NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN 401k Plan overview

Plan Name	NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN
Plan identification number	501

NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

NEW YORK STATE UNITED TEACHERS has sponsored the creation of one or more 401k plans.

Company Name:	NEW YORK STATE UNITED TEACHERS
Employer identification number (EIN):	141584772
NAIC Classification:	813000
NAIC Description:	Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2022-09-01
501	2021-09-01
501	2020-09-01
501	2019-09-01
501	2018-09-01
501	2017-09-01
501	2016-09-01	JEFFREY LOCKWOOD		JEFFREY LOCKWOOD	2018-06-13
501	2015-09-01	JEFFREY LOCKWOOD		JEFFREY LOCKWOOD	2017-03-21
501	2014-09-01	JEFFREY LOCKWOOD
501	2013-09-01
501	2012-09-01	ROBERT LESNIEWSKI
501	2011-09-01	ROBERT LESNIEWSKI
501	2009-09-01	ROBERT LESNIEWSKI

Plan Statistics for NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN

401k plan membership statisitcs for NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN

Measure	Date	Value
2022: NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year	2022-09-01	881
Total number of active participants reported on line 7a of the Form 5500	2022-09-01	388
Number of retired or separated participants receiving benefits	2022-09-01	489
Number of other retired or separated participants entitled to future benefits	2022-09-01	4
Total of all active and inactive participants	2022-09-01	881
2021: NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year	2021-09-01	856
Total number of active participants reported on line 7a of the Form 5500	2021-09-01	385
Number of retired or separated participants receiving benefits	2021-09-01	492
Number of other retired or separated participants entitled to future benefits	2021-09-01	4
Total of all active and inactive participants	2021-09-01	881
2020: NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year	2020-09-01	845
Total number of active participants reported on line 7a of the Form 5500	2020-09-01	396
Number of retired or separated participants receiving benefits	2020-09-01	457
Number of other retired or separated participants entitled to future benefits	2020-09-01	3
Total of all active and inactive participants	2020-09-01	856
2019: NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year	2019-09-01	839
Total number of active participants reported on line 7a of the Form 5500	2019-09-01	403
Number of retired or separated participants receiving benefits	2019-09-01	439
Number of other retired or separated participants entitled to future benefits	2019-09-01	3
Total of all active and inactive participants	2019-09-01	845
2018: NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year	2018-09-01	814
Total number of active participants reported on line 7a of the Form 5500	2018-09-01	405
Number of retired or separated participants receiving benefits	2018-09-01	432
Number of other retired or separated participants entitled to future benefits	2018-09-01	2
Total of all active and inactive participants	2018-09-01	839
2017: NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-09-01	798
Total number of active participants reported on line 7a of the Form 5500	2017-09-01	405
Number of retired or separated participants receiving benefits	2017-09-01	409
Total of all active and inactive participants	2017-09-01	814
2016: NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-09-01	814
Total number of active participants reported on line 7a of the Form 5500	2016-09-01	430
Number of retired or separated participants receiving benefits	2016-09-01	368
Total of all active and inactive participants	2016-09-01	798
2015: NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-09-01	854
Total number of active participants reported on line 7a of the Form 5500	2015-09-01	455
Number of retired or separated participants receiving benefits	2015-09-01	359
Total of all active and inactive participants	2015-09-01	814
2014: NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-09-01	822
Total number of active participants reported on line 7a of the Form 5500	2014-09-01	466
Number of retired or separated participants receiving benefits	2014-09-01	388
Total of all active and inactive participants	2014-09-01	854
2013: NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-09-01	799
Total number of active participants reported on line 7a of the Form 5500	2013-09-01	467
Number of retired or separated participants receiving benefits	2013-09-01	355
Total of all active and inactive participants	2013-09-01	822
2012: NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-09-01	804
Total number of active participants reported on line 7a of the Form 5500	2012-09-01	458
Number of retired or separated participants receiving benefits	2012-09-01	345
Total of all active and inactive participants	2012-09-01	803
2011: NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-09-01	787
Total number of active participants reported on line 7a of the Form 5500	2011-09-01	495
Number of retired or separated participants receiving benefits	2011-09-01	309
Total of all active and inactive participants	2011-09-01	804
2009: NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-09-01	760
Total number of active participants reported on line 7a of the Form 5500	2009-09-01	499
Number of retired or separated participants receiving benefits	2009-09-01	269
Total of all active and inactive participants	2009-09-01	768

