ALLEGIANT MANAGEMENT CORPORATION has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan ALLEGIANT MANAGEMENT CORPORATION FLEXIBLE BENEFIT PLAN
401k plan membership statisitcs for ALLEGIANT MANAGEMENT CORPORATION FLEXIBLE BENEFIT PLAN
| Measure | Date | Value |
|---|
| 2016: ALLEGIANT MANAGEMENT CORPORATION FLEXIBLE BENEFIT PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 19 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 0 |
| Total of all active and inactive participants | 2016-01-01 | 0 |
| 2015: ALLEGIANT MANAGEMENT CORPORATION FLEXIBLE BENEFIT PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 35 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 19 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 0 |
| Total of all active and inactive participants | 2015-01-01 | 19 |
| 2014: ALLEGIANT MANAGEMENT CORPORATION FLEXIBLE BENEFIT PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 50 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 35 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 0 |
| Total of all active and inactive participants | 2014-01-01 | 35 |
| 2013: ALLEGIANT MANAGEMENT CORPORATION FLEXIBLE BENEFIT PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 67 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 48 |
| Total of all active and inactive participants | 2013-01-01 | 48 |
| 2012: ALLEGIANT MANAGEMENT CORPORATION FLEXIBLE BENEFIT PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 69 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 67 |
| Total of all active and inactive participants | 2012-01-01 | 67 |
| 2011: ALLEGIANT MANAGEMENT CORPORATION FLEXIBLE BENEFIT PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 98 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 69 |
| Total of all active and inactive participants | 2011-01-01 | 69 |
| 2010: ALLEGIANT MANAGEMENT CORPORATION FLEXIBLE BENEFIT PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-01-01 | 115 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 98 |
| Total of all active and inactive participants | 2010-01-01 | 98 |
| 2009: ALLEGIANT MANAGEMENT CORPORATION FLEXIBLE BENEFIT PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 131 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 115 |
| Total of all active and inactive participants | 2009-01-01 | 115 |
| Measure | Date | Value |
|---|
| 2016 : ALLEGIANT MANAGEMENT CORPORATION FLEXIBLE BENEFIT PLAN 2016 401k financial data |
|---|
| Total plan liabilities at end of year | 2016-12-31 | $813 |
| Total plan liabilities at beginning of year | 2016-12-31 | $603 |
| Total income from all sources | 2016-12-31 | $182,162 |
| Expenses. Total of all expenses incurred | 2016-12-31 | $182,162 |
| Benefits paid (including direct rollovers) | 2016-12-31 | $157,823 |
| Total plan assets at end of year | 2016-12-31 | $373,833 |
| Total plan assets at beginning of year | 2016-12-31 | $373,623 |
| Value of fidelity bond covering the plan | 2016-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2016-12-31 | $182,162 |
| Net plan assets at end of year (total assets less liabilities) | 2016-12-31 | $373,020 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-12-31 | $373,020 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2016-12-31 | $24,339 |
| 2015 : ALLEGIANT MANAGEMENT CORPORATION FLEXIBLE BENEFIT PLAN 2015 401k financial data |
|---|
| Total plan liabilities at end of year | 2015-12-31 | $603 |
| Total plan liabilities at beginning of year | 2015-12-31 | $622 |
| Total income from all sources | 2015-12-31 | $211,681 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $211,681 |
| Benefits paid (including direct rollovers) | 2015-12-31 | $186,823 |
| Total plan assets at end of year | 2015-12-31 | $373,623 |
| Total plan assets at beginning of year | 2015-12-31 | $373,642 |
| Value of fidelity bond covering the plan | 2015-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2015-12-31 | $211,681 |
| Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $373,020 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $373,020 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2015-12-31 | $24,858 |
| 2014 : ALLEGIANT MANAGEMENT CORPORATION FLEXIBLE BENEFIT PLAN 2014 401k financial data |
|---|
| Total plan liabilities at end of year | 2014-12-31 | $622 |
| Total plan liabilities at beginning of year | 2014-12-31 | $1,733 |
| Total income from all sources | 2014-12-31 | $333,083 |
| Expenses. Total of all expenses incurred | 2014-12-31 | $333,083 |
| Benefits paid (including direct rollovers) | 2014-12-31 | $303,410 |
| Total plan assets at end of year | 2014-12-31 | $373,642 |
| Total plan assets at beginning of year | 2014-12-31 | $374,753 |
| Value of fidelity bond covering the plan | 2014-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2014-12-31 | $333,083 |
| Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $373,020 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $373,020 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2014-12-31 | $29,673 |
| 2013 : ALLEGIANT MANAGEMENT CORPORATION FLEXIBLE BENEFIT PLAN 2013 401k financial data |
|---|
| Total plan liabilities at end of year | 2013-12-31 | $1,733 |
| Total plan liabilities at beginning of year | 2013-12-31 | $861 |
| Total income from all sources | 2013-12-31 | $567,395 |
| Expenses. Total of all expenses incurred | 2013-12-31 | $567,395 |
