401k Plan data: EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN plan

EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN 401k Plan overview

Plan Name	EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN
Plan identification number	001

EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Money purchase (other than target benefit)
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Participant-directed brokerage accounts provided as an investment option under the plan.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

EMERGENCY ROOM ASSOCIATES, LTD. has sponsored the creation of one or more 401k plans.

Company Name: EMERGENCY ROOM ASSOCIATES, LTD.

Employer identification number (EIN): 860227607

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 DOUGLAS CAMPBELL DOUGLAS CAMPBELL 2016-02-22
001 2014-01-01 DOUGLAS CAMPBELL DOUGLAS CAMPBELL 2015-09-22
001 2013-01-01 DOUGLAS CAMPBELL DOUGLAS CAMPBELL 2014-10-10
001 2012-01-01 DOUGLAS CAMPBELL DOUGLAS CAMPBELL 2013-03-19
001 2011-01-01 DOUGLAS CAMPBELL DOUGLAS CAMPBELL 2012-10-13
001 2010-01-01 DOUGLAS CAMPBELL DOUGLAS CAMPBELL 2011-10-15
001 2009-01-01 DOUGLAS CAMPBELL DOUGLAS CAMPBELL 2010-10-13

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2015-01-01	DOUGLAS CAMPBELL	DOUGLAS CAMPBELL	2016-02-22
001	2014-01-01	DOUGLAS CAMPBELL	DOUGLAS CAMPBELL	2015-09-22
001	2013-01-01	DOUGLAS CAMPBELL	DOUGLAS CAMPBELL	2014-10-10
001	2012-01-01	DOUGLAS CAMPBELL	DOUGLAS CAMPBELL	2013-03-19
001	2011-01-01	DOUGLAS CAMPBELL	DOUGLAS CAMPBELL	2012-10-13
001	2010-01-01	DOUGLAS CAMPBELL	DOUGLAS CAMPBELL	2011-10-15
001	2009-01-01	DOUGLAS CAMPBELL	DOUGLAS CAMPBELL	2010-10-13

Plan Statistics for EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN

401k plan membership statisitcs for EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN

Measure Date Value
2015: EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 1
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 1
Number of participants with account balances 2014-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Number of retired or separated participants receiving benefits 2013-01-01 1
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 1
Number of participants with account balances 2013-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 1
Number of participants with account balances 2012-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 2
Number of participants with account balances 2011-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 2
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 2
Number of participants with account balances 2010-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 2
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 2
Number of participants with account balances 2009-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2015: EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	1
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	1
Number of participants with account balances	2014-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Number of retired or separated participants receiving benefits	2013-01-01	1
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	1
Number of participants with account balances	2013-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	1
Number of participants with account balances	2012-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	2
Number of participants with account balances	2011-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	2
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	2
Number of participants with account balances	2010-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	2
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	2
Number of participants with account balances	2009-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN

Measure	Date	Value
2015 : EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN 2015 401k financial data
Total plan liabilities at end of year	2015-08-31	$0
Total plan liabilities at beginning of year	2015-08-31	$0
Total income from all sources	2015-08-31	$-2,691
Expenses. Total of all expenses incurred	2015-08-31	$161,370
Benefits paid (including direct rollovers)	2015-08-31	$161,370
Total plan assets at end of year	2015-08-31	$0
Total plan assets at beginning of year	2015-08-31	$164,061
Value of fidelity bond covering the plan	2015-08-31	$550,000
Other income received	2015-08-31	$-2,691
Net income (gross income less expenses)	2015-08-31	$-164,061
Net plan assets at end of year (total assets less liabilities)	2015-08-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-08-31	$164,061
Assets. Value of assets in partnership/joint-venture interests	2015-08-31	$0
Assets. Value of real-estate (other than employer real property)	2015-08-31	$0
Funding deficiency by the employer to the plan for this plan year	2015-08-31	$0
Minimum employer required contribution for this plan year	2015-08-31	$0
Amount contributed by the employer to the plan for this plan year	2015-08-31	$0
2014 : EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$5,902
Expenses. Total of all expenses incurred	2014-12-31	$0
Total plan assets at end of year	2014-12-31	$164,061
Total plan assets at beginning of year	2014-12-31	$158,159
Value of fidelity bond covering the plan	2014-12-31	$550,000
Other income received	2014-12-31	$5,902
Net income (gross income less expenses)	2014-12-31	$5,902
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$164,061
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$158,159
Assets. Value of assets in partnership/joint-venture interests	2014-12-31	$5,000
Assets. Value of real-estate (other than employer real property)	2014-12-31	$148,000
2013 : EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$3,724
Expenses. Total of all expenses incurred	2013-12-31	$168
Total plan assets at end of year	2013-12-31	$158,159
Total plan assets at beginning of year	2013-12-31	$154,603
Value of fidelity bond covering the plan	2013-12-31	$550,000
Other income received	2013-12-31	$3,724
Net income (gross income less expenses)	2013-12-31	$3,556
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$158,159
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$154,603
Assets. Value of assets in partnership/joint-venture interests	2013-12-31	$5,000
Assets. Value of real-estate (other than employer real property)	2013-12-31	$148,000
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$168
2012 : EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$-28,842
Expenses. Total of all expenses incurred	2012-12-31	$1,532
Benefits paid (including direct rollovers)	2012-12-31	$1,274
Total plan assets at end of year	2012-12-31	$154,603
Total plan assets at beginning of year	2012-12-31	$184,977
Value of fidelity bond covering the plan	2012-12-31	$550,000
Other income received	2012-12-31	$-28,842
Net income (gross income less expenses)	2012-12-31	$-30,374
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$154,603
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$184,977
Assets. Value of assets in partnership/joint-venture interests	2012-12-31	$5,000
Assets. Value of real-estate (other than employer real property)	2012-12-31	$148,000
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$258
Minimum employer required contribution for this plan year	2012-12-31	$0
Amount contributed by the employer to the plan for this plan year	2012-12-31	$0
2011 : EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$-1,791
Expenses. Total of all expenses incurred	2011-12-31	$958
Benefits paid (including direct rollovers)	2011-12-31	$620
Total plan assets at end of year	2011-12-31	$184,977
Total plan assets at beginning of year	2011-12-31	$187,726
Value of fidelity bond covering the plan	2011-12-31	$550,000
Other income received	2011-12-31	$-1,791
Net income (gross income less expenses)	2011-12-31	$-2,749
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$184,977
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$187,726
Assets. Value of assets in partnership/joint-venture interests	2011-12-31	$5,000
Assets. Value of real-estate (other than employer real property)	2011-12-31	$176,842
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$338
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$620
Minimum employer required contribution for this plan year	2011-12-31	$0
Amount contributed by the employer to the plan for this plan year	2011-12-31	$0
2010 : EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$-24,473
Expenses. Total of all expenses incurred	2010-12-31	$232
Total plan assets at end of year	2010-12-31	$187,726
Total plan assets at beginning of year	2010-12-31	$212,431
Value of fidelity bond covering the plan	2010-12-31	$550,000
Other income received	2010-12-31	$-24,473
Net income (gross income less expenses)	2010-12-31	$-24,705
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$187,726
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$212,431
Assets. Value of assets in partnership/joint-venture interests	2010-12-31	$15,000
Assets. Value of real-estate (other than employer real property)	2010-12-31	$169,457
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$232
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$0
Amount contributed by the employer to the plan for this plan year	2010-12-31	$0
2009 : EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year	2009-12-31	$0
Minimum employer required contribution for this plan year	2009-12-31	$0
Amount contributed by the employer to the plan for this plan year	2009-12-31	$0

Form 5500 Responses for EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN

2015: EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	Yes
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: EMERGENCY ROOM ASSOCIATES, LTD. MONEY PURCHASE PENSION PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

96-9244493

Policy instance

Insurance contract or identification number	96-9244493
Insurance policy start date	2006-01-01
Insurance policy end date	2006-07-20

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )

Policy contract number

36352

Policy instance

Insurance contract or identification number	36352
Insurance policy start date	2007-01-01
Insurance policy end date	2007-12-31
Are there contracts with allocated funds for individual policies?	Yes
Insurance broker organization code?	3
Insurance broker name	MICHAEL W. LEED

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Company Name:	EMERGENCY ROOM ASSOCIATES, LTD.
Employer identification number (EIN):	860227607
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)