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PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 401k Plan overview

Plan NamePHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN
Plan identification number 501

PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN Benefits

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

401k Sponsoring company profile

PHYSICIANS FOR WOMEN'S HEALTH LLC has sponsored the creation of one or more 401k plans.

Company Name:PHYSICIANS FOR WOMEN'S HEALTH LLC
Employer identification number (EIN):061483728
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-08-01SUSAN SKROLY2024-02-20
5012021-08-01SUSAN SKROLY2023-03-03
5012020-08-01SUSAN SKROLY2022-02-15
5012019-08-01SUSAN SKROLY2021-04-08
5012017-08-01SUSAN SKROLY SUSAN SKROLY2019-02-26
5012016-08-01SUSAN SKROLY SUSAN SKROLY2018-02-26
5012015-08-01SUSAN SKROLY SUSAN SKROLY2017-02-17
5012014-08-01SHERI CLARK SHERI CLARK2016-01-13
5012013-08-01SHERI CLARK SHERI CLARK2015-07-13
5012012-08-01SHERI CLARK SHERI CLARK2015-07-13
5012011-08-01SHERI CLARK SHERI CLARK2015-07-13
5012010-08-01SHERI CLARK SHERI CLARK2015-07-13
5012009-08-01SHERI CLARK SHERI CLARK2015-07-13
5012008-08-01SHERI CLARK SHERI CLARK2015-07-13
5012007-08-01SHERI CLARK SHERI CLARK2015-07-13
5012006-08-01SHERI CLARK SHERI CLARK2015-07-13
5012005-08-01SHERI CLARK SHERI CLARK2015-07-13
5012004-08-01SHERI CLARK SHERI CLARK2015-07-13
5012003-08-01SHERI CLARK SHERI CLARK2015-07-13
5012002-08-01SHERI CLARK SHERI CLARK2015-07-13
5012001-08-01SHERI CLARK SHERI CLARK2015-07-13
5012000-08-01SHERI CLARK SHERI CLARK2015-07-13
5011999-08-01SHERI CLARK SHERI CLARK2015-07-13
5011998-08-01SHERI CLARK SHERI CLARK2015-07-13
5011997-08-01SHERI CLARK SHERI CLARK2015-07-13

Plan Statistics for PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN

401k plan membership statisitcs for PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN

