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GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 401k Plan overview

Plan NameGLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3
Plan identification number 501

GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

GLOBE NEWSPAPER CO & BOSTON NEWS- PAPER PRINTING PRESSMEN 3 has sponsored the creation of one or more 401k plans.

Company Name:GLOBE NEWSPAPER CO & BOSTON NEWS- PAPER PRINTING PRESSMEN 3
Employer identification number (EIN):042777424
NAIC Classification:511110
NAIC Description:Newspaper Publishers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-04-01RICHARD FORD2024-01-11 RICHARD FORD2024-01-11
5012021-04-01RICHARD FORD2023-01-09
5012020-04-01RICHARD FORD2022-01-12 RICHARD FORD2022-01-12
5012019-04-01
5012018-04-01
5012017-04-01RICHARD FORD
5012016-04-01RICHARD FORD RICHARD FORD2018-01-12
5012015-04-01RICHARD FORD
5012015-04-01
5012014-04-01RICHARD FORD
5012013-04-01RICHARD FORD
5012012-04-01RICHARD FORD
5012011-04-01RICHARD FORD
5012010-04-01RICHARD FORD
5012009-04-01RICHARD FORD

Plan Statistics for GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3

401k plan membership statisitcs for GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3

Measure Date Value
2019: GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2019 401k membership
Total participants, beginning-of-year2019-04-0170
Total number of active participants reported on line 7a of the Form 55002019-04-0156
Number of retired or separated participants receiving benefits2019-04-0112
Total of all active and inactive participants2019-04-0168
Total participants2019-04-0168
2018: GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2018 401k membership
Total participants, beginning-of-year2018-04-0171
Total number of active participants reported on line 7a of the Form 55002018-04-0156
Number of retired or separated participants receiving benefits2018-04-0114
Total of all active and inactive participants2018-04-0170
Total participants2018-04-0170
2017: GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2017 401k membership
Total participants, beginning-of-year2017-04-0179
Total number of active participants reported on line 7a of the Form 55002017-04-0171
Total of all active and inactive participants2017-04-0171
Total participants2017-04-0171
2016: GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2016 401k membership
Total participants, beginning-of-year2016-04-0179
Total number of active participants reported on line 7a of the Form 55002016-04-0179
Total of all active and inactive participants2016-04-0179
Total participants2016-04-0179
2015: GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2015 401k membership
Total participants, beginning-of-year2015-04-0182
Total number of active participants reported on line 7a of the Form 55002015-04-0179
Number of retired or separated participants receiving benefits2015-04-010
Number of other retired or separated participants entitled to future benefits2015-04-010
Total of all active and inactive participants2015-04-0179
2014: GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2014 401k membership
Total participants, beginning-of-year2014-04-0184
Total number of active participants reported on line 7a of the Form 55002014-04-0182
Number of retired or separated participants receiving benefits2014-04-010
Number of other retired or separated participants entitled to future benefits2014-04-010
Total of all active and inactive participants2014-04-0182
2013: GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2013 401k membership
Total participants, beginning-of-year2013-04-0198
Total number of active participants reported on line 7a of the Form 55002013-04-0184
Total of all active and inactive participants2013-04-0184
2012: GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2012 401k membership
Total participants, beginning-of-year2012-04-01102
Total number of active participants reported on line 7a of the Form 55002012-04-0198
Total of all active and inactive participants2012-04-0198
2011: GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2011 401k membership
Total participants, beginning-of-year2011-04-0190
Total number of active participants reported on line 7a of the Form 55002011-04-01102
Total of all active and inactive participants2011-04-01102
2010: GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2010 401k membership
Total participants, beginning-of-year2010-04-01124
Total number of active participants reported on line 7a of the Form 55002010-04-0190
Total of all active and inactive participants2010-04-0190
2009: GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2009 401k membership
Total participants, beginning-of-year2009-04-01153
Total number of active participants reported on line 7a of the Form 55002009-04-01124
Total of all active and inactive participants2009-04-01124