| Benefits paid (including direct rollovers) | 2013-12-31 | $532,747 |
| Total plan assets at end of year | 2013-12-31 | $374,753 |
| Total plan assets at beginning of year | 2013-12-31 | $373,881 |
| Value of fidelity bond covering the plan | 2013-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2013-12-31 | $567,395 |
| Net plan assets at end of year (total assets less liabilities) | 2013-12-31 | $373,020 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-12-31 | $373,020 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2013-12-31 | $34,648 |
| 2012 : ALLEGIANT MANAGEMENT CORPORATION FLEXIBLE BENEFIT PLAN 2012 401k financial data |
|---|
| Total plan liabilities at end of year | 2012-12-31 | $861 |
| Total plan liabilities at beginning of year | 2012-12-31 | $806 |
| Total income from all sources | 2012-12-31 | $752,025 |
| Expenses. Total of all expenses incurred | 2012-12-31 | $752,025 |
| Benefits paid (including direct rollovers) | 2012-12-31 | $720,342 |
| Total plan assets at end of year | 2012-12-31 | $373,881 |
| Total plan assets at beginning of year | 2012-12-31 | $373,826 |
| Value of fidelity bond covering the plan | 2012-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2012-12-31 | $752,025 |
| Net plan assets at end of year (total assets less liabilities) | 2012-12-31 | $373,020 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-12-31 | $373,020 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2012-12-31 | $31,683 |
| 2011 : ALLEGIANT MANAGEMENT CORPORATION FLEXIBLE BENEFIT PLAN 2011 401k financial data |
|---|
| Total plan liabilities at end of year | 2011-12-31 | $806 |
| Total plan liabilities at beginning of year | 2011-12-31 | $500 |
| Total income from all sources | 2011-12-31 | $948,293 |
| Expenses. Total of all expenses incurred | 2011-12-31 | $948,293 |
| Benefits paid (including direct rollovers) | 2011-12-31 | $901,554 |
| Total plan assets at end of year | 2011-12-31 | $373,826 |
| Total plan assets at beginning of year | 2011-12-31 | $373,520 |
| Value of fidelity bond covering the plan | 2011-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2011-12-31 | $948,293 |
| Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $373,020 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $373,020 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2011-12-31 | $46,739 |
| 2010 : ALLEGIANT MANAGEMENT CORPORATION FLEXIBLE BENEFIT PLAN 2010 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $500 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $18,756 |
| Total income from all sources (including contributions) | 2010-12-31 | $1,077,596 |
| Total of all expenses incurred | 2010-12-31 | $1,077,596 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $1,042,889 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-12-31 | $1,077,596 |
| Value of total assets at end of year | 2010-12-31 | $373,520 |
| Value of total assets at beginning of year | 2010-12-31 | $391,776 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-12-31 | $34,707 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2010-12-31 | No |
| Was this plan covered by a fidelity bond | 2010-12-31 | Yes |
| Value of fidelity bond cover | 2010-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2010-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2010-12-31 | No |
| Contributions received from participants | 2010-12-31 | $1,077,596 |
| Participant contributions at end of year | 2010-12-31 | $373,520 |
| Participant contributions at beginning of year | 2010-12-31 | $391,776 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2010-12-31 | $17,863 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Value of net assets at end of year (total assets less liabilities) | 2010-12-31 | $373,020 |
| Value of net assets at beginning of year (total assets less liabilities) | 2010-12-31 | $373,020 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2010-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2010-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2010-12-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2010-12-31 | $1,005,287 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2010-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2010-12-31 | No |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2010-12-31 | $37,602 |
| Contract administrator fees | 2010-12-31 | $34,707 |
| Liabilities. Value of benefit claims payable at end of year | 2010-12-31 | $500 |
| Liabilities. Value of benefit claims payable at beginning of year | 2010-12-31 | $893 |
| Did the plan have assets held for investment | 2010-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2010-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2010-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2010-12-31 | Unqualified |
| Accountancy firm name | 2010-12-31 | MURPHY,POWERS AND WILSON CPAS |
| Accountancy firm EIN | 2010-12-31 | 020466387 |
| 2016: ALLEGIANT MANAGEMENT CORPORATION FLEXIBLE BENEFIT PLAN 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: ALLEGIANT MANAGEMENT CORPORATION FLEXIBLE BENEFIT PLAN 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: ALLEGIANT MANAGEMENT CORPORATION FLEXIBLE BENEFIT PLAN 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: ALLEGIANT MANAGEMENT CORPORATION FLEXIBLE BENEFIT PLAN 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2012: ALLEGIANT MANAGEMENT CORPORATION FLEXIBLE BENEFIT PLAN 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: ALLEGIANT MANAGEMENT CORPORATION FLEXIBLE BENEFIT PLAN 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2010: ALLEGIANT MANAGEMENT CORPORATION FLEXIBLE BENEFIT PLAN 2010 form 5500 responses |
