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TIME EQUITIES HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameTIME EQUITIES HEALTH AND WELFARE PLAN
Plan identification number 501

TIME EQUITIES HEALTH AND 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)
  • Other welfare benefit cover

401k Sponsoring company profile

TIME EQUITIES, INC. has sponsored the creation of one or more 401k plans.

Company Name:TIME EQUITIES, INC.
Employer identification number (EIN):132659445
NAIC Classification:531310

Additional information about TIME EQUITIES, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1966-03-07
Company Identification Number: 196180
Legal Registered Office Address: 55 FIFTH AVENUE
New York
NEW YORK
United States of America (USA)
10003

More information about TIME EQUITIES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TIME EQUITIES HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-12-01BEATRICE AQUINO2024-03-07
5012021-12-01BEATRICE AQUINO2023-02-27
5012020-12-01BEATRICE AQUINO2022-03-14
5012019-12-01ANDREY HARMATY2021-03-25
5012018-12-01ANDREY HARMATY2020-10-02
5012017-12-01ANDREY HARMATY2020-10-02
5012016-12-01ANDREY HARMATY2020-10-02
5012015-12-01ANDREY HARMATY2020-10-02
5012014-12-01ANDREY HARMATY2020-10-02
5012013-12-01ANDREY HARMATY2020-10-02
5012012-12-01ANDREY HARMATY2020-10-02
5012011-12-01ANDREY HARMATY2020-10-02
5012010-12-01ANDREY HARMATY2020-10-02
5012009-12-01ANDREY HARMATY2020-10-02
5012008-12-01ANDREY HARMATY2020-10-02
5012007-12-01ANDREY HARMATY2020-10-02
5012006-12-01ANDREY HARMATY2020-10-02
5012005-12-01ANDREY HARMATY2020-10-02
5012004-12-01ANDREY HARMATY2020-10-02
5012003-12-01ANDREY HARMATY2020-10-02
5012002-12-01ANDREY HARMATY2020-10-02
5012001-12-01ANDREY HARMATY2020-10-02
5012000-12-01ANDREY HARMATY2020-10-02
5011999-12-01ANDREY HARMATY2020-10-02
5011998-12-01ANDREY HARMATY2020-10-02
5011997-12-01ANDREY HARMATY2020-10-02
5011996-12-01ANDREY HARMATY2020-10-02
5011995-12-01ANDREY HARMATY2020-10-02
5011994-12-01ANDREY HARMATY2020-10-02
5011993-12-01ANDREY HARMATY2020-10-02
5011992-12-01ANDREY HARMATY2020-10-02
5011991-12-01ANDREY HARMATY2020-10-02
5011990-12-01ANDREY HARMATY2020-10-02
5011989-12-01ANDREY HARMATY2020-10-02
5011988-12-01ANDREY HARMATY2020-10-02

Plan Statistics for TIME EQUITIES HEALTH AND WELFARE PLAN

401k plan membership statisitcs for TIME EQUITIES HEALTH AND WELFARE PLAN

Measure Date Value
2022: TIME EQUITIES HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-12-01167
Total number of active participants reported on line 7a of the Form 55002022-12-01179
Number of retired or separated participants receiving benefits2022-12-010
Number of other retired or separated participants entitled to future benefits2022-12-010
Total of all active and inactive participants2022-12-01179
Number of employers contributing to the scheme2022-12-010
2021: TIME EQUITIES HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-01158
Total number of active participants reported on line 7a of the Form 55002021-12-01167
Number of retired or separated participants receiving benefits2021-12-010
Number of other retired or separated participants entitled to future benefits2021-12-010
Total of all active and inactive participants2021-12-01167
Number of employers contributing to the scheme2021-12-010
2020: TIME EQUITIES HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-01151
Total number of active participants reported on line 7a of the Form 55002020-12-01158
Number of retired or separated participants receiving benefits2020-12-010
Number of other retired or separated participants entitled to future benefits2020-12-010
Total of all active and inactive participants2020-12-01158
Number of employers contributing to the scheme2020-12-010
2019: TIME EQUITIES HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-01133
Total number of active participants reported on line 7a of the Form 55002019-12-01151
Number of retired or separated participants receiving benefits2019-12-010
Number of other retired or separated participants entitled to future benefits2019-12-010
Total of all active and inactive participants2019-12-01151
Number of employers contributing to the scheme2019-12-010
2018: TIME EQUITIES HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-12-01136
Total number of active participants reported on line 7a of the Form 55002018-12-01133
Number of retired or separated participants receiving benefits2018-12-010
Number of other retired or separated participants entitled to future benefits2018-12-010
Total of all active and inactive participants2018-12-01133
Number of employers contributing to the scheme2018-12-010
2017: TIME EQUITIES HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-12-01134
Total number of active participants reported on line 7a of the Form 55002017-12-01136
Number of retired or separated participants receiving benefits2017-12-010
Number of other retired or separated participants entitled to future benefits2017-12-010
Total of all active and inactive participants2017-12-01136
Number of employers contributing to the scheme2017-12-010
2016: TIME EQUITIES HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-12-01134
Total number of active participants reported on line 7a of the Form 55002016-12-01134
Number of retired or separated participants receiving benefits2016-12-010
Number of other retired or separated participants entitled to future benefits2016-12-010
Total of all active and inactive participants2016-12-01134
Number of employers contributing to the scheme2016-12-010
2015: TIME EQUITIES HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-12-01116
Total number of active participants reported on line 7a of the Form 55002015-12-01134
Number of retired or separated participants receiving benefits2015-12-010
Number of other retired or separated participants entitled to future benefits2015-12-010
Total of all active and inactive participants2015-12-01134
Number of employers contributing to the scheme2015-12-010
2014: TIME EQUITIES HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-12-01106
Total number of active participants reported on line 7a of the Form 55002014-12-01116
Number of retired or separated participants receiving benefits2014-12-010
Number of other retired or separated participants entitled to future benefits2014-12-010
Total of all active and inactive participants2014-12-01116
Number of employers contributing to the scheme2014-12-010
2013: TIME EQUITIES HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-12-01125
