401k Plan data: THE MCC MEDICAL BENEFITS PLAN CONSOLIDATED RESOURCE MANAGEMENT, LLC plan

THE MCC MEDICAL BENEFITS PLAN CONSOLIDATED RESOURCE MANAGEMENT, LLC 401k Plan overview

Plan Name	THE MCC MEDICAL BENEFITS PLAN CONSOLIDATED RESOURCE MANAGEMENT, LLC
Plan identification number	501

THE MCC MEDICAL BENEFITS PLAN CONSOLIDATED RESOURCE MANAGEMENT, LLC Benefits

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

401k Sponsoring company profile

THE MCC GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name: THE MCC GROUP, INC.

Employer identification number (EIN): 720535166

NAIC Classification: 238220
NAIC Description: Plumbing, Heating, and Air-Conditioning Contractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE MCC MEDICAL BENEFITS PLAN CONSOLIDATED RESOURCE MANAGEMENT, LLC

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2015-01-01
501 2014-01-01
501 2013-01-01
501 2012-01-01 EDWARD O'CONNOR
501 2011-01-01 EDWARD O'CONNOR
501 2010-01-01 EDWARD O'CONNOR
501 2009-01-01 EDWARD O'CONNOR

Plan Statistics for THE MCC MEDICAL BENEFITS PLAN CONSOLIDATED RESOURCE MANAGEMENT, LLC

401k plan membership statisitcs for THE MCC MEDICAL BENEFITS PLAN CONSOLIDATED RESOURCE MANAGEMENT, LLC

Measure Date Value
2015: THE MCC MEDICAL BENEFITS PLAN CONSOLIDATED RESOURCE MANAGEMENT, LLC 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,098
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 1,036
Total of all active and inactive participants 2015-01-01 1,036
2014: THE MCC MEDICAL BENEFITS PLAN CONSOLIDATED RESOURCE MANAGEMENT, LLC 2014 401k membership
Total participants, beginning-of-year 2014-01-01 858
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1,098
Total of all active and inactive participants 2014-01-01 1,098
2013: THE MCC MEDICAL BENEFITS PLAN CONSOLIDATED RESOURCE MANAGEMENT, LLC 2013 401k membership
Total participants, beginning-of-year 2013-01-01 781
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 858
Total of all active and inactive participants 2013-01-01 858
2012: THE MCC MEDICAL BENEFITS PLAN CONSOLIDATED RESOURCE MANAGEMENT, LLC 2012 401k membership
Total participants, beginning-of-year 2012-01-01 589
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 781
Total of all active and inactive participants 2012-01-01 781
2011: THE MCC MEDICAL BENEFITS PLAN CONSOLIDATED RESOURCE MANAGEMENT, LLC 2011 401k membership
Total participants, beginning-of-year 2011-01-01 497
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 589
Total of all active and inactive participants 2011-01-01 589
Total participants 2011-01-01 589
2010: THE MCC MEDICAL BENEFITS PLAN CONSOLIDATED RESOURCE MANAGEMENT, LLC 2010 401k membership
Total participants, beginning-of-year 2010-01-01 467
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 497
Total of all active and inactive participants 2010-01-01 497
Total participants 2010-01-01 497
2009: THE MCC MEDICAL BENEFITS PLAN CONSOLIDATED RESOURCE MANAGEMENT, LLC 2009 401k membership
Total participants, beginning-of-year 2009-01-01 617
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 467
Total of all active and inactive participants 2009-01-01 467
Total participants 2009-01-01 467