Measure Date Value
2022: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-08-01906
Total number of active participants reported on line 7a of the Form 55002022-08-01892
Number of retired or separated participants receiving benefits2022-08-013
Number of other retired or separated participants entitled to future benefits2022-08-010
Total of all active and inactive participants2022-08-01895
2021: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-08-01885
Total number of active participants reported on line 7a of the Form 55002021-08-01891
Number of retired or separated participants receiving benefits2021-08-0115
Number of other retired or separated participants entitled to future benefits2021-08-010
Total of all active and inactive participants2021-08-01906
2020: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-08-01854
Total number of active participants reported on line 7a of the Form 55002020-08-01885
Number of retired or separated participants receiving benefits2020-08-010
Number of other retired or separated participants entitled to future benefits2020-08-010
Total of all active and inactive participants2020-08-01885
Number of employers contributing to the scheme2020-08-010
2019: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-08-01854
Total number of active participants reported on line 7a of the Form 55002019-08-01854
Number of retired or separated participants receiving benefits2019-08-010
Number of other retired or separated participants entitled to future benefits2019-08-010
Total of all active and inactive participants2019-08-01854
Number of employers contributing to the scheme2019-08-010
2017: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-08-01867
Total number of active participants reported on line 7a of the Form 55002017-08-01859
Total of all active and inactive participants2017-08-01859
Total participants2017-08-01859
2016: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-08-01858
Total of all active and inactive participants2016-08-010
Total participants2016-08-010
2015: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-08-01803
Total of all active and inactive participants2015-08-010
Total participants2015-08-010
2014: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-08-01807
Total of all active and inactive participants2014-08-010
Total participants2014-08-010
2013: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year2013-08-01786
Total number of active participants reported on line 7a of the Form 55002013-08-01916
Total of all active and inactive participants2013-08-01916
Total participants2013-08-01916
2012: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year2012-08-01756
Total number of active participants reported on line 7a of the Form 55002012-08-01799
Total of all active and inactive participants2012-08-01799
Total participants2012-08-01799
2011: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year2011-08-01770
Total number of active participants reported on line 7a of the Form 55002011-08-01756
Total of all active and inactive participants2011-08-01756
Total participants2011-08-01756
2010: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year2010-08-01121
Total number of active participants reported on line 7a of the Form 55002010-08-01121
Total of all active and inactive participants2010-08-01121
Total participants2010-08-01121
2009: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year2009-08-01121
Total number of active participants reported on line 7a of the Form 55002009-08-01121
Total of all active and inactive participants2009-08-01121
Total participants2009-08-01121
2008: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2008 401k membership
Total participants, beginning-of-year2008-08-01121
Total number of active participants reported on line 7a of the Form 55002008-08-01121
Total of all active and inactive participants2008-08-01121
Total participants2008-08-01121
2007: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2007 401k membership
Total participants, beginning-of-year2007-08-01121
Total number of active participants reported on line 7a of the Form 55002007-08-01121
Total of all active and inactive participants2007-08-01121
Total participants2007-08-01121
2006: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2006 401k membership
Total participants, beginning-of-year2006-08-01121
Total number of active participants reported on line 7a of the Form 55002006-08-01121
Total of all active and inactive participants2006-08-01121
Total participants2006-08-01121
2005: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2005 401k membership
Total participants, beginning-of-year2005-08-01121
Total number of active participants reported on line 7a of the Form 55002005-08-01121
Total of all active and inactive participants2005-08-01121
Total participants2005-08-01121
2004: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2004 401k membership
Total participants, beginning-of-year2004-08-01121
Total number of active participants reported on line 7a of the Form 55002004-08-01121
Total of all active and inactive participants2004-08-01121
Total participants2004-08-01121
2003: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2003 401k membership
Total participants, beginning-of-year2003-08-01121
Total number of active participants reported on line 7a of the Form 55002003-08-01121
Total of all active and inactive participants2003-08-01121
Total participants2003-08-01121
2002: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2002 401k membership
Total participants, beginning-of-year2002-08-01121
Total number of active participants reported on line 7a of the Form 55002002-08-01121
Total of all active and inactive participants2002-08-01121
Total participants2002-08-01121
2001: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2001 401k membership
Total participants, beginning-of-year2001-08-01121
Total number of active participants reported on line 7a of the Form 55002001-08-01121
Total of all active and inactive participants2001-08-01121
Total participants2001-08-01121
2000: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2000 401k membership
Total participants, beginning-of-year2000-08-01121
Total number of active participants reported on line 7a of the Form 55002000-08-01121
Total of all active and inactive participants2000-08-01121
Total participants2000-08-01121
1999: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 1999 401k membership
Total participants, beginning-of-year1999-08-01121
Total number of active participants reported on line 7a of the Form 55001999-08-01121
Total of all active and inactive participants1999-08-01121
Total participants1999-08-01121
1998: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 1998 401k membership
Total participants, beginning-of-year1998-08-01121
Total number of active participants reported on line 7a of the Form 55001998-08-01121
Total of all active and inactive participants1998-08-01121
Total participants1998-08-01121
1997: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 1997 401k membership
Total participants, beginning-of-year1997-08-01121
Total number of active participants reported on line 7a of the Form 55001997-08-01121
Total of all active and inactive participants1997-08-01121
Total participants1997-08-01121

