DEATH Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $0 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	5730149
Policy instance	6
Insurance contract or identification number 5730149 Number of Individuals Covered 180 Insurance policy start date 2020-10-01 Insurance policy end date 2021-09-30 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $59,827 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 31 Additional information about fees paid to insurance broker NON-MONETARY COMPENSATION Insurance broker organization code? 3
COMPSYCH (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	NA
Policy instance	7
Insurance contract or identification number NA Number of Individuals Covered 88 Insurance policy start date 2020-10-01 Insurance policy end date 2021-09-30 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Other welfare benefits provided EMPLOYEE ASSISTANCE PROGRAM Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $828 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	62403
Policy instance	5
Insurance contract or identification number 62403 Number of Individuals Covered 83 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $28,180 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	3212708
Policy instance	1
Insurance contract or identification number 3212708 Number of Individuals Covered 152 Insurance policy start date 2019-10-01 Insurance policy end date 2020-09-30 Health Insurance Welfare Benefit Yes Were dividends or retroactive rate refunds paid in cash? Yes Welfare Benefit Premiums Paid to Carrier USD $663,949 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
COMPSYCH (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number
Policy instance	7
Number of Individuals Covered 140 Insurance policy start date 2019-10-01 Insurance policy end date 2020-09-30 Other welfare benefits provided EMPLOYEE ASSISTANCE PROGRAM Welfare Benefit Premiums Paid to Carrier USD $1,260 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	010-046060
Policy instance	3
Insurance contract or identification number 010-046060 Number of Individuals Covered 151 Insurance policy start date 2019-10-01 Insurance policy end date 2020-09-30 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $14,255 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	62403-1
Policy instance	4
Insurance contract or identification number 62403-1 Number of Individuals Covered 105 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $35,655 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	62403-2
Policy instance	5
Insurance contract or identification number 62403-2 Number of Individuals Covered 105 Insurance policy start date 2019-10-01 Insurance policy end date 2019-12-31 Other welfare benefits provided BASIC AD&D Welfare Benefit Premiums Paid to Carrier USD $2,776 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	62403-3
Policy instance	6
Insurance contract or identification number 62403-3 Number of Individuals Covered 105 Insurance policy start date 2019-10-01 Insurance policy end date 2019-12-31 Total amount of fees paid to insurance company USD $1,518 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $28,838 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 1518 Additional information about fees paid to insurance broker SUPPLEMENTAL COMMISSIONS Insurance broker organization code? 3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5730149
Policy instance	2
Insurance contract or identification number 5730149 Number of Individuals Covered 238 Insurance policy start date 2019-10-01 Insurance policy end date 2020-09-30 Total amount of fees paid to insurance company USD $82 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $75,178 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 82 Additional information about fees paid to insurance broker NON-MONETARY COMPENSATION Insurance broker organization code? 3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	3212708
Policy instance	1
Insurance contract or identification number 3212708 Number of Individuals Covered 196 Insurance policy start date 2018-10-01 Insurance policy end date 2019-09-30 Health Insurance Welfare Benefit Yes Were dividends or retroactive rate refunds paid in cash? Yes Were dividends or retroactive rate refunds paid as a credit? Yes Welfare Benefit Premiums Paid to Carrier USD $677,486 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	5730149
Policy instance	2
Insurance contract or identification number 5730149 Number of Individuals Covered 314 Insurance policy start date 2018-10-01 Insurance policy end date 2019-09-30 Total amount of fees paid to insurance company USD $60 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $95,063 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 60 Additional information about fees paid to insurance broker NON-MONETARY COMPENSATION Insurance broker organization code? 3
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	010-046060
Policy instance	3
Insurance contract or identification number 010-046060 Number of Individuals Covered 204 Insurance policy start date 2018-10-01 Insurance policy end date 2019-09-30 Total amount of fees paid to insurance company USD $177 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $16,749 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 177 Additional information about fees paid to insurance broker CASH COMMISSION Insurance broker organization code? 3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	FLX963672
Policy instance	4
Insurance contract or identification number FLX963672 Number of Individuals Covered 0 Insurance policy start date 2018-10-01 Insurance policy end date 2019-09-30 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $57,600 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	OK 965301
Policy instance	5
Insurance contract or identification number OK 965301 Number of Individuals Covered 0 Insurance policy start date 2018-10-01 Insurance policy end date 2019-09-30 Other welfare benefits provided ACCIDENTAL DEATH Welfare Benefit Premiums Paid to Carrier USD $3,927 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	LK 962607
Policy instance	6
Insurance contract or identification number LK 962607 Number of Individuals Covered 0 Insurance policy start date 2018-10-01 Insurance policy end date 2019-09-30 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $56,888 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	62403-1
Policy instance	7
Insurance contract or identification number 62403-1 Number of Individuals Covered 136 Insurance policy start date 2019-10-01 Insurance policy end date 2019-12-31 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $10,133 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	62403-2
Policy instance	8
Insurance contract or identification number 62403-2 Number of Individuals Covered 136 Insurance policy start date 2019-10-01 Insurance policy end date 2019-12-31 Other welfare benefits provided BASIC AD&D Welfare Benefit Premiums Paid to Carrier USD $789 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	62403-3
Policy instance	9
Insurance contract or identification number 62403-3 Number of Individuals Covered 136 Insurance policy start date 2019-10-01 Insurance policy end date 2019-12-31 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,127 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	3212708
Policy instance	1
Insurance contract or identification number 3212708 Number of Individuals Covered 214 Insurance policy start date 2017-10-01 Insurance policy end date 2018-09-30 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? Yes Welfare Benefit Premiums Paid to Carrier USD $809,899 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	010046060
Policy instance	2
Insurance contract or identification number 010046060 Number of Individuals Covered 226 Insurance policy start date 2017-10-01 Insurance policy end date 2018-09-30 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $928 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $17,954 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes Amount paid for insurance broker fees 928 Additional information about fees paid to insurance broker NON-MONETARY COMPENSATION Insurance broker organization code? 3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	LK 962607
