GLOBE NEWSPAPER CO & BOSTON NEWS- PAPER PRINTING PRESSMEN 3 has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3
401k plan membership statisitcs for GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3
| Measure | Date | Value |
|---|
| 2020 : GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2020 401k financial data |
|---|
| Total plan liabilities at end of year | 2020-03-31 | $169,270 |
| Total plan liabilities at beginning of year | 2020-03-31 | $332,313 |
| Total income from all sources | 2020-03-31 | $2,053,039 |
| Expenses. Total of all expenses incurred | 2020-03-31 | $1,888,365 |
| Benefits paid (including direct rollovers) | 2020-03-31 | $1,882,170 |
| Total plan assets at end of year | 2020-03-31 | $487,553 |
| Total plan assets at beginning of year | 2020-03-31 | $485,922 |
| Value of fidelity bond covering the plan | 2020-03-31 | $500,000 |
| Total contributions received or receivable from participants | 2020-03-31 | $148,770 |
| Expenses. Other expenses not covered elsewhere | 2020-03-31 | $6,195 |
| Other income received | 2020-03-31 | $632 |
| Net income (gross income less expenses) | 2020-03-31 | $164,674 |
| Net plan assets at end of year (total assets less liabilities) | 2020-03-31 | $318,283 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-03-31 | $153,609 |
| Total contributions received or receivable from employer(s) | 2020-03-31 | $1,903,637 |
| 2019 : GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2019 401k financial data |
|---|
| Total plan liabilities at end of year | 2019-03-31 | $332,313 |
| Total plan liabilities at beginning of year | 2019-03-31 | $368,807 |
| Total income from all sources | 2019-03-31 | $2,221,434 |
| Expenses. Total of all expenses incurred | 2019-03-31 | $2,047,428 |
| Benefits paid (including direct rollovers) | 2019-03-31 | $2,042,833 |
| Total plan assets at end of year | 2019-03-31 | $485,922 |
| Total plan assets at beginning of year | 2019-03-31 | $348,410 |
| Value of fidelity bond covering the plan | 2019-03-31 | $500,000 |
| Total contributions received or receivable from participants | 2019-03-31 | $152,370 |
| Expenses. Other expenses not covered elsewhere | 2019-03-31 | $4,595 |
| Other income received | 2019-03-31 | $899 |
| Net income (gross income less expenses) | 2019-03-31 | $174,006 |
| Net plan assets at end of year (total assets less liabilities) | 2019-03-31 | $153,609 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-03-31 | $-20,397 |
| Total contributions received or receivable from employer(s) | 2019-03-31 | $2,068,165 |
| 2018 : GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2018 401k financial data |
|---|
| Total plan liabilities at end of year | 2018-03-31 | $368,807 |
| Total plan liabilities at beginning of year | 2018-03-31 | $158,730 |
| Total income from all sources | 2018-03-31 | $2,251,218 |
| Expenses. Total of all expenses incurred | 2018-03-31 | $2,260,758 |
| Benefits paid (including direct rollovers) | 2018-03-31 | $2,256,133 |
| Total plan assets at end of year | 2018-03-31 | $348,410 |
| Total plan assets at beginning of year | 2018-03-31 | $147,873 |
| Value of fidelity bond covering the plan | 2018-03-31 | $5,000,000 |
| Total contributions received or receivable from participants | 2018-03-31 | $347,650 |
| Expenses. Other expenses not covered elsewhere | 2018-03-31 | $4,600 |
| Other income received | 2018-03-31 | $83 |
| Net income (gross income less expenses) | 2018-03-31 | $-9,540 |
| Net plan assets at end of year (total assets less liabilities) | 2018-03-31 | $-20,397 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-03-31 | $-10,857 |
| Total contributions received or receivable from employer(s) | 2018-03-31 | $1,903,485 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2018-03-31 | $25 |
| 2017 : GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2017 401k financial data |
|---|
| Total plan liabilities at end of year | 2017-03-31 | $158,730 |
| Total plan liabilities at beginning of year | 2017-03-31 | $232,600 |
| Total income from all sources | 2017-03-31 | $2,182,785 |
| Expenses. Total of all expenses incurred | 2017-03-31 | $2,131,664 |
| Benefits paid (including direct rollovers) | 2017-03-31 | $2,126,089 |
| Total plan assets at end of year | 2017-03-31 | $147,873 |
| Total plan assets at beginning of year | 2017-03-31 | $170,622 |
| Value of fidelity bond covering the plan | 2017-03-31 | $5,000,000 |
| Total contributions received or receivable from participants | 2017-03-31 | $218,170 |
| Expenses. Other expenses not covered elsewhere | 2017-03-31 | $5,500 |
| Other income received | 2017-03-31 | $23 |
| Net income (gross income less expenses) | 2017-03-31 | $51,121 |
| Net plan assets at end of year (total assets less liabilities) | 2017-03-31 | $-10,857 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-03-31 | $-61,978 |
| Total contributions received or receivable from employer(s) | 2017-03-31 | $1,964,592 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2017-03-31 | $75 |