Total number of active participants reported on line 7a of the Form 55002013-12-01106
Number of retired or separated participants receiving benefits2013-12-010
Number of other retired or separated participants entitled to future benefits2013-12-010
Total of all active and inactive participants2013-12-01106
Number of employers contributing to the scheme2013-12-010
2012: TIME EQUITIES HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-12-01104
Total number of active participants reported on line 7a of the Form 55002012-12-01125
Number of retired or separated participants receiving benefits2012-12-010
Number of other retired or separated participants entitled to future benefits2012-12-010
Total of all active and inactive participants2012-12-01125
Number of employers contributing to the scheme2012-12-010
2011: TIME EQUITIES HEALTH AND WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-12-01115
Total number of active participants reported on line 7a of the Form 55002011-12-01104
Number of retired or separated participants receiving benefits2011-12-010
Number of other retired or separated participants entitled to future benefits2011-12-010
Total of all active and inactive participants2011-12-01104
Number of employers contributing to the scheme2011-12-010
2010: TIME EQUITIES HEALTH AND WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year2010-12-01138
Total number of active participants reported on line 7a of the Form 55002010-12-01115
Number of retired or separated participants receiving benefits2010-12-010
Number of other retired or separated participants entitled to future benefits2010-12-010
Total of all active and inactive participants2010-12-01115
Number of employers contributing to the scheme2010-12-010
2009: TIME EQUITIES HEALTH AND WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-12-01138
Total number of active participants reported on line 7a of the Form 55002009-12-01138
Number of retired or separated participants receiving benefits2009-12-010
Number of other retired or separated participants entitled to future benefits2009-12-010
Total of all active and inactive participants2009-12-01138
Number of employers contributing to the scheme2009-12-010
2008: TIME EQUITIES HEALTH AND WELFARE PLAN 2008 401k membership
Total participants, beginning-of-year2008-12-01138
Total number of active participants reported on line 7a of the Form 55002008-12-01138
Number of retired or separated participants receiving benefits2008-12-010
Number of other retired or separated participants entitled to future benefits2008-12-010
Total of all active and inactive participants2008-12-01138
Number of employers contributing to the scheme2008-12-010
2007: TIME EQUITIES HEALTH AND WELFARE PLAN 2007 401k membership
Total participants, beginning-of-year2007-12-01138
Total number of active participants reported on line 7a of the Form 55002007-12-01138
Number of retired or separated participants receiving benefits2007-12-010
Number of other retired or separated participants entitled to future benefits2007-12-010
Total of all active and inactive participants2007-12-01138
Number of employers contributing to the scheme2007-12-010
2006: TIME EQUITIES HEALTH AND WELFARE PLAN 2006 401k membership
Total participants, beginning-of-year2006-12-01247
Total number of active participants reported on line 7a of the Form 55002006-12-01138
Number of retired or separated participants receiving benefits2006-12-010
Number of other retired or separated participants entitled to future benefits2006-12-010
Total of all active and inactive participants2006-12-01138
Number of employers contributing to the scheme2006-12-010
2005: TIME EQUITIES HEALTH AND WELFARE PLAN 2005 401k membership
Total participants, beginning-of-year2005-12-01245
Total number of active participants reported on line 7a of the Form 55002005-12-01247
Number of retired or separated participants receiving benefits2005-12-010
Number of other retired or separated participants entitled to future benefits2005-12-010
Total of all active and inactive participants2005-12-01247
Number of employers contributing to the scheme2005-12-010
2004: TIME EQUITIES HEALTH AND WELFARE PLAN 2004 401k membership
Total participants, beginning-of-year2004-12-01100
Total number of active participants reported on line 7a of the Form 55002004-12-01120
Number of retired or separated participants receiving benefits2004-12-010
Number of other retired or separated participants entitled to future benefits2004-12-010
Total of all active and inactive participants2004-12-01120
Number of employers contributing to the scheme2004-12-010
2003: TIME EQUITIES HEALTH AND WELFARE PLAN 2003 401k membership
Total participants, beginning-of-year2003-12-01100
Total number of active participants reported on line 7a of the Form 55002003-12-01100
Number of retired or separated participants receiving benefits2003-12-010
Number of other retired or separated participants entitled to future benefits2003-12-010
Total of all active and inactive participants2003-12-01100
Number of employers contributing to the scheme2003-12-010
2002: TIME EQUITIES HEALTH AND WELFARE PLAN 2002 401k membership
Total participants, beginning-of-year2002-12-01100
Total number of active participants reported on line 7a of the Form 55002002-12-01100
Number of retired or separated participants receiving benefits2002-12-010
Number of other retired or separated participants entitled to future benefits2002-12-010
Total of all active and inactive participants2002-12-01100
Number of employers contributing to the scheme2002-12-010
2001: TIME EQUITIES HEALTH AND WELFARE PLAN 2001 401k membership
Total participants, beginning-of-year2001-12-01100
Total number of active participants reported on line 7a of the Form 55002001-12-01100
Number of retired or separated participants receiving benefits2001-12-010
Number of other retired or separated participants entitled to future benefits2001-12-010
Total of all active and inactive participants2001-12-01100
Number of employers contributing to the scheme2001-12-010
2000: TIME EQUITIES HEALTH AND WELFARE PLAN 2000 401k membership
Total participants, beginning-of-year2000-12-01100
Total number of active participants reported on line 7a of the Form 55002000-12-01100
Number of retired or separated participants receiving benefits2000-12-010
Number of other retired or separated participants entitled to future benefits2000-12-010
Total of all active and inactive participants2000-12-01100