Policy instance	3
Insurance contract or identification number LK 962607 Number of Individuals Covered 150 Insurance policy start date 2017-10-01 Insurance policy end date 2018-09-30 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit Yes Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $61,415 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	OK 965301
Policy instance	4
Insurance contract or identification number OK 965301 Number of Individuals Covered 150 Insurance policy start date 2017-10-01 Insurance policy end date 2018-09-30 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Other welfare benefits provided ACCIDENTAL DEATH Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $4,282 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	FLX963672
Policy instance	5
Insurance contract or identification number FLX963672 Number of Individuals Covered 150 Insurance policy start date 2017-10-01 Insurance policy end date 2018-09-30 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $62,801 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05730149
Policy instance	6
Insurance contract or identification number TM05730149 Number of Individuals Covered 352 Insurance policy start date 2017-10-01 Insurance policy end date 2018-09-30 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $51 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $101,242 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 51 Additional information about fees paid to insurance broker NON-MONETARY COMPENSATION Insurance broker organization code? 3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05730149
Policy instance	6
Insurance contract or identification number TM05730149 Number of Individuals Covered 367 Insurance policy start date 2016-10-01 Insurance policy end date 2017-09-30 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $12 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $100,818 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $0 Amount paid for insurance broker fees 12 Additional information about fees paid to insurance broker NON-MONETARY COMPENSATION Insurance broker organization code? 3 Insurance broker name NFP INS SERVICE INC
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	FLX963672
Policy instance	5
Insurance contract or identification number FLX963672 Number of Individuals Covered 165 Insurance policy start date 2016-10-01 Insurance policy end date 2017-09-30 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $51,764 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	OK 965301
Policy instance	4
Insurance contract or identification number OK 965301 Number of Individuals Covered 165 Insurance policy start date 2016-10-01 Insurance policy end date 2017-09-30 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Other welfare benefits provided ACCIDENTAL DEATH Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $4,567 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	LK 962607
Policy instance	3
Insurance contract or identification number LK 962607 Number of Individuals Covered 165 Insurance policy start date 2016-10-01 Insurance policy end date 2017-09-30 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit Yes Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $64,950 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	30010354
Policy instance	2
Insurance contract or identification number 30010354 Number of Individuals Covered 0 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $16,290 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	3212708
Policy instance	1
Insurance contract or identification number 3212708 Number of Individuals Covered 224 Insurance policy start date 2016-10-01 Insurance policy end date 2017-09-30 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $858,469 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	TM05730149
Policy instance	6
Insurance contract or identification number TM05730149 Number of Individuals Covered 446 Insurance policy start date 2014-10-01 Insurance policy end date 2015-09-30 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $121,108 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	FLX963672
Policy instance	5
Insurance contract or identification number FLX963672 Number of Individuals Covered 184 Insurance policy start date 2014-10-01 Insurance policy end date 2015-09-30 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $61,043 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	OK 965301
Policy instance	4
Insurance contract or identification number OK 965301 Number of Individuals Covered 184 Insurance policy start date 2014-10-01 Insurance policy end date 2015-09-30 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Other welfare benefits provided ACCIDENTAL DEATH Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $6,783 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	30010354
Policy instance	2
Insurance contract or identification number 30010354 Number of Individuals Covered 123 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $23,061 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	3212708
Policy instance	1
Insurance contract or identification number 3212708 Number of Individuals Covered 293 Insurance policy start date 2014-10-01 Insurance policy end date 2015-09-30 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $913,979 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	LK 962607
Policy instance	3
Insurance contract or identification number LK 962607 Number of Individuals Covered 184 Insurance policy start date 2014-10-01 Insurance policy end date 2015-09-30 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit Yes Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $73,818 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	FLX963672
Policy instance	5
Insurance contract or identification number FLX963672 Number of Individuals Covered 222 Insurance policy start date 2013-10-01 Insurance policy end date 2014-09-30 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $1,077 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $65,941 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes Amount paid for insurance broker fees 1077 Additional information about fees paid to insurance broker OVERRIDE Insurance broker name RIGGS COUNSELMAN MICHAELS
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	LK 962607
Policy instance	3
Insurance contract or identification number LK 962607 Number of Individuals Covered 222 Insurance policy start date 2013-10-01 Insurance policy end date 2014-09-30 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $1,420 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit Yes Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $79,564 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes Amount paid for insurance broker fees 1420 Additional information about fees paid to insurance broker OVERRIDE Insurance broker name RIGGS COUNSELMAN MICHAELS
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	OK 965301
Policy instance	4
Insurance contract or identification number OK 965301 Number of Individuals Covered 222 Insurance policy start date 2013-10-01 Insurance policy end date 2014-09-30 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $131 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Other welfare benefits provided ACCIDENTAL DEATH Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $7,327 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes Amount paid for insurance broker fees 131 Additional information about fees paid to insurance broker OVERRIDE Insurance broker name RIGGS COUNSELMAN MICHAELS
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	3212708
Policy instance	1
