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SEAFIELD CENTER INC WELFARE PLAN 401k Plan overview

Plan NameSEAFIELD CENTER INC WELFARE PLAN
Plan identification number 501

SEAFIELD CENTER INC WELFARE PLAN Benefits

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

401k Sponsoring company profile

SEAFIELD CENTER INC has sponsored the creation of one or more 401k plans.

Company Name:SEAFIELD CENTER INC
Employer identification number (EIN):112700246
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SEAFIELD CENTER INC WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01LISA ZAHRALBAN2023-09-28
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012018-01-01
5012017-01-01LISA ZAHRALBAN
5012016-01-01LISA ZAHRALBAN
5012015-01-01LISA ZAHRALBAN
5012014-01-01LISA ZAHRALBAN
5012013-01-01LISA ZAHRALBAN
5012012-01-01LISA ZAHRALBAN
5012011-01-01LISA ZAHRALBAN
5012009-01-01LISA ZAHRALBAN
5012009-01-01LISA ZAHRALBAN

Plan Statistics for SEAFIELD CENTER INC WELFARE PLAN

401k plan membership statisitcs for SEAFIELD CENTER INC WELFARE PLAN

Measure Date Value
2022: SEAFIELD CENTER INC WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01275
Total number of active participants reported on line 7a of the Form 55002022-01-01261
Total of all active and inactive participants2022-01-01261
Total participants2022-01-01261
2021: SEAFIELD CENTER INC WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01268
Total number of active participants reported on line 7a of the Form 55002021-01-01275
Total of all active and inactive participants2021-01-01275
Total participants2021-01-01275
2020: SEAFIELD CENTER INC WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01217
Total number of active participants reported on line 7a of the Form 55002020-01-010
Total of all active and inactive participants2020-01-010
Total participants2020-01-010
2019: SEAFIELD CENTER INC WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01230
Total number of active participants reported on line 7a of the Form 55002019-01-01217
Total of all active and inactive participants2019-01-01217
Total participants2019-01-01217
2018: SEAFIELD CENTER INC WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01221
Total of all active and inactive participants2018-01-010
Total participants2018-01-010
Total number of active participants reported on line 7a of the Form 55002018-01-01230
2017: SEAFIELD CENTER INC WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01219
Total number of active participants reported on line 7a of the Form 55002017-01-01221
Total of all active and inactive participants2017-01-01221
Total participants2017-01-01221
2016: SEAFIELD CENTER INC WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01203
Total number of active participants reported on line 7a of the Form 55002016-01-01219
Total of all active and inactive participants2016-01-01219
Total participants2016-01-01219
2015: SEAFIELD CENTER INC WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01201
Total number of active participants reported on line 7a of the Form 55002015-01-01203
Total of all active and inactive participants2015-01-01203
Total participants2015-01-01203
2014: SEAFIELD CENTER INC WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01184
Total number of active participants reported on line 7a of the Form 55002014-01-01201
Total of all active and inactive participants2014-01-01201
Total participants2014-01-01201
2013: SEAFIELD CENTER INC WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01183
Total number of active participants reported on line 7a of the Form 55002013-01-01184
Total of all active and inactive participants2013-01-01184
Total participants2013-01-01184
2012: SEAFIELD CENTER INC WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01179
Total number of active participants reported on line 7a of the Form 55002012-01-01183
Total of all active and inactive participants2012-01-01183
Total participants2012-01-01183
2011: SEAFIELD CENTER INC WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01177
Total number of active participants reported on line 7a of the Form 55002011-01-01179
Total of all active and inactive participants2011-01-01179
Total participants2011-01-01179
2009: SEAFIELD CENTER INC WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01228
Total number of active participants reported on line 7a of the Form 55002009-01-01174
Total of all active and inactive participants2009-01-01174
Total participants2009-01-01174

