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MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan NameMAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN
Plan identification number 502

MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

MAINE BANKERS ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name:MAINE BANKERS ASSOCIATION
Employer identification number (EIN):010155360
NAIC Classification:522120
NAIC Description:Savings Institutions

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022023-01-01MARCIA FERGUSON2024-09-24
5022022-01-01MARCIA FERGUSON2023-10-13
5022021-01-01MARC P OWEN2022-10-13
5022020-01-01MARC P OWEN2021-10-15
5022019-01-01MARC P OWEN2020-10-05
5022018-01-01MARC P OWEN2019-10-10
5022017-01-01
5022016-01-01
5022015-01-01
5022014-01-01MARC P. OWEN MARC P. OWEN2015-10-15
5022013-01-01CHRISTOPHER PINKHAM CHRISTOPHER PINKHAM2015-09-04
5022012-01-01CHRISTOPHER W. PINKHAM, PRESIDENT CHRISTOPHER W. PINKHAM, PRESIDENT2013-10-11
5022011-01-01CHRISTOPHER W. PINKHAM, PRESIDENT CHRISTOPHER W. PINKHAM, PRESIDENT2012-10-10

Plan Statistics for MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN

Measure Date Value
2023: MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-013,079
Total number of active participants reported on line 7a of the Form 55002023-01-012,717
Number of retired or separated participants receiving benefits2023-01-01371
Total of all active and inactive participants2023-01-013,088
2022: MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-013,063
Total number of active participants reported on line 7a of the Form 55002022-01-012,699
Number of retired or separated participants receiving benefits2022-01-01380
Total of all active and inactive participants2022-01-013,079
2021: MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-012,980
Total number of active participants reported on line 7a of the Form 55002021-01-012,721
Number of retired or separated participants receiving benefits2021-01-01342
Total of all active and inactive participants2021-01-013,063
2020: MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-012,873
Total number of active participants reported on line 7a of the Form 55002020-01-012,668
Number of retired or separated participants receiving benefits2020-01-01312
Total of all active and inactive participants2020-01-012,980
2019: MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-013,548
Total number of active participants reported on line 7a of the Form 55002019-01-012,585
Number of retired or separated participants receiving benefits2019-01-01288
Total of all active and inactive participants2019-01-012,873
2018: MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-013,052
Total number of active participants reported on line 7a of the Form 55002018-01-013,221
Number of retired or separated participants receiving benefits2018-01-01327
Total of all active and inactive participants2018-01-013,548
2017: MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-013,337
Total number of active participants reported on line 7a of the Form 55002017-01-012,765
Number of retired or separated participants receiving benefits2017-01-01287
Total of all active and inactive participants2017-01-013,052
2016: MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-013,282
Total number of active participants reported on line 7a of the Form 55002016-01-013,085
Number of retired or separated participants receiving benefits2016-01-01252
Total of all active and inactive participants2016-01-013,337
2015: MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-013,278
Total number of active participants reported on line 7a of the Form 55002015-01-013,035
Number of retired or separated participants receiving benefits2015-01-01247
Total of all active and inactive participants2015-01-013,282
2014: MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-013,173
Total number of active participants reported on line 7a of the Form 55002014-01-012,969
Number of retired or separated participants receiving benefits2014-01-01309
Total of all active and inactive participants2014-01-013,278
2013: MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-013,353
Total number of active participants reported on line 7a of the Form 55002013-01-013,082
Number of retired or separated participants receiving benefits2013-01-01271
Total of all active and inactive participants2013-01-013,353
2012: MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-012,949
Total number of active participants reported on line 7a of the Form 55002012-01-012,977
Number of retired or separated participants receiving benefits2012-01-01298
Total of all active and inactive participants2012-01-013,275
2011: MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-012,806
Total number of active participants reported on line 7a of the Form 55002011-01-012,665
Number of retired or separated participants receiving benefits2011-01-01284
Total of all active and inactive participants2011-01-012,949

Financial Data on MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN

Measure Date Value
2023 : MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2023 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$1,934,623
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$1,336,925
Total income from all sources (including contributions)2023-12-31$34,804,942
Total of all expenses incurred2023-12-31$37,255,454
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$35,437,525
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$34,397,016
Value of total assets at end of year2023-12-31$12,584,943
Value of total assets at beginning of year2023-12-31$14,437,757
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$1,817,929
Total interest from all sources2023-12-31$339,913
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$6,992,575
Participant contributions at end of year2023-12-31$1,741
Participant contributions at beginning of year2023-12-31$7,778
Assets. Other investments not covered elsewhere at end of year2023-12-31$256,797
Assets. Other investments not covered elsewhere at beginning of year2023-12-31$264,851
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-12-31$8,969
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-12-31$159,721
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-12-31$1,764,646
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-12-31$1,158,505
Other income not declared elsewhere2023-12-31$68,013
Administrative expenses (other) incurred2023-12-31$848,036
Liabilities. Value of operating payables at end of year2023-12-31$169,977
Liabilities. Value of operating payables at beginning of year2023-12-31$178,420
Total non interest bearing cash at end of year2023-12-31$4,300,225
Total non interest bearing cash at beginning of year2023-12-31$8,027,335
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$-2,450,512
Value of net assets at end of year (total assets less liabilities)2023-12-31$10,650,320
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$13,100,832
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Income. Interest from US Government securities2023-12-31$219,570
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-12-31$2,485,889
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-12-31$2,442,861
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-12-31$2,442,861
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-12-31$120,343
Expenses. Payments to insurance carriers foe the provision of benefits2023-12-31$5,557,344
Asset value of US Government securities at end of year2023-12-31$5,523,865
Asset value of US Government securities at beginning of year2023-12-31$3,503,022
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$27,404,441
Employer contributions (assets) at end of year2023-12-31$7,457
Employer contributions (assets) at beginning of year2023-12-31$32,189
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$29,880,181
Contract administrator fees2023-12-31$945,413
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31BERRY DUNN MCNEIL & PARKER
Accountancy firm EIN2023-12-31010523282
2022 : MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,336,925
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,400,988
Total income from all sources (including contributions)2022-12-31$30,607,059
Total of all expenses incurred2022-12-31$31,450,649
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$29,379,996
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$29,676,260
Value of total assets at end of year2022-12-31$14,437,757
Value of total assets at beginning of year2022-12-31$15,345,410
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$2,070,653
Total interest from all sources2022-12-31$119,891
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$158,071
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$6,702,778