| 2016 : GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2016 401k financial data |
|---|
| Total plan liabilities at end of year | 2016-03-31 | $232,600 |
| Total plan liabilities at beginning of year | 2016-03-31 | $393,340 |
| Total income from all sources | 2016-03-31 | $2,182,061 |
| Expenses. Total of all expenses incurred | 2016-03-31 | $2,070,657 |
| Benefits paid (including direct rollovers) | 2016-03-31 | $2,065,082 |
| Total plan assets at end of year | 2016-03-31 | $170,622 |
| Total plan assets at beginning of year | 2016-03-31 | $219,958 |
| Value of fidelity bond covering the plan | 2016-03-31 | $5,000,000 |
| Total contributions received or receivable from participants | 2016-03-31 | $217,450 |
| Expenses. Other expenses not covered elsewhere | 2016-03-31 | $75 |
| Other income received | 2016-03-31 | $19 |
| Net income (gross income less expenses) | 2016-03-31 | $111,404 |
| Net plan assets at end of year (total assets less liabilities) | 2016-03-31 | $-61,978 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-03-31 | $-173,382 |
| Total contributions received or receivable from employer(s) | 2016-03-31 | $1,964,592 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2016-03-31 | $5,500 |
| 2015 : GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2015 401k financial data |
|---|
| Total plan liabilities at end of year | 2015-03-31 | $393,340 |
| Total plan liabilities at beginning of year | 2015-03-31 | $373,329 |
| Total income from all sources | 2015-03-31 | $2,171,755 |
| Expenses. Total of all expenses incurred | 2015-03-31 | $2,182,404 |
| Benefits paid (including direct rollovers) | 2015-03-31 | $2,170,825 |
| Total plan assets at end of year | 2015-03-31 | $219,958 |
| Total plan assets at beginning of year | 2015-03-31 | $210,596 |
| Value of fidelity bond covering the plan | 2015-03-31 | $2,000,000 |
| Total contributions received or receivable from participants | 2015-03-31 | $268,251 |
| Expenses. Other expenses not covered elsewhere | 2015-03-31 | $5,979 |
| Other income received | 2015-03-31 | $19 |
| Net income (gross income less expenses) | 2015-03-31 | $-10,649 |
| Net plan assets at end of year (total assets less liabilities) | 2015-03-31 | $-173,382 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-03-31 | $-162,733 |
| Total contributions received or receivable from employer(s) | 2015-03-31 | $1,903,485 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2015-03-31 | $5,600 |
| 2014 : GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2014 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-03-31 | $373,329 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-03-31 | $312,781 |
| Total income from all sources (including contributions) | 2014-03-31 | $2,155,298 |
| Total of all expenses incurred | 2014-03-31 | $2,208,658 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-03-31 | $2,199,657 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-03-31 | $2,155,275 |
| Value of total assets at end of year | 2014-03-31 | $210,596 |
| Value of total assets at beginning of year | 2014-03-31 | $203,408 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-03-31 | $9,001 |
| Total interest from all sources | 2014-03-31 | $23 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-03-31 | No |
| Administrative expenses professional fees incurred | 2014-03-31 | $5,525 |
| Was this plan covered by a fidelity bond | 2014-03-31 | Yes |
| Value of fidelity bond cover | 2014-03-31 | $15,000,000 |
| If this is an individual account plan, was there a blackout period | 2014-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-03-31 | No |
| Contributions received from participants | 2014-03-31 | $218,097 |
| Participant contributions at end of year | 2014-03-31 | $17,899 |
| Participant contributions at beginning of year | 2014-03-31 | $12,050 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2014-03-31 | $287,124 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2014-03-31 | $21,064 |
| Administrative expenses (other) incurred | 2014-03-31 | $3,476 |
| Liabilities. Value of operating payables at end of year | 2014-03-31 | $86,205 |
| Liabilities. Value of operating payables at beginning of year | 2014-03-31 | $291,717 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-03-31 | No |
| Value of net income/loss | 2014-03-31 | $-53,360 |
| Value of net assets at end of year (total assets less liabilities) | 2014-03-31 | $-162,733 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-03-31 | $-109,373 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-03-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-03-31 | $189,709 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-03-31 | $67,663 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-03-31 | $67,663 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-03-31 | $23 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-03-31 | $2,199,657 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2014-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-03-31 | No |
