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NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP GROUP HEALTH PLAN 401k Plan overview

Plan NameNORTH AMERICAN PARTNERS IN ANESTHESIA, LLP GROUP HEALTH PLAN
Plan identification number 502

NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP GROUP HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

NORTH AMERICAN PARTNERS IN ANESTHESIA LLP has sponsored the creation of one or more 401k plans.

Company Name:NORTH AMERICAN PARTNERS IN ANESTHESIA LLP
Employer identification number (EIN):112923650
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022019-01-01DEBRA WALSH2020-10-06
5022018-01-01
5022017-01-01DEBRA WALSH
5022016-01-01LESLIE RUSSO
5022015-01-01LESLIE RUSSO
5022014-01-01LESLIE RUSSO
5022013-01-01LESLIE RUSSO
5022012-01-01LESLIE RUSSO
5022011-01-01KATHLEEN FIELDS
5022009-01-01 KATHRYN FIELDS2010-10-14
5022009-01-01KATHRYN FIELDS

Plan Statistics for NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP GROUP HEALTH PLAN

401k plan membership statisitcs for NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP GROUP HEALTH PLAN

Measure Date Value
2019: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP GROUP HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01386
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-010
Number of employers contributing to the scheme2019-01-010
2018: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP GROUP HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,360
Total number of active participants reported on line 7a of the Form 55002018-01-01372
Number of retired or separated participants receiving benefits2018-01-0114
Total of all active and inactive participants2018-01-01386
Total participants2018-01-01386
2017: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP GROUP HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,201
Total number of active participants reported on line 7a of the Form 55002017-01-011,360
Total of all active and inactive participants2017-01-011,360
Total participants2017-01-011,360
2016: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP GROUP HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,396
Total number of active participants reported on line 7a of the Form 55002016-01-011,201
Total of all active and inactive participants2016-01-011,201
Total participants2016-01-011,201
2015: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP GROUP HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,313
Total number of active participants reported on line 7a of the Form 55002015-01-011,396
Total of all active and inactive participants2015-01-011,396
Total participants2015-01-010
2014: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP GROUP HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01871
Total number of active participants reported on line 7a of the Form 55002014-01-011,313
Total of all active and inactive participants2014-01-011,313
Total participants2014-01-010
2013: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP GROUP HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01851
Total number of active participants reported on line 7a of the Form 55002013-01-01871
Total of all active and inactive participants2013-01-01871
Total participants2013-01-010
2012: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP GROUP HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01825
Total number of active participants reported on line 7a of the Form 55002012-01-01851
Total of all active and inactive participants2012-01-01851
Total participants2012-01-010
2011: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP GROUP HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01713
Total number of active participants reported on line 7a of the Form 55002011-01-01825
Total of all active and inactive participants2011-01-01825
Total participants2011-01-01825
2009: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP GROUP HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01561
Total number of active participants reported on line 7a of the Form 55002009-01-01637
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01637
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01637
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Form 5500 Responses for NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP GROUP HEALTH PLAN

