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TUFTS UNIVERSITY RETIREE HEALTH INSURANCE PLAN 401k Plan overview

Plan NameTUFTS UNIVERSITY RETIREE HEALTH INSURANCE PLAN
Plan identification number 602

TUFTS UNIVERSITY RETIREE HEALTH INSURANCE PLAN Benefits

401k Plan Type
Plan Features/Benefits

    401k Sponsoring company profile

    TRUSTEES OF TUFTS COLLEGE has sponsored the creation of one or more 401k plans.

    Company Name:TRUSTEES OF TUFTS COLLEGE
    Employer identification number (EIN):042103634
    NAIC Classification:525100
    NAIC Description: Insurance and Employee Benefit Funds

    Additional information about TRUSTEES OF TUFTS COLLEGE

    Jurisdiction of Incorporation: Texas Secretary of State
    Incorporation Date: 2017-11-03
    Company Identification Number: 0802857208
    Legal Registered Office Address: 1999 BRYAN ST STE 900

    DALLAS
    United States of America (USA)
    75201

    More information about TRUSTEES OF TUFTS COLLEGE

    Form 5500 Filing Information

    Submission information for form 5500 for 401k plan TUFTS UNIVERSITY RETIREE HEALTH INSURANCE PLAN

    Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
    6022019-07-01
    6022018-07-01
    6022017-07-01
    6022017-07-01
    6022016-07-01THOMAS S. MCGURTY
    6022015-07-01THOMAS S MCGURTY
    6022015-07-01THOMAS S MCGURTY
    6022014-07-01THOMAS S MCGURTY
    6022013-07-01THOMAS S MCGURTY
    6022012-07-01THOMAS S MCGURTY
    6022011-07-01THOMAS A MCGURTY
    6022010-07-01THOMAS A MCGURTY
    6022009-07-01THOMAS A MCGURTY

    Plan Statistics for TUFTS UNIVERSITY RETIREE HEALTH INSURANCE PLAN

    401k plan membership statisitcs for TUFTS UNIVERSITY RETIREE HEALTH INSURANCE PLAN

    Measure Date Value
    2019
    Total participants, beginning-of-year2019-07-01684
    Total number of active participants reported on line 7a of the Form 55002019-07-01674
    Total of all active and inactive participants2019-07-01674
    Total participants2019-07-01674
    2018
    Total participants, beginning-of-year2018-07-01637
    Total number of active participants reported on line 7a of the Form 55002018-07-01684
    Total of all active and inactive participants2018-07-01684
    Total participants2018-07-01684
    2017
    Total participants, beginning-of-year2017-07-01822
    Total number of active participants reported on line 7a of the Form 55002017-07-01637
    Total of all active and inactive participants2017-07-01637
    Total participants2017-07-01637
    2016
    Total participants, beginning-of-year2016-07-01841
    Total number of active participants reported on line 7a of the Form 55002016-07-01822
    Total of all active and inactive participants2016-07-01822
    Total participants2016-07-01822
    2015
    Total participants, beginning-of-year2015-07-01863
    Total number of active participants reported on line 7a of the Form 55002015-07-01841
    Total of all active and inactive participants2015-07-01841
    Total participants2015-07-01841
    2014
    Total participants, beginning-of-year2014-07-01851
    Total number of active participants reported on line 7a of the Form 55002014-07-01863
    Number of retired or separated participants receiving benefits2014-07-010
    Number of other retired or separated participants entitled to future benefits2014-07-010
    Total of all active and inactive participants2014-07-01863
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-07-010
    Total participants2014-07-01863
    2013
    Total participants, beginning-of-year2013-07-01868
    Total number of active participants reported on line 7a of the Form 55002013-07-01851
    Number of retired or separated participants receiving benefits2013-07-010
    Number of other retired or separated participants entitled to future benefits2013-07-010
    Total of all active and inactive participants2013-07-01851
    Total participants2013-07-01851
    2012
    Total participants, beginning-of-year2012-07-01856
    Total number of active participants reported on line 7a of the Form 55002012-07-01868
    Total of all active and inactive participants2012-07-01868
    Total participants2012-07-01868
    2011
    Total participants, beginning-of-year2011-07-01890
    Total number of active participants reported on line 7a of the Form 55002011-07-01856
    Total of all active and inactive participants2011-07-01856
    2010
    Total participants, beginning-of-year2010-07-01899
    Total number of active participants reported on line 7a of the Form 55002010-07-01890
    Total of all active and inactive participants2010-07-01890
    2009
    Total participants, beginning-of-year2009-07-01882
    Total number of active participants reported on line 7a of the Form 55002009-07-01899
    Total of all active and inactive participants2009-07-01899