Insurance contract or identification number 3212708 Number of Individuals Covered 335 Insurance policy start date 2013-10-01 Insurance policy end date 2014-09-30 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? Yes Were dividends or retroactive rate refunds paid as a credit? Yes Welfare Benefit Premiums Paid to Carrier USD $871,752 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	30010354
Policy instance	2
Insurance contract or identification number 30010354 Number of Individuals Covered 131 Insurance policy start date 2013-10-01 Insurance policy end date 2014-09-30 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $24,416 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	TM05730149
Policy instance	6
Insurance contract or identification number TM05730149 Number of Individuals Covered 489 Insurance policy start date 2013-10-01 Insurance policy end date 2014-09-30 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $122,266 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	TM05730149
Policy instance	3
Insurance contract or identification number TM05730149 Number of Individuals Covered 500 Insurance policy start date 2012-10-01 Insurance policy end date 2013-09-30 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $116,668 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	LK 962607
Policy instance	5
Insurance contract or identification number LK 962607 Number of Individuals Covered 225 Insurance policy start date 2012-10-01 Insurance policy end date 2013-09-30 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit Yes Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $81,603 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	30010354
Policy instance	4
Insurance contract or identification number 30010354 Number of Individuals Covered 125 Insurance policy start date 2012-10-01 Insurance policy end date 2013-09-30 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $23,992 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	3212708
Policy instance	1
Insurance contract or identification number 3212708 Number of Individuals Covered 340 Insurance policy start date 2012-10-01 Insurance policy end date 2013-09-30 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $778,011 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	FLX963672
Policy instance	2
Insurance contract or identification number FLX963672 Number of Individuals Covered 225 Insurance policy start date 2012-10-01 Insurance policy end date 2013-09-30 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $60,014 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	OK 965301
Policy instance	6
Insurance contract or identification number OK 965301 Number of Individuals Covered 225 Insurance policy start date 2012-10-01 Insurance policy end date 2013-09-30 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Other welfare benefits provided ACCIDENTAL DEATH Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $7,502 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	LK 962607
Policy instance	5
Insurance contract or identification number LK 962607 Number of Individuals Covered 235 Insurance policy start date 2011-10-01 Insurance policy end date 2012-09-30 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $1,239 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit Yes Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $92,421 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes Amount paid for insurance broker fees 1239 Additional information about fees paid to insurance broker OVERRIDE Insurance broker organization code? 3 Insurance broker name RIGGS COUNSELMAN MICHAELS
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	30010354
Policy instance	4
Insurance contract or identification number 30010354 Number of Individuals Covered 127 Insurance policy start date 2011-10-01 Insurance policy end date 2012-09-30 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $24,452 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	TM05730149
Policy instance	3
Insurance contract or identification number TM05730149 Number of Individuals Covered 484 Insurance policy start date 2011-10-01 Insurance policy end date 2012-09-30 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $67 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $114,769 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 36 Additional information about fees paid to insurance broker NON-MONETARY COMPENSATION Insurance broker organization code? 3 Insurance broker name RIGGS COUNSELMAN MICHAELS & DOWNES
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	FLX963672
Policy instance	2
Insurance contract or identification number FLX963672 Number of Individuals Covered 235 Insurance policy start date 2011-10-01 Insurance policy end date 2012-09-30 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $942 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $56,502 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes Amount paid for insurance broker fees 942 Additional information about fees paid to insurance broker OVERRIDE Insurance broker organization code? 3 Insurance broker name RIGGS COUNSELMAN MICHAELS
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	OK 965301
Policy instance	6
Insurance contract or identification number OK 965301 Number of Individuals Covered 235 Insurance policy start date 2011-10-01 Insurance policy end date 2012-09-30 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $118 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Other welfare benefits provided ACCIDENTAL DEATH Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $8,678 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes Amount paid for insurance broker fees 118 Additional information about fees paid to insurance broker OVERRIDE Insurance broker organization code? 3 Insurance broker name RIGGS COUNSELMAN MICHAELS
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	3212708
Policy instance	1
Insurance contract or identification number 3212708 Number of Individuals Covered 353 Insurance policy start date 2011-10-01 Insurance policy end date 2012-09-30 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? Yes Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $722,658 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	LK962607
Policy instance	5
Insurance contract or identification number LK962607 Number of Individuals Covered 252 Insurance policy start date 2010-10-01 Insurance policy end date 2011-10-01 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $1,211 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit Yes Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $80,736 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	30010354
Policy instance	4
Insurance contract or identification number 30010354 Number of Individuals Covered 134 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $24,747 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	TM05730149
Policy instance	3
Insurance contract or identification number TM05730149 Number of Individuals Covered 511 Insurance policy start date 2010-10-01 Insurance policy end date 2011-09-30 Total amount of commissions paid to insurance broker USD $130 Total amount of fees paid to insurance company USD $12 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $107,465 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	3212708
Policy instance	1
Insurance contract or identification number 3212708 Number of Individuals Covered 374 Insurance policy start date 2010-10-01 Insurance policy end date 2011-09-30 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? Yes Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $654,976 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	FLX963672
Policy instance	2
Insurance contract or identification number FLX963672 Number of Individuals Covered 252 Insurance policy start date 2010-10-01 Insurance policy end date 2011-10-01 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $917 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $61,420 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	OK965301
Policy instance	6
