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BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 401k Plan overview

Plan NameBEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN
Plan identification number 501

BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • 10 or more employer plan under Code section 419A(f)(6).

401k Sponsoring company profile

BIOCOM has sponsored the creation of one or more 401k plans.

Company Name:BIOCOM
Employer identification number (EIN):800928329
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01MILLER KAPLAN ARASE LLP
5012016-01-01MILLER KAPLAN ARASE LLP
5012015-01-01RICK FULTZ
5012015-01-01RICK FULTZ
5012014-01-01RICK FULTZ
5012014-01-01RICK FULTZ
5012013-01-01RICK FULTZ
5012012-01-01RICK FULTZ

Plan Statistics for BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN

401k plan membership statisitcs for BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN

Measure Date Value
2022: BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0120,487
Total number of active participants reported on line 7a of the Form 55002022-01-0116,728
Number of retired or separated participants receiving benefits2022-01-01199
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-0116,927
Total participants2022-01-0116,927
Number of employers contributing to the scheme2022-01-01239
2021: BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0117,077
Total number of active participants reported on line 7a of the Form 55002021-01-0116,036
Number of retired or separated participants receiving benefits2021-01-0134
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-0116,070
Total participants2021-01-0116,070
Number of employers contributing to the scheme2021-01-01258
2020: BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0114,857
Total number of active participants reported on line 7a of the Form 55002020-01-0115,209
Number of retired or separated participants receiving benefits2020-01-012
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-0115,211
Total participants2020-01-0115,211
Number of employers contributing to the scheme2020-01-01282
2019: BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0110,704
Total number of active participants reported on line 7a of the Form 55002019-01-0115,392
Total of all active and inactive participants2019-01-0115,392
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-018
Total participants2019-01-0115,400
2018: BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-018,938
Total number of active participants reported on line 7a of the Form 55002018-01-0111,211
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0111,211
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-011
Total participants2018-01-0111,212
Number of participants with account balances2018-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-017,376
Total number of active participants reported on line 7a of the Form 55002017-01-019,482
Number of retired or separated participants receiving benefits2017-01-0148
Number of other retired or separated participants entitled to future benefits2017-01-0148
Total of all active and inactive participants2017-01-019,578
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-019,578
Number of participants with account balances2017-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-015,841
Total number of active participants reported on line 7a of the Form 55002016-01-017,084
Number of retired or separated participants receiving benefits2016-01-01169
Number of other retired or separated participants entitled to future benefits2016-01-01169
Total of all active and inactive participants2016-01-017,422
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-017,422
Number of participants with account balances2016-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-013,691
Total number of active participants reported on line 7a of the Form 55002015-01-015,062
Number of retired or separated participants receiving benefits2015-01-01131
Number of other retired or separated participants entitled to future benefits2015-01-01131
Total of all active and inactive participants2015-01-015,324
2014: BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012,061
Total number of active participants reported on line 7a of the Form 55002014-01-013,507
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-013,507
2013: BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-011,140
Total number of active participants reported on line 7a of the Form 55002013-01-011,808
Total of all active and inactive participants2013-01-011,808
2012: BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01516
Total number of active participants reported on line 7a of the Form 55002012-01-011,190
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-011,190