Number of employers contributing to the scheme2000-12-010
1999: TIME EQUITIES HEALTH AND WELFARE PLAN 1999 401k membership
Total participants, beginning-of-year1999-12-01100
Total number of active participants reported on line 7a of the Form 55001999-12-01100
Number of retired or separated participants receiving benefits1999-12-010
Number of other retired or separated participants entitled to future benefits1999-12-010
Total of all active and inactive participants1999-12-01100
Number of employers contributing to the scheme1999-12-010
1998: TIME EQUITIES HEALTH AND WELFARE PLAN 1998 401k membership
Total participants, beginning-of-year1998-12-01100
Total number of active participants reported on line 7a of the Form 55001998-12-01100
Number of retired or separated participants receiving benefits1998-12-010
Number of other retired or separated participants entitled to future benefits1998-12-010
Total of all active and inactive participants1998-12-01100
Number of employers contributing to the scheme1998-12-010
1997: TIME EQUITIES HEALTH AND WELFARE PLAN 1997 401k membership
Total participants, beginning-of-year1997-12-01100
Total number of active participants reported on line 7a of the Form 55001997-12-01100
Number of retired or separated participants receiving benefits1997-12-010
Number of other retired or separated participants entitled to future benefits1997-12-010
Total of all active and inactive participants1997-12-01100
Number of employers contributing to the scheme1997-12-010
1996: TIME EQUITIES HEALTH AND WELFARE PLAN 1996 401k membership
Total participants, beginning-of-year1996-12-01100
Total number of active participants reported on line 7a of the Form 55001996-12-01100
Number of retired or separated participants receiving benefits1996-12-010
Number of other retired or separated participants entitled to future benefits1996-12-010
Total of all active and inactive participants1996-12-01100
Number of employers contributing to the scheme1996-12-010
1995: TIME EQUITIES HEALTH AND WELFARE PLAN 1995 401k membership
Total participants, beginning-of-year1995-12-01100
Total number of active participants reported on line 7a of the Form 55001995-12-01100
Number of retired or separated participants receiving benefits1995-12-010
Number of other retired or separated participants entitled to future benefits1995-12-010
Total of all active and inactive participants1995-12-01100
Number of employers contributing to the scheme1995-12-010
1994: TIME EQUITIES HEALTH AND WELFARE PLAN 1994 401k membership
Total participants, beginning-of-year1994-12-01100
Total number of active participants reported on line 7a of the Form 55001994-12-01100
Number of retired or separated participants receiving benefits1994-12-010
Number of other retired or separated participants entitled to future benefits1994-12-010
Total of all active and inactive participants1994-12-01100
Number of employers contributing to the scheme1994-12-010
1993: TIME EQUITIES HEALTH AND WELFARE PLAN 1993 401k membership
Total participants, beginning-of-year1993-12-01100
Total number of active participants reported on line 7a of the Form 55001993-12-01100
Number of retired or separated participants receiving benefits1993-12-010
Number of other retired or separated participants entitled to future benefits1993-12-010
Total of all active and inactive participants1993-12-01100
Number of employers contributing to the scheme1993-12-010
1992: TIME EQUITIES HEALTH AND WELFARE PLAN 1992 401k membership
Total participants, beginning-of-year1992-12-01100
Total number of active participants reported on line 7a of the Form 55001992-12-01100
Number of retired or separated participants receiving benefits1992-12-010
Number of other retired or separated participants entitled to future benefits1992-12-010
Total of all active and inactive participants1992-12-01100
Number of employers contributing to the scheme1992-12-010
1991: TIME EQUITIES HEALTH AND WELFARE PLAN 1991 401k membership
Total participants, beginning-of-year1991-12-01100
Total number of active participants reported on line 7a of the Form 55001991-12-01100
Number of retired or separated participants receiving benefits1991-12-010
Number of other retired or separated participants entitled to future benefits1991-12-010
Total of all active and inactive participants1991-12-01100
Number of employers contributing to the scheme1991-12-010
1990: TIME EQUITIES HEALTH AND WELFARE PLAN 1990 401k membership
Total participants, beginning-of-year1990-12-01100
Total number of active participants reported on line 7a of the Form 55001990-12-01100
Number of retired or separated participants receiving benefits1990-12-010
Number of other retired or separated participants entitled to future benefits1990-12-010
Total of all active and inactive participants1990-12-01100
Number of employers contributing to the scheme1990-12-010
1989: TIME EQUITIES HEALTH AND WELFARE PLAN 1989 401k membership
Total participants, beginning-of-year1989-12-01100
Total number of active participants reported on line 7a of the Form 55001989-12-01100
Number of retired or separated participants receiving benefits1989-12-010
Number of other retired or separated participants entitled to future benefits1989-12-010
Total of all active and inactive participants1989-12-01100
Number of employers contributing to the scheme1989-12-010
1988: TIME EQUITIES HEALTH AND WELFARE PLAN 1988 401k membership
Total participants, beginning-of-year1988-12-01100
Total number of active participants reported on line 7a of the Form 55001988-12-01100
Number of retired or separated participants receiving benefits1988-12-010
Number of other retired or separated participants entitled to future benefits1988-12-010
Total of all active and inactive participants1988-12-01100
Number of employers contributing to the scheme1988-12-010

Form 5500 Responses for TIME EQUITIES HEALTH AND WELFARE PLAN

2022: TIME EQUITIES HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-12-01Type of plan entitySingle employer plan
2022-12-01Plan funding arrangement – InsuranceYes
2022-12-01Plan funding arrangement – General assets of the sponsorYes
2022-12-01Plan benefit arrangement – InsuranceYes
2022-12-01Plan benefit arrangement – General assets of the sponsorYes
2021: TIME EQUITIES HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan funding arrangement – General assets of the sponsorYes
2021-12-01Plan benefit arrangement – InsuranceYes
2021-12-01Plan benefit arrangement – General assets of the sponsorYes