Insurance contract or identification number OK965301 Number of Individuals Covered 252 Insurance policy start date 2010-10-01 Insurance policy end date 2011-10-01 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $117 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Other welfare benefits provided ACCIDENTAL DEATH Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $7,678 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract number	G 00602426
Policy instance	7
Insurance contract or identification number G 00602426 Number of Individuals Covered 230 Insurance policy start date 2009-08-01 Insurance policy end date 2010-07-31 Total amount of commissions paid to insurance broker USD $4,446 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit Yes Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $121,223 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,556 Insurance broker organization code? 3 Insurance broker name EDWARD IRA WRIGHT
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VAR 201769
Policy instance	2
Insurance contract or identification number VAR 201769 Number of Individuals Covered 228 Insurance policy start date 2009-07-01 Insurance policy end date 2010-06-30 Total amount of commissions paid to insurance broker USD $758 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $8,533 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $758 Insurance broker organization code? 3 Insurance broker name E J SMATT ASSOCIATES
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	3212708
Policy instance	1
Insurance contract or identification number 3212708 Number of Individuals Covered 343 Insurance policy start date 2009-10-01 Insurance policy end date 2010-09-30 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? Yes Were dividends or retroactive rate refunds paid as a credit? Yes Welfare Benefit Premiums Paid to Carrier USD $529,752 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 132224
Policy instance	3
Insurance contract or identification number GL 132224 Number of Individuals Covered 228 Insurance policy start date 2009-07-01 Insurance policy end date 2010-06-30 Total amount of commissions paid to insurance broker USD $2,321 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $61,829 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,321 Insurance broker organization code? 3 Insurance broker name E J SMATT ASSOCIATES
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05730149
Policy instance	4
Insurance contract or identification number TM05730149 Number of Individuals Covered 491 Insurance policy start date 2009-11-01 Insurance policy end date 2010-09-30 Total amount of commissions paid to insurance broker USD $5,094 Total amount of fees paid to insurance company USD $396 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $90,152 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,987 Amount paid for insurance broker fees 396 Additional information about fees paid to insurance broker SUPPLEMENTAL & NON-MONETARY COMPENSATION Insurance broker organization code? 3 Insurance broker name NFP INS SERVICES INC
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05730149
Policy instance	5
Insurance contract or identification number TM05730149 Number of Individuals Covered 495 Insurance policy start date 2010-10-01 Insurance policy end date 2010-10-31 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $10,149 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
APS HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 52492 )
Policy contract number	N/A
Policy instance	10
Insurance contract or identification number N/A Number of Individuals Covered 287 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Other welfare benefits provided EMPLOYEE ASSISTANCE PROGRAM Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $8,299 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 201769
Policy instance	9
Insurance contract or identification number VAR 201769 Number of Individuals Covered 232 Insurance policy start date 2009-10-01 Insurance policy end date 2010-10-01 Total amount of commissions paid to insurance broker USD $782 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $8,542 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $782 Insurance broker organization code? 3 Insurance broker name E J SMATT ASSOCIATES
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	30010354
Policy instance	6
Insurance contract or identification number 30010354 Number of Individuals Covered 132 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $21,436 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 132224
Policy instance	8
Insurance contract or identification number GL 132224 Number of Individuals Covered 232 Insurance policy start date 2009-10-01 Insurance policy end date 2010-10-01 Total amount of commissions paid to insurance broker USD $2,439 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $61,769 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,439 Insurance broker organization code? 3 Insurance broker name E J SMATT ASSOCIATES

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• THE LAW OFFICE OF ROBERT W. LYONS DEFINED BENEFIT PLAN [EIN = 942816487]
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• THE LAW OFFICE OF SPRAGUE W. HAZARD, L.C. 401(K) PLAN [EIN = 550780078]
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• THE LAW OFFICES OF DANIEL Q HERBERT & ASSOC. 401(K) PROFIT SHARING [EIN = 271277025]
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• THE LAW OFFICES OF ILENE F. GOLDSTEIN, CHARTERED 401(K) PROFIT SHARING PLAN [EIN = 470933832]
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• THE LAW OFFICES OF TROY KING, LLC 401K PLAN [EIN = 274577868]
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• THE LAW OFFICE OF KARL E OSTERHOUT, LLC 401(K) PLAN [EIN = 300371824]
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• THE LAW 401(K) PLAN [EIN = 472432023]
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• THE LAW FIRM OF NONNA SHIKH, PC PROFIT SHARING PLAN [EIN = 274718876]
• THE LAW OFFICES OF GOLDBERG & KANE PROFIT SHARING PLAN [EIN = 364486972]
• THE LAW OFFICES OF 401 K PROFIT SHARING PLAN TRUST [EIN = 510440677]
• THE LAW OFFICE OF J. RYAN CERNERO 401(K) P/S PLAN [EIN = 261677165]
• THE LAW OFFICES OF MARY ELIZAB 401 K PROFIT SHARING PLAN TRUST [EIN = 272535114]
• THE LAW OFFICE OF JOSHUA W. BRANCH LLC [EIN = 473614269]
• THE LAW OFFICE OF ROGER D. FORMAN, LC 401(K) PLAN [EIN = 550720979]
• THE LAW OFFICES OF WESTRUP & ASSOCIATES 401(K) PLAN [EIN = 472669020]
• THE LAW OFFICES OF PAUL C SAVA 401 K PROFIT SHARING PLAN TRUST [EIN = 271193184]
• THE LAW OFFICE OF MARCIA E. KUSNETZ PC DEFINED BENEFIT PLAN [EIN = 320339103]
• THE LAW OFFICES OF DANIEL HUNT, P.A. [EIN = 562038886]
• THE LAW OFFICES OF JAMES C. EGAN 401(K) PROFIT SHARING PLAN [EIN = 562513652]
• THE LAW OFFICES OF HILDA L. SIBRIAN, P.C. 401(K) P/S PLAN [EIN = 454101049]
• THE LAW OFFICE OF KELLY GAMBLE 401(K) PLAN [EIN = 451590400]
• THE LAW OFFICES OF JAMES S ROGERS 401K PROFIT SHARING PLAN [EIN = 261395317]
• THE LAW FIRM OF ALEX C. DELL PROFIT SHARING/401(K PLAN [EIN = 202173750]
• THE LAW OFFICES OF STANLEY E NIEW PC EMPLOYEES SAVINGS TRUST [EIN = 462829744]
• THE LAW OFFICES OF MARK DOUGLAS HERBERT, P.C. PROFIT SHARING PLAN [EIN = 841352418]
• THE LAW OFFICE OF MICHAEL MILLER 401(K) PLAN [EIN = 201273691]
• THE LAW OFFICES OF VAN A. SCHWAB & ASSOCIATES 401(K) PLAN [EIN = 363764384]
• THE LAW OFFICE OF STEVEN SAPERA [EIN = 113742078]
• THE LAW OFFICE OF SHANNON J. WOODS, P.C. 401(K) PROFIT SHARING PLAN [EIN = 452387660]
• THE LAW OFFICE OF DEAN B. BELL LLC 401(K) PLAN [EIN = 571128459]
• THE LAW OFFICES OF DAVID ARRON, INC. DEFINED BENEFIT PLAN [EIN = 461094152]
• THE LAW FIRM OF DAVID C. CHAVEZ, LLC 401(K) PLAN [EIN = 850420801]
• THE LAW OFFICES OF JERE M. FRIEDMAN, PLLC 401(K) PROFIT SHARING PLAN [EIN = 204277680]
• THE LAW OFFICES OF TRAVIS W. WATKINS, P.C. 401(K) P/S PLAN [EIN = 300085883]
• THE LAW OFFICES OF RONALD J. SHIFMAN 401(K) PROFIT SHARING PLAN [EIN = 954476216]