| Contributions received in cash from employer | 2014-03-31 | $1,937,178 |
| Employer contributions (assets) at end of year | 2014-03-31 | $2,988 |
| Employer contributions (assets) at beginning of year | 2014-03-31 | $123,695 |
| Did the plan have assets held for investment | 2014-03-31 | 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 | 2014-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-03-31 | Unqualified |
| Accountancy firm name | 2014-03-31 | JAMES J GARRITY C P A |
| Accountancy firm EIN | 2014-03-31 | 042958350 |
| 2013 : GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2013 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-03-31 | $312,781 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-03-31 | $641,922 |
| Total income from all sources (including contributions) | 2013-03-31 | $2,251,001 |
| Total of all expenses incurred | 2013-03-31 | $2,204,712 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-03-31 | $2,195,601 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-03-31 | $2,250,960 |
| Value of total assets at end of year | 2013-03-31 | $203,408 |
| Value of total assets at beginning of year | 2013-03-31 | $486,260 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-03-31 | $9,111 |
| Total interest from all sources | 2013-03-31 | $41 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-03-31 | No |
| Administrative expenses professional fees incurred | 2013-03-31 | $5,000 |
| Was this plan covered by a fidelity bond | 2013-03-31 | Yes |
| Value of fidelity bond cover | 2013-03-31 | $10,000,000 |
| If this is an individual account plan, was there a blackout period | 2013-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-03-31 | No |
| Contributions received from participants | 2013-03-31 | $248,350 |
| Participant contributions at end of year | 2013-03-31 | $12,050 |
| Participant contributions at beginning of year | 2013-03-31 | $11,238 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-03-31 | $11,150 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2013-03-31 | $21,064 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2013-03-31 | $180,707 |
| Administrative expenses (other) incurred | 2013-03-31 | $4,111 |
| Liabilities. Value of operating payables at end of year | 2013-03-31 | $291,717 |
| Liabilities. Value of operating payables at beginning of year | 2013-03-31 | $461,215 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-03-31 | No |
| Value of net income/loss | 2013-03-31 | $46,289 |
| Value of net assets at end of year (total assets less liabilities) | 2013-03-31 | $-109,373 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-03-31 | $-155,662 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-03-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-03-31 | $67,663 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-03-31 | $456,316 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-03-31 | $456,316 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-03-31 | $41 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-03-31 | $2,192,046 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2013-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-03-31 | No |
| Contributions received in cash from employer | 2013-03-31 | $2,002,610 |
| Employer contributions (assets) at end of year | 2013-03-31 | $123,695 |
| Employer contributions (assets) at beginning of year | 2013-03-31 | $7,556 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-03-31 | $3,555 |
| Did the plan have assets held for investment | 2013-03-31 | 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 | 2013-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-03-31 | Unqualified |
| Accountancy firm name | 2013-03-31 | JAMES J GARRITY C P A |
| Accountancy firm EIN | 2013-03-31 | 042958350 |
| 2012 : GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2012 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-03-31 | $641,922 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-03-31 | $84,854 |
| Total income from all sources (including contributions) | 2012-03-31 | $2,071,180 |
| Total of all expenses incurred | 2012-03-31 | $2,360,435 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-03-31 | $2,350,913 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-03-31 | $2,071,161 |
| Value of total assets at end of year | 2012-03-31 | $486,260 |
| Value of total assets at beginning of year | 2012-03-31 | $218,447 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-03-31 | $9,522 |
| Total interest from all sources | 2012-03-31 | $19 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-03-31 | No |
| Administrative expenses professional fees incurred | 2012-03-31 | $5,300 |
| Was this plan covered by a fidelity bond | 2012-03-31 | Yes |
| Value of fidelity bond cover | 2012-03-31 | $15,000,000 |
