401k Plan data: UNIVERSITY PHYSICIANS ASSOCIATES 403B PLAN plan

UNIVERSITY PHYSICIANS ASSOCIATES 403B PLAN 401k Plan overview

Plan Name	UNIVERSITY PHYSICIANS ASSOCIATES 403B PLAN
Plan identification number	002

UNIVERSITY PHYSICIANS ASSOCIATES 403B PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

UNIVERSITY PHYSICIANS ASSOCIATES has sponsored the creation of one or more 401k plans.

Company Name: UNIVERSITY PHYSICIANS ASSOCIATES

Employer identification number (EIN): 611250153

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UNIVERSITY PHYSICIANS ASSOCIATES 403B PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2016-01-01
002 2015-01-01
002 2014-01-01 DARRELL GRIFFITH 2015-05-27
002 2013-01-01 DARRELL GRIFFITH 2014-09-29
002 2012-01-01 JONATHON D. ARRINGTON
002 2011-01-01 JONATHON D. ARRINGTON
002 2010-01-01 PAMELA ANDERSON
002 2009-01-01 PAMELA ANDERSON
002 2009-01-01 PAMELA ANDERSON
002 2009-01-01 PAMELA ANDERSON
002 2009-01-01 PAMELA ANDERSON
002 2009-01-01 PAMELA ANDERSON
002 2009-01-01 PAMELA ANDERSON

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2016-01-01
002	2015-01-01
002	2014-01-01	DARRELL GRIFFITH	2015-05-27
002	2013-01-01	DARRELL GRIFFITH	2014-09-29
002	2012-01-01	JONATHON D. ARRINGTON
002	2011-01-01	JONATHON D. ARRINGTON
002	2010-01-01	PAMELA ANDERSON
002	2009-01-01	PAMELA ANDERSON
002	2009-01-01	PAMELA ANDERSON
002	2009-01-01	PAMELA ANDERSON
002	2009-01-01	PAMELA ANDERSON
002	2009-01-01	PAMELA ANDERSON
002	2009-01-01	PAMELA ANDERSON

Plan Statistics for UNIVERSITY PHYSICIANS ASSOCIATES 403B PLAN

401k plan membership statisitcs for UNIVERSITY PHYSICIANS ASSOCIATES 403B PLAN

Measure Date Value
2012: UNIVERSITY PHYSICIANS ASSOCIATES 403B PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 171
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
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 71
Total of all active and inactive participants 2012-01-01 71
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 71
Number of participants with account balances 2012-01-01 71
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: UNIVERSITY PHYSICIANS ASSOCIATES 403B PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 164
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 69
Number of other retired or separated participants entitled to future benefits 2011-01-01 102
Total of all active and inactive participants 2011-01-01 171
Total participants 2011-01-01 171
Number of participants with account balances 2011-01-01 144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: UNIVERSITY PHYSICIANS ASSOCIATES 403B PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 153
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 120
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 44
Total of all active and inactive participants 2010-01-01 164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 164
Number of participants with account balances 2010-01-01 125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: UNIVERSITY PHYSICIANS ASSOCIATES 403B PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 145
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 109
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 44
Total of all active and inactive participants 2009-01-01 153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 153
Number of participants with account balances 2009-01-01 117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2012: UNIVERSITY PHYSICIANS ASSOCIATES 403B PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	171
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
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	71
Total of all active and inactive participants	2012-01-01	71
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	71
Number of participants with account balances	2012-01-01	71
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: UNIVERSITY PHYSICIANS ASSOCIATES 403B PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	164
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	69
Number of other retired or separated participants entitled to future benefits	2011-01-01	102
Total of all active and inactive participants	2011-01-01	171
Total participants	2011-01-01	171
Number of participants with account balances	2011-01-01	144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: UNIVERSITY PHYSICIANS ASSOCIATES 403B PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	153
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	120
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	44
Total of all active and inactive participants	2010-01-01	164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	164
Number of participants with account balances	2010-01-01	125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: UNIVERSITY PHYSICIANS ASSOCIATES 403B PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	145
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	109
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	44
Total of all active and inactive participants	2009-01-01	153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	153
Number of participants with account balances	2009-01-01	117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on UNIVERSITY PHYSICIANS ASSOCIATES 403B PLAN