    Financial Data on TUFTS UNIVERSITY RETIREE HEALTH INSURANCE PLAN

    Measure Date Value
    2020
    Total transfer of assets from this plan2020-06-30$-449
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$284,824
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$131,416
    Total income from all sources (including contributions)2020-06-30$732,601
    Total of all expenses incurred2020-06-30$2,038,819
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$1,969,571
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$603,695
    Value of total assets at end of year2020-06-30$13,947,003
    Value of total assets at beginning of year2020-06-30$15,099,364
    Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$69,248
    Total interest from all sources2020-06-30$3,187
    Total dividends received (eg from common stock, registered investment company shares)2020-06-30$640,859
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
    Total dividends received from registered investment company shares (eg mutual funds)2020-06-30$640,859
    Was this plan covered by a fidelity bond2020-06-30Yes
    Value of fidelity bond cover2020-06-30$10,000,000
    If this is an individual account plan, was there a blackout period2020-06-30No
    Were there any nonexempt tranactions with any party-in-interest2020-06-30No
    Contributions received from participants2020-06-30$603,695
    Participant contributions at end of year2020-06-30$41,730
    Participant contributions at beginning of year2020-06-30$51,934
    Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-06-30$699,960
    Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$643,259
    Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-06-30$517,947
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-06-30$268,975
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-06-30$114,040
    Administrative expenses (other) incurred2020-06-30$3,912
    Liabilities. Value of operating payables at end of year2020-06-30$15,849
    Liabilities. Value of operating payables at beginning of year2020-06-30$17,376
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
    Value of net income/loss2020-06-30$-1,306,218
    Value of net assets at end of year (total assets less liabilities)2020-06-30$13,662,179
    Value of net assets at beginning of year (total assets less liabilities)2020-06-30$14,967,948
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
    Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
    Were any leases to which the plan was party in default or uncollectible2020-06-30No
    Investment advisory and management fees2020-06-30$65,336
    Value of interest in registered invesment companies (eg mutual funds) at end of year2020-06-30$12,817,125
    Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-06-30$13,852,463
    Interest earned on other investments2020-06-30$3,187
    Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$440,815
    Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$677,020
    Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$677,020
    Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$1,269,611
    Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-06-30$-515,140
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
    Was there a failure to transmit to the plan any participant contributions2020-06-30No
    Has the plan failed to provide any benefit when due under the plan2020-06-30No
    Employer contributions (assets) at end of year2020-06-30$4,074
    Did the plan have assets held for investment2020-06-30Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30No
    Opinion of an independent qualified public accountant for this plan2020-06-30Unqualified
    Accountancy firm name2020-06-30BDO USA, LLP
    Accountancy firm EIN2020-06-30135381590
    2017
    Unrealized appreciation/depreciation of real estate assets2017-06-30$2,817,678
    Total unrealized appreciation/depreciation of assets2017-06-30$2,817,678
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$433,910
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$257,730
    Total income from all sources (including contributions)2017-06-30$6,478,855
    Total of all expenses incurred2017-06-30$4,605,432
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$4,451,051
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$2,513,109
    Value of total assets at end of year2017-06-30$33,665,805
    Value of total assets at beginning of year2017-06-30$31,616,202
    Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$154,381
    Total interest from all sources2017-06-30$635
    Total dividends received (eg from common stock, registered investment company shares)2017-06-30$1,147,433
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
    Was this plan covered by a fidelity bond2017-06-30Yes
    Value of fidelity bond cover2017-06-30$10,000,000
    If this is an individual account plan, was there a blackout period2017-06-30No
    Were there any nonexempt tranactions with any party-in-interest2017-06-30No
    Contributions received from participants2017-06-30$2,513,109
    Participant contributions at end of year2017-06-30$12,568
    Participant contributions at beginning of year2017-06-30$10,630
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-06-30$247,696
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-06-30$21,380
    Administrative expenses (other) incurred2017-06-30$2,559
    Liabilities. Value of operating payables at end of year2017-06-30$38,990
    Liabilities. Value of operating payables at beginning of year2017-06-30$37,085
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
    Value of net income/loss2017-06-30$1,873,423
    Value of net assets at end of year (total assets less liabilities)2017-06-30$33,231,895
    Value of net assets at beginning of year (total assets less liabilities)2017-06-30$31,358,472
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
    Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
    Were any leases to which the plan was party in default or uncollectible2017-06-30No
    Investment advisory and management fees2017-06-30$151,822
    Value of interest in registered invesment companies (eg mutual funds) at end of year2017-06-30$32,900,531
    Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-06-30$31,173,765
    Interest earned on other investments2017-06-30$635
    Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-06-30$752,639
    Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-06-30$431,807
    Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-06-30$431,807
    Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$4,451,051
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30No
    Was there a failure to transmit to the plan any participant contributions2017-06-30No
    Has the plan failed to provide any benefit when due under the plan2017-06-30No
    Employer contributions (assets) at end of year2017-06-30$67
    Income. Dividends from common stock2017-06-30$1,147,433
    Liabilities. Value of benefit claims payable at end of year2017-06-30$147,224
    Liabilities. Value of benefit claims payable at beginning of year2017-06-30$199,265
    Did the plan have assets held for investment2017-06-30Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30No
    Opinion of an independent qualified public accountant for this plan2017-06-30Unqualified
    Accountancy firm name2017-06-30BDO USA, LLP
    Accountancy firm EIN2017-06-30135381590
    2016