| If this is an individual account plan, was there a blackout period | 2012-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-03-31 | No |
| Contributions received from participants | 2012-03-31 | $262,680 |
| Participant contributions at end of year | 2012-03-31 | $11,238 |
| Participant contributions at beginning of year | 2012-03-31 | $11,122 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-03-31 | $11,150 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-03-31 | $11,150 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2012-03-31 | $180,707 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2012-03-31 | $51,064 |
| Administrative expenses (other) incurred | 2012-03-31 | $4,222 |
| Liabilities. Value of operating payables at end of year | 2012-03-31 | $461,215 |
| Liabilities. Value of operating payables at beginning of year | 2012-03-31 | $33,790 |
| Total non interest bearing cash at beginning of year | 2012-03-31 | $276 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-03-31 | No |
| Value of net income/loss | 2012-03-31 | $-289,255 |
| Value of net assets at end of year (total assets less liabilities) | 2012-03-31 | $-155,662 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-03-31 | $133,593 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-03-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-03-31 | $456,316 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-03-31 | $192,911 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-03-31 | $192,911 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-03-31 | $19 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-03-31 | $2,345,948 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-03-31 | No |
| Contributions received in cash from employer | 2012-03-31 | $1,808,481 |
| Employer contributions (assets) at end of year | 2012-03-31 | $7,556 |
| Employer contributions (assets) at beginning of year | 2012-03-31 | $2,988 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-03-31 | $4,965 |
| Did the plan have assets held for investment | 2012-03-31 | 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 | 2012-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-03-31 | Unqualified |
| Accountancy firm name | 2012-03-31 | JAMES J GARRITY C P A |
| Accountancy firm EIN | 2012-03-31 | 042958350 |
| 2011 : GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2011 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-03-31 | $84,854 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-03-31 | $354,459 |
| Total income from all sources (including contributions) | 2011-03-31 | $2,081,946 |
| Total of all expenses incurred | 2011-03-31 | $2,131,876 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-03-31 | $2,123,451 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-03-31 | $2,081,887 |
| Value of total assets at end of year | 2011-03-31 | $218,447 |
| Value of total assets at beginning of year | 2011-03-31 | $537,982 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-03-31 | $8,425 |
| Total interest from all sources | 2011-03-31 | $59 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-03-31 | No |
| Administrative expenses professional fees incurred | 2011-03-31 | $4,700 |
| Was this plan covered by a fidelity bond | 2011-03-31 | Yes |
| Value of fidelity bond cover | 2011-03-31 | $15,000,000 |
| If this is an individual account plan, was there a blackout period | 2011-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2011-03-31 | No |
| Contributions received from participants | 2011-03-31 | $270,419 |
| Participant contributions at end of year | 2011-03-31 | $11,122 |
| Participant contributions at beginning of year | 2011-03-31 | $4,260 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-03-31 | $11,150 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-03-31 | $11,150 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2011-03-31 | $51,064 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2011-03-31 | $151,592 |
| Administrative expenses (other) incurred | 2011-03-31 | $3,725 |
| Liabilities. Value of operating payables at end of year | 2011-03-31 | $33,790 |
| Liabilities. Value of operating payables at beginning of year | 2011-03-31 | $202,867 |
| Total non interest bearing cash at end of year | 2011-03-31 | $276 |
| Total non interest bearing cash at beginning of year | 2011-03-31 | $742 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-03-31 | No |
| Value of net income/loss | 2011-03-31 | $-49,930 |
| Value of net assets at end of year (total assets less liabilities) | 2011-03-31 | $133,593 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-03-31 | $183,523 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-03-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-03-31 | $192,911 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-03-31 | $521,830 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-03-31 | $521,830 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-03-31 | $59 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-03-31 | $2,121,870 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2011-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-03-31 | No |