Financial Data on BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN

Measure Date Value
2022 : BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$26,172,920
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$25,781,279
Total income from all sources (including contributions)2022-12-31$317,972,683
Total of all expenses incurred2022-12-31$306,879,674
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$286,762,857
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$321,126,307
Value of total assets at end of year2022-12-31$59,725,848
Value of total assets at beginning of year2022-12-31$48,241,198
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$20,116,817
Total interest from all sources2022-12-31$1,225
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$758,503
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$758,503
Administrative expenses professional fees incurred2022-12-31$281,646
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$3,282,585
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$1,348,347
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$1,647,412
Administrative expenses (other) incurred2022-12-31$16,703,705
Liabilities. Value of operating payables at end of year2022-12-31$127,231
Liabilities. Value of operating payables at beginning of year2022-12-31$197,834
Total non interest bearing cash at end of year2022-12-31$28,024,971
Total non interest bearing cash at beginning of year2022-12-31$27,086,576
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$11,093,009
Value of net assets at end of year (total assets less liabilities)2022-12-31$33,552,928
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$22,459,919
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$35,455
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$30,749,723
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$20,733,788
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$4,316
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$7,581
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$7,581
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$1,225
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$286,762,857
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-3,913,352
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$317,843,722
Employer contributions (assets) at end of year2022-12-31$946,838
Employer contributions (assets) at beginning of year2022-12-31$413,253
Contract administrator fees2022-12-31$3,096,011
Liabilities. Value of benefit claims payable at end of year2022-12-31$24,697,342
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$23,936,033
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2022-12-31952036255
2021 : BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$25,781,279
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$22,589,981
Total income from all sources (including contributions)2021-12-31$293,679,373
Total of all expenses incurred2021-12-31$285,165,909
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$266,832,342
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$292,539,689
Value of total assets at end of year2021-12-31$48,241,198
Value of total assets at beginning of year2021-12-31$36,536,436
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$18,333,567
Total interest from all sources2021-12-31$10
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$627,786
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$627,786
Administrative expenses professional fees incurred2021-12-31$215,115
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$2,605,923
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$1,647,412
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$2,378,189
Administrative expenses (other) incurred2021-12-31$14,929,003
Liabilities. Value of operating payables at end of year2021-12-31$197,834
Liabilities. Value of operating payables at beginning of year2021-12-31$103,171
Total non interest bearing cash at end of year2021-12-31$27,086,576
Total non interest bearing cash at beginning of year2021-12-31$23,968,860
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$8,513,464
Value of net assets at end of year (total assets less liabilities)2021-12-31$22,459,919
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$13,946,455
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$16,169
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$20,733,788
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$12,251,895
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$7,581
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$1,709
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$1,709
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$10
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$511,888
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$289,933,766
Employer contributions (assets) at end of year2021-12-31$413,253
Employer contributions (assets) at beginning of year2021-12-31$313,972
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$266,832,342
Contract administrator fees2021-12-31$3,173,280
Liabilities. Value of benefit claims payable at end of year2021-12-31$23,936,033
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$20,108,621
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2021-12-31952036255
2020 : BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$22,589,981
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$19,800,151
Total income from all sources (including contributions)2020-12-31$242,773,764
Total of all expenses incurred2020-12-31$235,479,040
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$221,341,047
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$241,958,798
Value of total assets at end of year2020-12-31$36,536,436
Value of total assets at beginning of year2020-12-31$26,451,882
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$14,137,993
Total interest from all sources2020-12-31$46
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$268,218
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$268,218
Administrative expenses professional fees incurred2020-12-31$237,009
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$3,742,997
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$2,378,189
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$1,338,214
Administrative expenses (other) incurred2020-12-31$11,639,799
Liabilities. Value of operating payables at end of year2020-12-31$103,171
Liabilities. Value of operating payables at beginning of year2020-12-31$96,344
Total non interest bearing cash at end of year2020-12-31$23,968,860
Total non interest bearing cash at beginning of year2020-12-31$24,198,389
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$7,294,724
Value of net assets at end of year (total assets less liabilities)2020-12-31$13,946,455
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$6,651,731
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$3,286
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$12,251,895
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$1,693,340
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$1,709
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$9,100
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$9,100
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$46
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$546,702
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$238,215,801
Employer contributions (assets) at end of year2020-12-31$313,972
Employer contributions (assets) at beginning of year2020-12-31$551,053
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$221,341,047
Contract administrator fees2020-12-31$2,257,899
Liabilities. Value of benefit claims payable at end of year2020-12-31$20,108,621
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$18,365,593
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2020-12-31952036255
2019 : BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$19,800,151
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$19,800,151
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$16,532,036
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$16,532,036