2019: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP GROUP HEALTH PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01This submission is the final filingYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP GROUP HEALTH PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP GROUP HEALTH PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP GROUP HEALTH PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP GROUP HEALTH PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP GROUP HEALTH PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP GROUP HEALTH PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP GROUP HEALTH PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP GROUP HEALTH PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP GROUP HEALTH PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number823228
Policy instance 1
Insurance contract or identification number823228
Number of Individuals Covered353
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $60,165
Welfare Benefit Premiums Paid to CarrierUSD $704,246
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $60,165
Insurance broker organization code?3
HARVARD PILGRIM HEALTH CARE OF NE, INC. (National Association of Insurance Commissioners NAIC id number: 96917 )
Policy contract number0836230000
Policy instance 7
Insurance contract or identification number0836230000
Number of Individuals Covered36
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $5,260
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $239,533
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,260
Insurance broker organization code?3
Insurance broker nameAON CONSULTING, INC.
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number97845211001
Policy instance 2
Insurance contract or identification number97845211001
Number of Individuals Covered439
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,969
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number120268 09722165
Policy instance 1
Insurance contract or identification number120268 09722165
Number of Individuals Covered78
Insurance policy start date2016-07-01
Insurance policy end date2017-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,900,345
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number020198302
Policy instance 3
Insurance contract or identification number020198302
Number of Individuals Covered175
Insurance policy start date2016-07-01
Insurance policy end date2017-06-30
Total amount of commissions paid to insurance brokerUSD $20,768
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $694,351
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,768
Insurance broker organization code?3
Insurance broker nameAON CONSULTING, INC.
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number823228
Policy instance 4
Insurance contract or identification number823228
Number of Individuals Covered1117
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $126,445
Welfare Benefit Premiums Paid to CarrierUSD $1,411,678
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $126,445
Insurance broker organization code?3
Insurance broker nameAON CONSULTING, INC.
HEALTHKEEPERS, INC (National Association of Insurance Commissioners NAIC id number: 95169 )
Policy contract number38339
Policy instance 5
Insurance contract or identification number38339
Number of Individuals Covered65
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $16,765
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $838,530
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,765
Insurance broker organization code?3
Insurance broker nameAON CONSULTING, INC.
HPHC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18975 )
Policy contract numberVARIOUS
Policy instance 6
Insurance contract or identification numberVARIOUS
Number of Individuals Covered31
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $4,918
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $222,478
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,918
Insurance broker organization code?3
Insurance broker nameAON CONSULTING, INC.
BLUE CROSS OF NORTHEASTERN PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 60147 )
Policy contract number059964 200591
Policy instance 1
Insurance contract or identification number059964 200591
Number of Individuals Covered87
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number9784521
Policy instance 2
Insurance contract or identification number9784521
Number of Individuals Covered454
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,821
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number020198300
Policy instance 3
Insurance contract or identification number020198300
Number of Individuals Covered173
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $633,967
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number823228
Policy instance 4
Insurance contract or identification number823228
Number of Individuals Covered1076
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $101,384
Welfare Benefit Premiums Paid to CarrierUSD $1,012,969
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $101,384
Insurance broker organization code?3
Insurance broker nameAON CONSULTING, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number020198302
Policy instance 6
Insurance contract or identification number020198302
Number of Individuals Covered166
Insurance policy start date2015-05-01
Insurance policy end date2015-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $103,469
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHKEEPERS, INC (National Association of Insurance Commissioners NAIC id number: 95169 )
Policy contract number38339
Policy instance 7
Insurance contract or identification number38339
Number of Individuals Covered67
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $14,560
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $626,531
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,560
Insurance broker organization code?3
Insurance broker nameAON CONSULTING, INC.
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number9784521
Policy instance 5
Insurance contract or identification number9784521
Number of Individuals Covered460
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,537
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract number75874
Policy instance 5
Insurance contract or identification number75874
Number of Individuals Covered170
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $55,477
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,144,575
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $55,477
Insurance broker nameEMPLOYEE BENEFITS CORP. OF AMERICA
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number823228
Policy instance 6
Insurance contract or identification number823228
Number of Individuals Covered872
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $70,039
Welfare Benefit Premiums Paid to CarrierUSD $700,392
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $70,039
Insurance broker nameAON CONSULTING, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number020198300
Policy instance 4
Insurance contract or identification number020198300
Number of Individuals Covered156
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $693,518
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number9784521
Policy instance 3
Insurance contract or identification number9784521
Number of Individuals Covered438
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $206
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,573
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $206
Insurance broker nameT&H BENEFITS, LLC
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number388G4
Policy instance 2
Insurance contract or identification number388G4
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
BLUE CROSS OF NORTHEASTERN PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 60147 )
Policy contract number034086 059964
Policy instance 1