Participant contributions at end of year2022-12-31$7,778
Assets. Other investments not covered elsewhere at end of year2022-12-31$264,851
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$228,330
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$159,721
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$10,760
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$1,158,505
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$1,259,061
Other income not declared elsewhere2022-12-31$810,908
Administrative expenses (other) incurred2022-12-31$570,876
Liabilities. Value of operating payables at end of year2022-12-31$178,420
Liabilities. Value of operating payables at beginning of year2022-12-31$141,927
Total non interest bearing cash at end of year2022-12-31$8,027,335
Total non interest bearing cash at beginning of year2022-12-31$11,671,325
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-843,590
Value of net assets at end of year (total assets less liabilities)2022-12-31$13,100,832
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$13,944,422
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Income. Interest from US Government securities2022-12-31$60,424
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$2,442,861
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$3,434,995
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$3,434,995
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$59,467
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$5,311,011
Asset value of US Government securities at end of year2022-12-31$3,503,022
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$22,973,482
Employer contributions (assets) at end of year2022-12-31$32,189
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$24,068,985
Contract administrator fees2022-12-31$1,341,706
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31BERRY DUNN MCNEIL & PARKER
Accountancy firm EIN2022-12-31010523282
2021 : MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,400,988
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,697,345
Total income from all sources (including contributions)2021-12-31$31,217,132
Total of all expenses incurred2021-12-31$29,318,033
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$26,986,205
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$30,300,539
Value of total assets at end of year2021-12-31$15,345,410
Value of total assets at beginning of year2021-12-31$13,742,668
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$2,331,828
Total interest from all sources2021-12-31$84,807
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$80,203
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$6,826,770
Assets. Other investments not covered elsewhere at end of year2021-12-31$228,330
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$187,621
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$10,760
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$108,219
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$1,259,061
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$1,564,963
Other income not declared elsewhere2021-12-31$831,786
Administrative expenses (other) incurred2021-12-31$595,087
Liabilities. Value of operating payables at end of year2021-12-31$141,927
Liabilities. Value of operating payables at beginning of year2021-12-31$132,382
Total non interest bearing cash at end of year2021-12-31$11,671,325
Total non interest bearing cash at beginning of year2021-12-31$7,912,222
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$1,899,099
Value of net assets at end of year (total assets less liabilities)2021-12-31$13,944,422
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$12,045,323
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Income. Interest from US Government securities2021-12-31$14,619
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$3,434,995
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$4,535,475
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$4,535,475
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$70,188
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$4,742,408
Asset value of US Government securities at end of year2021-12-31$0
Asset value of US Government securities at beginning of year2021-12-31$999,131
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$23,473,769
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$22,243,797
Contract administrator fees2021-12-31$1,656,538
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31BERRY DUNN MCNEIL & PARKER
Accountancy firm EIN2021-12-31010523282
2020 : MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,697,345
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,707,317
Total income from all sources (including contributions)2020-12-31$29,142,977
Total of all expenses incurred2020-12-31$26,198,158
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$24,009,680
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$28,252,415
Value of total assets at end of year2020-12-31$13,742,668
Value of total assets at beginning of year2020-12-31$10,807,821
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$2,188,478
Total interest from all sources2020-12-31$111,884
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$89,575
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$6,319,138
Participant contributions at end of year2020-12-31$0
Participant contributions at beginning of year2020-12-31$2,075
Assets. Other investments not covered elsewhere at end of year2020-12-31$187,621
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$209,315
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$108,219
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$73,769
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$1,564,963
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$1,591,640
Other income not declared elsewhere2020-12-31$778,678
Administrative expenses (other) incurred2020-12-31$498,014
Liabilities. Value of operating payables at end of year2020-12-31$132,382
Liabilities. Value of operating payables at beginning of year2020-12-31$115,677
Total non interest bearing cash at end of year2020-12-31$7,912,222
Total non interest bearing cash at beginning of year2020-12-31$4,979,974
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$2,944,819
Value of net assets at end of year (total assets less liabilities)2020-12-31$12,045,323
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$9,100,504
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Income. Interest from US Government securities2020-12-31$31,566
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$4,535,475
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$2,542,148
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$2,542,148
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$80,318
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$4,438,704
Asset value of US Government securities at end of year2020-12-31$999,131
Asset value of US Government securities at beginning of year2020-12-31$2,983,815
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$21,933,277
Employer contributions (assets) at end of year2020-12-31$0
Employer contributions (assets) at beginning of year2020-12-31$16,725
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$19,570,976
Contract administrator fees2020-12-31$1,600,889
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31BERRY DUNN MCNEIL & PARKER
Accountancy firm EIN2020-12-31010523282
2019 : MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,707,317
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$2,620,445
Total income from all sources (including contributions)2019-12-31$27,862,085
Total of all expenses incurred2019-12-31$28,713,268
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$25,998,931
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$26,992,044
Value of total assets at end of year2019-12-31$10,807,821
Value of total assets at beginning of year2019-12-31$12,572,132
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$2,714,337
Total interest from all sources2019-12-31$143,470
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$75,656
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$6,485,371
Participant contributions at end of year2019-12-31$2,075
Assets. Other investments not covered elsewhere at end of year2019-12-31$209,315
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$244,685
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$73,769
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$140,051
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$1,591,640
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$2,473,986
Other income not declared elsewhere2019-12-31$726,571
Administrative expenses (other) incurred2019-12-31$561,647