Total income from all sources (including contributions)2019-12-31$206,701,663
Total income from all sources (including contributions)2019-12-31$206,701,663
Total of all expenses incurred2019-12-31$201,007,003
Total of all expenses incurred2019-12-31$201,007,003
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$188,873,310
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$188,873,310
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$206,577,124
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$206,577,124
Value of total assets at end of year2019-12-31$26,451,882
Value of total assets at end of year2019-12-31$26,451,882
Value of total assets at beginning of year2019-12-31$17,489,107
Value of total assets at beginning of year2019-12-31$17,489,107
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$12,133,693
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$12,133,693
Total interest from all sources2019-12-31$65
Total interest from all sources2019-12-31$65
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$38,427
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$38,427
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$38,427
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$38,427
Administrative expenses professional fees incurred2019-12-31$211,487
Administrative expenses professional fees incurred2019-12-31$211,487
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$3,368,688
Contributions received from participants2019-12-31$3,368,688
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$3,427
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$3,427
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$1,338,214
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$1,338,214
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$16,532,036
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$16,532,036
Administrative expenses (other) incurred2019-12-31$9,964,791
Administrative expenses (other) incurred2019-12-31$9,964,791
Liabilities. Value of operating payables at end of year2019-12-31$96,344
Liabilities. Value of operating payables at end of year2019-12-31$96,344
Liabilities. Value of operating payables at beginning of year2019-12-31$0
Liabilities. Value of operating payables at beginning of year2019-12-31$0
Total non interest bearing cash at end of year2019-12-31$24,198,389
Total non interest bearing cash at end of year2019-12-31$24,198,389
Total non interest bearing cash at beginning of year2019-12-31$15,183,104
Total non interest bearing cash at beginning of year2019-12-31$15,183,104
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$5,694,660
Value of net assets at end of year (total assets less liabilities)2019-12-31$6,651,731
Value of net assets at end of year (total assets less liabilities)2019-12-31$6,651,731
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$957,071
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$957,071
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$614
Investment advisory and management fees2019-12-31$614
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$1,693,340
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$1,693,340
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$577,124
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$577,124
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$9,100
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$9,100
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$1,391
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$1,391
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$1,391
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$1,391
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$65
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$65
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$188,873,310
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$188,873,310
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$86,047
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$86,047
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$203,208,436
Contributions received in cash from employer2019-12-31$203,208,436
Employer contributions (assets) at end of year2019-12-31$551,053
Employer contributions (assets) at end of year2019-12-31$551,053
Employer contributions (assets) at beginning of year2019-12-31$1,724,061
Employer contributions (assets) at beginning of year2019-12-31$1,724,061
Contract administrator fees2019-12-31$1,956,801
Contract administrator fees2019-12-31$1,956,801
Liabilities. Value of benefit claims payable at end of year2019-12-31$18,365,593
Liabilities. Value of benefit claims payable at end of year2019-12-31$18,365,593
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$0
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31MILLER KAPLAN ARASE LLP
Accountancy firm name2019-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2019-12-31952036255
Accountancy firm EIN2019-12-31952036255
2018 : BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$16,532,036
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$12,685,072
Total income from all sources (including contributions)2018-12-31$167,146,148
Total of all expenses incurred2018-12-31$166,879,069
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$156,681,538
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$167,167,628
Value of total assets at end of year2018-12-31$17,489,107
Value of total assets at beginning of year2018-12-31$13,375,064
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$10,197,531
Total interest from all sources2018-12-31$2
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$6,621
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$6,621
Administrative expenses professional fees incurred2018-12-31$237,849
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$3,427
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$16,532,036
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$12,685,072
Administrative expenses (other) incurred2018-12-31$8,182,598
Total non interest bearing cash at end of year2018-12-31$15,183,104
Total non interest bearing cash at beginning of year2018-12-31$11,741,588
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$267,079
Value of net assets at end of year (total assets less liabilities)2018-12-31$957,071
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$689,992
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$5
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$577,124
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$1,391
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$2
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$156,681,538
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-28,103
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$167,167,628
Employer contributions (assets) at end of year2018-12-31$1,724,061
Employer contributions (assets) at beginning of year2018-12-31$1,633,476
Contract administrator fees2018-12-31$1,777,079
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2018-12-31952036255
2017 : BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$12,685,072
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$10,414,469
Total income from all sources (including contributions)2017-12-31$127,895,375
Total of all expenses incurred2017-12-31$127,655,319
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$119,776,905
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$127,895,375
Value of total assets at end of year2017-12-31$13,375,064
Value of total assets at beginning of year2017-12-31$10,864,405
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$7,878,414
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$174,439
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$126,151
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$12,685,072
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$10,414,469
Administrative expenses (other) incurred2017-12-31$6,447,361
Total non interest bearing cash at end of year2017-12-31$11,741,588
Total non interest bearing cash at beginning of year2017-12-31$9,516,675
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$240,056
