401k Plan data: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA plan

S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 401k Plan overview

Plan Name	S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA
Plan identification number	504

S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision

401k Sponsoring company profile

S&B ENGINEERS & CONSTRUCTORS LTD. has sponsored the creation of one or more 401k plans.

Company Name: S&B ENGINEERS & CONSTRUCTORS LTD.

Employer identification number (EIN): 760355284

NAIC Classification: 237990
NAIC Description: Other Heavy and Civil Engineering Construction

Form 5500 Filing Information

Submission information for form 5500 for 401k plan S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2018-01-01 KRIS BARNHILL KRIS BARNHILL 2019-06-03
504 2017-01-01 KRIS BARNHILL KRIS BARNHILL 2018-06-28
504 2016-01-01 KRIS BARNHILL KRIS BARNHILL 2017-07-20
504 2015-01-01 KRIS BARNHILL KRIS BARNHILL 2016-10-12
504 2014-01-01 FORREST C. DUGAT FORREST C. DUGAT 2015-10-06
504 2013-01-01 FORREST C. DUGAT FORREST C. DUGAT 2014-07-01
504 2012-01-01 FORREST C. DUGAT FORREST C. DUGAT 2013-06-20
504 2011-01-01 FORREST C. DUGAT FORREST C. DUGAT 2012-07-21
504 2010-01-01 FORREST C. DUGAT FORREST C. DUGAT 2011-07-18
504 2009-01-01 FORREST C. DUGAT FORREST C. DUGAT 2010-08-04

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
504	2018-01-01	KRIS BARNHILL	KRIS BARNHILL	2019-06-03
504	2017-01-01	KRIS BARNHILL	KRIS BARNHILL	2018-06-28
504	2016-01-01	KRIS BARNHILL	KRIS BARNHILL	2017-07-20
504	2015-01-01	KRIS BARNHILL	KRIS BARNHILL	2016-10-12
504	2014-01-01	FORREST C. DUGAT	FORREST C. DUGAT	2015-10-06
504	2013-01-01	FORREST C. DUGAT	FORREST C. DUGAT	2014-07-01
504	2012-01-01	FORREST C. DUGAT	FORREST C. DUGAT	2013-06-20
504	2011-01-01	FORREST C. DUGAT	FORREST C. DUGAT	2012-07-21
504	2010-01-01	FORREST C. DUGAT	FORREST C. DUGAT	2011-07-18
504	2009-01-01	FORREST C. DUGAT	FORREST C. DUGAT	2010-08-04

Plan Statistics for S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA

401k plan membership statisitcs for S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA

Measure Date Value
2018: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 2018 401k membership
Total participants, beginning-of-year 2018-01-01 2,696
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 2,387
Number of retired or separated participants receiving benefits 2018-01-01 40
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 2,427
2017: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 2017 401k membership
Total participants, beginning-of-year 2017-01-01 2,992
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 2,551
Number of retired or separated participants receiving benefits 2017-01-01 145
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 2,696
2016: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 2016 401k membership
Total participants, beginning-of-year 2016-01-01 5,302
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 2,992
Total of all active and inactive participants 2016-01-01 2,992
2015: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 2015 401k membership
Total participants, beginning-of-year 2015-01-01 2,870
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 5,302
Total of all active and inactive participants 2015-01-01 5,302
2014: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 2014 401k membership
Total participants, beginning-of-year 2014-01-01 2,627
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 2,870
Total of all active and inactive participants 2014-01-01 2,870
2013: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 2013 401k membership
Total participants, beginning-of-year 2013-01-01 3,071
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 2,627
Total of all active and inactive participants 2013-01-01 2,627
2012: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2,370
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 3,071
Total of all active and inactive participants 2012-01-01 3,071
2011: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,919
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2,370
Total of all active and inactive participants 2011-01-01 2,370
2010: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1,833
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,919
Total of all active and inactive participants 2010-01-01 1,919
2009: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2,074
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,833
Total of all active and inactive participants 2009-01-01 1,833