    Unrealized appreciation/depreciation of real estate assets2016-06-30$-1,500,980
    Total unrealized appreciation/depreciation of assets2016-06-30$-1,500,980
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$257,730
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$336,719
    Total income from all sources (including contributions)2016-06-30$2,380,786
    Total of all expenses incurred2016-06-30$4,116,685
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$3,967,454
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$2,345,173
    Value of total assets at end of year2016-06-30$31,616,202
    Value of total assets at beginning of year2016-06-30$33,431,090
    Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$149,231
    Total interest from all sources2016-06-30$327
    Total dividends received (eg from common stock, registered investment company shares)2016-06-30$1,536,266
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
    Was this plan covered by a fidelity bond2016-06-30Yes
    Value of fidelity bond cover2016-06-30$10,000,000
    If this is an individual account plan, was there a blackout period2016-06-30No
    Were there any nonexempt tranactions with any party-in-interest2016-06-30No
    Contributions received from participants2016-06-30$2,345,173
    Participant contributions at end of year2016-06-30$10,630
    Participant contributions at beginning of year2016-06-30$4,393
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-06-30$21,380
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-06-30$12,411
    Administrative expenses (other) incurred2016-06-30$2,331
    Liabilities. Value of operating payables at end of year2016-06-30$37,085
    Liabilities. Value of operating payables at beginning of year2016-06-30$74,190
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
    Value of net income/loss2016-06-30$-1,735,899
    Value of net assets at end of year (total assets less liabilities)2016-06-30$31,358,472
    Value of net assets at beginning of year (total assets less liabilities)2016-06-30$33,094,371
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
    Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
    Were any leases to which the plan was party in default or uncollectible2016-06-30No
    Investment advisory and management fees2016-06-30$146,900
    Value of interest in registered invesment companies (eg mutual funds) at end of year2016-06-30$31,173,765
    Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-06-30$32,953,354
    Interest earned on other investments2016-06-30$327
    Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-06-30$431,807
    Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$454,490
    Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$454,490
    Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$3,967,454
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
    Was there a failure to transmit to the plan any participant contributions2016-06-30No
    Has the plan failed to provide any benefit when due under the plan2016-06-30No
    Employer contributions (assets) at beginning of year2016-06-30$18,853
    Income. Dividends from common stock2016-06-30$1,536,266
    Liabilities. Value of benefit claims payable at end of year2016-06-30$199,265
    Liabilities. Value of benefit claims payable at beginning of year2016-06-30$250,118
    Did the plan have assets held for investment2016-06-30Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30No
    Opinion of an independent qualified public accountant for this plan2016-06-30Unqualified
    Accountancy firm name2016-06-30BDO USA, LLP
    Accountancy firm EIN2016-06-30135381590
    2015
    Unrealized appreciation/depreciation of real estate assets2015-06-30$-1,202,262
    Total unrealized appreciation/depreciation of assets2015-06-30$-1,202,262
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$336,719
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$226,992
    Total income from all sources (including contributions)2015-06-30$2,790,893
    Total of all expenses incurred2015-06-30$4,210,259
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$4,051,035
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$2,206,942
    Value of total assets at end of year2015-06-30$33,431,090
    Value of total assets at beginning of year2015-06-30$34,740,729
    Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$159,224
    Total interest from all sources2015-06-30$329
    Total dividends received (eg from common stock, registered investment company shares)2015-06-30$1,785,884
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
    Was this plan covered by a fidelity bond2015-06-30Yes
    Value of fidelity bond cover2015-06-30$8,500,000
    If this is an individual account plan, was there a blackout period2015-06-30No
    Were there any nonexempt tranactions with any party-in-interest2015-06-30No
    Contributions received from participants2015-06-30$2,206,942
    Participant contributions at end of year2015-06-30$4,393
    Participant contributions at beginning of year2015-06-30$1,242
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-06-30$12,411
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-06-30$13,095
    Administrative expenses (other) incurred2015-06-30$2,344
    Liabilities. Value of operating payables at end of year2015-06-30$74,190
    Liabilities. Value of operating payables at beginning of year2015-06-30$40,147
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
    Value of net income/loss2015-06-30$-1,419,366
    Value of net assets at end of year (total assets less liabilities)2015-06-30$33,094,371
    Value of net assets at beginning of year (total assets less liabilities)2015-06-30$34,513,737
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
    Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
    Were any leases to which the plan was party in default or uncollectible2015-06-30No
    Investment advisory and management fees2015-06-30$156,880
    Value of interest in registered invesment companies (eg mutual funds) at end of year2015-06-30$32,953,354
    Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-06-30$34,267,864
    Interest earned on other investments2015-06-30$329
    Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$454,490
    Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$448,613
    Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$448,613
    Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$4,051,035
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
    Was there a failure to transmit to the plan any participant contributions2015-06-30No
    Has the plan failed to provide any benefit when due under the plan2015-06-30No
    Employer contributions (assets) at end of year2015-06-30$18,853
    Employer contributions (assets) at beginning of year2015-06-30$23,010
    Income. Dividends from common stock2015-06-30$1,785,884
    Liabilities. Value of benefit claims payable at end of year2015-06-30$250,118
    Liabilities. Value of benefit claims payable at beginning of year2015-06-30$173,750
    Did the plan have assets held for investment2015-06-30Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30No
    Opinion of an independent qualified public accountant for this plan2015-06-30Unqualified
    Accountancy firm name2015-06-30FEELEY & DRISCOLL PC
    Accountancy firm EIN2015-06-30042684828
    2014
    Unrealized appreciation/depreciation of real estate assets2014-06-30$4,297,209