Value of net assets at end of year (total assets less liabilities)2017-12-31$689,992
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$449,936
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$119,776,905
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$127,895,375
Employer contributions (assets) at end of year2017-12-31$1,633,476
Employer contributions (assets) at beginning of year2017-12-31$1,221,579
Contract administrator fees2017-12-31$1,256,614
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2017-12-31952036255
2016 : BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$10,414,469
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$11,570,387
Total income from all sources (including contributions)2016-12-31$97,603,661
Total of all expenses incurred2016-12-31$97,339,921
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$91,483,627
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$97,603,661
Value of total assets at end of year2016-12-31$10,864,405
Value of total assets at beginning of year2016-12-31$11,756,583
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$5,856,294
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$48,237
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$126,151
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$10,414,469
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$11,570,387
Administrative expenses (other) incurred2016-12-31$10,809
Total non interest bearing cash at end of year2016-12-31$9,516,675
Total non interest bearing cash at beginning of year2016-12-31$11,359,367
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$263,740
Value of net assets at end of year (total assets less liabilities)2016-12-31$449,936
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$186,196
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$91,483,627
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$97,603,661
Employer contributions (assets) at end of year2016-12-31$1,221,579
Employer contributions (assets) at beginning of year2016-12-31$397,216
Contract administrator fees2016-12-31$5,797,248
Did the plan have assets held for investment2016-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2016-12-31952036255
2015 : BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$11,757,387
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$5,805,050
Total income from all sources (including contributions)2015-12-31$63,960,459
Total of all expenses incurred2015-12-31$63,898,930
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$59,893,339
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$63,960,459
Value of total assets at end of year2015-12-31$11,756,583
Value of total assets at beginning of year2015-12-31$5,742,717
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$4,005,591
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$78,808
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$63,960,459
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$7,418,033
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$3,482,033
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$11,711,070
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$3,585,532
Administrative expenses (other) incurred2015-12-31$3,926,783
Liabilities. Value of operating payables at end of year2015-12-31$46,317
Liabilities. Value of operating payables at beginning of year2015-12-31$2,219,518
Total non interest bearing cash at end of year2015-12-31$11,359,367
Total non interest bearing cash at beginning of year2015-12-31$5,701,551
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$61,529
Value of net assets at end of year (total assets less liabilities)2015-12-31$-804
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$-62,333
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$59,893,339
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$64,022,792
Employer contributions (assets) at end of year2015-12-31$397,216
Employer contributions (assets) at beginning of year2015-12-31$41,166
Contract administrator fees2015-12-31$3,806,544
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Did the plan have assets held for investment2015-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31MOSS ADAMS LLP
Accountancy firm EIN2015-12-31910189318
2014 : BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$5,805,050
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$3,312,025
Total income from all sources (including contributions)2014-12-31$36,803,367
Total of all expenses incurred2014-12-31$36,865,700
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$34,760,712
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$36,803,367
Value of total assets at end of year2014-12-31$5,742,717
Value of total assets at beginning of year2014-12-31$3,312,025
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$2,104,988
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$16,239
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$36,803,367
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$1,520,995
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$3,482,033
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$1,917,027
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$3,585,532
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$2,064,537
Administrative expenses (other) incurred2014-12-31$2,088,749
Liabilities. Value of operating payables at end of year2014-12-31$2,219,518
Liabilities. Value of operating payables at beginning of year2014-12-31$1,247,488
Total non interest bearing cash at end of year2014-12-31$5,701,551
Total non interest bearing cash at beginning of year2014-12-31$3,164,515
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-62,333
Value of net assets at end of year (total assets less liabilities)2014-12-31$-62,333
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$34,760,712
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$36,803,367
Employer contributions (assets) at end of year2014-12-31$41,166
Employer contributions (assets) at beginning of year2014-12-31$147,510
Contract administrator fees2014-12-31$2,072,271
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Did the plan have assets held for investment2014-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31MOSS ADAMS, LLP
Accountancy firm EIN2014-12-31910189318
2013 : BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$3,312,025
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$74,181
Total income from all sources (including contributions)2013-12-31$20,898,975
Total of all expenses incurred2013-12-31$20,898,975
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$19,651,487
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$20,898,975
Value of total assets at end of year2013-12-31$3,312,025
Value of total assets at beginning of year2013-12-31$74,181
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$1,247,488
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$7,465
Was this plan covered by a fidelity bond2013-12-31No
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$20,898,975
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$1,990,356
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$1,917,027
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$2,064,537
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$74,181
Administrative expenses (other) incurred2013-12-31$1,247,488
Liabilities. Value of operating payables at end of year2013-12-31$1,247,488
Liabilities. Value of operating payables at beginning of year2013-12-31$0
Total non interest bearing cash at end of year2013-12-31$3,164,515
Total non interest bearing cash at beginning of year2013-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$0
Value of net assets at end of year (total assets less liabilities)2013-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$19,651,487
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$20,898,975
Employer contributions (assets) at end of year2013-12-31$147,510
Employer contributions (assets) at beginning of year2013-12-31$74,181
Contract administrator fees2013-12-31$1,240,023
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31MOSS ADAMS, LLP
Accountancy firm EIN2013-12-31910189318