Form 5500 Responses for PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN

2022: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2022 form 5500 responses
2022-08-01Type of plan entitySingle employer plan
2022-08-01Submission has been amendedNo
2022-08-01This submission is the final filingNo
2022-08-01This return/report is a short plan year return/report (less than 12 months)No
2022-08-01Plan is a collectively bargained planNo
2022-08-01Plan funding arrangement – InsuranceYes
2022-08-01Plan funding arrangement – General assets of the sponsorYes
2022-08-01Plan benefit arrangement – InsuranceYes
2022-08-01Plan benefit arrangement – General assets of the sponsorYes
2021: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2021 form 5500 responses
2021-08-01Type of plan entitySingle employer plan
2021-08-01Submission has been amendedNo
2021-08-01This submission is the final filingNo
2021-08-01This return/report is a short plan year return/report (less than 12 months)No
2021-08-01Plan is a collectively bargained planNo
2021-08-01Plan funding arrangement – InsuranceYes
2021-08-01Plan funding arrangement – General assets of the sponsorYes
2021-08-01Plan benefit arrangement – InsuranceYes
2021-08-01Plan benefit arrangement – General assets of the sponsorYes
2020: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2020 form 5500 responses
2020-08-01Type of plan entitySingle employer plan
2020-08-01Plan funding arrangement – InsuranceYes
2020-08-01Plan funding arrangement – General assets of the sponsorYes
2020-08-01Plan benefit arrangement – InsuranceYes
2020-08-01Plan benefit arrangement – General assets of the sponsorYes
2019: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2019 form 5500 responses
2019-08-01Type of plan entitySingle employer plan
2019-08-01Plan funding arrangement – InsuranceYes
2019-08-01Plan funding arrangement – General assets of the sponsorYes
2019-08-01Plan benefit arrangement – InsuranceYes
2019-08-01Plan benefit arrangement – General assets of the sponsorYes
2017: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Submission has been amendedNo
2017-08-01This submission is the final filingNo
2017-08-01This return/report is a short plan year return/report (less than 12 months)No
2017-08-01Plan is a collectively bargained planNo
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – InsuranceYes
2016: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01Submission has been amendedNo
2016-08-01This submission is the final filingNo
2016-08-01This return/report is a short plan year return/report (less than 12 months)No
2016-08-01Plan is a collectively bargained planNo
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes
2015: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01Submission has been amendedNo
2015-08-01This submission is the final filingNo
2015-08-01This return/report is a short plan year return/report (less than 12 months)No
2015-08-01Plan is a collectively bargained planNo
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – InsuranceYes
2014: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01Submission has been amendedNo
2014-08-01This submission is the final filingNo
2014-08-01This return/report is a short plan year return/report (less than 12 months)No
2014-08-01Plan is a collectively bargained planNo
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan benefit arrangement – InsuranceYes
2013: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2013 form 5500 responses
2013-08-01Type of plan entitySingle employer plan
2013-08-01Submission has been amendedNo
2013-08-01This submission is the final filingNo
2013-08-01This return/report is a short plan year return/report (less than 12 months)No
2013-08-01Plan is a collectively bargained planNo
2013-08-01Plan funding arrangement – InsuranceYes
2013-08-01Plan benefit arrangement – InsuranceYes
2012: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2012 form 5500 responses
2012-08-01Type of plan entitySingle employer plan
2012-08-01Submission has been amendedNo
2012-08-01This submission is the final filingNo
2012-08-01This return/report is a short plan year return/report (less than 12 months)No
2012-08-01Plan is a collectively bargained planNo
2012-08-01Plan funding arrangement – InsuranceYes
2012-08-01Plan benefit arrangement – InsuranceYes
2011: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2011 form 5500 responses
2011-08-01Type of plan entitySingle employer plan
2011-08-01Submission has been amendedNo
2011-08-01This submission is the final filingNo
2011-08-01This return/report is a short plan year return/report (less than 12 months)No
2011-08-01Plan is a collectively bargained planNo
2011-08-01Plan funding arrangement – InsuranceYes
2011-08-01Plan benefit arrangement – InsuranceYes
2010: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2010 form 5500 responses
2010-08-01Type of plan entitySingle employer plan
2010-08-01Submission has been amendedNo
2010-08-01This submission is the final filingNo
2010-08-01This return/report is a short plan year return/report (less than 12 months)No
2010-08-01Plan is a collectively bargained planNo
2010-08-01Plan funding arrangement – InsuranceYes
2010-08-01Plan benefit arrangement – InsuranceYes
