401k Plan data: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN plan

CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 401k Plan overview

Plan Name	CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN
Plan identification number	510

CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

CRAVATH, SWAINE & MOORE LLP has sponsored the creation of one or more 401k plans.

Company Name: CRAVATH, SWAINE & MOORE LLP

Employer identification number (EIN): 135015405

NAIC Classification: 541110
NAIC Description: Offices of Lawyers

Additional information about CRAVATH, SWAINE & MOORE LLP

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 2003-03-25

Company Identification Number: 2886667

Legal Registered Office Address: WORLDWIDE PLAZA
825 EIGHTH AVENUE 46TH FLOOR
NEW YORK
United States of America (USA)
10019

More information about CRAVATH, SWAINE & MOORE LLP

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
510 2023-01-01
510 2022-01-01
510 2021-01-01
510 2020-01-01
510 2019-01-01
510 2018-01-01 DONNA G. ROSENWASSER
510 2017-01-01 DONNA G. ROSENWASSER
510 2016-01-01 DONNA G. ROSENWASSER
510 2015-01-01 DONNA G. ROSENWASSER
510 2014-01-01 ERIC W. HILFERS
510 2013-01-01 ERIC W. HILFERS ERIC W. HILFERS 2014-07-18
510 2012-01-01 ERIC W. HILFERS
510 2011-01-01 ERIC W. HILFERS
510 2009-01-01 ERIC W. HILFERS

Plan Statistics for CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN

401k plan membership statisitcs for CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN

Measure Date Value
2023: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 1,420
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 1,244
Number of retired or separated participants receiving benefits 2023-01-01 210
Total of all active and inactive participants 2023-01-01 1,454
2022: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 1,377
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 1,227
Number of retired or separated participants receiving benefits 2022-01-01 193
Total of all active and inactive participants 2022-01-01 1,420
2021: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 1,464
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 1,186
Number of retired or separated participants receiving benefits 2021-01-01 191
Total of all active and inactive participants 2021-01-01 1,377
2020: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 1,476
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 1,260
Number of other retired or separated participants entitled to future benefits 2020-01-01 204
Total of all active and inactive participants 2020-01-01 1,464
2019: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 1,394
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 1,283
Number of retired or separated participants receiving benefits 2019-01-01 193
Total of all active and inactive participants 2019-01-01 1,476
2018: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 1,362
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 1,215
Number of retired or separated participants receiving benefits 2018-01-01 179
Total of all active and inactive participants 2018-01-01 1,394
2017: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1,355
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 1,192
Number of retired or separated participants receiving benefits 2017-01-01 170
Total of all active and inactive participants 2017-01-01 1,362
2016: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 1,373
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 1,196
Number of retired or separated participants receiving benefits 2016-01-01 159
Total of all active and inactive participants 2016-01-01 1,355
2015: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,431
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 1,218
Number of retired or separated participants receiving benefits 2015-01-01 155
Total of all active and inactive participants 2015-01-01 1,373
2014: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,407
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1,289
Number of retired or separated participants receiving benefits 2014-01-01 142
Total of all active and inactive participants 2014-01-01 1,431
2013: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,433
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,263
Number of retired or separated participants receiving benefits 2013-01-01 144
Total of all active and inactive participants 2013-01-01 1,407
2012: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,473
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,280
Number of retired or separated participants receiving benefits 2012-01-01 153
Total of all active and inactive participants 2012-01-01 1,433
2011: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,549
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,305
Number of retired or separated participants receiving benefits 2011-01-01 168
Total of all active and inactive participants 2011-01-01 1,473
2009: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,581
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,439
Number of retired or separated participants receiving benefits 2009-01-01 124
Total of all active and inactive participants 2009-01-01 1,563
Total participants 2009-01-01 1,563