Measure	Date	Value
2018: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 2018 401k membership
Total participants, beginning-of-year	2018-01-01	2,696
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	2,387
Number of retired or separated participants receiving benefits	2018-01-01	40
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	2,427
2017: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 2017 401k membership
Total participants, beginning-of-year	2017-01-01	2,992
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	2,551
Number of retired or separated participants receiving benefits	2017-01-01	145
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	2,696
2016: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 2016 401k membership
Total participants, beginning-of-year	2016-01-01	5,302
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	2,992
Total of all active and inactive participants	2016-01-01	2,992
2015: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 2015 401k membership
Total participants, beginning-of-year	2015-01-01	2,870
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	5,302
Total of all active and inactive participants	2015-01-01	5,302
2014: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 2014 401k membership
Total participants, beginning-of-year	2014-01-01	2,627
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	2,870
Total of all active and inactive participants	2014-01-01	2,870
2013: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 2013 401k membership
Total participants, beginning-of-year	2013-01-01	3,071
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	2,627
Total of all active and inactive participants	2013-01-01	2,627
2012: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2,370
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	3,071
Total of all active and inactive participants	2012-01-01	3,071
2011: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,919
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2,370
Total of all active and inactive participants	2011-01-01	2,370
2010: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1,833
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,919
Total of all active and inactive participants	2010-01-01	1,919
2009: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2,074
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,833
Total of all active and inactive participants	2009-01-01	1,833

Form 5500 Responses for S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA

2018: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 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: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 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: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 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: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 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: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 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: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 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: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 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: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 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: S&B ENGINEERS & CONSTRUCTORS LIFE, MEDICAL & DENTA 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

3337876

Policy instance

Insurance contract or identification number	3337876
Number of Individuals Covered	4295
Insurance policy start date	2017-06-01
Insurance policy end date	2018-05-31
Total amount of commissions paid to insurance broker	USD $466,233
Total amount of fees paid to insurance company	USD $100,000
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	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
Other welfare benefits provided	PREPAID DENTAL
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 $3,254,626
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $190,098
Amount paid for insurance broker fees	100000
Additional information about fees paid to insurance broker	SERVICE/GEN AGENT FEES
Insurance broker organization code?	3

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

12286055

Policy instance

Insurance contract or identification number	12286055
Number of Individuals Covered	1526
Insurance policy start date	2017-06-01
Insurance policy end date	2018-05-31
Total amount of commissions paid to insurance broker	USD $4,897
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	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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,044
Insurance broker organization code?	3

CIGNA DENTAL HEALTH OF NEW JERSEY, INC. (National Association of Insurance Commissioners NAIC id number: 11167 )

Policy contract number

3337876

Policy instance

Insurance contract or identification number	3337876
Number of Individuals Covered	503
Insurance policy start date	2017-06-01
Insurance policy end date	2018-05-31
Total amount of commissions paid to insurance broker	USD $21,865
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	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 $138,310
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,933
Insurance broker organization code?	3

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

12286055

Policy instance

Insurance contract or identification number	12286055
Number of Individuals Covered	1616
Insurance policy start date	2016-06-01
Insurance policy end date	2017-05-31
Total amount of commissions paid to insurance broker	USD $5,206
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	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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,603
Insurance broker organization code?	3
Insurance broker name	MARCIA ZIMMERMANN

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

Policy contract number

005876

Policy instance

Insurance contract or identification number	005876
Number of Individuals Covered	4398
Insurance policy start date	2016-06-01
Insurance policy end date	2017-05-31
Total amount of commissions paid to insurance broker	USD $571,350
Total amount of fees paid to insurance company	USD $25,000
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 $28,199,126
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $285,675
Amount paid for insurance broker fees	12500
Additional information about fees paid to insurance broker	SPECIAL PROGRAMS
Insurance broker organization code?	3
Insurance broker name	MARCIA JEANNETTE ZIMMERMANN

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

3337876

Policy instance

Insurance contract or identification number	3337876
Number of Individuals Covered	1620
Insurance policy start date	2016-06-01
Insurance policy end date	2017-05-31
Total amount of commissions paid to insurance broker	USD $155,517
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	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 $1,943,607
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $77,759
Insurance broker organization code?	3
Insurance broker name	MARICA ZIMMERMANN

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

Policy contract number

005876

Policy instance

Insurance contract or identification number	005876
Number of Individuals Covered	5097
Insurance policy start date	2014-06-01
Insurance policy end date	2015-05-31
Total amount of commissions paid to insurance broker	USD $520,482
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $23,580,736
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $260,436
Insurance broker organization code?	3
Insurance broker name	MARCIA ZIMMERMANN