| Contributions received in cash from employer | 2011-03-31 | $1,811,468 |
| Employer contributions (assets) at end of year | 2011-03-31 | $2,988 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-03-31 | $1,581 |
| Did the plan have assets held for investment | 2011-03-31 | 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 | 2011-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-03-31 | Unqualified |
| Accountancy firm name | 2011-03-31 | JAMES J GARRITY C P A |
| Accountancy firm EIN | 2011-03-31 | 042958350 |
| HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 ) |
| Policy contract number | 106063 |
| Policy instance | 3 |
| Insurance contract or identification number | 106063 | | Number of Individuals Covered | 212 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-03-31 | | Total amount of commissions paid to insurance broker | USD $6,067 | | Are there contracts with allocated funds for individual policies? | 0 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $442,750 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,067 |
|
| DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 ) |
| Policy contract number | 006285 |
| Policy instance | 1 |
| Insurance contract or identification number | 006285 | | Number of Individuals Covered | 249 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $6,040 | | Are there contracts with allocated funds for individual policies? | 0 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Broker | USD $6,040 | | Insurance broker organization code? | 3 |
|
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 4957059 |
| Policy instance | 2 |
| Insurance contract or identification number | 4957059 | | Number of Individuals Covered | 79 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $35,868 | | Total amount of fees paid to insurance company | USD $6,036 | | Are there contracts with allocated funds for individual policies? | 0 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $1,895,110 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $17,934 | | Amount paid for insurance broker fees | 3456 | | Insurance broker organization code? | 3 |
|
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 4957059 |
| Policy instance | 2 |
| Insurance contract or identification number | 4957059 | | Number of Individuals Covered | 80 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $38,922 | | Total amount of fees paid to insurance company | USD $4,620 | | Are there contracts with allocated funds for individual policies? | 0 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $2,251,327 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,748 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 4620 |
|
| DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 ) |
| Policy contract number | 006285 |
| Policy instance | 1 |
| Insurance contract or identification number | 006285 | | Number of Individuals Covered | 254 | | Insurance policy start date | 2018-04-01 | | Insurance policy end date | 2019-03-31 | | Total amount of commissions paid to insurance broker | USD $5,942 | | Are there contracts with allocated funds for individual policies? | 0 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Broker | USD $5,942 | | Insurance broker organization code? | 3 |
|
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 4957059 |
| Policy instance | 2 |
| Insurance contract or identification number | 4957059 | | Number of Individuals Covered | 95 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $39,507 | | Total amount of fees paid to insurance company | USD $3,082 | | Are there contracts with allocated funds for individual policies? | 0 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $2,223,260 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $19,754 | | Amount paid for insurance broker fees | 3055 | | Insurance broker organization code? | 3 | | Insurance broker name | DBR GROUP INC |
|
| DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 ) |
| Policy contract number | 006285 |
| Policy instance | 1 |
| Insurance contract or identification number | 006285 | | Number of Individuals Covered | 310 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2018-03-31 | | Total amount of commissions paid to insurance broker | USD $3,861 | | Are there contracts with allocated funds for individual policies? | 0 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Broker | USD $3,861 | | Insurance broker organization code? | 3 | | Insurance broker name | NFP CORPORATE SERVICES (NY) LLC |
|
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 4957059 |
| Policy instance | 2 |
