SEAFIELD CENTER INC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan SEAFIELD CENTER INC WELFARE PLAN
| Measure | Date | Value |
|---|
| 2023: SEAFIELD CENTER INC WELFARE PLAN 2023 401k membership |
|---|
| Total participants, beginning-of-year | 2023-01-01 | 261 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-01-01 | 194 |
| Total of all active and inactive participants | 2023-01-01 | 194 |
| Total participants | 2023-01-01 | 194 |
| 2022: SEAFIELD CENTER INC WELFARE PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 275 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 261 |
| Total of all active and inactive participants | 2022-01-01 | 261 |
| Total participants | 2022-01-01 | 261 |
| 2021: SEAFIELD CENTER INC WELFARE PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 268 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 275 |
| Total of all active and inactive participants | 2021-01-01 | 275 |
| Total participants | 2021-01-01 | 275 |
| 2020: SEAFIELD CENTER INC WELFARE PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 217 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 0 |
| Total of all active and inactive participants | 2020-01-01 | 0 |
| Total participants | 2020-01-01 | 0 |
| 2019: SEAFIELD CENTER INC WELFARE PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 230 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 217 |
| Total of all active and inactive participants | 2019-01-01 | 217 |
| Total participants | 2019-01-01 | 217 |
| 2018: SEAFIELD CENTER INC WELFARE PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 221 |
| Total of all active and inactive participants | 2018-01-01 | 0 |
| Total participants | 2018-01-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 230 |
| 2017: SEAFIELD CENTER INC WELFARE PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 219 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 221 |
| Total of all active and inactive participants | 2017-01-01 | 221 |
| Total participants | 2017-01-01 | 221 |
| 2016: SEAFIELD CENTER INC WELFARE PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 203 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 219 |
| Total of all active and inactive participants | 2016-01-01 | 219 |
| Total participants | 2016-01-01 | 219 |
| 2015: SEAFIELD CENTER INC WELFARE PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 201 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 203 |
| Total of all active and inactive participants | 2015-01-01 | 203 |
| Total participants | 2015-01-01 | 203 |
| 2014: SEAFIELD CENTER INC WELFARE PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 184 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 201 |
| Total of all active and inactive participants | 2014-01-01 | 201 |
| Total participants | 2014-01-01 | 201 |
| 2013: SEAFIELD CENTER INC WELFARE PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 183 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 184 |
| Total of all active and inactive participants | 2013-01-01 | 184 |
| Total participants | 2013-01-01 | 184 |
| 2012: SEAFIELD CENTER INC WELFARE PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 179 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 183 |
| Total of all active and inactive participants | 2012-01-01 | 183 |
| Total participants | 2012-01-01 | 183 |
| 2011: SEAFIELD CENTER INC WELFARE PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 177 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 179 |
| Total of all active and inactive participants | 2011-01-01 | 179 |
| Total participants | 2011-01-01 | 179 |
| 2009: SEAFIELD CENTER INC WELFARE PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 228 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 174 |
| Total of all active and inactive participants | 2009-01-01 | 174 |
| Total participants | 2009-01-01 | 174 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 5969129 |
| Policy instance | 4 |
| Insurance contract or identification number | 5969129 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 1102725 000 |
| Policy instance | 3 |
| Insurance contract or identification number | 1102725 000 | | Number of Individuals Covered | 130 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $132,672 |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 ) |
| Policy contract number | 0149518 |
| Policy instance | 2 |
| Insurance contract or identification number | 0149518 | | Number of Individuals Covered | 148 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $1,032 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,204 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 5969129 |
| Policy instance | 1 |
| Insurance contract or identification number | 5969129 | | Number of Individuals Covered | 194 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $10,691 | | Total amount of fees paid to insurance company | USD $3,411 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $142,839 |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 ) |
| Policy contract number | 015659 |
| Policy instance | 5 |
| Insurance contract or identification number | GA-828501 | | Number of Individuals Covered | 76 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $3,684 | | Total amount of fees paid to insurance company | USD $622 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,684 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 622 | | Additional information about fees paid to insurance broker | ADMIN FEES | | Welfare Benefit Premiums Paid to Carrier | USD $55,185 |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 ) |
| Policy contract number | 0149518 |
| Policy instance | 4 |