Financial Data on 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 year2020-03-31$169,270
Total plan liabilities at beginning of year2020-03-31$332,313
Total income from all sources2020-03-31$2,053,039
Expenses. Total of all expenses incurred2020-03-31$1,888,365
Benefits paid (including direct rollovers)2020-03-31$1,882,170
Total plan assets at end of year2020-03-31$487,553
Total plan assets at beginning of year2020-03-31$485,922
Value of fidelity bond covering the plan2020-03-31$500,000
Total contributions received or receivable from participants2020-03-31$148,770
Expenses. Other expenses not covered elsewhere2020-03-31$6,195
Other income received2020-03-31$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 year2019-03-31$332,313
Total plan liabilities at beginning of year2019-03-31$368,807
Total income from all sources2019-03-31$2,221,434
Expenses. Total of all expenses incurred2019-03-31$2,047,428
Benefits paid (including direct rollovers)2019-03-31$2,042,833
Total plan assets at end of year2019-03-31$485,922
Total plan assets at beginning of year2019-03-31$348,410
Value of fidelity bond covering the plan2019-03-31$500,000
Total contributions received or receivable from participants2019-03-31$152,370
Expenses. Other expenses not covered elsewhere2019-03-31$4,595
Other income received2019-03-31$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 year2018-03-31$368,807
Total plan liabilities at beginning of year2018-03-31$158,730
Total income from all sources2018-03-31$2,251,218
Expenses. Total of all expenses incurred2018-03-31$2,260,758
Benefits paid (including direct rollovers)2018-03-31$2,256,133
Total plan assets at end of year2018-03-31$348,410
Total plan assets at beginning of year2018-03-31$147,873
Value of fidelity bond covering the plan2018-03-31$5,000,000
Total contributions received or receivable from participants2018-03-31$347,650
Expenses. Other expenses not covered elsewhere2018-03-31$4,600
Other income received2018-03-31$83
Net income (gross income less expenses)2018-03-31$-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 year2017-03-31$158,730
Total plan liabilities at beginning of year2017-03-31$232,600
Total income from all sources2017-03-31$2,182,785
Expenses. Total of all expenses incurred2017-03-31$2,131,664
Benefits paid (including direct rollovers)2017-03-31$2,126,089
Total plan assets at end of year2017-03-31$147,873
Total plan assets at beginning of year2017-03-31$170,622
Value of fidelity bond covering the plan2017-03-31$5,000,000
Total contributions received or receivable from participants2017-03-31$218,170
Expenses. Other expenses not covered elsewhere2017-03-31$5,500
Other income received2017-03-31$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 year2016-03-31$232,600
Total plan liabilities at beginning of year2016-03-31$393,340
Total income from all sources2016-03-31$2,182,061
Expenses. Total of all expenses incurred2016-03-31$2,070,657
Benefits paid (including direct rollovers)2016-03-31$2,065,082
Total plan assets at end of year2016-03-31$170,622
Total plan assets at beginning of year2016-03-31$219,958
Value of fidelity bond covering the plan2016-03-31$5,000,000
Total contributions received or receivable from participants2016-03-31$217,450
Expenses. Other expenses not covered elsewhere2016-03-31$75
Other income received2016-03-31$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 year2015-03-31$393,340
Total plan liabilities at beginning of year2015-03-31$373,329
Total income from all sources2015-03-31$2,171,755
Expenses. Total of all expenses incurred2015-03-31$2,182,404
Benefits paid (including direct rollovers)2015-03-31$2,170,825
Total plan assets at end of year2015-03-31$219,958
Total plan assets at beginning of year2015-03-31$210,596
Value of fidelity bond covering the plan2015-03-31$2,000,000
Total contributions received or receivable from participants2015-03-31$268,251
Expenses. Other expenses not covered elsewhere2015-03-31$5,979
Other income received2015-03-31$19
Net income (gross income less expenses)2015-03-31$-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 incurred2014-03-31$2,208,658
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-03-31$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 year2014-03-31$210,596
Value of total assets at beginning of year2014-03-31$203,408
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-03-31$9,001
Total interest from all sources2014-03-31$23
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-03-31No
Administrative expenses professional fees incurred2014-03-31$5,525
Was this plan covered by a fidelity bond2014-03-31Yes
Value of fidelity bond cover2014-03-31$15,000,000
If this is an individual account plan, was there a blackout period2014-03-31No
Were there any nonexempt tranactions with any party-in-interest2014-03-31No
Contributions received from participants2014-03-31$218,097
Participant contributions at end of year2014-03-31$17,899
Participant contributions at beginning of year2014-03-31$12,050
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-03-31$287,124