Form 5500 Responses for SEAFIELD CENTER INC WELFARE PLAN

2022: SEAFIELD CENTER INC WELFARE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: SEAFIELD CENTER INC WELFARE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: SEAFIELD CENTER INC WELFARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: SEAFIELD CENTER INC WELFARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: SEAFIELD CENTER INC WELFARE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: SEAFIELD CENTER INC WELFARE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: SEAFIELD CENTER INC WELFARE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: SEAFIELD CENTER INC WELFARE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: SEAFIELD CENTER INC WELFARE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: SEAFIELD CENTER INC WELFARE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: SEAFIELD CENTER INC WELFARE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: SEAFIELD CENTER INC WELFARE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: SEAFIELD CENTER INC WELFARE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01This submission is the final filingYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5969129
Policy instance 5
Insurance contract or identification number5969129
Number of Individuals Covered263
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $19,047
Total amount of fees paid to insurance companyUSD $2,346
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $180,835
Commission paid to Insurance BrokerUSD $19,047
Amount paid for insurance broker fees2346
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0149518
Policy instance 4
Insurance contract or identification number0149518
Number of Individuals Covered168
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of fees paid to insurance companyUSD $388
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,661
Amount paid for insurance broker fees388
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number1102725 000
Policy instance 3
Insurance contract or identification number1102725 000
Number of Individuals Covered148
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $69,848
Commission paid to Insurance BrokerUSD $69,848
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0149518
Policy instance 2
Insurance contract or identification number0149518
Number of Individuals Covered167
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Vision Insurance Welfare BenefitYes
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5969129
Policy instance 1
Insurance contract or identification number5969129
Number of Individuals Covered261
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $198,889
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number
Policy instance 3
Number of Individuals Covered113
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $65,383
Commission paid to Insurance BrokerUSD $65,383
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0149518
Policy instance 2
Insurance contract or identification number0149518
Number of Individuals Covered184
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $1,255
Total amount of fees paid to insurance companyUSD $472
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,493
Commission paid to Insurance BrokerUSD $690
Amount paid for insurance broker fees472
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5969129
Policy instance 1
Insurance contract or identification number5969129
Number of Individuals Covered275
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $18,624
Total amount of fees paid to insurance companyUSD $4,033
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $197,609
Commission paid to Insurance BrokerUSD $18,624
Amount paid for insurance broker fees4033
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number387448
Policy instance 1
Insurance contract or identification number387448
Number of Individuals Covered212
Insurance policy start date2020-01-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $1,624
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Commission paid to Insurance BrokerUSD $1,624
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number22491G553
Policy instance 2
Insurance contract or identification number22491G553
Number of Individuals Covered177
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $71,179
Health Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $71,179
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5969129
Policy instance 3
Insurance contract or identification number5969129
Number of Individuals Covered281
Insurance policy start date2020-03-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $12,348
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $143,702
Commission paid to Insurance BrokerUSD $12,348
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number387448
Policy instance 1
Insurance contract or identification number387448
Number of Individuals Covered217
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $15,189
Total amount of fees paid to insurance companyUSD $9,814
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $20,218
Commission paid to Insurance BrokerUSD $15,189
Amount paid for insurance broker fees9814
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number22491G553
Policy instance 2
Insurance contract or identification number22491G553
Number of Individuals Covered197
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $78,035
Health Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $78,035
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number387448
Policy instance 1
Insurance contract or identification number387448
Number of Individuals Covered230
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $13,985
Total amount of fees paid to insurance companyUSD $10,806
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $221,477
Commission paid to Insurance BrokerUSD $13,985
Amount paid for insurance broker fees10806
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number22491G553
Policy instance 2
Insurance contract or identification number22491G553
Number of Individuals Covered104
Insurance policy start date2018-03-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $57,816
Health Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $57,816
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberSC37673
Policy instance 3
Insurance contract or identification numberSC37673
Number of Individuals Covered0
Insurance policy start date2018-01-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $12,009
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $300,231
Commission paid to Insurance BrokerUSD $12,009
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberSC37673
Policy instance 5
Insurance contract or identification numberSC37673
Number of Individuals Covered197
Insurance policy start date2017-03-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $65,497
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,609,349
Commission paid to Insurance BrokerUSD $65,497
Insurance broker nameCOOK MARAN & ASSOCIATES
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberSC37673
Policy instance 4
Insurance contract or identification numberSC37673
Number of Individuals Covered192
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $71,386
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,762,343
Commission paid to Insurance BrokerUSD $71,386
Insurance broker nameCOOK MARAN & ASSOCIATES
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number376858
Policy instance 3
Insurance contract or identification number376858
Number of Individuals Covered93
Insurance policy start date2017-01-01
Insurance policy end date2017-02-28
Total amount of commissions paid to insurance brokerUSD $3,144
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $157,459
Commission paid to Insurance BrokerUSD $3,144
Insurance broker nameCOOK MARAN & ASSOC
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number22491G553
Policy instance 2
Insurance contract or identification number22491G553
Number of Individuals Covered83
Insurance policy start date2017-01-01
Insurance policy end date2017-02-28