Liabilities. Value of operating payables at end of year2019-12-31$115,677
Liabilities. Value of operating payables at beginning of year2019-12-31$146,459
Total non interest bearing cash at end of year2019-12-31$4,979,974
Total non interest bearing cash at beginning of year2019-12-31$9,823,882
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-851,183
Value of net assets at end of year (total assets less liabilities)2019-12-31$9,100,504
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$9,951,687
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Income. Interest from US Government securities2019-12-31$41,394
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$2,542,148
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$2,217,236
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$2,217,236
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$102,076
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$4,571,202
Asset value of US Government securities at end of year2019-12-31$2,983,815
Asset value of US Government securities at beginning of year2019-12-31$146,278
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$20,506,673
Employer contributions (assets) at end of year2019-12-31$16,725
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$21,427,729
Contract administrator fees2019-12-31$2,077,034
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31BERRY DUNN MCNEIL & PARKER
Accountancy firm EIN2019-12-31010523282
2018 : MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$2,620,445
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$2,289,915
Total income from all sources (including contributions)2018-12-31$34,637,360
Total of all expenses incurred2018-12-31$34,343,811
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$31,217,626
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$33,620,826
Value of total assets at end of year2018-12-31$12,572,132
Value of total assets at beginning of year2018-12-31$11,948,053
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$3,126,185
Total interest from all sources2018-12-31$108,021
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$86,346
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$7,810,512
Participant contributions at end of year2018-12-31$0
Participant contributions at beginning of year2018-12-31$72,454
Assets. Other investments not covered elsewhere at end of year2018-12-31$244,685
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$152,737
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$140,051
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$105,174
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$2,473,986
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$2,142,379
Other income not declared elsewhere2018-12-31$908,513
Administrative expenses (other) incurred2018-12-31$587,396
Liabilities. Value of operating payables at end of year2018-12-31$146,459
Liabilities. Value of operating payables at beginning of year2018-12-31$147,536
Total non interest bearing cash at end of year2018-12-31$9,823,882
Total non interest bearing cash at beginning of year2018-12-31$8,413,149
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$293,549
Value of net assets at end of year (total assets less liabilities)2018-12-31$9,951,687
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$9,658,138
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Income. Interest from US Government securities2018-12-31$274
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$2,217,236
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$2,990,441
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$2,990,441
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$107,747
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$5,764,590
Asset value of US Government securities at end of year2018-12-31$146,278
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$25,810,314
Employer contributions (assets) at end of year2018-12-31$0
Employer contributions (assets) at beginning of year2018-12-31$214,098
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$25,453,036
Contract administrator fees2018-12-31$2,452,443
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31BERRY DUNN MCNEIL & PARKER
Accountancy firm EIN2018-12-31010523282
2017 : MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$2,289,915
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$2,294,682
Total income from all sources (including contributions)2017-12-31$33,113,945
Total of all expenses incurred2017-12-31$32,009,912
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$28,873,978
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$32,190,007
Value of total assets at end of year2017-12-31$11,948,053
Value of total assets at beginning of year2017-12-31$10,848,787
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$3,135,934
Total interest from all sources2017-12-31$66,895
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$61,751
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$7,403,423
Participant contributions at end of year2017-12-31$72,454
Participant contributions at beginning of year2017-12-31$38,167
Assets. Other investments not covered elsewhere at end of year2017-12-31$152,737
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$274,010
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$105,174
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$114,727
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$2,142,379
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$2,159,023
Other income not declared elsewhere2017-12-31$857,043
Administrative expenses (other) incurred2017-12-31$668,474
Liabilities. Value of operating payables at end of year2017-12-31$147,536
Liabilities. Value of operating payables at beginning of year2017-12-31$135,659
Total non interest bearing cash at end of year2017-12-31$8,413,149
Total non interest bearing cash at beginning of year2017-12-31$7,334,886
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$1,104,033
Value of net assets at end of year (total assets less liabilities)2017-12-31$9,658,138
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$8,554,105
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$2,990,441
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$2,959,777
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$2,959,777
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$66,895
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$4,900,079
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$24,786,584
Employer contributions (assets) at end of year2017-12-31$214,098
Employer contributions (assets) at beginning of year2017-12-31$127,220
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$23,973,899
Contract administrator fees2017-12-31$2,405,709
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31BERRY DUNN MCNEIL & PARKER
Accountancy firm EIN2017-12-31010523282
2016 : MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$2,294,682
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$1,691,514
Total income from all sources (including contributions)2016-12-31$30,808,655
Total of all expenses incurred2016-12-31$29,852,705
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$26,751,513
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$29,929,066
Value of total assets at end of year2016-12-31$10,848,787
Value of total assets at beginning of year2016-12-31$9,289,669
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$3,101,192
Total interest from all sources2016-12-31$57,740
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$62,289
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$6,883,573
Participant contributions at end of year2016-12-31$38,167
Participant contributions at beginning of year2016-12-31$68,345
Assets. Other investments not covered elsewhere at end of year2016-12-31$274,010
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$223,159
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$114,727
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$60,704
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$2,159,023
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$1,561,518
Other income not declared elsewhere2016-12-31$821,849
Administrative expenses (other) incurred2016-12-31$570,173
Liabilities. Value of operating payables at end of year2016-12-31$135,659
Liabilities. Value of operating payables at beginning of year2016-12-31$129,996
Total non interest bearing cash at end of year2016-12-31$7,334,886
Total non interest bearing cash at beginning of year2016-12-31$5,501,633
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$955,950
Value of net assets at end of year (total assets less liabilities)2016-12-31$8,554,105
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$7,598,155
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$2,959,777