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-03-31$21,064
Administrative expenses (other) incurred2014-03-31$3,476
Liabilities. Value of operating payables at end of year2014-03-31$86,205
Liabilities. Value of operating payables at beginning of year2014-03-31$291,717
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-03-31No
Value of net income/loss2014-03-31$-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)2014-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-03-31No
Were any leases to which the plan was party in default or uncollectible2014-03-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-03-31$189,709
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-03-31$67,663
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-03-31$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 benefits2014-03-31$2,199,657
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-03-31No
Was there a failure to transmit to the plan any participant contributions2014-03-31No
Has the plan failed to provide any benefit when due under the plan2014-03-31No
Contributions received in cash from employer2014-03-31$1,937,178
Employer contributions (assets) at end of year2014-03-31$2,988
Employer contributions (assets) at beginning of year2014-03-31$123,695
Did the plan have assets held for investment2014-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-03-31No
Opinion of an independent qualified public accountant for this plan2014-03-31Unqualified
Accountancy firm name2014-03-31JAMES J GARRITY C P A
Accountancy firm EIN2014-03-31042958350
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 incurred2013-03-31$2,204,712
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-03-31$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 year2013-03-31$203,408
Value of total assets at beginning of year2013-03-31$486,260
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-03-31$9,111
Total interest from all sources2013-03-31$41
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-03-31No
Administrative expenses professional fees incurred2013-03-31$5,000
Was this plan covered by a fidelity bond2013-03-31Yes
Value of fidelity bond cover2013-03-31$10,000,000
If this is an individual account plan, was there a blackout period2013-03-31No
Were there any nonexempt tranactions with any party-in-interest2013-03-31No
Contributions received from participants2013-03-31$248,350
Participant contributions at end of year2013-03-31$12,050
Participant contributions at beginning of year2013-03-31$11,238
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-03-31$11,150
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-03-31$21,064
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-03-31$180,707
Administrative expenses (other) incurred2013-03-31$4,111
Liabilities. Value of operating payables at end of year2013-03-31$291,717
Liabilities. Value of operating payables at beginning of year2013-03-31$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 appraiser2013-03-31No
Value of net income/loss2013-03-31$46,289
Value of net assets at end of year (total assets less liabilities)2013-03-31$-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)2013-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-03-31No
Were any leases to which the plan was party in default or uncollectible2013-03-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-03-31$67,663
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-03-31$456,316
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-03-31$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 benefits2013-03-31$2,192,046
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-03-31No
Was there a failure to transmit to the plan any participant contributions2013-03-31No
Has the plan failed to provide any benefit when due under the plan2013-03-31No
Contributions received in cash from employer2013-03-31$2,002,610
Employer contributions (assets) at end of year2013-03-31$123,695
Employer contributions (assets) at beginning of year2013-03-31$7,556
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-03-31$3,555
Did the plan have assets held for investment2013-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-03-31No
Opinion of an independent qualified public accountant for this plan2013-03-31Unqualified
Accountancy firm name2013-03-31JAMES J GARRITY C P A
Accountancy firm EIN2013-03-31042958350
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 incurred2012-03-31$2,360,435
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-03-31$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 year2012-03-31$486,260
Value of total assets at beginning of year2012-03-31$218,447
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-03-31$9,522
Total interest from all sources2012-03-31$19
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-03-31No
Administrative expenses professional fees incurred2012-03-31$5,300
Was this plan covered by a fidelity bond2012-03-31Yes
Value of fidelity bond cover2012-03-31$15,000,000