Form 5500 Responses for BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN

2022: BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2022 form 5500 responses
2022-01-01Type of plan entityMulitple employer plan
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2021 form 5500 responses
2021-01-01Type of plan entityMulitple employer plan
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2020 form 5500 responses
2020-01-01Type of plan entityMulitple employer plan
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2019 form 5500 responses
2019-01-01Type of plan entityMulitple employer plan
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2018 form 5500 responses
2018-01-01Type of plan entityMulitple employer plan
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2017 form 5500 responses
2017-01-01Type of plan entityMulitple employer plan
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2016 form 5500 responses
2016-01-01Type of plan entityMulitple employer plan
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2015 form 5500 responses
2015-01-01Type of plan entityMulitple employer plan
2015-01-01Submission has been amendedYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2014 form 5500 responses
2014-01-01Type of plan entityMulitple employer plan
2014-01-01Submission has been amendedYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2013 form 5500 responses
2013-01-01Type of plan entityMulitple employer plan
2013-01-01Submission has been amendedYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: BEYOND BENEFITS LIFE SCIENCE ASSOCIATION TRUST PLAN 2012 form 5500 responses
2012-01-01Type of plan entityMulitple employer plan
2012-01-01First time form 5500 has been submittedYes
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number15714
Policy instance 3
Insurance contract or identification number15714
Number of Individuals Covered7915
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,338,341
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )
Policy contract number276923
Policy instance 1
Insurance contract or identification number276923
Number of Individuals Covered37400
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $248,828,116
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: 00000 )
Policy contract number30029652
Policy instance 2
Insurance contract or identification number30029652
Number of Individuals Covered9236
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,834,894
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76652
Policy instance 4
Insurance contract or identification number76652
Number of Individuals Covered9
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,604
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76653
Policy instance 5
Insurance contract or identification number76653
Number of Individuals Covered16
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,733
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number417910
Policy instance 6
Insurance contract or identification number417910
Number of Individuals Covered7667
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $34,201
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $3,420,107
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,201
Insurance broker organization code?5
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0575787
Policy instance 7
Insurance contract or identification numberR0575787
Number of Individuals Covered6171
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $11,270
Total amount of fees paid to insurance companyUSD $5,660
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $173,535
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,506
Amount paid for insurance broker fees5660
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract number276923
Policy instance 8
Insurance contract or identification number276923
Number of Individuals Covered31
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,931
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PAUL REVERE VARIABLE ANNUITY INS. CO. (National Association of Insurance Commissioners NAIC id number: 67601 )
Policy contract number476739
Policy instance 9
Insurance contract or identification number476739
Number of Individuals Covered4089
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of fees paid to insurance companyUSD $43,331
Other welfare benefits providedATTAINED AGE CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $866,623
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees43331
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?5
PAUL REVERE VARIABLE ANNUITY INS. CO. (National Association of Insurance Commissioners NAIC id number: 67601 )
Policy contract number476740
Policy instance 10
Insurance contract or identification number476740
Number of Individuals Covered4903
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of fees paid to insurance companyUSD $24,710
Other welfare benefits providedGRP ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $715,119
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees24710
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number15714
Policy instance 3
Insurance contract or identification number15714
Number of Individuals Covered9112
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,765,691
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )
Policy contract number276923
Policy instance 1
Insurance contract or identification number276923
Number of Individuals Covered29298
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of fees paid to insurance companyUSD $755,879
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $269,132,671
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees755879
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30029652
Policy instance 2
Insurance contract or identification number30029652
Number of Individuals Covered8817
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,636,086
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76652
Policy instance 4
Insurance contract or identification number76652
Number of Individuals Covered13
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,041
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76653
Policy instance 5
Insurance contract or identification number76653
Number of Individuals Covered14
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,390
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number417910
Policy instance 6
Insurance contract or identification number417910
Number of Individuals Covered7067
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $868,015
Total amount of fees paid to insurance companyUSD $113,746
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $2,948,167
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $853,274
Amount paid for insurance broker fees113746
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0575787
Policy instance 7
Insurance contract or identification numberR0575787
Number of Individuals Covered8040
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $609,501
Total amount of fees paid to insurance companyUSD $52,897
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,564,574
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $601,294
Amount paid for insurance broker fees52897
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract number276923
Policy instance 8
Insurance contract or identification number276923
Number of Individuals Covered22