| Insurance contract or identification number | 0149518 | | Number of Individuals Covered | 168 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of fees paid to insurance company | USD $388 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,661 | | Amount paid for insurance broker fees | 388 |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 ) |
| Policy contract number | 0149518 |
| Policy instance | 2 |
| Insurance contract or identification number | 0149518 | | Number of Individuals Covered | 167 | | Insurance policy start date | 2022-03-01 | | Insurance policy end date | 2023-02-28 | | Vision Insurance Welfare Benefit | Yes |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 1102725 000 |
| Policy instance | 3 |
| Insurance contract or identification number | 1102725 000 | | Number of Individuals Covered | 148 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $69,848 | | Commission paid to Insurance Broker | USD $69,848 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 5969129 |
| Policy instance | 5 |
| Insurance contract or identification number | 5969129 | | Number of Individuals Covered | 263 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $19,047 | | Total amount of fees paid to insurance company | USD $2,346 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $180,835 | | Commission paid to Insurance Broker | USD $19,047 | | Amount paid for insurance broker fees | 2346 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 5969129 |
| Policy instance | 1 |
| Insurance contract or identification number | 5969129 | | Number of Individuals Covered | 261 | | Insurance policy start date | 2022-03-01 | | Insurance policy end date | 2023-02-28 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $198,889 |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | |
| Policy instance | 3 |
| Number of Individuals Covered | 113 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $65,383 | | Commission paid to Insurance Broker | USD $65,383 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 5969129 |
| Policy instance | 1 |
| Insurance contract or identification number | 5969129 | | Number of Individuals Covered | 275 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $18,624 | | Total amount of fees paid to insurance company | USD $4,033 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $197,609 | | Commission paid to Insurance Broker | USD $18,624 | | Amount paid for insurance broker fees | 4033 |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 ) |
| Policy contract number | 0149518 |
| Policy instance | 2 |
| Insurance contract or identification number | 0149518 | | Number of Individuals Covered | 184 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $1,255 | | Total amount of fees paid to insurance company | USD $472 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,493 | | Commission paid to Insurance Broker | USD $690 | | Amount paid for insurance broker fees | 472 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 5969129 |
| Policy instance | 3 |
| Insurance contract or identification number | 5969129 | | Number of Individuals Covered | 281 | | Insurance policy start date | 2020-03-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $12,348 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $143,702 | | Commission paid to Insurance Broker | USD $12,348 |
|
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 22491G553 |
| Policy instance | 2 |
| Insurance contract or identification number | 22491G553 | | Number of Individuals Covered | 177 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $71,179 | | Health Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $71,179 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 387448 |
| Policy instance | 1 |
| Insurance contract or identification number | 387448 | | Number of Individuals Covered | 212 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-02-29 | | Total amount of commissions paid to insurance broker | USD $1,624 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Commission paid to Insurance Broker | USD $1,624 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 387448 |
| Policy instance | 1 |
| Insurance contract or identification number | 387448 | | Number of Individuals Covered | 217 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $15,189 | | Total amount of fees paid to insurance company | USD $9,814 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $20,218 | | Commission paid to Insurance Broker | USD $15,189 | | Amount paid for insurance broker fees | 9814 |
|
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 22491G553 |
| Policy instance | 2 |
| Insurance contract or identification number | 22491G553 | | Number of Individuals Covered | 197 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $78,035 | | Health Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $78,035 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 387448 |
| Policy instance | 1 |
| Insurance contract or identification number | 387448 | | Number of Individuals Covered | 230 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $13,985 | | Total amount of fees paid to insurance company | USD $10,806 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $221,477 | | Commission paid to Insurance Broker | USD $13,985 | | Amount paid for insurance broker fees | 10806 |
|
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 22491G553 |
| Policy instance | 2 |
| Insurance contract or identification number | 22491G553 | | Number of Individuals Covered | 104 | | Insurance policy start date | 2018-03-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $57,816 | | Health Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $57,816 |
|
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | SC37673 |
| Policy instance | 3 |