If this is an individual account plan, was there a blackout period2012-03-31No
Were there any nonexempt tranactions with any party-in-interest2012-03-31No
Contributions received from participants2012-03-31$262,680
Participant contributions at end of year2012-03-31$11,238
Participant contributions at beginning of year2012-03-31$11,122
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-03-31$11,150
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-03-31$11,150
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-03-31$180,707
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-03-31$51,064
Administrative expenses (other) incurred2012-03-31$4,222
Liabilities. Value of operating payables at end of year2012-03-31$461,215
Liabilities. Value of operating payables at beginning of year2012-03-31$33,790
Total non interest bearing cash at beginning of year2012-03-31$276
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-03-31No
Value of net income/loss2012-03-31$-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)2012-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-03-31No
Were any leases to which the plan was party in default or uncollectible2012-03-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-03-31$456,316
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-03-31$192,911
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-03-31$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 benefits2012-03-31$2,345,948
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-03-31No
Was there a failure to transmit to the plan any participant contributions2012-03-31No
Has the plan failed to provide any benefit when due under the plan2012-03-31No
Contributions received in cash from employer2012-03-31$1,808,481
Employer contributions (assets) at end of year2012-03-31$7,556
Employer contributions (assets) at beginning of year2012-03-31$2,988
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-03-31$4,965
Did the plan have assets held for investment2012-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-03-31No
Opinion of an independent qualified public accountant for this plan2012-03-31Unqualified
Accountancy firm name2012-03-31JAMES J GARRITY C P A
Accountancy firm EIN2012-03-31042958350
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 incurred2011-03-31$2,131,876
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-03-31$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 year2011-03-31$218,447
Value of total assets at beginning of year2011-03-31$537,982
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-03-31$8,425
Total interest from all sources2011-03-31$59
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-03-31No
Administrative expenses professional fees incurred2011-03-31$4,700
Was this plan covered by a fidelity bond2011-03-31Yes
Value of fidelity bond cover2011-03-31$15,000,000
If this is an individual account plan, was there a blackout period2011-03-31No
Were there any nonexempt tranactions with any party-in-interest2011-03-31No
Contributions received from participants2011-03-31$270,419
Participant contributions at end of year2011-03-31$11,122
Participant contributions at beginning of year2011-03-31$4,260
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-03-31$11,150
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-03-31$11,150
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-03-31$51,064
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-03-31$151,592
Administrative expenses (other) incurred2011-03-31$3,725
Liabilities. Value of operating payables at end of year2011-03-31$33,790
Liabilities. Value of operating payables at beginning of year2011-03-31$202,867
Total non interest bearing cash at end of year2011-03-31$276
Total non interest bearing cash at beginning of year2011-03-31$742
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-03-31No
Value of net income/loss2011-03-31$-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)2011-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-03-31No
Were any leases to which the plan was party in default or uncollectible2011-03-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-03-31$192,911
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-03-31$521,830
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-03-31$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 benefits2011-03-31$2,121,870
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-03-31No
Was there a failure to transmit to the plan any participant contributions2011-03-31No
Has the plan failed to provide any benefit when due under the plan2011-03-31No
Contributions received in cash from employer2011-03-31$1,811,468
Employer contributions (assets) at end of year2011-03-31$2,988
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-03-31$1,581
Did the plan have assets held for investment2011-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-03-31No
Opinion of an independent qualified public accountant for this plan2011-03-31Unqualified
Accountancy firm name2011-03-31JAMES J GARRITY C P A
Accountancy firm EIN2011-03-31042958350