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

12286055

Policy instance

Insurance contract or identification number	12286055
Number of Individuals Covered	3316
Insurance policy start date	2014-06-01
Insurance policy end date	2015-05-31
Total amount of commissions paid to insurance broker	USD $4,582
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,291
Insurance broker organization code?	3
Insurance broker name	LISA C. MIZELL

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

Policy contract number

0847716

Policy instance

Insurance contract or identification number	0847716
Number of Individuals Covered	1336
Insurance policy start date	2014-06-01
Insurance policy end date	2015-05-31
Total amount of commissions paid to insurance broker	USD $7,672
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $137,473
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,836
Insurance broker organization code?	3
Insurance broker name	MARCIA ZIMMERMANN

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

3337876

Policy instance

Insurance contract or identification number	3337876
Number of Individuals Covered	1424
Insurance policy start date	2014-06-01
Insurance policy end date	2015-05-31
Total amount of commissions paid to insurance broker	USD $142,803
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,446,316
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $71,402
Insurance broker organization code?	3
Insurance broker name	MARCIA ZIMMERMANN

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

25113

Policy instance

Insurance contract or identification number	25113
Number of Individuals Covered	91
Insurance policy start date	2013-03-01
Insurance policy end date	2014-02-28
Total amount of commissions paid to insurance broker	USD $5,008
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 $38,928
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,596
Insurance broker organization code?	3
Insurance broker name	BLAINE LUSHUTE

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

Policy contract number

005876

Policy instance

Insurance contract or identification number	005876
Number of Individuals Covered	4265
Insurance policy start date	2013-06-01
Insurance policy end date	2014-05-31
Total amount of commissions paid to insurance broker	USD $281,751
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
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $23,440,532
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $281,751
Insurance broker organization code?	3
Insurance broker name	MARCIA ZIMMERMANN

VANTAGE HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95584 )

Policy contract number

C00309467

Policy instance

Insurance contract or identification number	C00309467
Number of Individuals Covered	172
Insurance policy end date	2014-02-28
Total amount of commissions paid to insurance broker	USD $48,074
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 $901,473
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $48,074
Insurance broker organization code?	3
Insurance broker name	ROBELYNN ABADIE

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )

Policy contract number

010029128

Policy instance

Insurance contract or identification number	010029128
Number of Individuals Covered	968
Insurance policy end date	2014-02-28
Total amount of commissions paid to insurance broker	USD $48,602
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 $381,191
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $48,602
Insurance broker organization code?	3
Insurance broker name	ROBELYNN ABADIE

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )

Policy contract number

010029132

Policy instance

Insurance contract or identification number	010029132
Number of Individuals Covered	840
Insurance policy start date	2013-03-01
Insurance policy end date	2014-02-28
Total amount of commissions paid to insurance broker	USD $9,322
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
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $73,114
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,322
Insurance broker organization code?	3
Insurance broker name	ROBELYNN ABADIE

VANTAGE HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95584 )

Policy contract number

C00310148

Policy instance

Insurance contract or identification number	C00310148
Number of Individuals Covered	32
Insurance policy start date	2013-03-01
Insurance policy end date	2014-02-28
Total amount of commissions paid to insurance broker	USD $2,129
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 $87,128
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,129
Insurance broker organization code?	3
Insurance broker name	ROBELYNN ABADIE

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

12286055

Policy instance

Insurance contract or identification number	12286055
Number of Individuals Covered	1999
Insurance policy start date	2013-06-01
Insurance policy end date	2014-05-31
Total amount of commissions paid to insurance broker	USD $4,778
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
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,389
Insurance broker organization code?	3
Insurance broker name	LISA C. MIZELL

HUMANA (National Association of Insurance Commissioners NAIC id number: 95642 )

Policy contract number

577566

Policy instance

Insurance contract or identification number	577566
Number of Individuals Covered	441
Insurance policy start date	2013-03-01
Insurance policy end date	2014-02-28
Total amount of commissions paid to insurance broker	USD $211,867
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 $4,646,677
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $211,867
Insurance broker organization code?	3
Insurance broker name	ROBELYNN H ABADIE