2020: TIME EQUITIES HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan funding arrangement – General assets of the sponsorYes
2020-12-01Plan benefit arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – General assets of the sponsorYes
2019: TIME EQUITIES HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – InsuranceYes
2018: TIME EQUITIES HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan benefit arrangement – InsuranceYes
2017: TIME EQUITIES HEALTH AND WELFARE PLAN 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan benefit arrangement – InsuranceYes
2016: TIME EQUITIES HEALTH AND WELFARE PLAN 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan benefit arrangement – InsuranceYes
2015: TIME EQUITIES HEALTH AND WELFARE PLAN 2015 form 5500 responses
2015-12-01Type of plan entitySingle employer plan
2015-12-01Plan funding arrangement – InsuranceYes
2015-12-01Plan benefit arrangement – InsuranceYes
2014: TIME EQUITIES HEALTH AND WELFARE PLAN 2014 form 5500 responses
2014-12-01Type of plan entitySingle employer plan
2014-12-01Plan funding arrangement – InsuranceYes
2014-12-01Plan benefit arrangement – InsuranceYes
2013: TIME EQUITIES HEALTH AND WELFARE PLAN 2013 form 5500 responses
2013-12-01Type of plan entitySingle employer plan
2013-12-01Plan funding arrangement – InsuranceYes
2013-12-01Plan benefit arrangement – InsuranceYes
2012: TIME EQUITIES HEALTH AND WELFARE PLAN 2012 form 5500 responses
2012-12-01Type of plan entitySingle employer plan
2012-12-01Plan funding arrangement – InsuranceYes
2012-12-01Plan benefit arrangement – InsuranceYes
2011: TIME EQUITIES HEALTH AND WELFARE PLAN 2011 form 5500 responses
2011-12-01Type of plan entitySingle employer plan
2011-12-01Plan funding arrangement – InsuranceYes
2011-12-01Plan benefit arrangement – InsuranceYes
2010: TIME EQUITIES HEALTH AND WELFARE PLAN 2010 form 5500 responses
2010-12-01Type of plan entitySingle employer plan
2010-12-01Plan funding arrangement – InsuranceYes
2010-12-01Plan benefit arrangement – InsuranceYes
2009: TIME EQUITIES HEALTH AND WELFARE PLAN 2009 form 5500 responses
2009-12-01Type of plan entitySingle employer plan
2009-12-01Plan funding arrangement – InsuranceYes
2009-12-01Plan benefit arrangement – InsuranceYes
2008: TIME EQUITIES HEALTH AND WELFARE PLAN 2008 form 5500 responses
2008-12-01Type of plan entitySingle employer plan
2008-12-01Plan funding arrangement – InsuranceYes
2008-12-01Plan benefit arrangement – InsuranceYes
2007: TIME EQUITIES HEALTH AND WELFARE PLAN 2007 form 5500 responses
2007-12-01Type of plan entitySingle employer plan
2007-12-01Plan funding arrangement – InsuranceYes
2007-12-01Plan benefit arrangement – InsuranceYes
2006: TIME EQUITIES HEALTH AND WELFARE PLAN 2006 form 5500 responses
2006-12-01Type of plan entitySingle employer plan
2006-12-01Plan funding arrangement – InsuranceYes
2006-12-01Plan benefit arrangement – InsuranceYes
2005: TIME EQUITIES HEALTH AND WELFARE PLAN 2005 form 5500 responses
2005-12-01Type of plan entitySingle employer plan
2005-12-01Submission has been amendedYes
2005-12-01Plan funding arrangement – InsuranceYes
2005-12-01Plan benefit arrangement – InsuranceYes
2004: TIME EQUITIES HEALTH AND WELFARE PLAN 2004 form 5500 responses
2004-12-01Type of plan entitySingle employer plan
2004-12-01Plan funding arrangement – InsuranceYes
2004-12-01Plan benefit arrangement – InsuranceYes
2003: TIME EQUITIES HEALTH AND WELFARE PLAN 2003 form 5500 responses
2003-12-01Type of plan entitySingle employer plan
2003-12-01Plan funding arrangement – InsuranceYes
2003-12-01Plan benefit arrangement – InsuranceYes
2002: TIME EQUITIES HEALTH AND WELFARE PLAN 2002 form 5500 responses
2002-12-01Type of plan entitySingle employer plan
2002-12-01Plan funding arrangement – InsuranceYes
2002-12-01Plan benefit arrangement – InsuranceYes
2001: TIME EQUITIES HEALTH AND WELFARE PLAN 2001 form 5500 responses
2001-12-01Type of plan entitySingle employer plan
2001-12-01Plan funding arrangement – InsuranceYes
2001-12-01Plan benefit arrangement – InsuranceYes
2000: TIME EQUITIES HEALTH AND WELFARE PLAN 2000 form 5500 responses
2000-12-01Type of plan entitySingle employer plan
2000-12-01Plan funding arrangement – InsuranceYes
2000-12-01Plan benefit arrangement – InsuranceYes
1999: TIME EQUITIES HEALTH AND WELFARE PLAN 1999 form 5500 responses
1999-12-01Type of plan entitySingle employer plan
1999-12-01Plan funding arrangement – InsuranceYes
1999-12-01Plan benefit arrangement – InsuranceYes
1998: TIME EQUITIES HEALTH AND WELFARE PLAN 1998 form 5500 responses
1998-12-01Type of plan entitySingle employer plan
1998-12-01Plan funding arrangement – InsuranceYes
1998-12-01Plan benefit arrangement – InsuranceYes
1997: TIME EQUITIES HEALTH AND WELFARE PLAN 1997 form 5500 responses
1997-12-01Type of plan entitySingle employer plan
1997-12-01Plan funding arrangement – InsuranceYes
1997-12-01Plan benefit arrangement – InsuranceYes
1996: TIME EQUITIES HEALTH AND WELFARE PLAN 1996 form 5500 responses
1996-12-01Type of plan entitySingle employer plan
1996-12-01Plan funding arrangement – InsuranceYes
1996-12-01Plan benefit arrangement – InsuranceYes
1995: TIME EQUITIES HEALTH AND WELFARE PLAN 1995 form 5500 responses
1995-12-01Type of plan entitySingle employer plan
1995-12-01Plan funding arrangement – InsuranceYes
1995-12-01Plan benefit arrangement – InsuranceYes
1994: TIME EQUITIES HEALTH AND WELFARE PLAN 1994 form 5500 responses
1994-12-01Type of plan entitySingle employer plan
1994-12-01Plan funding arrangement – InsuranceYes
1994-12-01Plan benefit arrangement – InsuranceYes
1993: TIME EQUITIES HEALTH AND WELFARE PLAN 1993 form 5500 responses
1993-12-01Type of plan entitySingle employer plan
1993-12-01Plan funding arrangement – InsuranceYes
1993-12-01Plan benefit arrangement – InsuranceYes
1992: TIME EQUITIES HEALTH AND WELFARE PLAN 1992 form 5500 responses
1992-12-01Type of plan entitySingle employer plan
1992-12-01Plan funding arrangement – InsuranceYes
1992-12-01Plan benefit arrangement – InsuranceYes
1991: TIME EQUITIES HEALTH AND WELFARE PLAN 1991 form 5500 responses
1991-12-01Type of plan entitySingle employer plan
1991-12-01Plan funding arrangement – InsuranceYes
1991-12-01Plan benefit arrangement – InsuranceYes
1990: TIME EQUITIES HEALTH AND WELFARE PLAN 1990 form 5500 responses
1990-12-01Type of plan entitySingle employer plan
1990-12-01Plan funding arrangement – InsuranceYes
1990-12-01Plan benefit arrangement – InsuranceYes