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$3,219,804
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$3,219,804
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$57,740
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$4,443,597
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$23,045,493
Employer contributions (assets) at end of year2016-12-31$127,220
Employer contributions (assets) at beginning of year2016-12-31$216,024
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$22,307,916
Contract administrator fees2016-12-31$2,468,730
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31BERRY DUNN MCNEIL & PARKER
Accountancy firm EIN2016-12-31010523282
2015 : MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$1,691,514
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$140,924
Total income from all sources (including contributions)2015-12-31$29,756,350
Total of all expenses incurred2015-12-31$27,365,547
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$24,405,957
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$28,085,842
Value of total assets at end of year2015-12-31$9,289,669
Value of total assets at beginning of year2015-12-31$5,348,276
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$2,959,590
Total interest from all sources2015-12-31$48,384
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$46,044
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$6,393,173
Participant contributions at end of year2015-12-31$68,345
Participant contributions at beginning of year2015-12-31$58,702
Assets. Other investments not covered elsewhere at end of year2015-12-31$223,159
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$189,617
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$1,288,312
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$60,704
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$192,347
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$1,561,518
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$13,249
Other income not declared elsewhere2015-12-31$1,622,124
Administrative expenses (other) incurred2015-12-31$637,359
Liabilities. Value of operating payables at end of year2015-12-31$129,996
Liabilities. Value of operating payables at beginning of year2015-12-31$127,675
Total non interest bearing cash at end of year2015-12-31$5,501,633
Total non interest bearing cash at beginning of year2015-12-31$1,667,441
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$2,390,803
Value of net assets at end of year (total assets less liabilities)2015-12-31$7,598,155
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$5,207,352
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$3,219,804
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$3,039,494
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$3,039,494
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$48,384
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$23,117,645
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$21,692,669
Employer contributions (assets) at end of year2015-12-31$216,024
Employer contributions (assets) at beginning of year2015-12-31$200,675
Contract administrator fees2015-12-31$2,276,187
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31BERRY DUNN MCNEIL & PARKER
Accountancy firm EIN2015-12-31010523282
2014 : MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$140,924
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$2,010,074
Total income from all sources (including contributions)2014-12-31$32,841,225
Total of all expenses incurred2014-12-31$31,704,995
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$30,365,010
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$28,603,173
Value of total assets at end of year2014-12-31$5,348,276
Value of total assets at beginning of year2014-12-31$6,081,196
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$1,339,985
Total interest from all sources2014-12-31$44,699
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$47,428
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$6,495,168
Participant contributions at end of year2014-12-31$58,702
Participant contributions at beginning of year2014-12-31$56,074
Assets. Other investments not covered elsewhere at end of year2014-12-31$189,617
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$185,323
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$192,347
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$57,655
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$13,249
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$1,844,179
Other income not declared elsewhere2014-12-31$4,193,353
Administrative expenses (other) incurred2014-12-31$431,777
Liabilities. Value of operating payables at end of year2014-12-31$127,675
Liabilities. Value of operating payables at beginning of year2014-12-31$165,895
Total non interest bearing cash at end of year2014-12-31$1,667,441
Total non interest bearing cash at beginning of year2014-12-31$1,827,717
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$1,136,230
Value of net assets at end of year (total assets less liabilities)2014-12-31$5,207,352
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$4,071,122
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$3,039,494
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$3,751,155
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$3,751,155
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$44,699
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$30,365,010
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$22,108,005
Employer contributions (assets) at end of year2014-12-31$200,675
Employer contributions (assets) at beginning of year2014-12-31$203,272
Contract administrator fees2014-12-31$860,780
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31BERRY DUNN MCNEIL & PARKER
Accountancy firm EIN2014-12-31010523282
2013 : MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$2,012,957
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$1,954,946
Total income from all sources (including contributions)2013-12-31$28,364,005
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$29,035,995
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$27,832,433
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$27,233,564
Value of total assets at end of year2013-12-31$6,084,079
Value of total assets at beginning of year2013-12-31$6,698,058
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$1,203,562
Total interest from all sources2013-12-31$46,349
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Administrative expenses professional fees incurred2013-12-31$53,240
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$6,559,649
Participant contributions at end of year2013-12-31$56,074
Participant contributions at beginning of year2013-12-31$87,792
Assets. Other investments not covered elsewhere at end of year2013-12-31$21,358
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$28,589
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$483,849
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$688,121
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$1,970,059
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$1,923,436
Other income not declared elsewhere2013-12-31$1,084,092
Administrative expenses (other) incurred2013-12-31$405,008
Liabilities. Value of operating payables at end of year2013-12-31$42,898
Liabilities. Value of operating payables at beginning of year2013-12-31$31,510
Total non interest bearing cash at end of year2013-12-31$1,827,717
Total non interest bearing cash at beginning of year2013-12-31$2,498,101
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-671,990
Value of net assets at end of year (total assets less liabilities)2013-12-31$4,071,122
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$4,743,112
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$3,751,155
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$3,483,247
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$3,483,247
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$46,349
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$27,832,433
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$27,233,564
Employer contributions (assets) at end of year2013-12-31$203,272
Employer contributions (assets) at beginning of year2013-12-31$276,792
Contract administrator fees2013-12-31$745,314
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31MACPAGE, LLC
Accountancy firm EIN2013-12-31010242373
2012 : MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$1,954,946
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$1,895,186
Total income from all sources (including contributions)2012-12-31$28,452,929
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$26,657,102
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$25,776,692