SAFEGUARD HEALTH PLANS, INC. A TEXAS CORPORATION (National Association of Insurance Commissioners NAIC id number: 95051 )

Policy contract number

0141177

Policy instance

Insurance contract or identification number	0141177
Number of Individuals Covered	1019
Insurance policy start date	2013-06-01
Insurance policy end date	2014-05-31
Total amount of commissions paid to insurance broker	USD $14,744
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 $167,485
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,372
Insurance broker organization code?	3
Insurance broker name	MARCIA ZIMMERMANN

VANTAGE HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95584 )

Policy contract number

C00310015

Policy instance

Insurance contract or identification number	C00310015
Number of Individuals Covered	14
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $4,258
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 $15,480
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,258
Insurance broker organization code?	3
Insurance broker name	ROBELYNN ABADIE

SAFEGUARD HEALTH PLANS, INC. A TEXAS CORPORATION (National Association of Insurance Commissioners NAIC id number: 95051 )

Policy contract number

0141177

Policy instance

Insurance contract or identification number	0141177
Number of Individuals Covered	1428
Insurance policy start date	2012-06-01
Insurance policy end date	2013-05-31
Total amount of commissions paid to insurance broker	USD $13,460
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 $172,854
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,730
Insurance broker organization code?	3
Insurance broker name	MARCIA ZIMMERMANN

VANTAGE HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95584 )

Policy contract number

C00310015

Policy instance

Insurance contract or identification number	C00310015
Number of Individuals Covered	15
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $4,853
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 $16,533
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,853
Insurance broker organization code?	3
Insurance broker name	ROBELYNN ABADIE

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

Policy contract number

0141177

Policy instance

Insurance contract or identification number	0141177
Number of Individuals Covered	3130
Insurance policy start date	2012-06-01
Insurance policy end date	2013-05-31
Total amount of commissions paid to insurance broker	USD $103,020
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 $1,333,708
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $51,510
Insurance broker organization code?	3
Insurance broker name	LISA C. MIZELL

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

018293

Policy instance

Insurance contract or identification number	018293
Number of Individuals Covered	2214
Insurance policy start date	2012-06-01
Insurance policy end date	2013-05-31
Total amount of commissions paid to insurance broker	USD $129,488
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
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $863,256
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $64,744
Insurance broker organization code?	3
Insurance broker name	MARCIA ZIMMERMANN

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

25113

Policy instance

Insurance contract or identification number	25113
Number of Individuals Covered	91
Insurance policy start date	2012-03-01
Insurance policy end date	2013-02-28
Total amount of commissions paid to insurance broker	USD $5,008
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 $38,928
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,596
Insurance broker organization code?	3
Insurance broker name	BLAINE LUSHUTE

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

Policy contract number

005876

Policy instance

Insurance contract or identification number	005876
Number of Individuals Covered	5246
Insurance policy start date	2012-06-01
Insurance policy end date	2013-05-31
Total amount of commissions paid to insurance broker	USD $313,990
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 $22,214,269
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $156,995
Insurance broker organization code?	3
Insurance broker name	MARCIA ZIMMERMANN

VANTAGE HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95584 )

Policy contract number

C00309467

Policy instance

Insurance contract or identification number	C00309467
Number of Individuals Covered	144
Insurance policy end date	2013-02-28
Total amount of commissions paid to insurance broker	USD $37,853
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 $756,968
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $37,853
Insurance broker organization code?	3
Insurance broker name	ROBELYNN ABADIE

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )

Policy contract number

010029128

Policy instance

Insurance contract or identification number	010029128
Number of Individuals Covered	842
Insurance policy end date	2013-02-28
Total amount of commissions paid to insurance broker	USD $37,044
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 $290,542
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $37,044
Insurance broker organization code?	3
Insurance broker name	ROBELYNN ABADIE

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )

Policy contract number

010029132

Policy instance

Insurance contract or identification number	010029132
Number of Individuals Covered	701
Insurance policy start date	2012-03-01
Insurance policy end date	2013-02-28
Total amount of commissions paid to insurance broker	USD $6,901
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
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $54,112
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,901
Insurance broker organization code?	3
Insurance broker name	ROBELYNN ABADIE

VANTAGE HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95584 )