1989: TIME EQUITIES HEALTH AND WELFARE PLAN 1989 form 5500 responses
1989-12-01Type of plan entitySingle employer plan
1989-12-01Plan funding arrangement – InsuranceYes
1989-12-01Plan benefit arrangement – InsuranceYes
1988: TIME EQUITIES HEALTH AND WELFARE PLAN 1988 form 5500 responses
1988-12-01Type of plan entitySingle employer plan
1988-12-01First time form 5500 has been submittedYes
1988-12-01Plan funding arrangement – InsuranceYes
1988-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberMP0AHLK
Policy instance 4
Insurance contract or identification numberMP0AHLK
Number of Individuals Covered179
Insurance policy start date2022-12-01
Insurance policy end date2023-11-30
Total amount of commissions paid to insurance brokerUSD $4,287
Total amount of fees paid to insurance companyUSD $5,551
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $44,239
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,287
Amount paid for insurance broker fees5551
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number628177
Policy instance 3
Insurance contract or identification number628177
Number of Individuals Covered224
Insurance policy start date2022-12-01
Insurance policy end date2023-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $173,268
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,464,513
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees103978
Additional information about fees paid to insurance brokerBENEFIT ADVISOR FEES
Insurance broker organization code?3
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number98952281001
Policy instance 2
Insurance contract or identification number98952281001
Number of Individuals Covered205
Insurance policy start date2022-12-01
Insurance policy end date2023-11-30
Total amount of commissions paid to insurance brokerUSD $1,423
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,392
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,423
Amount paid for insurance broker fees0
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number628177
Policy instance 1
Insurance contract or identification number628177
Number of Individuals Covered153
Insurance policy start date2022-12-01
Insurance policy end date2023-11-30
Total amount of commissions paid to insurance brokerUSD $8,715
Total amount of fees paid to insurance companyUSD $8,715
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $175,536
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,715
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerGENERAL AGENT PAYMENTS
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract numberGLCL0AHLK
Policy instance 5
Insurance contract or identification numberGLCL0AHLK
Number of Individuals Covered179
Insurance policy start date2022-12-01
Insurance policy end date2023-11-30
Total amount of commissions paid to insurance brokerUSD $3,057
Total amount of fees paid to insurance companyUSD $3,950
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Welfare Benefit Premiums Paid to CarrierUSD $30,575
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,057
Amount paid for insurance broker fees3950
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number98952281001
Policy instance 2
Insurance contract or identification number98952281001
Number of Individuals Covered196
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $1,371
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,718
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,371
Amount paid for insurance broker fees0
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number628177
Policy instance 1
Insurance contract or identification number628177
Number of Individuals Covered147
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $8,785
Total amount of fees paid to insurance companyUSD $8,788
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $176,900
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees8788
Additional information about fees paid to insurance brokerGENERAL AGENT PAYMENTS
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number628177
Policy instance 3
Insurance contract or identification number628177
Number of Individuals Covered215
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $182,751
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,045,883
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees121833
Additional information about fees paid to insurance brokerBENEFIT ADVISOR FEES
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberMP0AHLK
Policy instance 4
Insurance contract or identification numberMP0AHLK
Number of Individuals Covered167
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $4,153
Total amount of fees paid to insurance companyUSD $5,068
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $41,658
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,153
Amount paid for insurance broker fees5068
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract numberGLCL0AHLK
Policy instance 5
Insurance contract or identification numberGLCL0AHLK
Number of Individuals Covered167
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $3,012
Total amount of fees paid to insurance companyUSD $3,423
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Welfare Benefit Premiums Paid to CarrierUSD $30,125
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,012
Amount paid for insurance broker fees3423
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number98952281001
Policy instance 1
Insurance contract or identification number98952281001
Number of Individuals Covered189
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $1,626
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,183
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,288
Amount paid for insurance broker fees0
Insurance broker organization code?3
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract numberGCEL0AHLK
Policy instance 2
Insurance contract or identification numberGCEL0AHLK
Number of Individuals Covered158
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $2,528
Total amount of fees paid to insurance companyUSD $3,145
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Welfare Benefit Premiums Paid to CarrierUSD $25,282
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,528
Amount paid for insurance broker fees3145
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberMP0AHLK
Policy instance 3
Insurance contract or identification numberMP0AHLK
Number of Individuals Covered158
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $4,055