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$25,682,990
Value of total assets at end of year2012-12-31$6,698,058
Value of total assets at beginning of year2012-12-31$4,842,471
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$880,410
Total interest from all sources2012-12-31$40,085
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Administrative expenses professional fees incurred2012-12-31$32,753
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Assets. Other investments not covered elsewhere at end of year2012-12-31$28,589
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$26,322
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$688,121
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$480,228
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$1,923,436
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$1,848,423
Other income not declared elsewhere2012-12-31$2,729,854
Administrative expenses (other) incurred2012-12-31$213,928
Liabilities. Value of operating payables at end of year2012-12-31$31,510
Liabilities. Value of operating payables at beginning of year2012-12-31$46,763
Total non interest bearing cash at end of year2012-12-31$2,498,101
Total non interest bearing cash at beginning of year2012-12-31$1,994,943
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$1,795,827
Value of net assets at end of year (total assets less liabilities)2012-12-31$4,743,112
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$2,947,285
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$3,483,247
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$2,340,978
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$2,340,978
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$40,085
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$25,776,692
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$25,682,990
Contract administrator fees2012-12-31$633,729
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31MACDONALD PAGE & CO., LLC
Accountancy firm EIN2012-12-31010242373
2011 : MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$1,895,186
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$184,951
Total income from all sources (including contributions)2011-12-31$25,490,697
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$25,181,254
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$24,394,791
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$24,602,506
Value of total assets at end of year2011-12-31$4,842,471
Value of total assets at beginning of year2011-12-31$2,822,793
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$786,463
Total interest from all sources2011-12-31$30,113
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Administrative expenses professional fees incurred2011-12-31$36,691
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Assets. Other investments not covered elsewhere at end of year2011-12-31$26,322
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$17,377
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$480,228
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$360,876
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$1,848,423
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$68,783
Other income not declared elsewhere2011-12-31$858,078
Administrative expenses (other) incurred2011-12-31$138,325
Liabilities. Value of operating payables at end of year2011-12-31$46,763
Liabilities. Value of operating payables at beginning of year2011-12-31$116,168
Total non interest bearing cash at end of year2011-12-31$1,994,943
Total non interest bearing cash at beginning of year2011-12-31$891,648
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$309,443
Value of net assets at end of year (total assets less liabilities)2011-12-31$2,947,285
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$2,637,842
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$2,340,978
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$1,552,892
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$1,552,892
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$30,113
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$24,394,791
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$24,602,506
Contract administrator fees2011-12-31$611,447
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31MACDONALD PAGE & CO., LLC
Accountancy firm EIN2011-12-31010242373

Form 5500 Responses for MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN

2023: MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2023 form 5500 responses
2023-01-01Type of plan entityMulitple employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entityMulitple employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entityMulitple employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entityMulitple employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2019 form 5500 responses
2019-01-01Type of plan entityMulitple employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2018 form 5500 responses
2018-01-01Type of plan entityMulitple employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entityMulitple employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entityMulitple employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entityMulitple employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2014 form 5500 responses
2014-01-01Type of plan entityMulitple employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2013 form 5500 responses
2013-01-01Type of plan entityMulitple employer plan
2013-01-01Submission has been amendedYes
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2012 form 5500 responses
2012-01-01Type of plan entityMulitple employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: MAINE BANKERS ASSOCIATION EMPLOYEE BENEFIT PLAN 2011 form 5500 responses
2011-01-01Type of plan entityMulitple employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006424
Policy instance 4
Insurance contract or identification number000006424
Number of Individuals Covered714
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $12,757
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $307,481
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberBTA37114
Policy instance 10
Insurance contract or identification numberBTA37114
Number of Individuals Covered2372
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,472
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADD-S06325
Policy instance 1
Insurance contract or identification numberADD-S06325
Number of Individuals Covered769
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $48,146
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number000097
Policy instance 2
Insurance contract or identification number000097
Number of Individuals Covered2072
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,904,129
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006423
Policy instance 3
Insurance contract or identification number000006423
Number of Individuals Covered3343
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $28,129
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,419,041
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )
Policy contract numberME001GRX
Policy instance 5
Insurance contract or identification numberME001GRX
Number of Individuals Covered70
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $2,370
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $127,629
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract numberSA3890LF017601
Policy instance 6
Insurance contract or identification numberSA3890LF017601
Number of Individuals Covered2795
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $668,246
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract numberGF3890LF017601
Policy instance 7
Insurance contract or identification numberGF3890LF017601
Number of Individuals Covered2120
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $402,333
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract numberGD3890LF017601
Policy instance 8
Insurance contract or identification numberGD3890LF017601
Number of Individuals Covered802
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $203,808
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30093802
Policy instance 9
Insurance contract or identification number30093802
Number of Individuals Covered1683
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $27,128
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $271,221
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract numberGD3890LF017601
Policy instance 8
Insurance contract or identification numberGD3890LF017601
Number of Individuals Covered601
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $190,941
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADD-S06325
Policy instance 1