Insurance contract or identification number034086 059964
Number of Individuals Covered85
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. (National Association of Insurance Commissioners NAIC id number: 53759 )
Policy contract number354020
Policy instance 2
Insurance contract or identification number354020
Number of Individuals Covered14
Insurance policy start date2012-11-01
Insurance policy end date2013-10-31
Total amount of commissions paid to insurance brokerUSD $1,464
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $85,635
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,464
Insurance broker nameT&H BENEFITS, LLC
BLUE CROSS OF NORTHEASTERN PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54747 )
Policy contract number034086 059964
Policy instance 1
Insurance contract or identification number034086 059964
Number of Individuals Covered262
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $892,626
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number056074-000, 001
Policy instance 7
Insurance contract or identification number056074-000, 001
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number412495
Policy instance 3
Insurance contract or identification number412495
Number of Individuals Covered69
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of fees paid to insurance companyUSD $5,180
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $277,494
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees5180
Insurance broker nameCUSTOM BENEFITS
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number388G4
Policy instance 4
Insurance contract or identification number388G4
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number126070
Policy instance 5
Insurance contract or identification number126070
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
RELIASTAR LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 61360 )
Policy contract number67925-9
Policy instance 6
Insurance contract or identification number67925-9
Number of Individuals Covered871
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $74,579
Total amount of fees paid to insurance companyUSD $14,916
Welfare Benefit Premiums Paid to CarrierUSD $745,794
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $68,900
Amount paid for insurance broker fees13780
Additional information about fees paid to insurance brokerSERVICE FEE
Insurance broker organization code?3
Insurance broker nameT&H BENEFITS, LLC
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number701265
Policy instance 8
Insurance contract or identification number701265
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number056074-000, 001
Policy instance 5
Insurance contract or identification number056074-000, 001
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Insurance broker nameT&H BENEFITS, LLC
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number126070
Policy instance 1
Insurance contract or identification number126070
Number of Individuals Covered172
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $14,448
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $771,367
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,448
Insurance broker nameEMERSON, REID & COMPANY, INC.
BLUE CROSS OF NORTHEASTERN PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54747 )
Policy contract number034086/059964
Policy instance 6
Insurance contract or identification number034086/059964
Number of Individuals Covered127
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $497,370
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number240955
Policy instance 4
Insurance contract or identification number240955
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Insurance broker nameT&H BENEFITS, LLC
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number388G4
Policy instance 3
Insurance contract or identification number388G4
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Insurance broker nameBENEFITMALL
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number701265
Policy instance 2
Insurance contract or identification number701265
Number of Individuals Covered708
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $68,828
Welfare Benefit Premiums Paid to CarrierUSD $693,414
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $68,828
Insurance broker nameT&H BENEFITS, LLC
BLUE CROSS OF NORTHEASTERN PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54747 )
Policy contract number034086/059964
Policy instance 7
Insurance contract or identification number034086/059964
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. (National Association of Insurance Commissioners NAIC id number: 53759 )
Policy contract number354020
Policy instance 6
Insurance contract or identification number354020
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number240955
Policy instance 5
Insurance contract or identification number240955
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $25,764
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $382,949
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number388G4
Policy instance 4
Insurance contract or identification number388G4
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
UNITEDHEALTHCARE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number701265
Policy instance 3
Insurance contract or identification number701265
Number of Individuals Covered616
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $57,242
Welfare Benefit Premiums Paid to CarrierUSD $520,033
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number9784521
Policy instance 1
Insurance contract or identification number9784521
Number of Individuals Covered119
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $405
Welfare Benefit Premiums Paid to CarrierUSD $4,481
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number126070
Policy instance 2
Insurance contract or identification number126070
Number of Individuals Covered101
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $13,171
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $679,409
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS OF NORTHEASTERN PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54747 )
Policy contract number034086/059964
Policy instance 6
Insurance contract or identification number034086/059964
Number of Individuals Covered44
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $130,179
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. (National Association of Insurance Commissioners NAIC id number: 53759 )
Policy contract number354020
Policy instance 5
Insurance contract or identification number354020
Number of Individuals Covered5
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $1,247
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $121,306
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number388G4
Policy instance 3
Insurance contract or identification number388G4
Number of Individuals Covered26
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $28,842
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $425,249
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number701265
Policy instance 2
Insurance contract or identification number701265
Number of Individuals Covered536
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $42,255
Welfare Benefit Premiums Paid to CarrierUSD $368,934
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number126070
Policy instance 1
Insurance contract or identification number126070
Number of Individuals Covered44
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $7,820
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $348,712
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number240955
Policy instance 4
Insurance contract or identification number240955
Number of Individuals Covered102
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $23,725
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $632,874
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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