• THE LAW OFFICES OF PATRICK E. RICHARDSON, P.C. 401K PROFIT SHARING PLAN [EIN = 431286073]
• THE LAW OFFICES OF RONALD WEIL, P.A. CASH BALANCE PLAN [EIN = 204623750]
• THE LAW OFFICE OF THOMAS M. JAMES, P. C. 401(K) PROFIT SHARING PLAN [EIN = 431981788]
• THE LAW OFFICE OF GRABELLE & GUNTESKI, LLC RETIREMENT PLAN [EIN = 453610633]
• THE LAW OFFICES OF DAVID N. DAMICK 401(K) PLAN [EIN = 431772690]
• THE LAW OFFICES OF KEVIN J. TROMBOLD 401(K) PLAN - CURRENT [EIN = 810622275]
• THE LAW OFFICE OF DAVID B. HODGINS 401(K) P/S PLAN [EIN = 270475866]
• THE LAW OFFICE OF ROBERT W. LYONS PROFIT SHARING PLAN [EIN = 942816487]
• THE LAW OFFICES OF JASON M. HEALY PLLC RETIREMENT PLAN [EIN = 274932696]
• THE LAW OFFICE OF FRAN MULNICK PARKER, PC 401K PROFIT SHARING PLAN [EIN = 464316032]
• THE LAW OFFICES OF JAMES A STEINBERG PSP & TRUST [EIN = 141658218]
• THE LAW OFFICES OF DAVID A. HELMER, LLC PROFIT SHARING PLAN [EIN = 455205573]
• THE LAW OFFICES OF LETICIA A. GONZALEZ, PLLC 401(K) PLAN [EIN = 680590368]
• THE LAW FIRM OF KENNETH J. READY, P.C. 401(K) PROFIT SHARING PLAN [EIN = 113553816]
• THE LAW OFFICES OF LISA L. DANIELS, P.A. PROFIT SHARING PLAN AND TRUST [EIN = 800491081]
• THE LAW OFFICES OF MICHAEL A. GRAHAM, LLC [EIN = 464426311]
• THE LAW OFFICES OF PIAZZA, SIMMONS, & GRANT, LLC 401(K) PROFIT SHARING PLAN [EIN = 263911068]
• THE LAW OFFICE OF ANTHONY W. GRECO 401(K) PLAN [EIN = 262958556]
• THE LAW OFFICE OF ROBERT M. MARK, LLC 401(K) PLAN [EIN = 161683198]
• THE LAW OFFICE OF PATRICK VILAR 401(K) PLAN [EIN = 461630471]
• THE LAW OFFICES OF TRAVIS R. WALKER PA 401(K) PLAN [EIN = 455039463]
• THE LAW OFFICE OF CARL A SECOLA,JR,LLC 401K PLAN [EIN = 462524657]
• THE LAW FIRM OF TIMBERLAKE & LEAGUE, P.C. [EIN = 631054544]
• THE LAW OFFICES OF JAMES L PAGANO PROFIT SHARING PLAN [EIN = 776149546]
• THE LAW OFFICIES OF DAVID L LEBWITH RETIREMENT PLA [EIN = 263812448]
• THE LAW OFFICES OF JAMES MICHAEL ABERNETHY 401(K) PROFIT SHARING PLAN [EIN = 461688245]
• THE LAW OFFICE OF RAYMOND VANZ 401 K PROFIT SHARING PLAN TRUST [EIN = 810942440]
• THE LAW OFFICES OF MYRT T. HALES, JR. (APLC) PROFIT SHARING PLAN [EIN = 721504481]
• THE LAW OFFICES OF BALZANO & TROPIANO, P.C. 401(K) PROFIT SHARING PLAN [EIN = 352273759]
• THE LAW OFFICES OF BALZANO & TROPIANO PC DEFINED BENEFIT PLAN [EIN = 352273759]
• THE LAW OFFICES OF FRANK CORSO DEFINED BENEFIT PLAN [EIN = 043272733]
• THE LAW OFFICES OF JOHN K MALONEY PROFIT SHARING PLAN [EIN = 611561238]
• THE LAW OFFICES OF CYNTHIA CAMPANILE RETIREMENT PLAN [EIN = 452595789]
• THE LAW OFFICE OF JAMES D. DILL 401(K) PLAN [EIN = 271772630]
• THE LAW OFFICE OF ASAF GERMAN, P.C. 401(K) PLAN [EIN = 205161515]
• THE LAW OFFICE OF DEBRA D CORCORAN 401K PLAN [EIN = 270499756]
• THE LAW OFFICES OF PETER B. BREKHUS SIMPLE 401(K) PLAN [EIN = 680402257]
• THE LAW OFFICES OF RICK DEHOYOS, PLLC 401(K) PROFIT SHARING PLAN [EIN = 900974167]
• THE LAW OFFICE OF MARCIA E. KUSNETZ PC PROFIT SHARING PLAN [EIN = 320339103]
• THE LAW OFFICE OF GERALD R. LUNDBERG 401(K) PROFIT SHARING PLAN [EIN = 455396147]
• THE LAW OFFICE OF REBECCA M MA 401 K PROFIT SHARING PLAN TRUST [EIN = 262780550]
• THE LAW OFFICES OF DAVID H. COLBY PLLC 401(K) PROFIT SHARING PLAN AND TRUST [EIN = 205617664]
• THE LAW OFFICES OF JOHN C CHER 401 K PROFIT SHARING PLAN TRUST [EIN = 141869407]
• THE LAW FIRM OF SHARON M. HANLON 401(K) PLAN [EIN = 422670693]
• THE LAW OFFICES OF BALZANO & TROPIANO, PC DEFINED BENEFIT PLAN [EIN = 061486619]
• THE LAW OFFICES OF ERIKA E. COLE, LLC 401(K) PLAN [EIN = 202840045]
• THE LAW OFFICES OF LOBECK & HANSON 401(K) P/S PLAN [EIN = 650477521]
• THE LAW OFFICE OF KATHERINE SC 401 K PROFIT SHARING PLAN TRUST [EIN = 261319501]
• THE LAW OFFICE OF FRANK D. BOSTON 401(K) PROFIT SHARING PLAN [EIN = 522042084]
• THE LAW OFFICE OF TEJEDA GUZMAN 401(K) PLAN [EIN = 262800801]
• THE LAW PRACTICE OF JACKIE KONG, A LIMITED LIABILITY LAW COMPANY PROFIT-SHARING PLAN (001) [EIN = 990360322]
• THE LAW OFFICES OF EUGENE K. HOLLANDER DEFINED BENEFIT PLAN [EIN = 364210146]
• THE LAW OFFICES OF JOHN G. LUBOJA, LLP 401(K) PROFIT SHARING PLAN [EIN = 811641697]
• THE LAW OFFICE OF PAUL KRASKER 401K PLAN [EIN = 270192441]
• THE LAW OFFICE OF JEREMY LOEW 401(K) PLAN [EIN = 464162693]
• THE LAW OFFICES OF MICHAEL W. CAHILL, LLC 401K PLAN [EIN = 061504025]
• THE LAW OFFICES OF SONI LEIGHTON, APC 401(K) PROFIT SHARING PLAN [EIN = 942471196]
• THE LAW OFFICES OF JEFF S. PITZER 401K PROFIT SHARING PLAN [EIN = 161669255]
• THE LAW OFFICES OF RICHARD LANGERMAN PROFIT SHARING PLAN [EIN = 753083870]
• THE LAW FIRM OF ALTON C. TODD DEFINED BENEFIT PLAN [EIN = 760195096]
• THE LAWN RANGER OF ST. AUGUSTINE, INC. 401(K) PROFIT SHARING PLAN [EIN = 593375490]
• THE LAW COMPANY INC. GROUP TRAVEL ACCIDENT PLAN [EIN = 480648736]
• THE LAW OFFICES OF JEFF S. PITZER 401K PROFIT SHARING PLAN [EIN = 931331731]
• THE LAW OFFICES OF BRUCE A BIERHANS, LLC 401(K) PLAN [EIN = 043547636]
• THE LAWSON COMPANIES 401(K) PLAN [EIN = 540741643]
• THE LAWRENCE GROUP INC. HEALTH & WELFARE PLAN [EIN = 431757709]
• THE LAWRENCE GROUP COMPANIES 401(K) PLAN [EIN = 464308986]
• THE LAWRENCE D. VITEZ CORPORATION PROFIT SHARING PLAN [EIN = 561902157]
• THE LAW OFFICE OF R MICHAEL SHICKICH PROFIT SHARING PLAN [EIN = 412036340]
• THE LAW OFFICES OF JEFFREY GLASSMAN PROFIT SHARING PLAN [EIN = 510576529]
• THE LAW OFFICES OF JONATHAN C. THAU, PLLC 401(K) PLAN [EIN = 812918790]
• THE LAW OFFICE OF TIFFANY HUGHES, P.C. 401(K) P/S PLAN [EIN = 453176392]
• THE LAW OFFICE OF SETH ROSE LLC 401(K) P/S PLAN [EIN = 274533957]
• THE LAW FIRM OF MATTHEW P. IRWIN AND ASSOCIATES 401(K) PLAN [EIN = 812185942]
• THE LAW OFFICES OF GREGG A ILARDI 401(K) PROFIT SHARING PLAN [EIN = 814072680]
• THE LAW OFFICE OF RICK J. DEMEDEIROS, PC 401(K) PROFIT SHARING PLAN [EIN = 270576232]
• THE LAWLER GROUP 401 K PROFIT SHARING PLAN TRUST [EIN = 474808128]
• THE LAW OFFICE OF ELINOR BAXTER PLLC RETIREMENT PLAN [EIN = 811096826]
• THE LAW OFFICE OF MURPHY MUR 401 K PROFIT SHARING PLAN TRUST [EIN = 821386391]
• THE LAW OFFICES OF STACEY J. DEMBO, LLC 401(K) PLAN [EIN = 465469335]
• THE LAW FIRM OF LISA WARD LLC [EIN = 260832879]
• THE LAW OFFICES OF KEVIN P FLY 401 K PROFIT SHARING PLAN TRUST [EIN = 201295095]
• THE LAW OFFICES OF JENNIFER LAVI 401K [EIN = 721610616]
• THE LAW OFFICE OF BRENT A. MARTIN, P.C. 401(K) PROFIT SHARING PLAN [EIN = 861050977]
• THE LAW OFFICE OF SEAN DITHOMA 401 K PROFIT SHARING PLAN TRUST [EIN = 474466880]
• THE LAW OFFICE OF NORMAN A. ABOOD 401(K) PLAN [EIN = 341540889]
• THE LAW OFFICE OF ELIZA D. STAHL, P.C. PROFIT SHARING AND EMPLOYEES' SAVINGS PLAN [EIN = 272791826]
• THE LAW OFFICE OF JEFFREY LOHMAN 401(K) PLAN [EIN = 811943080]
• THE LAW OFFICE OF DAWN J LEEDS 401(K) PLAN [EIN = 203904244]
• THE LAW OFFICE OF AMY BOGGS, PA 401(K) PLAN [EIN = 272550101]
• THE LAW OFFICES OF JAY S. KNISPEL, LLC 401(K) PLAN [EIN = 208208482]
• THE LAW FIRM OF DAVID C. CHAVEZ, LLC CASH BALANCE PLAN [EIN = 850420801]
• THE LAW OFFICES OF CHRISTOPHER C. KENDALL, P.C. 401(K) PLAN [EIN = 200541756]
• THE LAW OFFICES OF RAMIN G RETIREMENT PLAN [EIN = 542069154]
• THE LAW OFFICES OF ERIC BECKER 401(K) [EIN = 330901311]
• THE LAW OFFICE OF ISABEL M. HIDROBO, P.C. 401(K) PLAN [EIN = 452960312]
• THE LAW OFFICE OF ROBERT G. VENTURO, P.C. 401(K) SAVINGS PLAN [EIN = 464070512]
• THE LAW OFFICE OF RICHARD D. SMITH, JR. 401(K) PLAN [EIN = 475191772]
• THE LAW OFFICES OF RANDAL S. REEP, P.A. CASH BALANCE PLAN [EIN = 452577842]
• THE LAW OFFICE OF KATHERINE RYAN, P.C. 401(K) PROFIT SHARING PLAN [EIN = 471443530]
• THE LAW OFFICE OF ROBERT T HANLON [EIN = 270135373]
• THE LAW OFFICE OF JAMES GRAHAM 401(K) PLAN [EIN = 461679221]
• THE LAW OFFICE OF GREGORY JAVARDIAN, LLC RETIREMENT SAVINGS PLAN [EIN = 472853899]
• THE LAW OFFICES OF R. MICHAEL COKER, LLC 401(K) PLAN [EIN = 454636693]
• THE LAW OFFICE OF MARK B. MORSE LLC, 401(K) PLAN [EIN = 814838748]
• THE LAW OFFICES OF HEATHER R. GRAHAM, APC 401(K) PLAN [EIN = 822650972]
• THE LAW OFFICES OF RABENOLD & RABENOLD 401(K) PLAN [EIN = 820757307]
• THE LAW OFFICES OF DEBORAH I. GLAESER 401(K) PROFIT SHARING PLAN [EIN = 200022684]