    Total unrealized appreciation/depreciation of assets2014-06-30$4,297,209
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$226,992
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$217,982
    Total income from all sources (including contributions)2014-06-30$7,264,554
    Total of all expenses incurred2014-06-30$3,810,242
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$3,653,033
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$1,901,888
    Value of total assets at end of year2014-06-30$34,740,729
    Value of total assets at beginning of year2014-06-30$31,277,407
    Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$157,209
    Total interest from all sources2014-06-30$253
    Total dividends received (eg from common stock, registered investment company shares)2014-06-30$1,065,204
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
    Was this plan covered by a fidelity bond2014-06-30Yes
    Value of fidelity bond cover2014-06-30$7,500,000
    If this is an individual account plan, was there a blackout period2014-06-30No
    Were there any nonexempt tranactions with any party-in-interest2014-06-30No
    Contributions received from participants2014-06-30$1,901,888
    Participant contributions at end of year2014-06-30$1,242
    Participant contributions at beginning of year2014-06-30$2,737
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-06-30$13,095
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-06-30$21,167
    Administrative expenses (other) incurred2014-06-30$1,920
    Liabilities. Value of operating payables at end of year2014-06-30$40,147
    Liabilities. Value of operating payables at beginning of year2014-06-30$36,428
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
    Value of net income/loss2014-06-30$3,454,312
    Value of net assets at end of year (total assets less liabilities)2014-06-30$34,513,737
    Value of net assets at beginning of year (total assets less liabilities)2014-06-30$31,059,425
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
    Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
    Were any leases to which the plan was party in default or uncollectible2014-06-30No
    Investment advisory and management fees2014-06-30$155,289
    Value of interest in registered invesment companies (eg mutual funds) at end of year2014-06-30$34,267,864
    Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-06-30$30,752,858
    Interest earned on other investments2014-06-30$253
    Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$448,613
    Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$471,496
    Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$471,496
    Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$3,653,033
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
    Was there a failure to transmit to the plan any participant contributions2014-06-30No
    Has the plan failed to provide any benefit when due under the plan2014-06-30No
    Employer contributions (assets) at end of year2014-06-30$23,010
    Employer contributions (assets) at beginning of year2014-06-30$50,316
    Income. Dividends from common stock2014-06-30$1,065,204
    Liabilities. Value of benefit claims payable at end of year2014-06-30$173,750
    Liabilities. Value of benefit claims payable at beginning of year2014-06-30$160,387
    Did the plan have assets held for investment2014-06-30Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30Yes
    Opinion of an independent qualified public accountant for this plan2014-06-30Disclaimer
    Accountancy firm name2014-06-30FEELEY & DRISCOLL PC
    Accountancy firm EIN2014-06-30042684828
    2013
    Unrealized appreciation/depreciation of real estate assets2013-06-30$2,617,982
    Total unrealized appreciation/depreciation of assets2013-06-30$2,617,982
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$217,982
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$236,921
    Total income from all sources (including contributions)2013-06-30$5,904,838
    Total of all expenses incurred2013-06-30$3,785,866
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$3,640,790
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$2,076,358
    Value of total assets at end of year2013-06-30$31,277,407
    Value of total assets at beginning of year2013-06-30$29,201,530
    Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$145,076
    Total interest from all sources2013-06-30$319
    Total dividends received (eg from common stock, registered investment company shares)2013-06-30$1,210,179
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
    Was this plan covered by a fidelity bond2013-06-30Yes
    Value of fidelity bond cover2013-06-30$7,500,000
    If this is an individual account plan, was there a blackout period2013-06-30No
    Were there any nonexempt tranactions with any party-in-interest2013-06-30No
    Contributions received from participants2013-06-30$1,816,358
    Participant contributions at end of year2013-06-30$2,737
    Participant contributions at beginning of year2013-06-30$2,624
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-06-30$21,167
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-06-30$17,702
    Administrative expenses (other) incurred2013-06-30$834
    Liabilities. Value of operating payables at end of year2013-06-30$36,428
    Liabilities. Value of operating payables at beginning of year2013-06-30$34,676
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
    Value of net income/loss2013-06-30$2,118,972
    Value of net assets at end of year (total assets less liabilities)2013-06-30$31,059,425
    Value of net assets at beginning of year (total assets less liabilities)2013-06-30$28,964,609
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
    Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
    Were any leases to which the plan was party in default or uncollectible2013-06-30No
    Investment advisory and management fees2013-06-30$144,242
    Value of interest in registered invesment companies (eg mutual funds) at end of year2013-06-30$30,752,858
    Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-06-30$28,915,807
    Interest earned on other investments2013-06-30$319
    Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$471,496
    Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$216,457
    Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$216,457
    Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$3,640,790
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30No
    Was there a failure to transmit to the plan any participant contributions2013-06-30No
    Has the plan failed to provide any benefit when due under the plan2013-06-30No
    Contributions received in cash from employer2013-06-30$260,000
    Employer contributions (assets) at end of year2013-06-30$50,316
    Employer contributions (assets) at beginning of year2013-06-30$66,642
    Income. Dividends from common stock2013-06-30$1,210,179
    Liabilities. Value of benefit claims payable at end of year2013-06-30$160,387
    Liabilities. Value of benefit claims payable at beginning of year2013-06-30$184,543
    Did the plan have assets held for investment2013-06-30Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30No
    Opinion of an independent qualified public accountant for this plan2013-06-30Unqualified
    Accountancy firm name2013-06-30FEELEY AND DRISCOLL PC
    Accountancy firm EIN2013-06-30042684828
    2012