Measure	Date	Value
2015: THE MCC MEDICAL BENEFITS PLAN CONSOLIDATED RESOURCE MANAGEMENT, LLC 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,098
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	1,036
Total of all active and inactive participants	2015-01-01	1,036
2014: THE MCC MEDICAL BENEFITS PLAN CONSOLIDATED RESOURCE MANAGEMENT, LLC 2014 401k membership
Total participants, beginning-of-year	2014-01-01	858
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1,098
Total of all active and inactive participants	2014-01-01	1,098
2013: THE MCC MEDICAL BENEFITS PLAN CONSOLIDATED RESOURCE MANAGEMENT, LLC 2013 401k membership
Total participants, beginning-of-year	2013-01-01	781
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	858
Total of all active and inactive participants	2013-01-01	858
2012: THE MCC MEDICAL BENEFITS PLAN CONSOLIDATED RESOURCE MANAGEMENT, LLC 2012 401k membership
Total participants, beginning-of-year	2012-01-01	589
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	781
Total of all active and inactive participants	2012-01-01	781
2011: THE MCC MEDICAL BENEFITS PLAN CONSOLIDATED RESOURCE MANAGEMENT, LLC 2011 401k membership
Total participants, beginning-of-year	2011-01-01	497
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	589
Total of all active and inactive participants	2011-01-01	589
Total participants	2011-01-01	589
2010: THE MCC MEDICAL BENEFITS PLAN CONSOLIDATED RESOURCE MANAGEMENT, LLC 2010 401k membership
Total participants, beginning-of-year	2010-01-01	467
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	497
Total of all active and inactive participants	2010-01-01	497
Total participants	2010-01-01	497
2009: THE MCC MEDICAL BENEFITS PLAN CONSOLIDATED RESOURCE MANAGEMENT, LLC 2009 401k membership
Total participants, beginning-of-year	2009-01-01	617
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	467
Total of all active and inactive participants	2009-01-01	467
Total participants	2009-01-01	467

Form 5500 Responses for THE MCC MEDICAL BENEFITS PLAN CONSOLIDATED RESOURCE MANAGEMENT, LLC

2015: THE MCC MEDICAL BENEFITS PLAN CONSOLIDATED RESOURCE MANAGEMENT, LLC 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: THE MCC MEDICAL BENEFITS PLAN CONSOLIDATED RESOURCE MANAGEMENT, LLC 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: THE MCC MEDICAL BENEFITS PLAN CONSOLIDATED RESOURCE MANAGEMENT, LLC 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: THE MCC MEDICAL BENEFITS PLAN CONSOLIDATED RESOURCE MANAGEMENT, LLC 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 benefit arrangement – Insurance	Yes
2011: THE MCC MEDICAL BENEFITS PLAN CONSOLIDATED RESOURCE MANAGEMENT, LLC 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 benefit arrangement – Insurance	Yes
2010: THE MCC MEDICAL BENEFITS PLAN CONSOLIDATED RESOURCE MANAGEMENT, LLC 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 benefit arrangement – Insurance	Yes
2009: THE MCC MEDICAL BENEFITS PLAN CONSOLIDATED RESOURCE MANAGEMENT, LLC 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )

Policy contract number

78F08ERC

Policy instance

Insurance contract or identification number	78F08ERC
Number of Individuals Covered	1036
Insurance policy start date	2015-01-01
Insurance policy end date	2016-01-01
Total amount of commissions paid to insurance broker	USD $185,563
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $4,220,838
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $126,625
Insurance broker organization code?	3
Insurance broker name	GALLAGHER BENEFIT SERVICES INC

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

0474500

Policy instance

Insurance contract or identification number	0474500
Number of Individuals Covered	878
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $37,449
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD & D
Welfare Benefit Premiums Paid to Carrier	USD $794,114
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $29,959
Insurance broker organization code?	3
Insurance broker name	ROGERS BENEFIT GROUP INC

FRINGE INSURANCE BENEFITS, INC (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

FR0993

Policy instance

Insurance contract or identification number	FR0993
Number of Individuals Covered	59
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $4,628
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	STOP LOSS
Welfare Benefit Premiums Paid to Carrier	USD $37,745
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,967
Insurance broker organization code?	3
Insurance broker name	FRINGE INSURANCE BENEFITS, INC

BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )

Policy contract number

78F08ERC

Policy instance

Insurance contract or identification number	78F08ERC
Number of Individuals Covered	895
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $201,176
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $3,419,756
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $170,988
Insurance broker organization code?	3
Insurance broker name	GALLAGHER BENEFIT SERVICES INC

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

FR0993

Policy instance

Insurance contract or identification number	FR0993
Number of Individuals Covered	57
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $16,802
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	SEE FOOTNOTES FOR DETAILS
Welfare Benefit Premiums Paid to Carrier	USD $96,015
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $14,402
Insurance broker organization code?	3
Insurance broker name	FRINGE INSURANCE BENEFITS, INC.

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

Policy contract number

113725

Policy instance

Insurance contract or identification number	113725
Number of Individuals Covered	1098
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $43,858
Total amount of fees paid to insurance company	USD $216
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $420,192
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $43,858
Amount paid for insurance broker fees	216
Insurance broker organization code?	3
Insurance broker name	GALLAGHER BENEFIT SERVICES INC

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

474500

Policy instance

Insurance contract or identification number	474500
Number of Individuals Covered	662
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $22,668
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $205,137
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $18,135
Insurance broker organization code?	3
Insurance broker name	ROGERS BENEFIT GROUP INC

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

Policy contract number

113725

Policy instance

Insurance contract or identification number	113725
Number of Individuals Covered	858
Insurance policy start date	2013-04-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $23,956
Total amount of fees paid to insurance company	USD $10
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $230,382
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $23,956
Amount paid for insurance broker fees	10
Additional information about fees paid to insurance broker	NON-MONETARY COMPENSATION
Insurance broker organization code?	3
Insurance broker name	GALLAGHER BENEFIT SERVICES INC

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

FR0993

Policy instance

Insurance contract or identification number	FR0993
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $27,985
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	SEE FOOTNOTES FOR DETAILS
Welfare Benefit Premiums Paid to Carrier	USD $159,912
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $23,987
Insurance broker organization code?	3
Insurance broker name	FRINGE INSURANCE BENEFITS, INC.

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

474500

Policy instance

Insurance contract or identification number	474500
Number of Individuals Covered	489
Insurance policy start date	2013-05-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $11,539
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $94,547
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,231
Insurance broker name	ROGERS BENEFIT GROUP INC

CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 81973 )

Policy contract number

1513660000

Policy instance

Insurance contract or identification number	1513660000
Number of Individuals Covered	377
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $85,445
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,708,904
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $85,445
Insurance broker organization code?	3
Insurance broker name	GALLAGHER BENEFIT SERVICES INC

COVENTRY HEALTH CARE OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 95173 )

Policy contract number

1513660000

Policy instance

Insurance contract or identification number	1513660000
Number of Individuals Covered	469
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $80,241
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,604,829
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $80,241
Insurance broker name	GALLAGHER BENEFIT SERVICES INC

CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 81973 )

Policy contract number

1513660000

Policy instance

Insurance contract or identification number	1513660000
Number of Individuals Covered	366
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $87,787
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,755,736
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $87,787
Insurance broker organization code?	3
Insurance broker name	GALLAGHER BENEFIT SERVICES INC

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

474500

Policy instance

Insurance contract or identification number	474500
Number of Individuals Covered	435
Insurance policy start date	2012-05-01
Insurance policy end date	2013-04-30
Total amount of commissions paid to insurance broker	USD $16,186
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $122,790
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $12,949
Insurance broker name	ROGERS BENEFIT GROUP INC

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

FR0993

Policy instance

Insurance contract or identification number	FR0993
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $21,937
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	SEE FOOTNOTES FOR DETAILS
Welfare Benefit Premiums Paid to Carrier	USD $125,351
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $18,803
Insurance broker organization code?	3
Insurance broker name	FRINGE INSURANCE BENEFITS, INC.