Policy contract number

C00310148

Policy instance

Insurance contract or identification number	C00310148
Number of Individuals Covered	12
Insurance policy start date	2012-08-01
Insurance policy end date	2013-07-31
Total amount of commissions paid to insurance broker	USD $2,129
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 $42,578
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,129
Insurance broker organization code?	3
Insurance broker name	ROBELYNN ABADIE

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

12286055

Policy instance

Insurance contract or identification number	12286055
Number of Individuals Covered	2699
Insurance policy start date	2012-06-01
Insurance policy end date	2013-05-31
Total amount of commissions paid to insurance broker	USD $4,928
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
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,464
Insurance broker organization code?	3
Insurance broker name	LISA C. MIZELL

HUMANA (National Association of Insurance Commissioners NAIC id number: 95642 )

Policy contract number

577566

Policy instance

Insurance contract or identification number	577566
Number of Individuals Covered	392
Insurance policy start date	2012-03-01
Insurance policy end date	2013-02-28
Total amount of commissions paid to insurance broker	USD $173,625
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 $3,477,477
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $173,625
Insurance broker organization code?	3
Insurance broker name	ROBELYNN H ABADIE

HUMANA (National Association of Insurance Commissioners NAIC id number: 95642 )

Policy contract number

577566

Policy instance

Insurance contract or identification number	577566
Number of Individuals Covered	252
Insurance policy start date	2011-03-01
Insurance policy end date	2012-02-29
Total amount of commissions paid to insurance broker	USD $132,074
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 $2,438,576
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $132,074
Insurance broker organization code?	3
Insurance broker name	ROBELYNN ABADIE

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

018293

Policy instance

Insurance contract or identification number	018293
Number of Individuals Covered	2042
Insurance policy start date	2011-06-01
Insurance policy end date	2012-05-31
Total amount of commissions paid to insurance broker	USD $113,236
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
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $757,599
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $56,618
Insurance broker organization code?	3
Insurance broker name	MARCIA ZIMMERMANN

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

25113

Policy instance

Insurance contract or identification number	25113
Number of Individuals Covered	102
Insurance policy start date	2011-03-01
Insurance policy end date	2012-02-29
Total amount of commissions paid to insurance broker	USD $9,820
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 $53,116
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,168
Insurance broker organization code?	3
Insurance broker name	BLAINE LUSHUTE

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

Policy contract number

005876

Policy instance

Insurance contract or identification number	005876
Number of Individuals Covered	4540
Insurance policy start date	2011-06-01
Insurance policy end date	2012-05-31
Total amount of commissions paid to insurance broker	USD $137,720
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 $18,491,194
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $125,360
Insurance broker organization code?	3
Insurance broker name	LISA C. MIZELL

VANTAGE HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95584 )

Policy contract number

S1800

Policy instance

Insurance contract or identification number	S1800
Number of Individuals Covered	128
Insurance policy end date	2012-02-28
Total amount of commissions paid to insurance broker	USD $312,602
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 $538,690
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $312,602
Insurance broker organization code?	3
Insurance broker name	ROBELYNN ABADIE

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )

Policy contract number

010029128

Policy instance

Insurance contract or identification number	010029128
Number of Individuals Covered	271
Insurance policy end date	2012-02-28
Total amount of commissions paid to insurance broker	USD $28,393
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 $222,690
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $28,393
Insurance broker organization code?	3
Insurance broker name	ROBELYNN ABADIE

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )

Policy contract number

010029132

Policy instance

Insurance contract or identification number	010029132
Number of Individuals Covered	479
Insurance policy start date	2011-03-01
Insurance policy end date	2012-02-28
Total amount of commissions paid to insurance broker	USD $5,075
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
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $39,800
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,075
Insurance broker organization code?	3
Insurance broker name	ROBELYNN ABADIE

VANTAGE HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95584 )

Policy contract number

D00100

Policy instance

Insurance contract or identification number	D00100
Number of Individuals Covered	9
Insurance policy start date	2011-08-01
Insurance policy end date	2012-07-31
Total amount of commissions paid to insurance broker	USD $1,909
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 $38,180
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,909
Insurance broker organization code?	3
Insurance broker name	ROBELYNN H ABADIE

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )

Policy contract number

4052527

Policy instance

Insurance contract or identification number	4052527
Number of Individuals Covered	37
Insurance policy start date	2011-03-01
Insurance policy end date	2012-08-29
Total amount of commissions paid to insurance broker	USD $11,971
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	ACCIDENT, CANCER, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to Carrier	USD $17,933
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $11,971
Insurance broker organization code?	3
Insurance broker name	ROBELYNN ABADIE

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

Policy contract number

0141177

Policy instance

Insurance contract or identification number	0141177
Number of Individuals Covered	2644
Insurance policy start date	2011-06-01
Insurance policy end date	2012-05-31
Total amount of commissions paid to insurance broker	USD $66,482
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 $1,000,006
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $33,241
Insurance broker organization code?	3
Insurance broker name	LISA C. MIZELL

SAFEGUARD HEALTH PLANS, INC. A TEXAS CORPORATION (National Association of Insurance Commissioners NAIC id number: 95051 )

Policy contract number

0141177

Policy instance

Insurance contract or identification number	0141177
Number of Individuals Covered	1290
Insurance policy start date	2011-06-01
Insurance policy end date	2012-05-31
Total amount of commissions paid to insurance broker	USD $10,650
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 $137,243
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,325
Insurance broker organization code?	3
Insurance broker name	LISA C. MIZELL

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

12286055

Policy instance

Insurance contract or identification number	12286055
Number of Individuals Covered	2253
Insurance policy start date	2011-06-01
Insurance policy end date	2012-05-31
Total amount of commissions paid to insurance broker	USD $4,402
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
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,201
Insurance broker organization code?	3
Insurance broker name	LISA C. MIZELL

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

018293

Policy instance

Insurance contract or identification number	018293
Number of Individuals Covered	1542
Insurance policy start date	2010-06-01
Insurance policy end date	2011-05-31
Total amount of commissions paid to insurance broker	USD $97,446
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
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $649,641
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VANTAGE HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95584 )

Policy contract number

S1800

Policy instance

Insurance contract or identification number	S1800
Number of Individuals Covered	103
Insurance policy end date	2011-02-28
Total amount of commissions paid to insurance broker	USD $26,991
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 $547,444
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

010029128

Policy instance

Insurance contract or identification number	010029128
Number of Individuals Covered	453
Insurance policy end date	2011-02-28
Total amount of commissions paid to insurance broker	USD $23,204
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 $181,995
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

010029132

Policy instance

Insurance contract or identification number	010029132
Number of Individuals Covered	341
Insurance policy start date	2010-03-01
Insurance policy end date	2011-02-28
Total amount of commissions paid to insurance broker	USD $3,826
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
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $30,006
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VANTAGE HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95584 )

Policy contract number

D00100

Policy instance

Insurance contract or identification number	D00100
Number of Individuals Covered	7
Insurance policy start date	2010-08-01
Insurance policy end date	2011-07-31
Total amount of commissions paid to insurance broker	USD $1,004
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 $20,073
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

133051

Policy instance

Insurance contract or identification number	133051
Number of Individuals Covered	335
Insurance policy start date	2010-03-01
Insurance policy end date	2011-02-28
Total amount of commissions paid to insurance broker	USD $50,691
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
Life Insurance Welfare Benefit	Yes
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: 39616 )

Policy contract number

12286055

Policy instance

Insurance contract or identification number	12286055
Number of Individuals Covered	1899
Insurance policy start date	2010-06-01
Insurance policy end date	2011-05-31
Total amount of commissions paid to insurance broker	USD $3,904
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
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

005876

Policy instance

Insurance contract or identification number	005876
Insurance policy start date	2010-06-01
Insurance policy end date	2011-05-31
Total amount of commissions paid to insurance broker	USD $220,453
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 $16,322,878
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

25113

Policy instance

Insurance contract or identification number	25113
Number of Individuals Covered	105
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $8,526
Total amount of fees paid to insurance company	USD $69
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 $8,526
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

0705390

Policy instance

Insurance contract or identification number	0705390
Number of Individuals Covered	410
Insurance policy end date	2011-02-28
Total amount of commissions paid to insurance broker	USD $100,662
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 $20,250,004
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )

Policy contract number

FG1D0328

Policy instance

Insurance contract or identification number	FG1D0328
Number of Individuals Covered	951
Insurance policy start date	2010-06-01
Insurance policy end date	2011-05-31
Total amount of commissions paid to insurance broker	USD $78,134
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 $965,692
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