| Insurance contract or identification number | 4957059 | | Number of Individuals Covered | 96 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $38,037 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,058,436 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $18,620 | | Insurance broker organization code? | 3 | | Insurance broker name | NFP CORPORATE SERVICES LLC |
|
| DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 ) |
| Policy contract number | 006285 |
| Policy instance | 1 |
| Insurance contract or identification number | 006285 | | Number of Individuals Covered | 331 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $6,116 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,116 | | Insurance broker organization code? | 3 | | Insurance broker name | NFP CORPORATE SERVICES LLC |
|
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 4957059 |
| Policy instance | 2 |
| Insurance contract or identification number | 4957059 | | Number of Individuals Covered | 96 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $39,531 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,252,267 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $19,370 | | Insurance broker organization code? | 3 | | Insurance broker name | NFP CORPORATE SERVICES LLC |
|
| DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 ) |
| Policy contract number | 006285 |
| Policy instance | 1 |
| Insurance contract or identification number | 006285 | | Number of Individuals Covered | 331 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $4,588 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,754 | | Insurance broker organization code? | 3 | | Insurance broker name | NFP CORPORATE SERVICES LLC |
|
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 4957059 |
| Policy instance | 2 |
| Insurance contract or identification number | 4957059 | | Number of Individuals Covered | 106 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $40,808 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $20,037 | | Insurance broker organization code? | 3 | | Insurance broker name | THORBAHN & ASSOCIATES |
|
| DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 ) |
| Policy contract number | 006285 |
| Policy instance | 1 |
| Insurance contract or identification number | 006285 | | Number of Individuals Covered | 345 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $5,459 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,459 | | Insurance broker organization code? | 3 | | Insurance broker name | THORBAHN AND ASSOC INS AGCY, INC. |
|
| DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 ) |
| Policy contract number | 62850000 |
| Policy instance | 1 |
| Insurance contract or identification number | 62850000 | | Number of Individuals Covered | 341 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker name | JOHN R THORBAHN INS AGCY, INC. |
|
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) |
| Policy contract number | 4957059 |
| Policy instance | 2 |
| Insurance contract or identification number | 4957059 | | Number of Individuals Covered | 109 | | 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 $2,312,345 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Total amount of commissions paid to insurance broker | USD $39,841 | | Commission paid to Insurance Broker | USD $20,543 | | Insurance broker organization code? | 3 | | Insurance broker name | THORBAHN & ASSOCIATES |
|
| HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 ) |
| Policy contract number | 022300 |
| Policy instance | 3 |
| Insurance contract or identification number | 022300 | | Insurance policy start date | 2011-04-01 | | Insurance policy end date | 2011-12-31 | | Welfare Benefit Premiums Paid to Carrier | USD $262,705 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 ) |
| Policy contract number | 6285 |
| Policy instance | 2 |
| Insurance contract or identification number | 6285 | | Number of Individuals Covered | 368 | | Insurance policy start date | 2011-04-01 | | Insurance policy end date | 2012-03-31 | | Total amount of commissions paid to insurance broker | USD $2,328 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 ) |
| Policy contract number | 31950 |
| Policy instance | 1 |
| Insurance contract or identification number | 31950 | | Insurance policy start date | 2011-04-01 | | Insurance policy end date | 2011-12-31 | | Welfare Benefit Premiums Paid to Carrier | USD $1,932,288 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 ) |
| Policy contract number | 6285 |
| Policy instance | 2 |
| Insurance contract or identification number | 6285 | | Number of Individuals Covered | 90 | | Insurance policy start date | 2010-04-01 | | Insurance policy end date | 2011-03-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 ) |
| Policy contract number | 31950 |
| Policy instance | 1 |
| Insurance contract or identification number | 31950 | | Number of Individuals Covered | 90 | | Insurance policy start date | 2010-04-01 | | Insurance policy end date | 2011-03-31 | | Welfare Benefit Premiums Paid to Carrier | USD $2,321,325 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