• THE LAWSON GROUP INC. 401(K) PLAN [EIN = 454496514]
• THE LAW OFFICE OF AMANDA E 401(K) PROFIT SHARING PLAN & TRUST [EIN = 200202202]
• THE LAW OFFICE OF THOMAS E PETERSON PSP [EIN = 900434021]
• THE LAW OFFICES OF WHITE & WETHERALL, LLP 401(K) [EIN = 880332695]
• THE LAW OFFICE OF ROBERT A. SCHROTH PROFIT SHARING PLAN [EIN = 271248981]
• THE LAW OFFICES OF ALLISAN LEE ADAMS 401(K) PROFIT SHARING PLAN [EIN = 061535090]
• THE LAW OFFICES OF ARNOLD E. DIJOSEPH, P.C. PROFIT SHARING PLAN [EIN = 133747502]
• THE LAW OFFICE OF DUFFIE STONE EMPLOYEES SAVINGS PLAN [EIN = 582327700]
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• THE LAW OFFICES OF NICHOLAS J 401(K) PROFIT SHARING PLAN & TRUST [EIN = 223642573]
• THE LAW OFFICES OF GREGORY A G 401 K PROFIT SHARING PLAN TRUST [EIN = 455052203]
• THE LAW OFFICES OF JAMES P. MCHUGH III, LLC CASH BALANCE PENSION PLAN [EIN = 271235875]
• THE LAW OFFICE OF MARTA S. LAYNAS 401(K) PROFIT SHARING PLAN [EIN = 472579580]
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• THE LAW OFFICE OF MITCHELL E. PIPPIN 401(K) PLAN [EIN = 313867970]
• THE LAW OFFICES OF CHRISTOPHER P. DIGIULIO, P.C. DEFINED BENEFIT PENSION PLAN [EIN = 383665408]
• THE LAW OFFICES OF JAMES E. FARMER, PA 401(K) PROFIT SHARING PLAN [EIN = 521195625]
• THE LAW OFFICES OF JOHN G. LUBOJA, LLP CASH BALANCE PLAN [EIN = 811641697]
• THE LAW OFFICES OF RUBEN ORTIZ, PLLC 401K PLAN [EIN = 823784979]
• THE LAW FIRM FOR NONPROFITS, P.C. 401(K) PROFIT SHARING PLAN [EIN = 954794843]
• THE LAW OFFICE OF LEILA FREIJY, PLLC CASH BALANCE PENSION PLAN [EIN = 272512169]
• THE LAW OFFICE OF JJ TALBOTT 401(K) PLAN [EIN = 208225632]
• THE LAW STORE, LLC 401(K) PLAN [EIN = 471995044]
• THE LAW OFFICES OF JAMES P. MCHUGH III, LLC 401(K) PROFIT SHARING PLAN [EIN = 271235875]
• THE LAW OFFICES OF HARLAN A. PLATZ, PLLC PROFIT SHARING PLAN [EIN = 471448486]
• THE LAW OFFICES OF TOM SOMOS, LLC 401(K) PROFIT SHARING PLAN [EIN = 010973839]
• THE LAW OFFICE OF LYNDSAY A. MARKLEY, LTD [EIN = 464779378]
• THE LAW OFFICE OF TRICHELLE GRIGGS SIMMONS PROFIT SHARING 401(K) PLAN [EIN = 263025144]
• THE LAW OFFICES OF AARON B. MILLAR, P.C. SOLO 401(K) PLAN [EIN = 454139140]
• THE LAW OFFICE OF MATTHEW RUSSELL DEMPSEY MCF BENEFIT PLAN [EIN = 465040586]
• THE LAW OFFICES OF CHARLES W. KRANSTUBER, LPA SOCA BENEFIT PLAN [EIN = 203276392]
• THE LAW OFFICE OF YVONNE ROSMARIN DEFINED BENEFIT PENSION PLAN [EIN = 208208324]
• THE LAW OFFICES OF BRUCE A. BLAYLOCK CHARTERED 401(K) PLAN [EIN = 521955170]
• THE LAW OFFICES OF DAVID J 401 K PROFIT SHARING PLAN TRUST [EIN = 650983375]
• THE LAW OFFICES OF SAM F. MAGUIRE, JR., P.C. 401(K) PLAN AND TRUST [EIN = 582610088]
• THE LAWRENCE-MCFADDEN CO OFFICE EMPLOYEES RETIREMENT PLAN [EIN = 230792020]
• THE LAW OFFICES OF KIMBER B. GODDARD 401(K) PROFIT SHARING PLAN [EIN = 680291014]
• THE LAW CENTERS FOR CONSUMER PROTECTION 401K PROFIT SHARING PLAN [EIN = 030366136]
• THE LAW OFFICES OF PETER B. CAREY 401(K) PLAN [EIN = 363240081]
• THE LAW OFFICES OF HARR, ARTHOFER & AYRES 401(K) PROFIT SHARING PLAN [EIN = 680465903]
• THE LAW OFFICES OF JOHN T. CHRISTIANSEN 401(K) PLAN & TRUST [EIN = 271930918]
• THE LAW OFFICES OF NICK 401 K PROFIT SHARING PLAN TRUST [EIN = 205688664]
• THE LAW OFFICES OF WILLIAM L. BARR, LTD. 401(K) PLAN [EIN = 800567986]
• THE LAW OFFICES OF REAGAN SILBER AND TREVOR PEARLMAN LLP 401K PLAN [EIN = 752378084]
• THE LAW OFFICE OF PAUL A. HAMPEL 401(K) PLAN [EIN = 510474853]
• THE LAW OFFICES OF ALLAN JOSE & GUS BARRERA II, A PROFIT SHARING PLAN [EIN = 542169314]
• THE LAW OFFICES OF JERROLD D. COLTON, PC EE PROFIT SHARING 401K [EIN = 223802015]
• THE LAW OFFICE OF MIKE CRANE PROFIT SHARING PLAN [EIN = 742773317]
• THE LAWRENCE MCFADDEN CO. 401K PROFIT SHARING PLA [EIN = 230792020]
• THE LAW OFFICES OF MARK R. JEWETT, PC DEFINED BENEFIT PLAN [EIN = 860757994]
• THE LAW OFFICES OF STEVEN B. BAUMAN, P.A. PROFIT SHARING PLAN AND TRUST [EIN = 592925227]
• THE LAW OFFICES OF MARILYN 401K PROFIT SHARING PLAN & TRUST [EIN = 300371792]
• THE LAW OFFICE OF HUGH J. MORGAN 401(K) PENSION PLAN [EIN = 650020506]
• THE LAW OFFICES OF WHITE & WETHERALL, LLP 401(K) [EIN = 880339095]
• THE LAW FORUM, LLC 401(K) PROFIT SHARING PLAN [EIN = 800415134]
• THE LAWRENCE M. GOLD, P.C. PROFIT SHARING PLAN AND TRUST [EIN = 582198605]
• THE LAW OFFICES OF STEVEN J MELMET INC 401K PROFIT SHARING PLAN [EIN = 330735907]
• THE LAW OFFICES OF TOM FULKERSON PROFIT SHARING 401(K) PLAN [EIN = 205642475]
• THE LAW FIRM OF RICHARD R. KLEIN, ESQ 401(K) PLAN [EIN = 462837013]
• THE LAW OFFICES OF FUQIANG ZHANG P.C. 401K PLAN [EIN = 815404059]
• THE LAW OFFICES OF DAVE FRISSORA LLC CASH BALANCE PLAN [EIN = 811104205]
• THE LAW OFFICE OF ANDREW A. BESTAFKA, LLC 401(K) P/S PLAN [EIN = 453575484]
• THE LAW OFFICES OF KRUGER & KRUGER LLC 401(K) PLAN [EIN = 831264324]
• THE LAW OFFICE OF KIMBERLY B. TANIYAMA, LLC 401(K) PROFIT SHARING PLAN [EIN = 823192545]
• THE LAW OFFICE OF APRIL MCLAUG 401 K PROFIT SHARING PLAN TRUST [EIN = 270368019]
• THE LAW OFFICES OF MALCOLM B. SEAWELL, PC 401(K) PLAN [EIN = 753145292]
• THE LAW OFFICE OF SUTTON T. SLOVER, P.C. 401(K) RETIREMENT PLAN [EIN = 262815616]
• THE LAW OFFICES OF ROBERT ERNENWEIN, PC 401(K) PROFIT SHARING PLAN [EIN = 814590182]
• THE LAW OFFICE OF AARON WILLIAMS, INC. 401(K) PROFIT SHARING PLAN [EIN = 823632399]
• THE LAW OFFICE OF JOSEPH D. GLAZER 401(K) PLAN [EIN = 223656197]
• THE LAW OFFICE OF APRIL STRANG-KUTAY PC RETIREMENT PLAN [EIN = 824028702]
• THE LAW OFFICES OF DAVE FRISSORA 401(K) PROFIT SHARING PLAN [EIN = 811104205]
• THE LAW OFFICE OF STEVEN M. CYTRYN 401(K) PLAN [EIN = 475400907]
• THE LAW OFFICES OF JAMES L PAGANO PROFIT SHARING PLAN [EIN = 776149540]
• THE LAW OFFICES OF THOMAS H KEEN, PLLC 401(K) P/S PLAN [EIN = 263568348]
• THE LAW OFFICE OF NICHOLAS E. TZANETEAS 401(K) PLAN [EIN = 473341087]
• THE LAW OFFICES OF RYAN C. HENGL, ESQ. P.L.C. 401(K) PLAN [EIN = 270868383]
• THE LAW OFFICE OF DAVID H. ROSENBERG, P.C. 401(K) PROFIT SHARING PLAN [EIN = 462633240]
• THE LAW OFFICE OF ROBERT W BAU 401 K PROFIT SHARING PLAN TRUST [EIN = 205944334]
• THE LAW OFFICE OF JUSTIN T. CRAIN, PLLC 401(K) PLAN [EIN = 813079212]
• THE LAW OFFICES OF JAMES VASQUEZ, P.C. CASH BALANCE PLAN [EIN = 452505901]
• THE LAW OFFICES OF GREGORY A. PATTON MONEY PURCHASE PENSION PLAN [EIN = 831547230]
• THE LAW OFFICE OF CRAIG SCOTT & COMPANY, LPA 401(K) PROFIT SHARING PLAN [EIN = 822967970]
• THE LAW OFFICE OF JACK FITZGERALD, PC DEFINED BENEFIT PLAN [EIN = 462672770]
• THE LAW OFFICE OF PAUL K. JOSEPH, PC RETIREMENT 401(K) PLAN [EIN = 473827461]
• THE LAW OFFICES OF BETH A. WOOD PLLC 401(K) PLAN [EIN = 821752093]
• THE LAW OFFICE OF EUGENE M. WHISSEL, II 401K PLAN [EIN = 521900025]
• THE LAW OFFICE OF AHMAD KESHAVARZ 401(K) PROFIT SHARING PLAN [EIN = 743017957]
• THE LAW OFFICES OF J. LEE WEBB 401(K) PROFIT SHARING PLAN [EIN = 815024021]
• THE LAW OFFICE OF TED BESEN 401(K) PLAN [EIN = 463442031]
• THE LAW & MEDIATION OFFICES OF TERESA OMBRES, PLLC 401(K) PLAN [EIN = 900131645]
• THE LAW OFFICE OF MARY BETH KELLY 401(K) PROFIT SHARING PLAN [EIN = 815191740]
• THE LAW OFFICES OF GREGORY A. PATTON, DEFINED BENEFIT PENSION PLAN [EIN = 831547230]
• THE LAW OFFICE OF JACK FITZGERALD, PC PROFIT SHARING PLAN [EIN = 462672770]
• THE LAW OFFICE OF SHAN JACKSON, LLC 401(K) PLAN [EIN = 270662433]
• THE LAW FIRM OF OMAR T. MOHAMMEDI, LLC 401(K) RETIREMENT SAVINGS PLAN [EIN = 593819997]
• THE LAW OFFICE OF CAROLINE KNOX 401(K) PLAN [EIN = 823625167]
• THE LAW OFFICES OF JOHNSON & JOHNSON 401(K) PLAN [EIN = 943398265]
• THE LAWRENCE FIRM, L. P. A. DEFINED BENEFIT PLAN [EIN = 310971974]
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• THE LAW OFFICE OF LAWRENCE KOMSKY [EIN = 113568413]
• THE LAW OFFICES OF UN CHONG LIM 401(K) PLAN [EIN = 824082833]
• THE LAW OFFICES OF M BRYON BARNHILL P.L.L.C. 401(K) PROFIT SHARING PLAN [EIN = 742987122]
• THE LAW OFFICE OF RAEGAN M KING, LLC GCF BENEFIT PLAN [EIN = 264671798]
• THE LAW OFFICES OF JOSEPH M. BALDACCI 401(K) PLAN [EIN = 017640739]