25113

Policy instance

Insurance contract or identification number	25113
Number of Individuals Covered	105
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $31,526
Total amount of fees paid to insurance company	USD $69
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 $8,526
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $23,652
Amount paid for insurance broker fees	23
Insurance broker organization code?	3
Insurance broker name	BLAINE LUSHUTE

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

Policy contract number

005876

Policy instance

Insurance contract or identification number	005876
Number of Individuals Covered	3651
Insurance policy start date	2009-06-01
Insurance policy end date	2010-05-31
Total amount of commissions paid to insurance broker	USD $346,668
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
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $14,345,005
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $173,334
Insurance broker organization code?	3
Insurance broker name	MARCIA ZIMMERMANN

VANTAGE HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95584 )

Policy contract number

S1800

Policy instance

Insurance contract or identification number	S1800
Number of Individuals Covered	103
Insurance policy end date	2010-02-28
Total amount of commissions paid to insurance broker	USD $26,971
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 $557,017
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $26,971
Insurance broker organization code?	3
Insurance policy start date	2022-01-01
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
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
Additional information about fees paid to insurance broker	BROKER
Insurance broker name	ROBELYNN ABADIE

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )

Policy contract number

010029128

Policy instance

Insurance contract or identification number	010029128
Number of Individuals Covered	435
Insurance policy end date	2010-02-28
Total amount of commissions paid to insurance broker	USD $26,004
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 $203,950
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $26,004
Insurance broker organization code?	3
Insurance broker name	ABADIE FINANCIAL SERVICES

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

018293

Policy instance

Insurance contract or identification number	018293
Number of Individuals Covered	1542
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $97,446
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
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $649,641
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $48,723
Insurance broker organization code?	3
Insurance broker name	MARCIA ZIMMERMANN

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )

Policy contract number

010029132

Policy instance

Insurance contract or identification number	010029132
Number of Individuals Covered	294
Insurance policy start date	2009-03-01
Insurance policy end date	2010-02-28
Total amount of commissions paid to insurance broker	USD $3,723
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
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $29,202
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,723
Insurance broker organization code?	3
Insurance broker name	ROBELYNN ABADIE

VANTAGE HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95584 )

Policy contract number

D00100

Policy instance

Insurance contract or identification number	D00100
Number of Individuals Covered	7
Insurance policy start date	2009-08-01
Insurance policy end date	2010-07-31
Total amount of commissions paid to insurance broker	USD $1,004
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 $20,073
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,004
Insurance broker organization code?	3
Insurance broker name	ROBELYNN H ABADIE

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

Policy contract number

133051

Policy instance

Insurance contract or identification number	133051
Number of Individuals Covered	294
Insurance policy start date	2009-03-01
Insurance policy end date	2010-02-28
Total amount of commissions paid to insurance broker	USD $50,691
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
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $50,691
Insurance broker organization code?	3
Insurance broker name	ROBELYNN ABADIE

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

12286055

Policy instance

Insurance contract or identification number	12286055
Number of Individuals Covered	1605
Insurance policy start date	2009-06-01
Insurance policy end date	2010-05-31
Total amount of commissions paid to insurance broker	USD $3,610
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
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,805
Insurance broker organization code?	3
Insurance broker name	LISA C. MIZELL

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00424216

Policy instance

Insurance contract or identification number	00424216
Number of Individuals Covered	1215
Insurance policy start date	2009-06-01
Insurance policy end date	2010-05-31
Total amount of commissions paid to insurance broker	USD $43,611
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 $829,038
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $43,179
Insurance broker organization code?	3
Insurance broker name	THE FINANCIAL PROCESS GROUP

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

0705390

Policy instance

Insurance contract or identification number	0705390
Number of Individuals Covered	404
Insurance policy end date	2010-02-28
Total amount of commissions paid to insurance broker	USD $118,893
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 $2,331,165
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $118,893
Insurance broker organization code?	3
Insurance broker name	ROBELYNN ABADIE

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Company Name:	S&B ENGINEERS & CONSTRUCTORS LTD.
Employer identification number (EIN):	760355284
NAIC Classification:	237990
NAIC Description:	Other Heavy and Civil Engineering Construction