2009: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2009 form 5500 responses
2009-08-01Type of plan entitySingle employer plan
2009-08-01Submission has been amendedNo
2009-08-01This submission is the final filingNo
2009-08-01This return/report is a short plan year return/report (less than 12 months)No
2009-08-01Plan is a collectively bargained planNo
2009-08-01Plan funding arrangement – InsuranceYes
2009-08-01Plan benefit arrangement – InsuranceYes
2008: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2008 form 5500 responses
2008-08-01Type of plan entitySingle employer plan
2008-08-01Submission has been amendedNo
2008-08-01This submission is the final filingNo
2008-08-01This return/report is a short plan year return/report (less than 12 months)No
2008-08-01Plan is a collectively bargained planNo
2008-08-01Plan funding arrangement – InsuranceYes
2008-08-01Plan benefit arrangement – InsuranceYes
2007: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2007 form 5500 responses
2007-08-01Type of plan entitySingle employer plan
2007-08-01Submission has been amendedNo
2007-08-01This submission is the final filingNo
2007-08-01This return/report is a short plan year return/report (less than 12 months)No
2007-08-01Plan is a collectively bargained planNo
2007-08-01Plan funding arrangement – InsuranceYes
2007-08-01Plan benefit arrangement – InsuranceYes
2006: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2006 form 5500 responses
2006-08-01Type of plan entitySingle employer plan
2006-08-01Submission has been amendedNo
2006-08-01This submission is the final filingNo
2006-08-01This return/report is a short plan year return/report (less than 12 months)No
2006-08-01Plan is a collectively bargained planNo
2006-08-01Plan funding arrangement – InsuranceYes
2006-08-01Plan benefit arrangement – InsuranceYes
2005: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2005 form 5500 responses
2005-08-01Type of plan entitySingle employer plan
2005-08-01Submission has been amendedNo
2005-08-01This submission is the final filingNo
2005-08-01This return/report is a short plan year return/report (less than 12 months)No
2005-08-01Plan is a collectively bargained planNo
2005-08-01Plan funding arrangement – InsuranceYes
2005-08-01Plan benefit arrangement – InsuranceYes
2004: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2004 form 5500 responses
2004-08-01Type of plan entitySingle employer plan
2004-08-01Submission has been amendedNo
2004-08-01This submission is the final filingNo
2004-08-01This return/report is a short plan year return/report (less than 12 months)No
2004-08-01Plan is a collectively bargained planNo
2004-08-01Plan funding arrangement – InsuranceYes
2004-08-01Plan benefit arrangement – InsuranceYes
2003: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2003 form 5500 responses
2003-08-01Type of plan entitySingle employer plan
2003-08-01Submission has been amendedNo
2003-08-01This submission is the final filingNo
2003-08-01This return/report is a short plan year return/report (less than 12 months)No
2003-08-01Plan is a collectively bargained planNo
2003-08-01Plan funding arrangement – InsuranceYes
2003-08-01Plan benefit arrangement – InsuranceYes
2002: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2002 form 5500 responses
2002-08-01Type of plan entitySingle employer plan
2002-08-01Submission has been amendedNo
2002-08-01This submission is the final filingNo
2002-08-01This return/report is a short plan year return/report (less than 12 months)No
2002-08-01Plan is a collectively bargained planNo
2002-08-01Plan funding arrangement – InsuranceYes
2002-08-01Plan benefit arrangement – InsuranceYes
2001: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2001 form 5500 responses
2001-08-01Type of plan entitySingle employer plan
2001-08-01Submission has been amendedNo
2001-08-01This submission is the final filingNo
2001-08-01This return/report is a short plan year return/report (less than 12 months)No
2001-08-01Plan is a collectively bargained planNo
2001-08-01Plan funding arrangement – InsuranceYes
2001-08-01Plan benefit arrangement – InsuranceYes
2000: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 2000 form 5500 responses
2000-08-01Type of plan entitySingle employer plan
2000-08-01Submission has been amendedNo
2000-08-01This submission is the final filingNo
2000-08-01This return/report is a short plan year return/report (less than 12 months)No
2000-08-01Plan is a collectively bargained planNo
2000-08-01Plan funding arrangement – InsuranceYes
2000-08-01Plan benefit arrangement – InsuranceYes
1999: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 1999 form 5500 responses
1999-08-01Type of plan entitySingle employer plan
1999-08-01Submission has been amendedNo
1999-08-01This submission is the final filingNo
1999-08-01This return/report is a short plan year return/report (less than 12 months)No
1999-08-01Plan is a collectively bargained planNo
1999-08-01Plan funding arrangement – InsuranceYes
1999-08-01Plan benefit arrangement – InsuranceYes
1998: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 1998 form 5500 responses
1998-08-01Type of plan entitySingle employer plan
1998-08-01Submission has been amendedNo
1998-08-01This submission is the final filingNo