Insurance contract or identification numberADD-S06325
Number of Individuals Covered763
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $47,279
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number000097
Policy instance 2
Insurance contract or identification number000097
Number of Individuals Covered2034
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,600,214
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006423
Policy instance 3
Insurance contract or identification number000006423
Number of Individuals Covered3391
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $27,589
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,408,837
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,589
Insurance broker organization code?3
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006424
Policy instance 4
Insurance contract or identification number000006424
Number of Individuals Covered720
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $13,843
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $342,126
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,090
Insurance broker organization code?3
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number90000017
Policy instance 5
Insurance contract or identification number90000017
Number of Individuals Covered71
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $2,421
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $142,786
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,421
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract numberSA3890LF017601
Policy instance 6
Insurance contract or identification numberSA3890LF017601
Number of Individuals Covered2814
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $694,406
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract numberGF3890LF017601
Policy instance 7
Insurance contract or identification numberGF3890LF017601
Number of Individuals Covered2543
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $389,904
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30093802
Policy instance 9
Insurance contract or identification number30093802
Number of Individuals Covered1693
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $26,854
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $268,468
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,854
Insurance broker organization code?3
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberBTA37114
Policy instance 10
Insurance contract or identification numberBTA37114
Number of Individuals Covered2428
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,472
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006424
Policy instance 4
Insurance contract or identification number000006424
Number of Individuals Covered686
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $11,764
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $290,174
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,025
Insurance broker organization code?3
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006423
Policy instance 3
Insurance contract or identification number000006423
Number of Individuals Covered3352
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $25,916
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,319,761
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,916
Insurance broker organization code?3
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number000097
Policy instance 2
Insurance contract or identification number000097
Number of Individuals Covered4228
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,578,989
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADD-S06325
Policy instance 1
Insurance contract or identification numberADD-S06325
Number of Individuals Covered754
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $47,788
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number90000017
Policy instance 5
Insurance contract or identification number90000017
Number of Individuals Covered88
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $2,862
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $157,952
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,862
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract numberSA3890LF017601
Policy instance 6
Insurance contract or identification numberSA3890LF017601
Number of Individuals Covered2758
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $662,397
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract numberGF3890LF017601
Policy instance 7
Insurance contract or identification numberGF3890LF017601
Number of Individuals Covered2514
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $375,177
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30093802
Policy instance 9
Insurance contract or identification number30093802
Number of Individuals Covered1674
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $25,945
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $259,460
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,945
Insurance broker organization code?3
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberBTA37114
Policy instance 10
Insurance contract or identification numberBTA37114
Number of Individuals Covered2089
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,472
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract numberGD3890LF017601
Policy instance 8
Insurance contract or identification numberGD3890LF017601
Number of Individuals Covered778
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $180,191
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006424
Policy instance 4
Insurance contract or identification number000006424
Number of Individuals Covered570
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $10,771
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $243,188
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,517
Insurance broker organization code?3
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006423
Policy instance 3
Insurance contract or identification number000006423
Number of Individuals Covered3187
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $24,875
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,138,426
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,875
Insurance broker organization code?3
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number000097
Policy instance 2
Insurance contract or identification number000097
Number of Individuals Covered4182
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $2,899
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,520,297
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,899
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADD-S06325
Policy instance 1
Insurance contract or identification numberADD-S06325
Number of Individuals Covered765
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $48,107
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number90000017
Policy instance 5
Insurance contract or identification number90000017
Number of Individuals Covered91
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $3,339
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $164,298
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,339
Insurance broker organization code?3
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberSA3890LF017601
Policy instance 6
Insurance contract or identification numberSA3890LF017601
Number of Individuals Covered2673
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $620,166
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF3890LF017601
Policy instance 7
Insurance contract or identification numberGF3890LF017601
Number of Individuals Covered2444
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $351,783
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGD3890LF017601
Policy instance 8
Insurance contract or identification numberGD3890LF017601
Number of Individuals Covered777
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $179,057
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30093802
Policy instance 9
Insurance contract or identification number30093802
Number of Individuals Covered1585
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $23,767
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $237,661
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,767
Insurance broker organization code?3
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberBTA37114
Policy instance 10
Insurance contract or identification numberBTA37114
Number of Individuals Covered2098
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,840
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number910003
Policy instance 7
Insurance contract or identification number910003
Number of Individuals Covered177
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $75,098