Form 5500 Responses for GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3

2019: GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Submission has been amendedNo
2019-04-01This submission is the final filingNo
2019-04-01This return/report is a short plan year return/report (less than 12 months)No
2019-04-01Plan is a collectively bargained planNo
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan benefit arrangement – InsuranceYes
2019-04-01Plan benefit arrangement - TrustYes
2018: GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Submission has been amendedNo
2018-04-01This submission is the final filingNo
2018-04-01This return/report is a short plan year return/report (less than 12 months)No
2018-04-01Plan is a collectively bargained planNo
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan benefit arrangement – InsuranceYes
2018-04-01Plan benefit arrangement - TrustYes
2017: GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Submission has been amendedNo
2017-04-01This submission is the final filingNo
2017-04-01This return/report is a short plan year return/report (less than 12 months)No
2017-04-01Plan is a collectively bargained planYes
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan benefit arrangement – InsuranceYes
2017-04-01Plan benefit arrangement - TrustYes
2016: GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Submission has been amendedNo
2016-04-01This submission is the final filingNo
2016-04-01This return/report is a short plan year return/report (less than 12 months)No
2016-04-01Plan is a collectively bargained planYes
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan benefit arrangement – InsuranceYes
2016-04-01Plan benefit arrangement - TrustYes
2015: GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Plan is a collectively bargained planYes
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan benefit arrangement – InsuranceYes
2015-04-01Plan benefit arrangement - TrustYes
2014: GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Plan is a collectively bargained planYes
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan benefit arrangement – InsuranceYes
2014-04-01Plan benefit arrangement - TrustYes
2013: GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Plan is a collectively bargained planYes
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan benefit arrangement – InsuranceYes
2013-04-01Plan benefit arrangement - TrustYes
2012: GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Submission has been amendedYes
2012-04-01Plan is a collectively bargained planYes
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan benefit arrangement – InsuranceYes
2012-04-01Plan benefit arrangement - TrustYes
2011: GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Submission has been amendedYes
2011-04-01Plan is a collectively bargained planYes
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan benefit arrangement – InsuranceYes
2011-04-01Plan benefit arrangement - TrustYes
2010: GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2010 form 5500 responses
2010-04-01Type of plan entitySingle employer plan
2010-04-01Plan is a collectively bargained planYes
2010-04-01Plan funding arrangement – InsuranceYes
2010-04-01Plan benefit arrangement – InsuranceYes
2010-04-01Plan benefit arrangement - TrustYes
2009: GLOBE NEWSPAPER CO & BOSTON NEWSPPR PRTNG PRESS 3 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01Plan is a collectively bargained planYes
2009-04-01Plan funding arrangement – InsuranceYes
2009-04-01Plan benefit arrangement – InsuranceYes
2009-04-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number106063
Policy instance 3
Insurance contract or identification number106063
Number of Individuals Covered212
Insurance policy start date2020-01-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $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 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 $442,750
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,067
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number006285
Policy instance 1
Insurance contract or identification number006285
Number of Individuals Covered249
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $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 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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $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 number4957059
Policy instance 2
Insurance contract or identification number4957059
Number of Individuals Covered79
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $35,868
Total amount of fees paid to insurance companyUSD $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 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 $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 BrokerUSD $17,934
Amount paid for insurance broker fees3456
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4957059
Policy instance 2
Insurance contract or identification number4957059
Number of Individuals Covered80
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $38,922
Total amount of fees paid to insurance companyUSD $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 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
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 $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 BrokerUSD $1,748
Insurance broker organization code?3
Amount paid for insurance broker fees4620
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number006285
Policy instance 1
Insurance contract or identification number006285
Number of Individuals Covered254
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $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 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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $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 number4957059
Policy instance 2
Insurance contract or identification number4957059
Number of Individuals Covered95
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $39,507
Total amount of fees paid to insurance companyUSD $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 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 $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 BrokerUSD $19,754
Amount paid for insurance broker fees3055
Insurance broker organization code?3
Insurance broker nameDBR GROUP INC
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number006285
Policy instance 1
Insurance contract or identification number006285
Number of Individuals Covered310
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $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 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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,861
Insurance broker organization code?3
Insurance broker nameNFP CORPORATE SERVICES (NY) LLC
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4957059
Policy instance 2
Insurance contract or identification number4957059
Number of Individuals Covered96
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $38,037
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $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 BrokerUSD $18,620
Insurance broker organization code?3
Insurance broker nameNFP CORPORATE SERVICES LLC
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number006285
Policy instance 1
Insurance contract or identification number006285
Number of Individuals Covered331
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $6,116
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,116
Insurance broker organization code?3
Insurance broker nameNFP CORPORATE SERVICES LLC
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4957059
Policy instance 2
Insurance contract or identification number4957059
Number of Individuals Covered96
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $39,531
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $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 BrokerUSD $19,370
Insurance broker organization code?3
Insurance broker nameNFP CORPORATE SERVICES LLC
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number006285
Policy instance 1
Insurance contract or identification number006285
Number of Individuals Covered331
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $4,588
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,754
Insurance broker organization code?3
Insurance broker nameNFP CORPORATE SERVICES LLC
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4957059
Policy instance 2
Insurance contract or identification number4957059
Number of Individuals Covered106
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $40,808
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,037
Insurance broker organization code?3
Insurance broker nameTHORBAHN & ASSOCIATES
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number006285
Policy instance 1
Insurance contract or identification number006285
Number of Individuals Covered345
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $5,459
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,459
Insurance broker organization code?3
Insurance broker nameTHORBAHN AND ASSOC INS AGCY, INC.
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number62850000
Policy instance 1
Insurance contract or identification number62850000
Number of Individuals Covered341
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameJOHN R THORBAHN INS AGCY, INC.
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4957059
Policy instance 2
Insurance contract or identification number4957059
Number of Individuals Covered109
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $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 brokerUSD $39,841
Commission paid to Insurance BrokerUSD $20,543
Insurance broker organization code?3
Insurance broker nameTHORBAHN & ASSOCIATES
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number022300
Policy instance 3
Insurance contract or identification number022300
Insurance policy start date2011-04-01
Insurance policy end date2011-12-31
Welfare Benefit Premiums Paid to CarrierUSD $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 number6285
Policy instance 2
Insurance contract or identification number6285
Number of Individuals Covered368
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $2,328
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number31950
Policy instance 1
Insurance contract or identification number31950
Insurance policy start date2011-04-01
Insurance policy end date2011-12-31
Welfare Benefit Premiums Paid to CarrierUSD $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 number6285
Policy instance 2
Insurance contract or identification number6285
Number of Individuals Covered90
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number31950
Policy instance 1
Insurance contract or identification number31950
Number of Individuals Covered90
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Welfare Benefit Premiums Paid to CarrierUSD $2,321,325
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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