    Unrealized appreciation/depreciation of other (non real estate) assets2012-06-30$-789,330
    Total unrealized appreciation/depreciation of assets2012-06-30$-789,330
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$236,921
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$236,566
    Total income from all sources (including contributions)2012-06-30$2,111,802
    Total of all expenses incurred2012-06-30$3,830,065
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$3,693,579
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$2,038,492
    Value of total assets at end of year2012-06-30$29,201,530
    Value of total assets at beginning of year2012-06-30$30,895,857
    Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$136,486
    Total interest from all sources2012-06-30$286
    Total dividends received (eg from common stock, registered investment company shares)2012-06-30$862,354
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
    Was this plan covered by a fidelity bond2012-06-30Yes
    Value of fidelity bond cover2012-06-30$7,500,000
    If this is an individual account plan, was there a blackout period2012-06-30No
    Were there any nonexempt tranactions with any party-in-interest2012-06-30No
    Contributions received from participants2012-06-30$1,714,492
    Participant contributions at end of year2012-06-30$2,624
    Participant contributions at beginning of year2012-06-30$1,900
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-06-30$17,702
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-06-30$39,308
    Administrative expenses (other) incurred2012-06-30$864
    Liabilities. Value of operating payables at end of year2012-06-30$34,676
    Liabilities. Value of operating payables at beginning of year2012-06-30$36,296
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
    Value of net income/loss2012-06-30$-1,718,263
    Value of net assets at end of year (total assets less liabilities)2012-06-30$28,964,609
    Value of net assets at beginning of year (total assets less liabilities)2012-06-30$30,659,291
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
    Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
    Were any leases to which the plan was party in default or uncollectible2012-06-30No
    Investment advisory and management fees2012-06-30$135,622
    Value of interest in registered invesment companies (eg mutual funds) at end of year2012-06-30$28,915,807
    Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-06-30$30,254,052
    Interest earned on other investments2012-06-30$286
    Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$216,457
    Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$639,905
    Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$639,905
    Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$3,693,579
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30No
    Was there a failure to transmit to the plan any participant contributions2012-06-30No
    Has the plan failed to provide any benefit when due under the plan2012-06-30No
    Contributions received in cash from employer2012-06-30$324,000
    Employer contributions (assets) at end of year2012-06-30$66,642
    Income. Dividends from common stock2012-06-30$862,354
    Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-06-30No
    Liabilities. Value of benefit claims payable at end of year2012-06-30$184,543
    Liabilities. Value of benefit claims payable at beginning of year2012-06-30$160,962
    Did the plan have assets held for investment2012-06-30Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30No
    Opinion of an independent qualified public accountant for this plan2012-06-30Qualified
    Accountancy firm name2012-06-30FEELEY & DRISCOLL P C
    Accountancy firm EIN2012-06-30042684828
    2011
    Unrealized appreciation/depreciation of other (non real estate) assets2011-06-30$5,317,288
    Total unrealized appreciation/depreciation of assets2011-06-30$5,317,288
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$236,566
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$328,281
    Total income from all sources (including contributions)2011-06-30$7,989,136
    Total of all expenses incurred2011-06-30$3,669,646
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$3,526,114
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$1,725,738
    Value of total assets at end of year2011-06-30$30,895,857
    Value of total assets at beginning of year2011-06-30$26,703,183
    Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$143,532
    Total interest from all sources2011-06-30$346
    Total dividends received (eg from common stock, registered investment company shares)2011-06-30$945,764
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
    Was this plan covered by a fidelity bond2011-06-30Yes
    Value of fidelity bond cover2011-06-30$5,000,000
    If this is an individual account plan, was there a blackout period2011-06-30No
    Were there any nonexempt tranactions with any party-in-interest2011-06-30No
    Contributions received from participants2011-06-30$1,490,738
    Participant contributions at end of year2011-06-30$1,900
    Participant contributions at beginning of year2011-06-30$2,609
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-06-30$39,308
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-06-30$100,012
    Administrative expenses (other) incurred2011-06-30$768
    Liabilities. Value of operating payables at end of year2011-06-30$36,296
    Liabilities. Value of operating payables at beginning of year2011-06-30$32,206
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
    Value of net income/loss2011-06-30$4,319,490
    Value of net assets at end of year (total assets less liabilities)2011-06-30$30,659,291
    Value of net assets at beginning of year (total assets less liabilities)2011-06-30$26,374,902
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
    Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
    Were any leases to which the plan was party in default or uncollectible2011-06-30No
    Investment advisory and management fees2011-06-30$142,764
    Value of interest in registered invesment companies (eg mutual funds) at end of year2011-06-30$30,254,052
    Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-06-30$26,527,374
    Interest earned on other investments2011-06-30$346
    Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$639,905
    Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$173,200
    Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$173,200
    Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$3,526,114
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30No
    Was there a failure to transmit to the plan any participant contributions2011-06-30No
    Has the plan failed to provide any benefit when due under the plan2011-06-30No
    Contributions received in cash from employer2011-06-30$235,000
    Income. Dividends from common stock2011-06-30$945,764
    Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-06-30No
    Liabilities. Value of benefit claims payable at end of year2011-06-30$160,962
    Liabilities. Value of benefit claims payable at beginning of year2011-06-30$196,063
    Did the plan have assets held for investment2011-06-30Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30No
    Opinion of an independent qualified public accountant for this plan2011-06-30Qualified
    Accountancy firm name2011-06-30FEELEY & DRISCOLL PC
    Accountancy firm EIN2011-06-30042684828