1998-08-01This return/report is a short plan year return/report (less than 12 months)No
1998-08-01Plan is a collectively bargained planNo
1998-08-01Plan funding arrangement – InsuranceYes
1998-08-01Plan benefit arrangement – InsuranceYes
1997: PHYSICIANS FOR WOMEN'S HEALTH LLC EMPLOYEE BENEFITS PLAN 1997 form 5500 responses
1997-08-01Type of plan entitySingle employer plan
1997-08-01Submission has been amendedNo
1997-08-01This submission is the final filingNo
1997-08-01This return/report is a short plan year return/report (less than 12 months)No
1997-08-01Plan is a collectively bargained planNo
1997-08-01Plan funding arrangement – InsuranceYes
1997-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberHI-0000223039
Policy instance 10
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract numberL00300
Policy instance 1
HYATT LEGAL PLANS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number8210010
Policy instance 2
HEALTH NEW ENGLAND, INC. (National Association of Insurance Commissioners NAIC id number: 95673 )
Policy contract number118587
Policy instance 3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10243471
Policy instance 4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10243474
Policy instance 5
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10243472
Policy instance 6
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number40000100024131
Policy instance 7
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberACC-0000001252
Policy instance 8
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCI-0000001253
Policy instance 9
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract numberL00300
Policy instance 1
HYATT LEGAL PLANS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number8210010
Policy instance 2
HEALTH NEW ENGLAND, INC. (National Association of Insurance Commissioners NAIC id number: 95673 )
Policy contract number118587
Policy instance 3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10243471
Policy instance 4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10243474
Policy instance 5
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10243472
Policy instance 6
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number40000100024131
Policy instance 7
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberACC-0000001252
Policy instance 8
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCI-0000001253
Policy instance 9
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract numberL00300
Policy instance 1
HYATT LEGAL PLANS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number8210010
Policy instance 2
FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 )
Policy contract numberC004518271C02
Policy instance 3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10243471
Policy instance 4
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberAI961103
Policy instance 5
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10243471
Policy instance 4
HYATT LEGAL PLANS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number8210010
Policy instance 3
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-040986
Policy instance 2
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3336039
Policy instance 1
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 78026 )
Policy contract numberPF13331
Policy instance 1
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3336039
Policy instance 2
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010040986
Policy instance 3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0473683
Policy instance 4
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010040986
Policy instance 3
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 78026 )
Policy contract numberPF13331
Policy instance 2
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3336039
Policy instance 1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberVDT961400
Policy instance 4
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberVDT961399
Policy instance 5
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX965445
Policy instance 6
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 78026 )
Policy contract numberPF13331
Policy instance 1
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3336039
Policy instance 2
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberVDT961399
Policy instance 4
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX965445
Policy instance 3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberVDT961400
Policy instance 5
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK967025
Policy instance 6
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number676140G
Policy instance 3
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number1938
Policy instance 1
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3336039
Policy instance 2
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number676140G
Policy instance 3
CONNECTICARE INSURANCE CO., INC (National Association of Insurance Commissioners NAIC id number: 11209 )
Policy contract number861 AND 862
Policy instance 2
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number1938
Policy instance 1

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