Measure	Date	Value
2023: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	1,420
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	1,244
Number of retired or separated participants receiving benefits	2023-01-01	210
Total of all active and inactive participants	2023-01-01	1,454
2022: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	1,377
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	1,227
Number of retired or separated participants receiving benefits	2022-01-01	193
Total of all active and inactive participants	2022-01-01	1,420
2021: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	1,464
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	1,186
Number of retired or separated participants receiving benefits	2021-01-01	191
Total of all active and inactive participants	2021-01-01	1,377
2020: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	1,476
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	1,260
Number of other retired or separated participants entitled to future benefits	2020-01-01	204
Total of all active and inactive participants	2020-01-01	1,464
2019: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	1,394
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	1,283
Number of retired or separated participants receiving benefits	2019-01-01	193
Total of all active and inactive participants	2019-01-01	1,476
2018: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	1,362
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	1,215
Number of retired or separated participants receiving benefits	2018-01-01	179
Total of all active and inactive participants	2018-01-01	1,394
2017: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1,355
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	1,192
Number of retired or separated participants receiving benefits	2017-01-01	170
Total of all active and inactive participants	2017-01-01	1,362
2016: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1,373
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	1,196
Number of retired or separated participants receiving benefits	2016-01-01	159
Total of all active and inactive participants	2016-01-01	1,355
2015: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,431
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	1,218
Number of retired or separated participants receiving benefits	2015-01-01	155
Total of all active and inactive participants	2015-01-01	1,373
2014: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,407
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1,289
Number of retired or separated participants receiving benefits	2014-01-01	142
Total of all active and inactive participants	2014-01-01	1,431
2013: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,433
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,263
Number of retired or separated participants receiving benefits	2013-01-01	144
Total of all active and inactive participants	2013-01-01	1,407
2012: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,473
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,280
Number of retired or separated participants receiving benefits	2012-01-01	153
Total of all active and inactive participants	2012-01-01	1,433
2011: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,549
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,305
Number of retired or separated participants receiving benefits	2011-01-01	168
Total of all active and inactive participants	2011-01-01	1,473
2009: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,581
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,439
Number of retired or separated participants receiving benefits	2009-01-01	124
Total of all active and inactive participants	2009-01-01	1,563
Total participants	2009-01-01	1,563

Form 5500 Responses for CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN

2023: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2022: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: CRAVATH, SWAINE & MOORE LLP GROUP INSURANCE PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

09276A

Policy instance

Insurance contract or identification number	09276A
Number of Individuals Covered	24
Insurance policy start date	2023-04-01
Insurance policy end date	2024-03-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $296,880
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )

Policy contract number

1102183 000

Policy instance

Insurance contract or identification number	1102183 000
Number of Individuals Covered	12
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $196,095
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0021525

Policy instance

Insurance contract or identification number	0021525
Number of Individuals Covered	1069
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $36,582
Total amount of fees paid to insurance company	USD $11,843
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,224,838
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0021525

Policy instance

Insurance contract or identification number	0021525
Number of Individuals Covered	1378
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $45,780
Total amount of fees paid to insurance company	USD $7,606
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $658,075
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )

Policy contract number

222140

Policy instance

Insurance contract or identification number	222140
Number of Individuals Covered	990
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $49,372
Total amount of fees paid to insurance company	USD $17,957
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $822,872
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )

Policy contract number

99062661

Policy instance

Insurance contract or identification number	99062661
Number of Individuals Covered	1166
Insurance policy start date	2023-03-26
Insurance policy end date	2024-03-26
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	BUSINESS TRAVEL ACCIDENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )

Policy contract number

97936881001

Policy instance

Insurance contract or identification number	97936881001
Number of Individuals Covered	1238
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $93,236
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

3343181

Policy instance

Insurance contract or identification number	3343181
Number of Individuals Covered	2110
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Welfare Benefit Premiums Paid to Carrier	USD $1,535,485
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )

Policy contract number

001570

Policy instance

Insurance contract or identification number	001570
Number of Individuals Covered	1234
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $24,200
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $345,719
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0217067

Policy instance

Insurance contract or identification number	0217067
Number of Individuals Covered	372
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Other welfare benefits provided	CRITICAL ILLNESS INSURANCE
Welfare Benefit Premiums Paid to Carrier	USD $69,149
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )

Policy contract number

1102183

Policy instance

Insurance contract or identification number	1102183
Number of Individuals Covered	13
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $184,212
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0021525

Policy instance

Insurance contract or identification number	0021525
Number of Individuals Covered	1040
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $35,527
Total amount of fees paid to insurance company	USD $18,100
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,184,306
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $35,527
Amount paid for insurance broker fees	18100
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0021525

Policy instance

Insurance contract or identification number	0021525
Number of Individuals Covered	1358
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $41,997
Total amount of fees paid to insurance company	USD $8,664
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $604,058
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $41,997
Amount paid for insurance broker fees	8664
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3

FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )

Policy contract number

222140

Policy instance

Insurance contract or identification number	222140
Number of Individuals Covered	960
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $43,217
Total amount of fees paid to insurance company	USD $14,952
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $720,283
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $43,217
Amount paid for insurance broker fees	14952
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION
Insurance broker organization code?	3

FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )

Policy contract number

99062661

Policy instance

Insurance contract or identification number	99062661
Number of Individuals Covered	1151
Insurance policy start date	2022-03-26
Insurance policy end date	2023-03-26
Total amount of commissions paid to insurance broker	USD $36,454
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	BUSINESS TRAVEL ACCIDENT
Welfare Benefit Premiums Paid to Carrier	USD $182,270
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $36,454
Insurance broker organization code?	3

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 78697 )

Policy contract number

9793688

Policy instance

Insurance contract or identification number	9793688
Number of Individuals Covered	1211
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $97,689
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

3343181

Policy instance

Insurance contract or identification number	3343181
Number of Individuals Covered	2129
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Welfare Benefit Premiums Paid to Carrier	USD $1,546,829
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )

Policy contract number

001570

Policy instance

Insurance contract or identification number	001570
Number of Individuals Covered	1213
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $22,378
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $345,245
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $22,378
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0217067

Policy instance

Insurance contract or identification number	0217067
Number of Individuals Covered	376
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Other welfare benefits provided	CRITICAL ILLNESS INSURANCE
Welfare Benefit Premiums Paid to Carrier	USD $69,553
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

09276A

Policy instance

Insurance contract or identification number	09276A
Number of Individuals Covered	31
Insurance policy start date	2022-04-01
Insurance policy end date	2023-03-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $236,077
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )

Policy contract number

222140

Policy instance

Insurance contract or identification number	222140
Number of Individuals Covered	891
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $39,665
Total amount of fees paid to insurance company	USD $9,858
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $661,081
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $39,665
Amount paid for insurance broker fees	9858
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0021525

Policy instance

Insurance contract or identification number	0021525
Number of Individuals Covered	1323
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $43,627
Total amount of fees paid to insurance company	USD $9,175
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $577,583
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $43,627
Amount paid for insurance broker fees	9175
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0021525

Policy instance

Insurance contract or identification number	0021525
Number of Individuals Covered	1038
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $39,412
Total amount of fees paid to insurance company	USD $20,247
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,206,649
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $39,412
Amount paid for insurance broker fees	20247
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3

HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )

Policy contract number

1102183000

Policy instance

Insurance contract or identification number	1102183000
Number of Individuals Covered	13
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $181,106
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )

Policy contract number

99062661

Policy instance

Insurance contract or identification number	99062661
Number of Individuals Covered	1152
Insurance policy start date	2021-03-26
Insurance policy end date	2022-03-26
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	BUSINESS TRAVEL ACCIDENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 78697 )

Policy contract number

9793688

Policy instance

Insurance contract or identification number	9793688
Number of Individuals Covered	1223
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $107,269
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

3343181

Policy instance

Insurance contract or identification number	3343181
Number of Individuals Covered	2141
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Welfare Benefit Premiums Paid to Carrier	USD $1,326,774
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

DELAWARE AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62634 )

Policy contract number

03796

Policy instance

Insurance contract or identification number	03796
Number of Individuals Covered	30
Insurance policy start date	2021-04-01
Insurance policy end date	2022-03-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $197,125
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

DELAWARE AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62634 )

Policy contract number

03796

Policy instance

Insurance contract or identification number	03796
Number of Individuals Covered	30
Insurance policy start date	2021-04-01
Insurance policy end date	2022-03-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $19,786
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )

Policy contract number

001570

Policy instance

Insurance contract or identification number	001570
Number of Individuals Covered	1170
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $21,435
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $280,660
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $21,435
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0217067

Policy instance

Insurance contract or identification number	0217067
Number of Individuals Covered	399
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Other welfare benefits provided	CRITICAL ILLNESS INSURANCE
Welfare Benefit Premiums Paid to Carrier	USD $67,810
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

DELAWARE AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62634 )

Policy contract number

03796

Policy instance

Insurance contract or identification number	03796
Number of Individuals Covered	31
Insurance policy start date	2020-04-01
Insurance policy end date	2021-03-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $249,901
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

DELAWARE AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62634 )

Policy contract number

03796

Policy instance

Insurance contract or identification number	03796
Number of Individuals Covered	31
Insurance policy start date	2020-04-01
Insurance policy end date	2021-03-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $22,048
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )

Policy contract number

001570

Policy instance

Insurance contract or identification number	001570
Number of Individuals Covered	1243
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $20,940
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $324,099
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $20,940
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0217067

Policy instance

Insurance contract or identification number	0217067
Number of Individuals Covered	409
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Other welfare benefits provided	CRITICAL ILLNESS INSURANCE
Welfare Benefit Premiums Paid to Carrier	USD $73,475
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