| Insurance contract or identification number | SC37673 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-03-31 | | Total amount of commissions paid to insurance broker | USD $12,009 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $300,231 | | Commission paid to Insurance Broker | USD $12,009 |
|
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | SC37673 |
| Policy instance | 5 |
| Insurance contract or identification number | SC37673 | | Number of Individuals Covered | 197 | | Insurance policy start date | 2017-03-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $65,497 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,609,349 | | Commission paid to Insurance Broker | USD $65,497 | | Insurance broker name | COOK MARAN & ASSOCIATES |
|
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | SC37673 |
| Policy instance | 4 |
| Insurance contract or identification number | SC37673 | | Number of Individuals Covered | 192 | | Insurance policy start date | 2017-03-01 | | Insurance policy end date | 2018-02-28 | | Total amount of commissions paid to insurance broker | USD $71,386 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,762,343 | | Commission paid to Insurance Broker | USD $71,386 | | Insurance broker name | COOK MARAN & ASSOCIATES |
|
| WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 ) |
| Policy contract number | 376858 |
| Policy instance | 3 |
| Insurance contract or identification number | 376858 | | Number of Individuals Covered | 93 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-02-28 | | Total amount of commissions paid to insurance broker | USD $3,144 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $157,459 | | Commission paid to Insurance Broker | USD $3,144 | | Insurance broker name | COOK MARAN & ASSOC |
|
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 22491G553 |
| Policy instance | 2 |
| Insurance contract or identification number | 22491G553 | | Number of Individuals Covered | 83 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-02-28 | | Total amount of commissions paid to insurance broker | USD $7,700 | | Health Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $7,700 | | Insurance broker name | COOK, MARAN & ASSOCIATES, INC. |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 387448 |
| Policy instance | 1 |
| Insurance contract or identification number | 387448 | | Number of Individuals Covered | 221 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $14,918 | | Total amount of fees paid to insurance company | USD $5,482 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $256,772 | | Commission paid to Insurance Broker | USD $14,918 | | Amount paid for insurance broker fees | 5482 | | Insurance broker name | COOK MARAN & ASSOCIATES INC |
|
| WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 ) |
| Policy contract number | 376858 |
| Policy instance | 1 |
| Insurance contract or identification number | 376858 | | Number of Individuals Covered | 96 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $16,560 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $872,778 | | Commission paid to Insurance Broker | USD $16,560 | | Insurance broker name | COOK MARAN & ASSOCIATES |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 387448 |
| Policy instance | 2 |
| Insurance contract or identification number | 387448 | | Number of Individuals Covered | 203 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $13,407 | | Total amount of fees paid to insurance company | USD $6,334 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $213,719 | | Commission paid to Insurance Broker | USD $13,407 | | Amount paid for insurance broker fees | 6334 | | Insurance broker name | COOK MARAN & ASSOCIATES INC |
|
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 22491G553 |
| Policy instance | 3 |
| Insurance contract or identification number | 22491G553 | | Number of Individuals Covered | 67 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $34,666 | | Commission paid to Insurance Broker | USD $34,666 | | Insurance broker name | COOK, MARAN & ASSOCIATES, INC. |
|
| WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 ) |
| Policy contract number | 376858 |
| Policy instance | 4 |
| Insurance contract or identification number | 376858 | | Number of Individuals Covered | 94 | | Insurance policy start date | 2015-03-01 | | Insurance policy end date | 2016-02-29 | | Total amount of commissions paid to insurance broker | USD $18,216 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $879,152 | | Commission paid to Insurance Broker | USD $18,216 | | Insurance broker name | COOK MARAN & ASSOC |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 387448 |
| Policy instance | 2 |
| Insurance contract or identification number | 387448 | | Number of Individuals Covered | 201 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $13,092 | | Total amount of fees paid to insurance company | USD $9,228 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $194,021 | | Commission paid to Insurance Broker | USD $13,092 | | Amount paid for insurance broker fees | 9228 | | Insurance broker name | COOK MARAN & ASSOCIATES INC |
|
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 22491G553 |
| Policy instance | 3 |
| Insurance contract or identification number | 22491G553 | | Number of Individuals Covered | 69 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $33,607 | | Total amount of fees paid to insurance company | USD $836,037 | | Commission paid to Insurance Broker | USD $33,607 | | Amount paid for insurance broker fees | 836037 | | Insurance broker name | COOK, MARAN & ASSOCIATES, INC. |
|
| WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 ) |
| Policy contract number | 376858 |
| Policy instance | 1 |