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

Policy contract number

113725

Policy instance

Insurance contract or identification number	113725
Number of Individuals Covered	781
Insurance policy start date	2012-04-01
Insurance policy end date	2013-03-31
Total amount of commissions paid to insurance broker	USD $29,760
Total amount of fees paid to insurance company	USD $20
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $284,429
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $29,760
Amount paid for insurance broker fees	20
Additional information about fees paid to insurance broker	NON MONETARY COMPENSATION
Insurance broker organization code?	3
Insurance broker name	GALLAGHER BENEFIT SERVICES INC

COVENTRY HEALTH CARE OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 95173 )

Policy contract number

1513660000

Policy instance

Insurance contract or identification number	1513660000
Number of Individuals Covered	409
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $77,070
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,541,390
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $77,070
Insurance broker name	GALLAGHER BENEFIT SERVICES INC

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

FR0993

Policy instance

Insurance contract or identification number	FR0993
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $25,277
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	SEE SUPPLEMENTAL INFORMATION
Welfare Benefit Premiums Paid to Carrier	USD $125,957
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

113725

Policy instance

Insurance contract or identification number	113725
Number of Individuals Covered	589
Insurance policy start date	2011-04-01
Insurance policy end date	2012-03-31
Total amount of commissions paid to insurance broker	USD $22,490
Total amount of fees paid to insurance company	USD $17
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $237,848
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

COVENTRY HEALTH CARE OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 95173 )

Policy contract number

1513660000

Policy instance

Insurance contract or identification number	1513660000
Number of Individuals Covered	349
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $70,196
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,403,914
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 81973 )

Policy contract number

1513660000

Policy instance

Insurance contract or identification number	1513660000
Number of Individuals Covered	335
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $69,146
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,382,917
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

474500

Policy instance

Insurance contract or identification number	474500
Number of Individuals Covered	375
Insurance policy start date	2011-05-01
Insurance policy end date	2012-04-30
Total amount of commissions paid to insurance broker	USD $10,716
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Welfare Benefit Premiums Paid to Carrier	USD $97,759
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 81973 )

Policy contract number

1513660000

Policy instance

Insurance contract or identification number	1513660000
Number of Individuals Covered	223
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $31,011
Total amount of fees paid to insurance company	USD $20,674
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,033,707
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $31,011
Amount paid for insurance broker fees	20674
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3
Insurance broker name	GALLAGHER BENEFIT SERVICES INC

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

Policy contract number

113725

Policy instance

Insurance contract or identification number	113725
Number of Individuals Covered	497
Insurance policy start date	2010-04-01
Insurance policy end date	2011-03-31
Total amount of commissions paid to insurance broker	USD $28,580
Total amount of fees paid to insurance company	USD $10
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $258,168
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $28,580
Amount paid for insurance broker fees	10
Additional information about fees paid to insurance broker	NON-MONETARY COMPENSATION
Insurance broker organization code?	3
Insurance broker name	GALLAGHER BENEFIT SERVICES INC

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

FR0993

Policy instance

Insurance contract or identification number	FR0993
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $23,685
Other welfare benefits provided	SEE SUPPLEMENTAL INFORMATION
Welfare Benefit Premiums Paid to Carrier	USD $130,574
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,921
Insurance broker organization code?	3
Insurance broker name	GALLAGHER BENEFIT SERVICES INC

COVENTRY HEALTH CARE OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 95173 )

Policy contract number

1513660000

Policy instance

Insurance contract or identification number	1513660000
Number of Individuals Covered	336
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $34,905
Total amount of fees paid to insurance company	USD $23,270
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,163,493
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $34,905
Amount paid for insurance broker fees	23270
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3
Insurance broker name	GALLAGHER BENEFIT SERVICES INC

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Company Name:	THE MCC GROUP, INC.
Employer identification number (EIN):	720535166
NAIC Classification:	238220
NAIC Description:	Plumbing, Heating, and Air-Conditioning Contractors