Measure	Date	Value
2012 : UNIVERSITY PHYSICIANS ASSOCIATES 403B PLAN 2012 401k financial data
Total transfer of assets to this plan	2012-12-31	$7,299
Total transfer of assets from this plan	2012-12-31	$29,700
Total income from all sources (including contributions)	2012-12-31	$149,907
Total of all expenses incurred	2012-12-31	$758,134
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$742,576
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$54,212
Value of total assets at end of year	2012-12-31	$624,847
Value of total assets at beginning of year	2012-12-31	$1,255,475
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$15,558
Total interest from all sources	2012-12-31	$1,150
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$13,107
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$13,107
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$46,682
Participant contributions at end of year	2012-12-31	$0
Participant contributions at beginning of year	2012-12-31	$30,331
Participant contributions at end of year	2012-12-31	$30
Participant contributions at beginning of year	2012-12-31	$1,687
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$7,530
Administrative expenses (other) incurred	2012-12-31	$15,558
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$-608,227
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$624,847
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$1,255,475
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$614,426
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$4,992
Value of interest in pooled separate accounts at end of year	2012-12-31	$571
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$1,207,759
Interest on participant loans	2012-12-31	$750
Interest earned on other investments	2012-12-31	$400
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$9,820
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$10,706
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$81,386
Net investment gain/loss from pooled separate accounts	2012-12-31	$52
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$742,576
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	DEAN DORTON ALLEN FORD, PLLC
Accountancy firm EIN	2012-12-31	273858252
2011 : UNIVERSITY PHYSICIANS ASSOCIATES 403B PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$333,948
Total of all expenses incurred	2011-12-31	$118,994
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$116,937
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$334,545
Value of total assets at end of year	2011-12-31	$1,255,475
Value of total assets at beginning of year	2011-12-31	$1,040,521
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$2,057
Total interest from all sources	2011-12-31	$5,617
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$329,396
Participant contributions at end of year	2011-12-31	$30,331
Participant contributions at beginning of year	2011-12-31	$29,100
Participant contributions at end of year	2011-12-31	$1,687
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$5,149
Administrative expenses (other) incurred	2011-12-31	$2,057
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$214,954
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$1,255,475
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,040,521
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$4,992
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$5,141
Value of interest in pooled separate accounts at end of year	2011-12-31	$1,207,759
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$732,715
Interest on participant loans	2011-12-31	$829
Interest earned on other investments	2011-12-31	$4,788
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$10,706
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$273,565
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-149
Net investment gain/loss from pooled separate accounts	2011-12-31	$-6,065
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$116,937
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	DEAN DORTON ALLEN FORD, PLLC
Accountancy firm EIN	2011-12-31	273858252
2010 : UNIVERSITY PHYSICIANS ASSOCIATES 403B PLAN 2010 401k financial data
Total income from all sources (including contributions)	2010-12-31	$273,074
Total of all expenses incurred	2010-12-31	$114,940
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$112,625
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$161,566
Value of total assets at end of year	2010-12-31	$1,040,521
Value of total assets at beginning of year	2010-12-31	$882,387
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$2,315
Total interest from all sources	2010-12-31	$7,142
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$161,566
Participant contributions at end of year	2010-12-31	$29,100
Participant contributions at beginning of year	2010-12-31	$17,648
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$850,745
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$0
Other income not declared elsewhere	2010-12-31	$0
Administrative expenses (other) incurred	2010-12-31	$2,315
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$158,134
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,040,521
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$882,387
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$5,141
Value of interest in pooled separate accounts at end of year	2010-12-31	$732,715
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$405
Interest on participant loans	2010-12-31	$615
Interest earned on other investments	2010-12-31	$6,527
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$273,565
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$13,589
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$521
Net investment gain/loss from pooled separate accounts	2010-12-31	$103,845
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$112,625
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	DEAN DORTON ALLEN FORD, PLLC
Accountancy firm EIN	2010-12-31	273858252
2009 : UNIVERSITY PHYSICIANS ASSOCIATES 403B PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for UNIVERSITY PHYSICIANS ASSOCIATES 403B PLAN

2012: UNIVERSITY PHYSICIANS ASSOCIATES 403B PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: UNIVERSITY PHYSICIANS ASSOCIATES 403B PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: UNIVERSITY PHYSICIANS ASSOCIATES 403B PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: UNIVERSITY PHYSICIANS ASSOCIATES 403B PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )

Policy contract number

368872

Policy instance

Insurance contract or identification number	368872
Number of Individuals Covered	12
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

802234

Policy instance

Insurance contract or identification number	802234
Number of Individuals Covered	0
Insurance policy start date	2011-01-01
Insurance policy end date	2011-09-30
Total amount of commissions paid to insurance broker	USD $2,051
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )

Policy contract number

368872

Policy instance

Insurance contract or identification number	368872
Number of Individuals Covered	12
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

807983

Policy instance

Insurance contract or identification number	807983
Number of Individuals Covered	144
Insurance policy start date	2011-10-01
Insurance policy end date	2011-12-31
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

802234

Policy instance

Insurance contract or identification number	802234
Number of Individuals Covered	155
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $2,271
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )

Policy contract number

368872

Policy instance

Insurance contract or identification number	368872
Number of Individuals Covered	12
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	UNIVERSITY PHYSICIANS ASSOCIATES
Employer identification number (EIN):	611250153
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)