    Form 5500 Responses

    2019
    2019-07-01Type of plan entitySingle employer plan
    2019-07-01Plan funding arrangement – TrustYes
    2019-07-01Plan benefit arrangement – InsuranceYes
    2018
    2018-07-01Type of plan entitySingle employer plan
    2018-07-01Plan funding arrangement – TrustYes
    2018-07-01Plan benefit arrangement – InsuranceYes
    2017
    2017-07-01Type of plan entitySingle employer plan
    2017-07-01Submission has been amendedYes
    2017-07-01Plan funding arrangement – TrustYes
    2017-07-01Plan benefit arrangement – InsuranceYes
    2016
    2016-07-01Type of plan entitySingle employer plan
    2016-07-01Plan funding arrangement – TrustYes
    2016-07-01Plan benefit arrangement – InsuranceYes
    2015
    2015-07-01Type of plan entitySingle employer plan
    2015-07-01Submission has been amendedYes
    2015-07-01Plan funding arrangement – TrustYes
    2015-07-01Plan benefit arrangement – InsuranceYes
    2014
    2014-07-01Type of plan entitySingle employer plan
    2014-07-01Plan funding arrangement – TrustYes
    2014-07-01Plan benefit arrangement – InsuranceYes
    2013
    2013-07-01Type of plan entitySingle employer plan
    2013-07-01Plan funding arrangement – TrustYes
    2013-07-01Plan benefit arrangement – InsuranceYes
    2012
    2012-07-01Type of plan entitySingle employer plan
    2012-07-01Plan funding arrangement – TrustYes
    2012-07-01Plan benefit arrangement – InsuranceYes
    2011
    2011-07-01Type of plan entitySingle employer plan
    2011-07-01Plan funding arrangement – TrustYes
    2011-07-01Plan benefit arrangement – InsuranceYes
    2010
    2010-07-01Type of plan entitySingle employer plan
    2010-07-01Submission has been amendedYes
    2010-07-01Plan funding arrangement – TrustYes
    2010-07-01Plan benefit arrangement – InsuranceYes
    2009
    2009-07-01Type of plan entitySingle employer plan
    2009-07-01This submission is the final filingNo
    2009-07-01Plan funding arrangement – TrustYes
    2009-07-01Plan benefit arrangement – InsuranceYes