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number90000017
Policy instance 6
Insurance contract or identification number90000017
Number of Individuals Covered96
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $3,486
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $174,808
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,486
Insurance broker organization code?3
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006424
Policy instance 5
Insurance contract or identification number000006424
Number of Individuals Covered570
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $10,771
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $242,602
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,517
Insurance broker organization code?3
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006423
Policy instance 4
Insurance contract or identification number000006423
Number of Individuals Covered3450
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $27,430
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,370,613
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,430
Insurance broker organization code?3
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number000097
Policy instance 3
Insurance contract or identification number000097
Number of Individuals Covered4101
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $17,917
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,659,119
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,917
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADD-S06325
Policy instance 2
Insurance contract or identification numberADD-S06325
Number of Individuals Covered755
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $46,207
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number132025
Policy instance 1
Insurance contract or identification number132025
Number of Individuals Covered2348
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $1,194,505
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number910003
Policy instance 7
Insurance contract or identification number910003
Number of Individuals Covered463
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $177,441
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006424
Policy instance 5
Insurance contract or identification number000006424
Number of Individuals Covered1150
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $19,070
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $486,362
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,768
Insurance broker organization code?3
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number90000017
Policy instance 6
Insurance contract or identification number90000017
Number of Individuals Covered104
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $3,849
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $183,670
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,849
Insurance broker organization code?3
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006423
Policy instance 4
Insurance contract or identification number000006423
Number of Individuals Covered3963
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $29,281
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,480,313
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,281
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADD-S06325
Policy instance 2
Insurance contract or identification numberADD-S06325
Number of Individuals Covered1122
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $68,166
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number000097
Policy instance 3
Insurance contract or identification number000097
Number of Individuals Covered5443
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $19,673
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,599,600
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,673
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number132025
Policy instance 1
Insurance contract or identification number132025
Number of Individuals Covered3096
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $1,508,473
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number132025
Policy instance 1
Insurance contract or identification number132025
Number of Individuals Covered2982
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $1,513,551
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADD-S06325
Policy instance 2
Insurance contract or identification numberADD-S06325
Number of Individuals Covered1048
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $66,511
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number000097
Policy instance 3
Insurance contract or identification number000097
Number of Individuals Covered8880
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $23,240
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,375,434
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,240
Insurance broker organization code?3
Insurance broker nameCOMMUNITY BANKS INSURANCE AGENCY
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006423
Policy instance 4
Insurance contract or identification number000006423
Number of Individuals Covered3737
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $28,111
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,409,328
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,111
Insurance broker organization code?3
Insurance broker nameMFIT MAINE FINANCIAL INST INS
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006424
Policy instance 5
Insurance contract or identification number000006424
Number of Individuals Covered998
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $16,131
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $398,382
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,262
Insurance broker organization code?3
Insurance broker nameMFIT MAINE FINANCIAL INST INS
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number90000017
Policy instance 6
Insurance contract or identification number90000017
Number of Individuals Covered112
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $4,065
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $191,348
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,065
Insurance broker organization code?3
Insurance broker nameCOMMUNITY BANKS INSURANCE AGENCY
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number910003
Policy instance 7
Insurance contract or identification number910003
Number of Individuals Covered259
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $123,490
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberBTA-37114
Policy instance 8
Insurance contract or identification numberBTA-37114
Number of Individuals Covered1933
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,832
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADD-S06325
Policy instance 2
Insurance contract or identification numberADD-S06325
Number of Individuals Covered1042
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $65,351
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number132025
Policy instance 1
Insurance contract or identification number132025
Number of Individuals Covered2730
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $1,238,899
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number000097
Policy instance 3
Insurance contract or identification number000097
Number of Individuals Covered9108
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $138,502
Total amount of fees paid to insurance companyUSD $120,496
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,146,270
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees120496
Additional information about fees paid to insurance brokerBONUS COMPENSATION
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $84,553
Insurance broker nameCOMMUNITY BANKS INSURANCE AGENCY
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006423
Policy instance 4
Insurance contract or identification number000006423
Number of Individuals Covered3786
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $28,544
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,439,299
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,544
Insurance broker organization code?3
Insurance broker nameMFIT MAINE FINANCIAL INST INS
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006424
Policy instance 5
Insurance contract or identification number000006424
Number of Individuals Covered627
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $9,691
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $237,156
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,964
Insurance broker organization code?3
Insurance broker nameMFIT MAINE FINANCIAL INST INS
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number90001552
Policy instance 6
Insurance contract or identification number90001552