3343181

Policy instance

Insurance contract or identification number	3343181
Number of Individuals Covered	2242
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Welfare Benefit Premiums Paid to Carrier	USD $1,165,977
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: 78697 )

Policy contract number

9793688

Policy instance

Insurance contract or identification number	9793688
Number of Individuals Covered	1254
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $94,906
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )

Policy contract number

99062661

Policy instance

Insurance contract or identification number	99062661
Number of Individuals Covered	1260
Insurance policy start date	2020-03-26
Insurance policy end date	2021-03-26
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	BUSINESS TRAVEL ACCIDENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )

Policy contract number

222140

Policy instance

Insurance contract or identification number	222140
Number of Individuals Covered	1049
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $43,710
Total amount of fees paid to insurance company	USD $12,749
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $665,476
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $43,710
Amount paid for insurance broker fees	12749
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0021525

Policy instance

Insurance contract or identification number	0021525
Number of Individuals Covered	1410
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $40,861
Total amount of fees paid to insurance company	USD $6,028
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $580,465
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $40,861
Amount paid for insurance broker fees	6028
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0021525

Policy instance

Insurance contract or identification number	0021525
Number of Individuals Covered	1091
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $37,182
Total amount of fees paid to insurance company	USD $13,255
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,226,829
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $37,182
Amount paid for insurance broker fees	13255
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3

HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )

Policy contract number

1102183000

Policy instance

Insurance contract or identification number	1102183000
Number of Individuals Covered	15
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $192,341
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )

Policy contract number

222140

Policy instance

Insurance contract or identification number	222140
Number of Individuals Covered	1039
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $42,850
Total amount of fees paid to insurance company	USD $12,498
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $777,191
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $42,850
Amount paid for insurance broker fees	12498
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0021525

Policy instance

Insurance contract or identification number	0021525
Number of Individuals Covered	1455
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $36,677
Total amount of fees paid to insurance company	USD $4,405
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $573,399
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $36,677
Amount paid for insurance broker fees	4405
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0021525

Policy instance

Insurance contract or identification number	0021525
Number of Individuals Covered	1116
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $35,793
Total amount of fees paid to insurance company	USD $10,050
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,301,992
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $35,793
Amount paid for insurance broker fees	10050
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3

HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )

Policy contract number

1102183000

Policy instance

Insurance contract or identification number	1102183000
Number of Individuals Covered	16
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $186,741
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )

Policy contract number

99062661

Policy instance

Insurance contract or identification number	99062661
Number of Individuals Covered	1260
Insurance policy start date	2019-03-26
Insurance policy end date	2020-03-26
Total amount of commissions paid to insurance broker	USD $45,568
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	BUSINESS TRAVEL ACCIDENT
Welfare Benefit Premiums Paid to Carrier	USD $182,270
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $27,341
Insurance broker organization code?	3

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 78697 )

Policy contract number

9793688

Policy instance

Insurance contract or identification number	9793688
Number of Individuals Covered	1271
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $1,763
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $112,252
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,763
Insurance broker organization code?	3

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

3337586

Policy instance

Insurance contract or identification number	3337586
Number of Individuals Covered	2306
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,580,726
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

DELAWARE AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62634 )

Policy contract number

03796

Policy instance

Insurance contract or identification number	03796
Number of Individuals Covered	28
Insurance policy start date	2019-04-01
Insurance policy end date	2020-03-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $167,321
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

DELAWARE AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62634 )

Policy contract number

03796

Policy instance

Insurance contract or identification number	03796
Number of Individuals Covered	28
Insurance policy start date	2019-04-01
Insurance policy end date	2020-03-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $14,503
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )

Policy contract number

001570

Policy instance

Insurance contract or identification number	001570
Number of Individuals Covered	1260
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $20,394
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $290,737
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $20,394
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0217067

Policy instance

Insurance contract or identification number	0217067
Number of Individuals Covered	370
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Other welfare benefits provided	CRITICAL ILLNESS INSURANCE
Welfare Benefit Premiums Paid to Carrier	USD $61,475
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )

Policy contract number

222140

Policy instance

Insurance contract or identification number	222140
Number of Individuals Covered	923
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $40,608
Total amount of fees paid to insurance company	USD $11,552
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $678,119
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $40,608
Amount paid for insurance broker fees	11552
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0021525

Policy instance

Insurance contract or identification number	0021525
Number of Individuals Covered	1487
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $38,051
Total amount of fees paid to insurance company	USD $8,934
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $544,821
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $38,051
Amount paid for insurance broker fees	8934
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0021525