    Insurance Providers Used on plan

    TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
    Policy contract number00162-065
    Policy instance 4
    Insurance contract or identification number00162-065
    Number of Individuals Covered169
    Insurance policy start date2017-07-01
    Insurance policy end date2017-12-31
    Health Insurance Welfare BenefitYes
    TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
    Policy contract numberG1084
    Policy instance 3
    Insurance contract or identification numberG1084
    Number of Individuals Covered339
    Insurance policy start date2017-07-01
    Insurance policy end date2017-12-31
    Health Insurance Welfare BenefitYes
    FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 )
    Policy contract numberC003181326C02
    Policy instance 2
    Insurance contract or identification numberC003181326C02
    Number of Individuals Covered7
    Insurance policy start date2017-07-01
    Insurance policy end date2017-12-31
    Health Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $12,564
    HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
    Policy contract number022789-0000
    Policy instance 1
    Insurance contract or identification number022789-0000
    Number of Individuals Covered87
    Insurance policy start date2017-07-01
    Insurance policy end date2017-12-31
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
    Policy contract numberG1084
    Policy instance 3
    Insurance contract or identification numberG1084
    Number of Individuals Covered300
    Insurance policy start date2015-07-01
    Insurance policy end date2016-06-30
    Health Insurance Welfare BenefitYes
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 )
    Policy contract numberC003181326C02
    Policy instance 2
    Insurance contract or identification numberC003181326C02
    Number of Individuals Covered5
    Insurance policy start date2015-07-01
    Insurance policy end date2016-06-30
    Health Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $22,364
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    HPHC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18975 )
    Policy contract number022789-0000
    Policy instance 1
    Insurance contract or identification number022789-0000
    Number of Individuals Covered100
    Insurance policy start date2015-07-01
    Insurance policy end date2016-06-30
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
    Policy contract number00162-065
    Policy instance 4
    Insurance contract or identification number00162-065
    Number of Individuals Covered182
    Insurance policy start date2015-07-01
    Insurance policy end date2016-06-30
    Health Insurance Welfare BenefitYes
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
    Policy contract number022789-0000
    Policy instance 1
    Insurance contract or identification number022789-0000
    Number of Individuals Covered101
    Insurance policy start date2014-07-01
    Insurance policy end date2015-06-30
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 )
    Policy contract numberC003181326C02
    Policy instance 2
    Insurance contract or identification numberC003181326C02
    Number of Individuals Covered6
    Insurance policy start date2014-07-01
    Insurance policy end date2015-06-30
    Health Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $18,444
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
    Policy contract numberG1084
    Policy instance 3
    Insurance contract or identification numberG1084
    Number of Individuals Covered297
    Insurance policy start date2014-07-01
    Insurance policy end date2015-06-30
    Health Insurance Welfare BenefitYes
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
    Policy contract number00162-065
    Policy instance 4
    Insurance contract or identification number00162-065
    Number of Individuals Covered190
    Insurance policy start date2014-07-01
    Insurance policy end date2015-06-30
    Health Insurance Welfare BenefitYes
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
    Policy contract numberG1084
    Policy instance 3
    Insurance contract or identification numberG1084
    Number of Individuals Covered284
    Insurance policy start date2013-07-01
    Insurance policy end date2014-06-30
    Health Insurance Welfare BenefitYes
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 )
    Policy contract number2522388
    Policy instance 2
    Insurance contract or identification number2522388
    Number of Individuals Covered6
    Insurance policy start date2013-07-01
    Insurance policy end date2014-06-30
    Welfare Benefit Premiums Paid to CarrierUSD $38,318
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
    Policy contract number022789-0000
    Policy instance 1
    Insurance contract or identification number022789-0000
    Number of Individuals Covered93
    Insurance policy start date2013-07-01
    Insurance policy end date2014-06-30
    Health Insurance Welfare BenefitYes
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
    Policy contract number00162065
    Policy instance 4
    Insurance contract or identification number00162065
    Number of Individuals Covered187
    Insurance policy start date2013-07-01
    Insurance policy end date2014-06-30
    Health Insurance Welfare BenefitYes
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
    Policy contract number022789-000
    Policy instance 1
    Insurance contract or identification number022789-000
    Number of Individuals Covered87
    Insurance policy start date2012-07-01
    Insurance policy end date2013-06-30
    Health Insurance Welfare BenefitYes
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
    Policy contract numberG1084
    Policy instance 5
    Insurance contract or identification numberG1084
    Number of Individuals Covered267
    Insurance policy start date2012-07-01
    Insurance policy end date2013-06-30
    Health Insurance Welfare BenefitYes
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 )
    Policy contract number2522388
    Policy instance 2
    Insurance contract or identification number2522388
    Number of Individuals Covered16
    Insurance policy start date2012-07-01
    Insurance policy end date2013-06-30
    Welfare Benefit Premiums Paid to CarrierUSD $42,082