Number of Individuals Covered120
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $4,014
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $213,777
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,014
Insurance broker organization code?3
Insurance broker nameCOMMUNITY BANKS INSURANCE AGENCY
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number132025
Policy instance 1
Insurance contract or identification number132025
Number of Individuals Covered2864
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $1,194,581
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADD-S06325
Policy instance 2
Insurance contract or identification numberADD-S06325
Number of Individuals Covered1038
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $63,951
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberBTA-37114
Policy instance 3
Insurance contract or identification numberBTA-37114
Number of Individuals Covered2062
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,881
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number000097
Policy instance 4
Insurance contract or identification number000097
Number of Individuals Covered4966
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $554,696
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
Vision Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Welfare Benefit Premiums Paid to CarrierUSD $134,800
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $375,751
Insurance broker organization code?3
Insurance broker nameCOMMUNITY BANKS INSURANCE AGENCY
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006423
Policy instance 5
Insurance contract or identification number000006423
Number of Individuals Covered3726
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $29,575
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,493,680
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,575
Insurance broker organization code?3
Insurance broker nameMFIT MAINE FINANCIAL INST INS
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000006424
Policy instance 6
Insurance contract or identification number000006424
Number of Individuals Covered590
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $8,981
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $221,678
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,600
Insurance broker organization code?3
Insurance broker nameMFIT MAINE FINANCIAL INST INS
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number90000017
Policy instance 7
Insurance contract or identification number90000017
Number of Individuals Covered134
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $198,724
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number132025
Policy instance 4
Insurance contract or identification number132025
Number of Individuals Covered2879
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $28,193
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,213,961
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADDS06325
Policy instance 3
Insurance contract or identification numberADDS06325
Number of Individuals Covered1062
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $3,438
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $65,234
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number6423,6424
Policy instance 2
Insurance contract or identification number6423,6424
Number of Individuals Covered4455
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $37,590
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,680,337
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number000097
Policy instance 1
Insurance contract or identification number000097
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Number of Individuals Covered2231
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number90000017
Policy instance 5
Insurance contract or identification number90000017
Number of Individuals Covered142
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $213,900
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number90000017
Policy instance 1
Insurance contract or identification number90000017
Number of Individuals Covered142
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $213,900
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number132025
Policy instance 3
Insurance contract or identification number132025
Number of Individuals Covered2879
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,108,828
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADDS06325
Policy instance 2
Insurance contract or identification numberADDS06325
Number of Individuals Covered1062
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $65,234
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number000097
Policy instance 4
Insurance contract or identification number000097
Number of Individuals Covered4825
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $300,077
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?Yes
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $130,567
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $194,727
Insurance broker organization code?3
Additional information about fees paid to insurance broker```````````````````````````````````
Insurance broker nameMAINE FINAN INST EMPLOY BENEFITS TR
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number6423,6424
Policy instance 5
Insurance contract or identification number6423,6424
Number of Individuals Covered4458
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $37,590
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,698,352
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33,403
Insurance broker organization code?3
Insurance broker nameCOMMUNITY BANKS INSURANCE AGENCY
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number6423,6424
Policy instance 2
Insurance contract or identification number6423,6424
Number of Individuals Covered4456
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $33,690
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,536,046
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,077
Insurance broker organization code?3
Insurance broker nameCOMMUNITY BANKS INSURANCE AGENCY
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number000097
Policy instance 1
Insurance contract or identification number000097
Number of Individuals Covered2274
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $640,319
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $445,856
Insurance broker organization code?3
Insurance broker nameCOMMUNITY BANKS INSUR AGENCY,INC.
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADDS06325
Policy instance 3
Insurance contract or identification numberADDS06325
Number of Individuals Covered1030
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,225
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $65,314
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,225
Insurance broker organization code?3
Insurance broker nameMAINE FINAN INST EMPLOY BENES TR
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number132025
Policy instance 4
Insurance contract or identification number132025
Number of Individuals Covered2912
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $26,715
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $937,211
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,715
Insurance broker organization code?3
Insurance broker nameMAINE FINAN INST EMPLOY BENE TR
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number000097,00Y625
Policy instance 1
Insurance contract or identification number000097,00Y625
Number of Individuals Covered2094
Insurance policy start date2010-07-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $971,478
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $30,490,077
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number6423,6424
Policy instance 2
Insurance contract or identification number6423,6424
Number of Individuals Covered3904
Insurance policy start date2010-07-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $42,624
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,835,521
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADDS06325
Policy instance 3
Insurance contract or identification numberADDS06325
Number of Individuals Covered929
Insurance policy start date2010-07-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $4,364
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $79,193
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number132025
Policy instance 4
Insurance contract or identification number132025
Number of Individuals Covered2854
Insurance policy start date2010-07-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $37,545
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,248,971
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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