| Insurance contract or identification number | 376858 | | Insurance policy start date | 2013-03-01 | | Insurance policy end date | 2014-02-28 | | Total amount of commissions paid to insurance broker | USD $17,328 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $702,048 | | Commission paid to Insurance Broker | USD $17,328 | | Insurance broker name | COOK MARAN & ASSOCIATES |
|
| WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 ) |
| Policy contract number | 376858 |
| Policy instance | 1 |
| Insurance contract or identification number | 376858 | | Number of Individuals Covered | 184 | | Insurance policy start date | 2012-03-01 | | Insurance policy end date | 2013-02-28 | | Total amount of commissions paid to insurance broker | USD $47,482 | | Total amount of fees paid to insurance company | USD $3,300 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $681,141 | | Commission paid to Insurance Broker | USD $15,912 | | Amount paid for insurance broker fees | 3300 | | Insurance broker name | COOK MARAN & ASSOCIATES |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 387448 |
| Policy instance | 2 |
| Insurance contract or identification number | 387448 | | Total amount of commissions paid to insurance broker | USD $11,551 | | Total amount of fees paid to insurance company | USD $8,718 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Commission paid to Insurance Broker | USD $11,551 | | Amount paid for insurance broker fees | 8718 | | Insurance broker name | COOK MARAN & ASSOCIATES INC |
|
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 22491G553 |
| Policy instance | 3 |
| Insurance contract or identification number | 22491G553 | | Insurance broker name | COOK, MARAN & ASSOCIATES, INC. |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 387448 |
| Policy instance | 2 |
| Insurance contract or identification number | 387448 | | Number of Individuals Covered | 183 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $11,844 | | Total amount of fees paid to insurance company | USD $8,684 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $184,302 | | Commission paid to Insurance Broker | USD $11,844 | | Amount paid for insurance broker fees | 8684 | | Insurance broker name | COOK HALL & HYDE INC |
|
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 22491G553 |
| Policy instance | 3 |
| Insurance contract or identification number | 22491G553 | | Number of Individuals Covered | 76 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $35,174 | | Welfare Benefit Premiums Paid to Carrier | USD $879,353 | | Commission paid to Insurance Broker | USD $35,174 | | Insurance broker name | COOK, MARAN & ASSOCIATES, INC. |
|
| WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 ) |
| Policy contract number | 376858 |
| Policy instance | 1 |
| Insurance contract or identification number | 376858 | | Number of Individuals Covered | 62 | | Insurance policy start date | 2011-03-01 | | Insurance policy end date | 2012-02-29 | | Total amount of commissions paid to insurance broker | USD $37,808 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $668,171 | | Commission paid to Insurance Broker | USD $18,596 | | Insurance broker name | COOK, MARAN & ASSOCIATES INC |
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| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 22491G553 |
| Policy instance | 3 |
| Insurance contract or identification number | 22491G553 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $26,233 |
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| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 387448 |
| Policy instance | 2 |
| Insurance contract or identification number | 387448 | | Number of Individuals Covered | 179 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $12,116 | | Total amount of fees paid to insurance company | USD $8,754 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $183,309 |
|
| WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 ) |
| Policy contract number | 376858 |
| Policy instance | 1 |
| Insurance contract or identification number | 376858 | | Insurance policy start date | 2011-03-01 | | Insurance policy end date | 2012-02-29 | | Total amount of commissions paid to insurance broker | USD $18,596 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $668,171 |
|
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 22491G553 |
| Policy instance | 3 |
| Insurance contract or identification number | 22491G553 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $19,972 | | Total amount of fees paid to insurance company | USD $0 | | Commission paid to Insurance Broker | USD $19,972 | | Insurance broker name | COOK HALL & HYDE |
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| WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 ) |
| Policy contract number | 376858 |
| Policy instance | 1 |
| Insurance contract or identification number | 376858 | | Insurance policy start date | 2010-03-01 | | Insurance policy end date | 2011-02-28 | | Total amount of commissions paid to insurance broker | USD $25,663 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $686,105 | | Commission paid to Insurance Broker | USD $25,663 | | Insurance broker name | COOK HALL AND HYDE |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 387448 |
| Policy instance | 2 |
| Insurance contract or identification number | 387448 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $12,626 | | Total amount of fees paid to insurance company | USD $4,794 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $185,740 | | Commission paid to Insurance Broker | USD $12,626 | | Amount paid for insurance broker fees | 4794 | | Insurance broker name | COOK HALL & HYDE INC |
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