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,460
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )
Policy contract number276923
Policy instance 1
Insurance contract or identification number276923
Number of Individuals Covered24006
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of fees paid to insurance companyUSD $503,224
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $191,415,443
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees503224
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30029652
Policy instance 2
Insurance contract or identification number30029652
Number of Individuals Covered6618
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,371,952
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number15714
Policy instance 3
Insurance contract or identification number15714
Number of Individuals Covered8082
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,759,885
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76652
Policy instance 4
Insurance contract or identification number76652
Number of Individuals Covered42
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,642
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76653
Policy instance 5
Insurance contract or identification number76653
Number of Individuals Covered9
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,352
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number417910
Policy instance 6
Insurance contract or identification number417910
Number of Individuals Covered5417
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $2,898,290
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0575787
Policy instance 7
Insurance contract or identification numberR0575787
Number of Individuals Covered4485
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $214,619
Total amount of fees paid to insurance companyUSD $49,595
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,341,492
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $208,689
Amount paid for insurance broker fees49595
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0575787
Policy instance 8
Insurance contract or identification numberR0575787
Number of Individuals Covered2894
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $345,584
Total amount of fees paid to insurance companyUSD $26,181
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $831,155
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $345,584
Amount paid for insurance broker fees26181
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )
Policy contract number750129
Policy instance 7
Insurance contract or identification number750129
Number of Individuals Covered8831
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,694
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number417910
Policy instance 6
Insurance contract or identification number417910
Number of Individuals Covered4257
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $2,090,185
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76653
Policy instance 5
Insurance contract or identification number76653
Number of Individuals Covered20
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,733
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76652
Policy instance 4
Insurance contract or identification number76652
Number of Individuals Covered77
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,170
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number15714
Policy instance 3
Insurance contract or identification number15714
Number of Individuals Covered6424
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,471,778
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: 00000 )
Policy contract number30029652
Policy instance 2
Insurance contract or identification number30029652
Number of Individuals Covered6394
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,167,797
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )
Policy contract number276923
Policy instance 1
Insurance contract or identification number276923
Number of Individuals Covered28782
Insurance policy start date2019-01-01
Insurance policy end date2019-01-01
Total amount of fees paid to insurance companyUSD $228,921
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $182,703,890
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees228921
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract number276923
Policy instance 9
Insurance contract or identification number276923
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,731
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0575787
Policy instance 8
Insurance contract or identification numberR0575787
Number of Individuals Covered1393
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $145,978
Total amount of fees paid to insurance companyUSD $11,324
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $394,774
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $145,978
Amount paid for insurance broker fees11324
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )
Policy contract number750129
Policy instance 7
Insurance contract or identification number750129
Number of Individuals Covered6559
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,036,130
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number417910
Policy instance 6
Insurance contract or identification number417910
Number of Individuals Covered2899
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $865,894
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76653
Policy instance 5
Insurance contract or identification number76653
Number of Individuals Covered20
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $942
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76652
Policy instance 4
Insurance contract or identification number76652
Number of Individuals Covered75
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,760
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number15714
Policy instance 3
Insurance contract or identification number15714
Number of Individuals Covered6448
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,543,874
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: 00000 )
Policy contract number30029652
Policy instance 2
Insurance contract or identification number30029652
Number of Individuals Covered4350
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $929,506
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number276923
Policy instance 1
Insurance contract or identification number276923
Number of Individuals Covered24768
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $186,352
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $134,811,558
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees44909
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number276923
Policy instance 1
Insurance contract or identification number276923
Number of Individuals Covered20861
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of fees paid to insurance companyUSD $71,481
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $108,095,148
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees71481
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameMARSH & MCLENNAN AGENCY LLC
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30029652
Policy instance 2
Insurance contract or identification number30029652
Number of Individuals Covered3681
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number15714