Total amount of fees paid to insurance companyUSD $4,494
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $39,238
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,919
Amount paid for insurance broker fees4319
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number628177
Policy instance 4
Insurance contract or identification number628177
Number of Individuals Covered205
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $7,916
Total amount of fees paid to insurance companyUSD $178,567
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Welfare Benefit Premiums Paid to CarrierUSD $3,103,970
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,932
Amount paid for insurance broker fees113936
Additional information about fees paid to insurance brokerBENEFIT ADVISOR FEES
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number628177
Policy instance 1
Insurance contract or identification number628177
Number of Individuals Covered224
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $7,887
Total amount of fees paid to insurance companyUSD $154,521
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Welfare Benefit Premiums Paid to CarrierUSD $3,317,634
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,375
Amount paid for insurance broker fees61051
Additional information about fees paid to insurance brokerBENEFIT ADVISOR FEES
Insurance broker organization code?3
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE7554
Policy instance 1
Insurance contract or identification numberTE7554
Number of Individuals Covered313
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $108,075
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,947,442
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $108,075
Amount paid for insurance broker fees0
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number286189
Policy instance 2
Insurance contract or identification number286189
Number of Individuals Covered311
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $7,925
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $160,035
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,925
Amount paid for insurance broker fees0
Insurance broker organization code?3
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE7554
Policy instance 1
Insurance contract or identification numberTE7554
Number of Individuals Covered319
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $109,963
Total amount of fees paid to insurance companyUSD $3,100
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,515,082
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number286189
Policy instance 2
Insurance contract or identification number286189
Number of Individuals Covered310
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $7,807
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $145,492
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE7554
Policy instance 1
Insurance contract or identification numberTE7554
Number of Individuals Covered314
Insurance policy start date2015-12-01
Insurance policy end date2016-11-30
Total amount of commissions paid to insurance brokerUSD $103,910
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,404,074
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $103,910
Amount paid for insurance broker fees0
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number481996
Policy instance 2
Insurance contract or identification number481996
Number of Individuals Covered134
Insurance policy start date2015-12-01
Insurance policy end date2016-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number481996
Policy instance 2
Insurance contract or identification number481996
Number of Individuals Covered116
Insurance policy start date2014-12-01
Insurance policy end date2015-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE7554
Policy instance 1
Insurance contract or identification numberTE7554
Number of Individuals Covered273
Insurance policy start date2014-12-01
Insurance policy end date2015-11-30
Total amount of commissions paid to insurance brokerUSD $80,382
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,005,237
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $80,382
Amount paid for insurance broker fees0
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number481996
Policy instance 2
Insurance contract or identification number481996
Number of Individuals Covered106
Insurance policy start date2013-12-01
Insurance policy end date2014-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE7554
Policy instance 1
Insurance contract or identification numberTE7554
Number of Individuals Covered250
Insurance policy start date2013-12-01
Insurance policy end date2014-11-30
Total amount of commissions paid to insurance brokerUSD $66,392
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,811,079
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $66,392
Amount paid for insurance broker fees0
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number481996
Policy instance 2
Insurance contract or identification number481996
Number of Individuals Covered125
Insurance policy start date2012-12-01
Insurance policy end date2013-11-30
Total amount of commissions paid to insurance brokerUSD $3,526
Total amount of fees paid to insurance companyUSD $588
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $101,719
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,526
Amount paid for insurance broker fees588
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE7554
Policy instance 1
Insurance contract or identification numberTE7554
Number of Individuals Covered238
Insurance policy start date2012-12-01
Insurance policy end date2013-11-30
Total amount of commissions paid to insurance brokerUSD $70,856
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $70,856
Amount paid for insurance broker fees0
Insurance broker organization code?3
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE7554
Policy instance 1
Insurance contract or identification numberTE7554
Number of Individuals Covered244
Insurance policy start date2011-12-01
Insurance policy end date2012-11-30
Total amount of commissions paid to insurance brokerUSD $72,600
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,673,633
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $72,600
Amount paid for insurance broker fees0
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number567202
Policy instance 2
Insurance contract or identification number567202
Number of Individuals Covered244