• THE LAWFARE PROJECT 403(B) RETIREMENT PLAN [EIN = 272402908]
• THE LAW OFFICE OF JONATHAN A BAY PC MCF BENEFIT PLAN [EIN = 202605005]
• THE LAW OFFICES OF RICHARD TROUTMAN PA [EIN = 592992063]
• THE LAW OFFICE OF SARA TREMEL, LLC 401(K) P/S PLAN [EIN = 830970058]
• THE LAW OFFICES OF JOE BORNSTEIN LLC 401(K) PROFIT SHARING PLAN [EIN = 832820601]
• THE LAW OFFICE OF MICHAEL CRUISE 401(K) P/S PLAN [EIN = 141947610]
• THE LAW OFFICES OF DANIEL O. MYERS 401(K) P/S PLAN [EIN = 273731877]
• THE LAW OFFICE OF TONYA HERON PA 401(K) P/S PLAN [EIN = 463023228]
• THE LAW OFFICE OF B. ELIZABETH TODD, PLLC 401(K) P/S PLAN [EIN = 272585659]
• THE LAW OFFICE OF DEIDRA N. HA 401(K) PROFIT SHARING PLAN & TRUST [EIN = 811347827]
• THE LAW FIRM OF FATIMA JOHNSON 401(K) PROFIT SHARING PLAN & TRUST [EIN = 810953298]
• THE LAW OFFICE OF MITCHELL E. PIPPIN 401(K) PLAN [EIN = 205339200]
• THE LAW OFFICE OF SHARON ABAUD 401(K) PLAN [EIN = 475453843]
• THE LAW OFFICES OF MATTHEW J. DUNCAN 401(K) PLAN [EIN = 943109573]
• THE LAW FIRM CENGARLE AND DE CARLO LLC 401(K) PLAN [EIN = 200247913]
• THE LAW OFFICES OF SCOTT R. SCHNEIDER PROFIT SHARING PLAN [EIN = 113526310]
• THE LAW OFFICE OF MICHAEL L DEAR, PLLC [EIN = 811207219]
• THE LAW OFFICE OF KENNETH E. BERGER, LLC 401(K) PLAN [EIN = 800665550]
• THE LAW OFFICE OF KENNETH E. BERGER, LLC CASH BALANCE PLAN [EIN = 800665550]
• THE LAW OFFICE OF NEUBIA HARRIS 401(K) PLAN [EIN = 831853268]
• THE LAW FIRM OF CHARLENE A. MORRING, PC RETIREMENT TRUST [EIN = 832242338]
• THE LAW OFFICES OF POLLOCK AND 401(K) PROFIT SHARING PLAN & TRUST [EIN = 770371363]
• THE LAW OFFICE OF SAM CANNON RETIREMENT PLAN [EIN = 832953922]
• THE LAW OFFICES OF JOHN P. THYGERSON 401(K) PLAN [EIN = 264811173]
• THE LAW OFFICE OF VICTOR BAKKE, ALC 401(K) PROFIT SHARING PLAN [EIN = 371658725]
• THE LAWSKY GROUP LP RETIREMENT TRUST [EIN = 474316675]
• THE LAW OFFICES OF MELISSA A. DAY, PLLC [EIN = 900912514]
• THE LAW OFFICE OF ANGELA LEE, P. C. 401(K) PLAN [EIN = 271542068]
• THE LAW HELP CENTER 401(K) PLAN [EIN = 811137527]
• THE LAW OFFICES OF COHEN & BUCKMANN 401(K) PLAN [EIN = 811443602]
• THE LAW OFFICES OF JOSEPH M. BALDACCI 401(K) PLAN [EIN = 010467973]
• THE LAW OFFICES CY T HAINEY PLLC 401K [EIN = 824708787]
• THE LAW OFFICES OF MATTHEW B MOORE PLLC 401K PLAN [EIN = 472512341]
• THE LAW OFFICE OF PAULETTE HAMILTON, P.A. 401(K) PLAN [EIN = 452709477]
• THE LAW OFFICE OF CHRISTOPHER DUBY LLC 401(K) PROFIT SHARING PLAN [EIN = 421706364]
• THE LAW OFFICE OF HAMMAN S. MATIN CASH BALANCE PENSION PLAN [EIN = 208741198]
• THE LAW OFFICES OF ALISSA HASCUP 401K PLAN [EIN = 465354827]
• THE LAW OFFICE OF ETHAN M. WEISINGER, INC., 401(K) PLAN & TRUST [EIN = 364857892]
• THE LAW OFFICE OF VINCENT T. NORWILLO SOCA BENEFIT PLAN [EIN = 270940699]
• THE LAW OFFICES OF JOSEPH A. MARRA 401(K) PLAN [EIN = 842129881]
• THE LAW OFFICES OF RANDAL S. REEP, P.A. CASH BALANCE PLAN [EIN = 452577842]
• THE LAW FIRM OF BENJAMIN O. BENGTSON 401(K) PLAN [EIN = 462929242]
• THE LAW OFFICE OF HAMMAD S. MATIN 401 K PROFIT SHARING PLAN [EIN = 208741198]
• THE LAWN BOYZ 401K PLAN [EIN = 204388587]
• THE LAW OFFICES OF BRADFORD D. BROWN, APC DEFINED BENEFIT PENSION PLAN [EIN = 464369670]
• THE LAW OFFICES OF WILEY NICKEL, PLLC [EIN = 454147686]
• THE LAW OFFICE OF NICHOLAS STEIN RETIREMENT PLAN [EIN = 300945124]
• THE LAW OFFICE OF CHARLES J. FERRERA DEFINED BENEFIT PENSION PLAN [EIN = 028427553]
• THE LAW OFFICES OF LONNIE PLAYER 401(K) PLAN [EIN = 261656764]
• THE LAW OFFICE OF DAVID CRISS 401(K) PLAN [EIN = 201719112]
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• THE LAW OFFICE OF A. SAM JUBRA 401(K) PROFIT SHARING PLAN & TRUST [EIN = 593658471]
• THE LAW OFFICE OF CARY SCOTT GOLDINGER 401(K) PROFIT SHARING PLAN AND TRUST [EIN = 824075624]
• THE LAW OFFICE & MEDIATION SERVICES OF ELISSA C. GOLDBERG, LLC 401(K) PLAN [EIN = 611936109]
• THE LAW OFFICES OF JOHN MORRIS 401(K) PROFIT SHARING PLAN & TRUST [EIN = 262173703]
• THE LAW OFFICES OF RODGER C. DALEY AND ASSOCIATES [EIN = 843924149]
• THE LAW OFFICE OF ASAF GERMAN, P.C. 401(K) PLAN [EIN = 205161515]
• THE LAW OFFICES OF ROBERT M. MEYERS, LLC 401(K) PLAN [EIN = 201649395]
• THE LAW FIRM OF MICHAEL SERRANO 401(K) PLAN [EIN = 453666676]
• THE LAW OFFICE OF ROBERT GREGG A PROFESSIONAL SERVICE CORP [EIN = 911366281]
• THE LAW OFFICE OF MICHAEL MANNING, PLLC. 401(K) PLAN [EIN = 473605254]
• THE LAW OFFICES OF ANDREW L GORDON 401K AND PROFIT SHARING P [EIN = 824558993]
• THE LAW OFFICE OF JOHN C. HOWRY 401(K) PLAN [EIN = 823623668]
• THE LAW OFFICE OF JON POWELL PLLC [EIN = 465302109]
• THE LAW OFFICE OF KATE SOULSBY 401(K) PROFIT SHARING PLAN & TRUST [EIN = 205550732]
• THE LAW OFFICES OF AM FRINK PLLC 401(K) PLAN [EIN = 842727236]
• THE LAW OFFICES OF BENNY C. EPLING II, PSC 401(K) RETIREMENT SAVINGS PLAN [EIN = 464918041]
• THE LAW MAN GROUP, APC 401(K) PLAN [EIN = 815031458]
• THE LAW MAN GROUP, APC DEFINED BENEFIT PENSION PLAN [EIN = 815031458]
• THE LAW OFFICES OF KYLE D. PIERCE 401(K) PLAN [EIN = 814285790]
• THE LAW OFFICE OF TANIA K. ROSAMOND, PLLC 401(K) PLAN [EIN = 472513783]
• THE LAW OFFICES OF ROBERT K LACY PLLC [EIN = 320583573]
• THE LAW OFFICE OF KAREN SURI 401(K) PROFIT SHARING PLAN & TRUST [EIN = 824692891]
• THE LAW OFFICE OF ARACELI TOVA 401(K) PROFIT SHARING PLAN & TRUST [EIN = 200679896]
• THE LAW OFFICE OF CARY SCOTT GOLDINGER 401(K) PROFIT SHARING PLAN AND TRUST [EIN = 824077562]
• THE LAW OFFICE OF JUSTIN ROSAS 401(K) PLAN [EIN = 463122829]
• THE LAW OFFICE OF ERIN M WILSO 401(K) PROFIT SHARING PLAN & TRUST [EIN = 832310745]
• THE LAW OFFICES OF KYLE ROBBINS, PLLC 401(K) PROFIT SHARING PLAN [EIN = 824750828]
• THE LAW OFFICES OF MICHAEL P. HELLMAN 401(K) SAFE HARBOR PLAN [EIN = 813523924]
• THE LAW OFFICES OF M. FAKHOURY CASH BALANCE PLAN [EIN = 452674790]
• THE LAW OFFICES OF M. FAKHOURY 401(K) PLAN [EIN = 452674790]
• THE LAW OFFICE OF ALFRED CHANG 401 (K) PLAN [EIN = 061670774]
• THE LAW OFFICES OF BRIAN P. CONNELLY NETWORK ENTERPRISES, INC. [EIN = 680473204]
• THE LAW OFFICE OF ALEX M. SONSON, A LAW CORPORATION 401(K) RETIREMENT PLAN [EIN = 990334444]
• THE LAW OFFICE OF PETER G. DEPRIMO, P.A. 401K PROFIT SHARING PLAN AND TRUST [EIN = 822661376]
• THE LAW OFFICE OF HEDY GOLSHANI APC 401(K) PLAN [EIN = 811606909]
• THE LAWSON COMPANIES 401(K) PLAN [EIN = 814251299]
• THE LAW FIRM OF JOSEPH H. LOW IV, INC. DEFINED BENEFIT PENSION PLAN [EIN = 753071131]
• THE LAW OFFICES OF JONATHAN MEREL, P.C. CASH BALANCE PLAN [EIN = 264416963]
• THE LAW OFFICES OF MICHAEL J. ALBER, P.C. DEFINED BENEFIT PLAN [EIN = 463401191]
• THE LAW FIRM OF OSCAR O. GOMEZ 401(K) PLAN [EIN = 472998366]
• THE LAW OFFICES OF RICHARD LA SALLE 401(K) PLAN [EIN = 823389501]
• THE LAW OFFICE OF JOE BOYD 401(K) PLAN [EIN = 850574530]
• THE LAW OFFICES OF MICHAEL J. ALBER, P.C. 401K PLAN [EIN = 463401191]
• THE LAW OFFICES OF BARRY J. GAMMONS CASH BALANCE PENSION PLAN [EIN = 621735267]
• THE LAW OFFICES OF KEREN GOLDENBERG RETIREMENT PLAN [EIN = 823834354]
• THE LAW OFFICES OF SAM L. AMIRANTE, P.C. RETIREMENT PLAN [EIN = 204297229]
• THE LAW OFFICE OF TERESA MCNAMARA 401(K) PLAN [EIN = 475370470]
• THE LAW OFFICE OF SETH A. FUSCELLARO 401(K) RETIREMENT PLAN [EIN = 455577223]
• THE LAW FIRM OF DOREEN A. GRAHAM, LLC CASH BALANCE PLAN [EIN = 475394745]
• THE LAW OFF OF TOM SOMOS SOCA BENEFIT PLAN [EIN = 010973839]
• THE LAW FIRM OF AARON A HERBERT [EIN = 473274473]
• THE LAW OFFICES OF KEVIN J. ROACH LLC MCF BENEFIT PLAN [EIN = 562413757]
• THE LAW OFFICE OF EMILY MAPP BRANNON 401(K) PLAN [EIN = 472921049]
• THE LAW OFFICES OF SCOTT R. SCHNEIDER PROFIT SHARING PLAN [EIN = 844189934]
• THE LAW OFFICE OF JOHANN HALL APC 401K PROFIT SHARING PLAN [EIN = 810957649]
• THE LAW OFFICES OF JOHN P. MEENAGH 401(K) PROFIT SHARING PLAN [EIN = 301214071]
• THE LAW FIRM OF GINA LEGURIA, A PROFESSIONAL CORPORATION 401(K) PLAN [EIN = 850812578]
• THE LAW OFFICES OF THOMAS R SPARKS, PLLC 401K [EIN = 831116980]
• THE LAW OFFICES OF MARIBEL ULLRICH 401(K) PLAN [EIN = 455581137]
• THE LAW OFFICE OF ROBIN M. PERRIGO PLLC 401(K) PLAN [EIN = 821829347]