Policy instance 3
Insurance contract or identification number15714
Number of Individuals Covered4761
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,681,204
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76652
Policy instance 4
Insurance contract or identification number76652
Number of Individuals Covered88
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,379
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76653
Policy instance 5
Insurance contract or identification number76653
Number of Individuals Covered18
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,263
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number417910
Policy instance 6
Insurance contract or identification number417910
Number of Individuals Covered2030
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $4,859
Total amount of fees paid to insurance companyUSD $953
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $639,567
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,533
Amount paid for insurance broker fees953
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameW INSURANCE SERVICES INC
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )
Policy contract number750129
Policy instance 7
Insurance contract or identification number750129
Number of Individuals Covered5039
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,557,080
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0575787
Policy instance 8
Insurance contract or identification numberR0575787
Number of Individuals Covered1284
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $138,740
Total amount of fees paid to insurance companyUSD $10,612
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $345,158
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $138,740
Amount paid for insurance broker fees10612
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameMARSH & MCLENNAN AGENCY LLC
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30029652
Policy instance 1
Insurance contract or identification number30029652
Number of Individuals Covered2091
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number276923
Policy instance 2
Insurance contract or identification number276923
Number of Individuals Covered17559
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $9,181
Total amount of fees paid to insurance companyUSD $303
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $43,397,357
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number15714/15715
Policy instance 3
Insurance contract or identification number15714/15715
Number of Individuals Covered3781
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $46,096
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,157,203
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number76653/76654/52
Policy instance 4
Insurance contract or identification number76653/76654/52
Number of Individuals Covered138
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $987
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $25,346
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number417910
Policy instance 6
Insurance contract or identification number417910
Number of Individuals Covered499
Insurance policy start date2015-05-01
Insurance policy end date2016-01-01
Total amount of commissions paid to insurance brokerUSD $18,635
Total amount of fees paid to insurance companyUSD $5,775
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $118,985
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )
Policy contract number750129
Policy instance 5
Insurance contract or identification number750129
Number of Individuals Covered2529
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,625,787
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number76653/76654
Policy instance 4
Insurance contract or identification number76653/76654
Number of Individuals Covered66
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $669
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,992
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number15714/15715
Policy instance 3
Insurance contract or identification number15714/15715
Number of Individuals Covered3329
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $48,945
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,975,521
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number276923
Policy instance 2
Insurance contract or identification number276923
Number of Individuals Covered12109
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $333
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $30,474,957
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: 00000 )
Policy contract number30029652
Policy instance 1
Insurance contract or identification number30029652
Number of Individuals Covered1264
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number15714/15715
Policy instance 3
Insurance contract or identification number15714/15715
Number of Individuals Covered3918
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $81,006
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,880,925
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: 00000 )
Policy contract number30029652
Policy instance 1
Insurance contract or identification number30029652
Number of Individuals Covered823
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $2,673
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number276923
Policy instance 2
Insurance contract or identification number276923
Number of Individuals Covered5808
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $161,783
Total amount of fees paid to insurance companyUSD $14,010
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $16,105,366
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number15714/15715
Policy instance 4
Insurance contract or identification number15714/15715
Number of Individuals Covered1100
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $77,382
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $1,105,460
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $77,382
Insurance broker organization code?3
Insurance broker nameBARNEY & BARNEY LLC
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number276923
Policy instance 3
Insurance contract or identification number276923
Number of Individuals Covered827
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $384,492
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 CarrierUSD $8,820,282
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $384,492
Insurance broker organization code?3
Insurance broker nameBARNEY & BARNEY LLC
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number06652 ET AL
Policy instance 2
Insurance contract or identification number06652 ET AL
Number of Individuals Covered90
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,678
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $26,412
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,678
Insurance broker organization code?3
Insurance broker nameBARNEY & BARNEY LLC
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30029652
Policy instance 1
Insurance contract or identification number30029652
Number of Individuals Covered229
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,192
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $32,329
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,192
Insurance broker organization code?3
Insurance broker nameBARNEY & BARNEY LLC

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