Policy instance

Insurance contract or identification number	0021525
Number of Individuals Covered	1138
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $39,000
Total amount of fees paid to insurance company	USD $21,312
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,295,105
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $39,000
Amount paid for insurance broker fees	21312
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3

HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )

Policy contract number

1102183000

Policy instance

Insurance contract or identification number	1102183000
Number of Individuals Covered	16
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $191,460
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )

Policy contract number

99062661

Policy instance

Insurance contract or identification number	99062661
Number of Individuals Covered	1274
Insurance policy start date	2018-03-26
Insurance policy end date	2019-03-26
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	BUSINESS TRAVEL ACCIDENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Insurance broker organization code?	3

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 78697 )

Policy contract number

9793688

Policy instance

Insurance contract or identification number	9793688
Number of Individuals Covered	1237
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $5,699
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $104,981
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,699
Insurance broker organization code?	3

DELAWARE AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62634 )

Policy contract number

03796

Policy instance

Insurance contract or identification number	03796
Number of Individuals Covered	28
Insurance policy start date	2018-04-01
Insurance policy end date	2019-03-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $12,034
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )

Policy contract number

001570

Policy instance

Insurance contract or identification number	001570
Number of Individuals Covered	1297
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $19,551
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $254,954
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $19,551
Insurance broker organization code?	3

DELAWARE AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62634 )

Policy contract number

03796

Policy instance

Insurance contract or identification number	03796
Number of Individuals Covered	28
Insurance policy start date	2018-04-01
Insurance policy end date	2019-03-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $151,343
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

3337586

Policy instance

Insurance contract or identification number	3337586
Number of Individuals Covered	2320
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,413,466
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )

Policy contract number

1009568-000

Policy instance

Insurance contract or identification number	1009568-000
Number of Individuals Covered	18
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $202,193
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0021525

Policy instance

Insurance contract or identification number	0021525
Number of Individuals Covered	1150
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $40,312
Total amount of fees paid to insurance company	USD $12,965
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,341,735
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $40,312
Amount paid for insurance broker fees	12965
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3
Insurance broker name	HUB INTERNATIONAL NORTHEAST

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0021525

Policy instance

Insurance contract or identification number	0021525
Number of Individuals Covered	1477
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $38,559
Total amount of fees paid to insurance company	USD $6,800
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $551,280
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $38,559
Amount paid for insurance broker fees	6800
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3
Insurance broker name	HUB INTERNATIONAL NORTHEAST

FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )

Policy contract number

222140

Policy instance

Insurance contract or identification number	222140
Number of Individuals Covered	942
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $41,228
Total amount of fees paid to insurance company	USD $8,888
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $685,577
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $41,228
Amount paid for insurance broker fees	8888
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION
Insurance broker organization code?	3
Insurance broker name	HUB INTERNATIONAL NORTHEAST

FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )

Policy contract number

99062661

Policy instance

Insurance contract or identification number	99062661
Number of Individuals Covered	1232
Insurance policy start date	2017-03-26
Insurance policy end date	2018-03-26
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	BUSINESS TRAVEL ACCIDENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	RSC INSURANCE BROKERAGE INC.

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 78697 )

Policy contract number

9793688

Policy instance

Insurance contract or identification number	9793688
Number of Individuals Covered	1200
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $5,201
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $95,070
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,201
Insurance broker organization code?	3
Insurance broker name	HUB INTERNATIONAL NORTHEAST

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

3337586

Policy instance

Insurance contract or identification number	3337586
Number of Individuals Covered	2369
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,298,814
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

DELAWARE AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62634 )

Policy contract number

03796

Policy instance

Insurance contract or identification number	03796
Number of Individuals Covered	26
Insurance policy start date	2017-04-01
Insurance policy end date	2018-03-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $138,721
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

DELAWARE AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62634 )

Policy contract number

03796

Policy instance

Insurance contract or identification number	03796
Number of Individuals Covered	26
Insurance policy start date	2017-04-01
Insurance policy end date	2018-03-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $12,970
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70106 )

Policy contract number

G255802

Policy instance

Insurance contract or identification number	G255802
Number of Individuals Covered	1270
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $16,727
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $238,954
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $16,727
Insurance broker organization code?	3
Insurance broker name	CHRISTOPHER S. BRADY

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Company Name:	CRAVATH, SWAINE & MOORE LLP
Employer identification number (EIN):	135015405
NAIC Classification:	541110
NAIC Description:	Offices of Lawyers

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	2003-03-25
Company Identification Number:	2886667
Legal Registered Office Address:	WORLDWIDE PLAZA 825 EIGHTH AVENUE 46TH FLOOR NEW YORK United States of America (USA) 10019