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
    Policy contract number00162-065
    Policy instance 3
    Insurance contract or identification number00162-065
    Number of Individuals Covered185
    Insurance policy start date2012-07-01
    Insurance policy end date2013-06-30
    Health Insurance Welfare BenefitYes
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
    Policy contract number0000976
    Policy instance 4
    Insurance contract or identification number0000976
    Number of Individuals Covered242
    Insurance policy start date2012-05-01
    Insurance policy end date2013-04-30
    Health Insurance Welfare BenefitYes
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    HPHC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18975 )
    Policy contract number022789-000
    Policy instance 5
    Insurance contract or identification number022789-000
    Number of Individuals Covered75
    Insurance policy start date2011-07-01
    Insurance policy end date2012-06-30
    Total amount of commissions paid to insurance brokerUSD $7,857
    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
    Health Insurance Welfare BenefitYes
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
    Policy contract numberG1084
    Policy instance 4
    Insurance contract or identification numberG1084
    Number of Individuals Covered261
    Insurance policy start date2011-07-01
    Insurance policy end date2012-06-30
    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
    Health Insurance Welfare BenefitYes
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
    Policy contract number00162065
    Policy instance 3
    Insurance contract or identification number00162065
    Number of Individuals Covered192
    Insurance policy start date2011-07-01
    Insurance policy end date2012-06-30
    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
    Health Insurance Welfare BenefitYes
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 )
    Policy contract number2522388
    Policy instance 2
    Insurance contract or identification number2522388
    Number of Individuals Covered15
    Insurance policy start date2011-07-01
    Insurance policy end date2012-06-30
    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
    Welfare Benefit Premiums Paid to CarrierUSD $48,534
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
    Policy contract number0000976
    Policy instance 1
    Insurance contract or identification number0000976
    Number of Individuals Covered249
    Insurance policy start date2011-05-01
    Insurance policy end date2012-04-30
    Total amount of commissions paid to insurance brokerUSD $5,670
    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
    Health Insurance Welfare BenefitYes
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    HPHC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18975 )
    Policy contract number022789-000
    Policy instance 8
    Insurance contract or identification number022789-000
    Number of Individuals Covered62
    Insurance policy start date2010-07-01
    Insurance policy end date2011-06-30
    Total amount of commissions paid to insurance brokerUSD $5,828
    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
    Health Insurance Welfare BenefitYes
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
    Policy contract numberG1084
    Policy instance 7
    Insurance contract or identification numberG1084
    Number of Individuals Covered261
    Insurance policy start date2010-07-01
    Insurance policy end date2011-06-30
    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
    Health Insurance Welfare BenefitYes
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
    Policy contract number00162065
    Policy instance 6
    Insurance contract or identification number00162065
    Number of Individuals Covered198
    Insurance policy start date2010-07-01
    Insurance policy end date2011-06-30
    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
    Health Insurance Welfare BenefitYes
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
    Policy contract number102513-94156
    Policy instance 5
    Insurance contract or identification number102513-94156
    Number of Individuals Covered97
    Insurance policy start date2010-07-01
    Insurance policy end date2011-06-30
    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
    Health Insurance Welfare BenefitYes
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
    Policy contract number030046-0010
    Policy instance 4
    Insurance contract or identification number030046-0010
    Number of Individuals Covered16
    Insurance policy start date2010-07-01
    Insurance policy end date2011-06-30
    Total amount of commissions paid to insurance brokerUSD $380
    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
    Welfare Benefit Premiums Paid to CarrierUSD $9,139
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
    Policy contract number030046-0007
    Policy instance 3
    Insurance contract or identification number030046-0007
    Number of Individuals Covered2
    Insurance policy start date2010-07-01
    Insurance policy end date2011-06-30
    Total amount of commissions paid to insurance brokerUSD $80
    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
    Welfare Benefit Premiums Paid to CarrierUSD $1,899
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 )
    Policy contract number2522388
    Policy instance 2
    Insurance contract or identification number2522388
    Number of Individuals Covered13
    Insurance policy start date2010-07-01
    Insurance policy end date2011-06-30
    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
    Welfare Benefit Premiums Paid to CarrierUSD $25,865
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
    Policy contract number0000976
    Policy instance 1
    Insurance contract or identification number0000976
    Number of Individuals Covered269
    Insurance policy start date2010-05-01
    Insurance policy end date2011-04-30
    Total amount of commissions paid to insurance brokerUSD $8,651
    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
    Health Insurance Welfare BenefitYes
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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