Insurance policy start date2011-12-01
Insurance policy end date2012-11-30
Total amount of commissions paid to insurance brokerUSD $4,827
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $101,461
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,827
Amount paid for insurance broker fees0
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number567202
Policy instance 2
Insurance contract or identification number567202
Number of Individuals Covered267
Insurance policy start date2010-12-01
Insurance policy end date2011-11-30
Total amount of commissions paid to insurance brokerUSD $4,660
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $104,723
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,660
Amount paid for insurance broker fees0
Insurance broker organization code?3
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE7554
Policy instance 1
Insurance contract or identification numberTE7554
Number of Individuals Covered271
Insurance policy start date2010-12-01
Insurance policy end date2011-11-30
Total amount of commissions paid to insurance brokerUSD $59,104
Total amount of fees paid to insurance companyUSD $4,156
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,490,790
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $59,104
Amount paid for insurance broker fees4156
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number567202
Policy instance 2
Insurance contract or identification number567202
Number of Individuals Covered138
Insurance policy start date2009-12-01
Insurance policy end date2010-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE1002
Policy instance 1
Insurance contract or identification numberTE1002
Number of Individuals Covered138
Insurance policy start date2009-12-01
Insurance policy end date2010-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE1002
Policy instance 1
Insurance contract or identification numberTE1002
Number of Individuals Covered138
Insurance policy start date2008-12-01
Insurance policy end date2009-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number567202
Policy instance 2
Insurance contract or identification number567202
Number of Individuals Covered138
Insurance policy start date2008-12-01
Insurance policy end date2009-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK 4D DENTAL (National Association of Insurance Commissioners NAIC id number: 81477 )
Policy contract number82524
Policy instance 2
Insurance contract or identification number82524
Number of Individuals Covered138
Insurance policy start date2007-12-01
Insurance policy end date2008-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE1002
Policy instance 1
Insurance contract or identification numberTE1002
Number of Individuals Covered138
Insurance policy start date2007-12-01
Insurance policy end date2008-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK 4D DENTAL (National Association of Insurance Commissioners NAIC id number: 81477 )
Policy contract number82524
Policy instance 2
Insurance contract or identification number82524
Number of Individuals Covered197
Insurance policy start date2006-12-01
Insurance policy end date2007-11-30
Total amount of commissions paid to insurance brokerUSD $3,858
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $94,322
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,858
Amount paid for insurance broker fees0
Insurance broker organization code?3
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE1002
Policy instance 1
Insurance contract or identification numberTE1002
Number of Individuals Covered138
Insurance policy start date2006-12-01
Insurance policy end date2007-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK 4D DENTAL (National Association of Insurance Commissioners NAIC id number: 81477 )
Policy contract number82524
Policy instance 2
Insurance contract or identification number82524
Number of Individuals Covered189
Insurance policy start date2005-12-01
Insurance policy end date2006-11-30
Total amount of commissions paid to insurance brokerUSD $3,758
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $87,598
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,758
Amount paid for insurance broker fees0
Insurance broker organization code?3
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE1002
Policy instance 1
Insurance contract or identification numberTE1002
Number of Individuals Covered247
Insurance policy start date2005-12-01
Insurance policy end date2006-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK 4D DENTAL (National Association of Insurance Commissioners NAIC id number: 81477 )
Policy contract number82524
Policy instance 3
Insurance contract or identification number82524
Number of Individuals Covered174
Insurance policy start date2004-12-15
Insurance policy end date2005-11-30
Total amount of commissions paid to insurance brokerUSD $3,618
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $81,097
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,618
Amount paid for insurance broker fees0
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number567202
Policy instance 2
Insurance contract or identification number567202
Number of Individuals Covered120
Insurance policy start date2004-12-01
Insurance policy end date2005-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE7554
Policy instance 1
Insurance contract or identification numberTE7554
Number of Individuals Covered120
Insurance policy start date2004-12-01
Insurance policy end date2005-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number567202
Policy instance 2
Insurance contract or identification number567202
Number of Individuals Covered100
Insurance policy start date2003-12-01
Insurance policy end date2004-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE7554
Policy instance 1
Insurance contract or identification numberTE7554
Number of Individuals Covered100
Insurance policy start date2003-12-01
Insurance policy end date2004-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number567202
Policy instance 2
Insurance contract or identification number567202
Number of Individuals Covered100
Insurance policy start date2002-12-01
Insurance policy end date2003-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE7554
Policy instance 1
Insurance contract or identification numberTE7554
Number of Individuals Covered100
Insurance policy start date2002-12-01
Insurance policy end date2003-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number567202
Policy instance 2