|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2009: ALLEGIANT MANAGEMENT CORPORATION FLEXIBLE BENEFIT PLAN 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. (National Association of Insurance Commissioners NAIC id number: 53759 ) |
| Policy contract number | 348619 |
| Policy instance | 1 |
| Insurance contract or identification number | 348619 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2015-08-01 | | Insurance policy end date | 2016-07-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $155,808 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker name | HAYS GROUP INC |
|
| AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
| Policy contract number | U 7892 |
| Policy instance | 2 |
| Insurance contract or identification number | U 7892 | | Number of Individuals Covered | 10 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,547 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
| Policy contract number | U 7892 |
| Policy instance | 2 |
| Insurance contract or identification number | U 7892 | | Number of Individuals Covered | 5 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,528 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. (National Association of Insurance Commissioners NAIC id number: 53759 ) |
| Policy contract number | 348619 |
| Policy instance | 1 |
| Insurance contract or identification number | 348619 | | Number of Individuals Covered | 35 | | Insurance policy start date | 2014-08-01 | | Insurance policy end date | 2015-07-31 | | Total amount of commissions paid to insurance broker | USD $1,120 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $280,312 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,120 | | Insurance broker name | HAYS GROUP INC |
|
| ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. (National Association of Insurance Commissioners NAIC id number: 53759 ) |
| Policy contract number | 348619 |
| Policy instance | 1 |
| Insurance contract or identification number | 348619 | | Number of Individuals Covered | 40 | | Insurance policy start date | 2013-08-01 | | Insurance policy end date | 2014-07-31 | | Total amount of commissions paid to insurance broker | USD $15,008 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $495,205 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $15,008 | | Insurance broker name | HAYS GROUP INC |
|
| AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
| Policy contract number | U 7892 |
| Policy instance | 2 |
| Insurance contract or identification number | U 7892 | | Number of Individuals Covered | 8 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,109 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
| Policy contract number | U 7892 |
| Policy instance | 2 |
| Insurance contract or identification number | U 7892 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,884 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. (National Association of Insurance Commissioners NAIC id number: 53759 ) |
| Policy contract number | 348619 |
| Policy instance | 1 |
| Insurance contract or identification number | 348619 | | Number of Individuals Covered | 58 | | Insurance policy start date | 2012-08-01 | | Insurance policy end date | 2013-07-31 | | Total amount of commissions paid to insurance broker | USD $18,404 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $676,945 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $18,404 | | Insurance broker name | HAYS GROUP INC |
|
| ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. (National Association of Insurance Commissioners NAIC id number: 53759 ) |
| Policy contract number | 348619 |
| Policy instance | 1 |
| Insurance contract or identification number | 348619 | | Number of Individuals Covered | 62 | | Insurance policy start date | 2011-08-01 | | Insurance policy end date | 2012-07-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $859,976 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
| Policy contract number | U 7892 |
| Policy instance | 2 |
| Insurance contract or identification number | U 7892 | | Number of Individuals Covered | 7 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,566 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. (National Association of Insurance Commissioners NAIC id number: 53759 ) |
| Policy contract number | 348619 |
| Policy instance | 1 |
| Insurance contract or identification number | 348619 | | Number of Individuals Covered | 91 | | Insurance policy start date | 2010-08-01 | | Insurance policy end date | 2011-07-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $987,424 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker name | ANTHEM BC/BS |
|
| AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
| Policy contract number | U 7892 |
| Policy instance | 2 |
| Insurance contract or identification number | U 7892 | | Number of Individuals Covered | 7 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,754 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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