• THE LAW OFFICE OF AUTUMN WITT BOYD 401(K) PLAN [EIN = 472282663]
• THE LAW OFFICE OF JESSICA T SEBAG, PLLC 401(K) PLAN [EIN = 812546999]
• THE LAW OFFICE OF KERRIE C. JUSTICE, INC. APC 401 (K) P/S PLAN [EIN = 330988328]
• THE LAW OFFICE OF KEVIN LEMIEUX 401(K) PROFIT SHARING PLAN & TRUST [EIN = 824050777]
• THE LAW OFFICES OF JENNY LING 401(K) PLAN [EIN = 472673319]
• THE LAW OFFICES OF OMAR KHAWAJA PLL [EIN = 472601857]
• THE LAW OFFICES OF KEITH ANTHONY 401K [EIN = 850817927]
• THE LAW OFFICE OF LAUREN MULLEE 401(K) PLAN [EIN = 851077097]
• THE LAW OFFICES OF OSMAN LOPEZ, P.A. 401K PLAN [EIN = 845076718]
• THE LAW OFFICES OF JOSEPH CHORA, APC 401K PLAN [EIN = 364753436]
• THE LAW OFFICES OF BOBBY P LUNA 401 K PS PLAN [EIN = 460550574]
• THE LAW OFFICES OF JONATHAN D. MISHKIN 401(K) PLAN [EIN = 455329745]
• THE LAW OFFICE OF MICHELE CONTRERAS, LLC 401(K) PROFIT SHARING PLAN [EIN = 274151284]
• THE LAWN CLUB 401(K) PLAN [EIN = 352692185]
• THE LAW OFFICE OF BRANDON FOY, P.C. 401(K) PLAN [EIN = 821536556]
• THE LAW OFFICES OF JOSEPH R. MANNING, JR. APC 401(K) PLAN [EIN = 830502205]
• THE LAW OFFICES OF KENNETH H. DRAMER, P.C. 401(K) [EIN = 471647517]
• THE LAW OFFICES OF NICOMEDES SURIEL 401(K) PLAN [EIN = 861015180]
• THE LAW OFFICE OF REX E ZACHOF 401(K) PROFIT SHARING PLAN & TRUST [EIN = 208283566]
• THE LAW FIRM OF WESLEY A. HILL, LLC SAFE HARBOR 401(K) PROFIT SHARING PLAN [EIN = 861489342]
• THE LAW OFFICES OF PRECIOUS FE 401(K) PROFIT SHARING PLAN & TRUST [EIN = 461134657]
• THE LAW FIRM OF BARR & BARR PL 401(K) PROFIT SHARING PLAN & TRUST [EIN = 833117777]
• THE LAW OFFICE OF ANGELA N. MANZ, P.C. 401(K) PLAN [EIN = 262804253]
• THE LAW OFFICES OF JOHN P. O'CONNELL, A PROFESSIONAL LAW CORPORATION 401(K) PLAN [EIN = 472635102]
• THE LAW OFFICES OF ERIC SWINYARD 401(K) PLAN [EIN = 814058271]
• THE LAW OFFICE OF TALIA BARRALES PC - 401(K) [EIN = 461989306]
• THE LAW OFFICE OF NINA F. JUNCEWICZ, P.C - 401K [EIN = 471706030]
• THE LAW OFFICES OF FEDOR KOZLOV 401(K) PLAN [EIN = 453091099]
• THE LAW OFFICES OF KAMAND KOMPANIAN, APC RETIREMENT PLAN [EIN = 844989908]
• THE LAW OFFICE OF ABTIN AMIR, PC 401(K) PROFIT SHARING PLAN [EIN = 850934191]
• THE LAW OFFICE OF PATRICK J. STARK, INC. CASH BALANCE PLAN [EIN = 844624020]
• THE LAW OFFICE OF TAREK FAHMY, PLLC CASH BALANCE PLAN [EIN = 834396045]
• THE LAW OFFICE OF JILL L. COIL 401(K) PLAN [EIN = 472545957]
• THE LAW OFFICE OF RYAN M. CARDOSO, PLLC 401(K) PLAN [EIN = 472953374]
• THE LAW OFFICES OF KEANE THOMAS & PINNACOLI, PLLC 401(K) PLAN [EIN = 301123904]
• THE LAW OFFICES OF MATARAZZO & LUBCHER 401(K) RETIREMENT PLAN [EIN = 450616368]
• THE LAW OFFICES OF EUGENE V. CALLOWAY, PC PENSION PLAN [EIN = 821530822]
• THE LAW OFFICE OF TAREK FAHMY, PLLC 401(K) PROFIT SHARING PLAN [EIN = 834396045]
• THE LAW OFFICES OF MATTHEW M. FAKHOURY, LLC CASH BALANCE PLAN [EIN = 854152818]
• THE LAW OFFICE OF LEONARD M. CORDEIRO, P.C. 401(K) PLAN [EIN = 852029898]
• THE LAW OFFICES OF DAVID J. MCKENZIE 401(K) PLAN [EIN = 208806037]
• THE LAW OFFICE OF ANDREW BRYANT 401(K) PLAN [EIN = 455061542]
• THE LAW OFFICES OF MATTHEW M. FAKHOURY, LLC 401(K) PLAN [EIN = 854152818]
• THE LAW OFFICE OF ANGELICA J. ANGUIANO 401(K) PLAN [EIN = 872319661]
• THE LAW OFFICE OF RANDY HOPE STEEN, LTD. 401(K) PLAN [EIN = 465092549]
• THE LAW OFFICE OF CHRISTOPHER Q. DAVIS, PLLC 401(K) PLAN [EIN = 471508764]
• THE LAWN PRO CBS BENEFIT PLAN [EIN = 611266156]
• THE LAW OFFICE OF PATRICK J SODORO LLC 401K PLAN [EIN = 462186167]
• THE LAWTON STANDARD CO. 401(K) RET PLAN [EIN = 843828049]
• THE LAW FIRM OF EDWARDS & EDWARDS, P.C. 401(K) PLAN [EIN = 200888535]
• THE LAW OFFICES OF DAVID J. LUCA 401K PLAN [EIN = 320671399]
• THE LAW OFFICE OF ALEXANDER PAYKIN, P.C. CASH BALANCE PLAN [EIN = 273386509]
• THE LAW OFFICE OF ALEXANDER PAYKIN, P.C. PROFIT SHARING PLAN [EIN = 273386509]
• THE LAW OFFICES OF WENDY RAQUEL HERNANDEZ, P.C. 401(K) PLAN [EIN = 561035663]
• THE LAW OFFICE OF MONICA GUILA 401(K) PROFIT SHARING PLAN & TRUST [EIN = 472886762]
• THE LAW OFFICES OF ERIC LECKIE PLLC DBA INVICTUS LAW 401(K) PLAN [EIN = 471208272]
• THE LAW OFFICES OF FERNANDO HIDALGO 401(K) PLAN [EIN = 853910776]
• THE LAW OFFICE OF DAVID P SHAPIRO 401(K) PLAN [EIN = 273159622]
• THE LAW OFFICES OF ALEX BONILLA, A PROFESSIONAL CORPORATION 401(K) PLA [EIN = 842747651]
• THE LAW OFFICE OF INDY COLBATH, PC 401(K) PLAN [EIN = 824221963]
• THE LAW OFFICE OF JOSIAH YOUNG, PC 401(K) PLAN [EIN = 850782417]
• THE LAW OFFICES OF PHILIP GARR 401(K) PROFIT SHARING PLAN & TRUST [EIN = 770447276]
• THE LAW FIRM OF TYSON R. PHILLIPS 401(K) PLAN [EIN = 463311858]
• THE LAW OFFICE OF CHRISTOPHER BRETON, P.A. 401(K) PLAN [EIN = 463821532]
• THE LAW OFFICE OF JENNIFER A. MCCABE, APC 401(K) PLAN [EIN = 833216347]
• THE LAW OFFICE OF FAUSTO ROSALES 401K PLAN [EIN = 462888726]
• THE LAW FIRM OF MARIANO ACUNA 401(K) PLAN [EIN = 812373717]
• THE LAW PRACTICE OF JUSTIN OTTEN, P.C [EIN = 815252632]
• THE LAW FIRM OF MICHAEL C PETERSON [EIN = 874422662]
• THE LAWN BEAUTICIANS INC. 401(K) PLAN [EIN = 050367959]
• THE LAW OFFICES OF JENNIFER P. DAVIS 401(K) PLAN [EIN = 452672923]
• THE LAW OFFICES OF STEVEN H. HEISLER 401(K) PLAN [EIN = 522176405]
• THE LAW OFFICE OF BLAINE BARRILLEAUX 401(K) PLAN [EIN = 900104921]
• THE LAW OFFICE OF AHMAD R. CREWS 401(K) PLAN [EIN = 825507395]
• THE LAW OFFICES OF ATHAN P. PAPAILIOU 401(K) PLAN [EIN = 844007788]
• THE LAW OFFICES OF SMITH & WHITE 401(K) PLAN [EIN = 452193733]
• THE LAW OFFICE OF JOHN V ELMORE, P.C. RETIREMENT TRUST [EIN = 465410289]
• THE LAW OFFICES OF CHRISTOPHER F. ZACARIAS, P.A. 401(K) PROFIT SHARING PLAN [EIN = 300747934]
• THE LAW OFFICES OF JOSEPH H NIVIN PC [EIN = 274418415]
• THE LAW OFFICE OF OSCAR D SANDOVAL INC 401(K) [EIN = 874110630]
• THE LAW OFFICES OF DAVID C. WEIR PLLC 401(K) P/S PLAN [EIN = 841995728]
• THE LAW OFFICES OF JOHN R SETL 401(K) PROFIT SHARING PLAN & TRUST [EIN = 845146915]
• THE LAW OFFICE OF JESUS ZELADA 401(K) PROFIT SHARING PLAN & TRUST [EIN = 814427586]
• THE LAW OFFICE OF PATRICK J. STARK, INC. 401(K) PLAN [EIN = 844624020]
• THE LAW OFFICES OF K.H.A 401(K) P/S PLAN [EIN = 472339169]
• THE LAW OFFICE OF CYRUS C CHEN 401(K) PLAN [EIN = 920388154]
• THE LAW OFFICE OF DANIEL P MOLONEY LLC [EIN = 471892801]
• THE LAW FIRM OF THOMAS SANFILIPPO & ASSOCIATES, LLC 401 [EIN = 460677563]
• THE LAW OFFICES OF JUAN J. HUERTA, A.P.C. CASH BALANCE PLAN [EIN = 465249235]
• THE LAW OFFICE OF MAX G ARNOLD INC 401(K) PLAN [EIN = 911822209]
• THE LAW OFFICE OF ERIC GRITZ, A PROFESSIONAL LAW CORPORATION CASH BALANCE PENSION PLAN [EIN = 881983287]
• THE LAW OFFICE OF SOKOIYA THOMAS PLLC [EIN = 843550382]
• THE LAW OFFICE OF EDWARD GARCIA ESTRADA, PLLC 401K [EIN = 870988646]
• THE LAW OFFICES OF P ANDREW TORREZ LLC 401(K) PROFIT SHARING PLAN AND TRUST [EIN = 472981935]
• THE LAW OFFICE OF THOMAS H. TERPSTRA 401(K) PROFIT SHARING PLAN AND TRUST [EIN = 882803568]
• THE LAW OFFICES OF MAUREEN VELLA LLC 401K PLAN [EIN = 883520771]
• THE LAW OFFICES OF BERTRAND RUSSELL JR 401(K) PLAN [EIN = 873922307]
• THE LAW OFFICES OF THOMAS E. PYLES, P.A. 401(K) PLAN [EIN = 743074083]
• THE LAW OFFICES OF CHRISTOPHER F. ZACARIAS, P.A. CASH BALANCE PLAN [EIN = 300747934]
• THE LAW FIRM OF JOSEPH LASSEN 401(K) PLAN [EIN = 611845450]
• THE LAW OFFICE OF JAMIE C HENRY PROFESSIONAL LLC 401K PROFIT SHARING PLAN [EIN = 455495015]
• THE LAW OFFICES OF RICHARD K. GREEN PROFIT SHARING 401(K) PLAN [EIN = 844066910]
• THE LAW OFFICE OF DAVID P MARCUS PLLC 401(K) PLAN [EIN = 880637395]
• THE LAW OFFICE OF JULIAN M. HALL, PLLC 401(K) PLAN [EIN = 471740047]
• THE LAW OFFICES OF MICHAEL SHAWN P.A. 401(K) PROFIT SHARING PLAN [EIN = 833654480]
• THE LAW OFFICE OF JOSEPH BOGDAN LLC 401(K) PLAN [EIN = 463173313]
• THE LAW OFFICES OF RYAN E LACKEY LLC CASH BALANCE PLAN [EIN = 811185323]
• THE LAW OFFICES OF LARRY H. PARKER, INC. 401(K) PROFIT SHARING PLAN [EIN = 953819902]
• THE LAW OFFICES OF KANNER & PINTALUGA, P.A 401K PLAN [EIN = 010786201]
• THE LAW OFFICE OF M ERIN WILKINS CBS BENEFIT PLAN [EIN = 275166508]