Insurance contract or identification number567202
Number of Individuals Covered100
Insurance policy start date2001-12-01
Insurance policy end date2002-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE7554
Policy instance 1
Insurance contract or identification numberTE7554
Number of Individuals Covered100
Insurance policy start date2001-12-01
Insurance policy end date2002-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number567202
Policy instance 2
Insurance contract or identification number567202
Number of Individuals Covered100
Insurance policy start date2000-12-01
Insurance policy end date2001-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE7554
Policy instance 1
Insurance contract or identification numberTE7554
Number of Individuals Covered100
Insurance policy start date2000-12-01
Insurance policy end date2001-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE7554
Policy instance 1
Insurance contract or identification numberTE7554
Number of Individuals Covered100
Insurance policy start date1999-12-01
Insurance policy end date2000-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number567202
Policy instance 2
Insurance contract or identification number567202
Number of Individuals Covered100
Insurance policy start date1999-12-01
Insurance policy end date2000-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number567202
Policy instance 2
Insurance contract or identification number567202
Number of Individuals Covered100
Insurance policy start date1998-12-01
Insurance policy end date1999-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE7554
Policy instance 1
Insurance contract or identification numberTE7554
Number of Individuals Covered100
Insurance policy start date1998-12-01
Insurance policy end date1999-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE7554
Policy instance 1
Insurance contract or identification numberTE7554
Number of Individuals Covered100
Insurance policy start date1997-12-01
Insurance policy end date1998-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number567202
Policy instance 2
Insurance contract or identification number567202
Number of Individuals Covered100
Insurance policy start date1997-12-01
Insurance policy end date1998-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number567202
Policy instance 2
Insurance contract or identification number567202
Number of Individuals Covered100
Insurance policy start date1996-12-01
Insurance policy end date1997-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE7554
Policy instance 1
Insurance contract or identification numberTE7554
Number of Individuals Covered100
Insurance policy start date1996-12-01
Insurance policy end date1997-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number567202
Policy instance 2
Insurance contract or identification number567202
Number of Individuals Covered100
Insurance policy start date1995-12-01
Insurance policy end date1996-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE7554
Policy instance 1
Insurance contract or identification numberTE7554
Number of Individuals Covered100
Insurance policy start date1995-12-01
Insurance policy end date1996-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE7554
Policy instance 1
Insurance contract or identification numberTE7554
Number of Individuals Covered100
Insurance policy start date1994-12-01
Insurance policy end date1995-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number567202
Policy instance 2
Insurance contract or identification number567202
Number of Individuals Covered100
Insurance policy start date1994-12-01
Insurance policy end date1995-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number567202
Policy instance 2
Insurance contract or identification number567202
Number of Individuals Covered100
Insurance policy start date1993-12-01
Insurance policy end date1994-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE7554
Policy instance 1
Insurance contract or identification numberTE7554
Number of Individuals Covered100
Insurance policy start date1993-12-01
Insurance policy end date1994-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE7554
Policy instance 1
Insurance contract or identification numberTE7554
Number of Individuals Covered100
Insurance policy start date1992-12-01
Insurance policy end date1993-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number567202
Policy instance 2
Insurance contract or identification number567202
Number of Individuals Covered100
Insurance policy start date1992-12-01
Insurance policy end date1993-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number567202
Policy instance 2
Insurance contract or identification number567202
Number of Individuals Covered100
Insurance policy start date1991-12-01
Insurance policy end date1992-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE7554
Policy instance 1
Insurance contract or identification numberTE7554
Number of Individuals Covered100
Insurance policy start date1991-12-01
Insurance policy end date1992-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number567202
Policy instance 2
Insurance contract or identification number567202
Number of Individuals Covered100
Insurance policy start date1990-12-01
Insurance policy end date1991-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE7554
Policy instance 1
Insurance contract or identification numberTE7554
Number of Individuals Covered100
Insurance policy start date1990-12-01
Insurance policy end date1991-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number567202
Policy instance 2
Insurance contract or identification number567202
Number of Individuals Covered100
Insurance policy start date1989-12-01
Insurance policy end date1990-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE7554
Policy instance 1
Insurance contract or identification numberTE7554
Number of Individuals Covered100
Insurance policy start date1989-12-01
Insurance policy end date1990-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number567202
Policy instance 2
Insurance contract or identification number567202
Number of Individuals Covered100
Insurance policy start date1988-12-01
Insurance policy end date1989-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberTE7554
Policy instance 1
Insurance contract or identification numberTE7554
Number of Individuals Covered100
Insurance policy start date1988-12-01
Insurance policy end date1989-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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