Total amount of commissions paid to insurance brokerUSD $7,700
Health Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $7,700
Insurance broker nameCOOK, MARAN & ASSOCIATES, INC.
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number387448
Policy instance 1
Insurance contract or identification number387448
Number of Individuals Covered221
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $14,918
Total amount of fees paid to insurance companyUSD $5,482
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $256,772
Commission paid to Insurance BrokerUSD $14,918
Amount paid for insurance broker fees5482
Insurance broker nameCOOK MARAN & ASSOCIATES INC
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number376858
Policy instance 1
Insurance contract or identification number376858
Number of Individuals Covered96
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $16,560
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $872,778
Commission paid to Insurance BrokerUSD $16,560
Insurance broker nameCOOK MARAN & ASSOCIATES
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number387448
Policy instance 2
Insurance contract or identification number387448
Number of Individuals Covered203
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $13,407
Total amount of fees paid to insurance companyUSD $6,334
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $213,719
Commission paid to Insurance BrokerUSD $13,407
Amount paid for insurance broker fees6334
Insurance broker nameCOOK MARAN & ASSOCIATES INC
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number22491G553
Policy instance 3
Insurance contract or identification number22491G553
Number of Individuals Covered67
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $34,666
Commission paid to Insurance BrokerUSD $34,666
Insurance broker nameCOOK, MARAN & ASSOCIATES, INC.
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number376858
Policy instance 4
Insurance contract or identification number376858
Number of Individuals Covered94
Insurance policy start date2015-03-01
Insurance policy end date2016-02-29
Total amount of commissions paid to insurance brokerUSD $18,216
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $879,152
Commission paid to Insurance BrokerUSD $18,216
Insurance broker nameCOOK MARAN & ASSOC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number387448
Policy instance 2
Insurance contract or identification number387448
Number of Individuals Covered201
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $13,092
Total amount of fees paid to insurance companyUSD $9,228
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $194,021
Commission paid to Insurance BrokerUSD $13,092
Amount paid for insurance broker fees9228
Insurance broker nameCOOK MARAN & ASSOCIATES INC
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number22491G553
Policy instance 3
Insurance contract or identification number22491G553
Number of Individuals Covered69
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $33,607
Total amount of fees paid to insurance companyUSD $836,037
Commission paid to Insurance BrokerUSD $33,607
Amount paid for insurance broker fees836037
Insurance broker nameCOOK, MARAN & ASSOCIATES, INC.
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number376858
Policy instance 1
Insurance contract or identification number376858
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $17,328
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $702,048
Commission paid to Insurance BrokerUSD $17,328
Insurance broker nameCOOK MARAN & ASSOCIATES
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number376858
Policy instance 1
Insurance contract or identification number376858
Number of Individuals Covered184
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $47,482
Total amount of fees paid to insurance companyUSD $3,300
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $681,141
Commission paid to Insurance BrokerUSD $15,912
Amount paid for insurance broker fees3300
Insurance broker nameCOOK MARAN & ASSOCIATES
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number387448
Policy instance 2
Insurance contract or identification number387448
Total amount of commissions paid to insurance brokerUSD $11,551
Total amount of fees paid to insurance companyUSD $8,718
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Commission paid to Insurance BrokerUSD $11,551
Amount paid for insurance broker fees8718
Insurance broker nameCOOK MARAN & ASSOCIATES INC
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number22491G553
Policy instance 3
Insurance contract or identification number22491G553
Insurance broker nameCOOK, MARAN & ASSOCIATES, INC.
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number387448
Policy instance 2
Insurance contract or identification number387448
Number of Individuals Covered183
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $11,844
Total amount of fees paid to insurance companyUSD $8,684
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $184,302
Commission paid to Insurance BrokerUSD $11,844
Amount paid for insurance broker fees8684
Insurance broker nameCOOK HALL & HYDE INC
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number22491G553
Policy instance 3
Insurance contract or identification number22491G553
Number of Individuals Covered76
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $35,174
Welfare Benefit Premiums Paid to CarrierUSD $879,353
Commission paid to Insurance BrokerUSD $35,174
Insurance broker nameCOOK, MARAN & ASSOCIATES, INC.
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number376858
Policy instance 1
Insurance contract or identification number376858
Number of Individuals Covered62
Insurance policy start date2011-03-01
Insurance policy end date2012-02-29
Total amount of commissions paid to insurance brokerUSD $37,808
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $668,171
Commission paid to Insurance BrokerUSD $18,596
Insurance broker nameCOOK, MARAN & ASSOCIATES INC
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number22491G553
Policy instance 3
Insurance contract or identification number22491G553
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $26,233
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number387448
Policy instance 2
Insurance contract or identification number387448
Number of Individuals Covered179
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $12,116
Total amount of fees paid to insurance companyUSD $8,754
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $183,309
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number376858
Policy instance 1
Insurance contract or identification number376858
Insurance policy start date2011-03-01
Insurance policy end date2012-02-29
Total amount of commissions paid to insurance brokerUSD $18,596
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $668,171
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number22491G553
Policy instance 3
Insurance contract or identification number22491G553
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $19,972
Total amount of fees paid to insurance companyUSD $0
Commission paid to Insurance BrokerUSD $19,972
Insurance broker nameCOOK HALL & HYDE
WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 )
Policy contract number376858
Policy instance 1
Insurance contract or identification number376858
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Total amount of commissions paid to insurance brokerUSD $25,663
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $686,105
Commission paid to Insurance BrokerUSD $25,663
Insurance broker nameCOOK HALL AND HYDE
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number387448
Policy instance 2
Insurance contract or identification number387448
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $12,626
Total amount of fees paid to insurance companyUSD $4,794
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $185,740
Commission paid to Insurance BrokerUSD $12,626
Amount paid for insurance broker fees4794
Insurance broker nameCOOK HALL & HYDE INC

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