Form 5500 Responses for NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN

2022: NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN 2022 form 5500 responses
2022-09-01	Type of plan entity	Single employer plan
2022-09-01	Plan is a collectively bargained plan	Yes
2022-09-01	Plan funding arrangement – Insurance	Yes
2022-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-09-01	Plan benefit arrangement – Insurance	Yes
2022-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN 2021 form 5500 responses
2021-09-01	Type of plan entity	Single employer plan
2021-09-01	Plan is a collectively bargained plan	Yes
2021-09-01	Plan funding arrangement – Insurance	Yes
2021-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-09-01	Plan benefit arrangement – Insurance	Yes
2021-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN 2020 form 5500 responses
2020-09-01	Type of plan entity	Single employer plan
2020-09-01	Plan is a collectively bargained plan	Yes
2020-09-01	Plan funding arrangement – Insurance	Yes
2020-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-09-01	Plan benefit arrangement – Insurance	Yes
2020-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN 2019 form 5500 responses
2019-09-01	Type of plan entity	Single employer plan
2019-09-01	Plan is a collectively bargained plan	Yes
2019-09-01	Plan funding arrangement – Insurance	Yes
2019-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-09-01	Plan benefit arrangement – Insurance	Yes
2019-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN 2018 form 5500 responses
2018-09-01	Type of plan entity	Single employer plan
2018-09-01	Plan is a collectively bargained plan	Yes
2018-09-01	Plan funding arrangement – Insurance	Yes
2018-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-09-01	Plan benefit arrangement – Insurance	Yes
2018-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN 2017 form 5500 responses
2017-09-01	Type of plan entity	Single employer plan
2017-09-01	Plan funding arrangement – Insurance	Yes
2017-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-09-01	Plan benefit arrangement – Insurance	Yes
2017-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN 2016 form 5500 responses
2016-09-01	Type of plan entity	Single employer plan
2016-09-01	Plan funding arrangement – Insurance	Yes
2016-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-09-01	Plan benefit arrangement – Insurance	Yes
2016-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN 2015 form 5500 responses
2015-09-01	Type of plan entity	Single employer plan
2015-09-01	Plan funding arrangement – Insurance	Yes
2015-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-09-01	Plan benefit arrangement – Insurance	Yes
2015-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN 2014 form 5500 responses
2014-09-01	Type of plan entity	Single employer plan
2014-09-01	Plan funding arrangement – Insurance	Yes
2014-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-09-01	Plan benefit arrangement – Insurance	Yes
2014-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN 2013 form 5500 responses
2013-09-01	Type of plan entity	Single employer plan
2013-09-01	Submission has been amended	Yes
2013-09-01	Plan funding arrangement – Insurance	Yes
2013-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-09-01	Plan benefit arrangement – Insurance	Yes
2013-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN 2012 form 5500 responses
2012-09-01	Type of plan entity	Single employer plan
2012-09-01	Plan funding arrangement – Insurance	Yes
2012-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-09-01	Plan benefit arrangement – Insurance	Yes
2012-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN 2011 form 5500 responses
2011-09-01	Type of plan entity	Single employer plan
2011-09-01	Plan funding arrangement – Insurance	Yes
2011-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-09-01	Plan benefit arrangement – Insurance	Yes
2011-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: NEW YORK STATE UNITED TEACHERS STAFF WELFARE PLAN 2009 form 5500 responses
2009-09-01	Type of plan entity	Single employer plan
2009-09-01	This submission is the final filing	No
2009-09-01	Plan funding arrangement – Insurance	Yes
2009-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-09-01	Plan benefit arrangement – Insurance	Yes
2009-09-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	118668 0009
Policy instance	3
Insurance contract or identification number 118668 0009 Number of Individuals Covered 383 Insurance policy start date 2022-01-01 Insurance policy end date 2023-01-01 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $17,074 Life Insurance Welfare Benefit Yes Other welfare benefits provided AD&D Welfare Benefit Premiums Paid to Carrier USD $341,477 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 17074 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 8
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN INC (National Association of Insurance Commissioners NAIC id number: 95491 )
Policy contract number	10006051
Policy instance	1
Insurance contract or identification number 10006051 Number of Individuals Covered 224 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 $1,687,432 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 )
Policy contract number	01442
Policy instance	2
Insurance contract or identification number 01442 Number of Individuals Covered 1820 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 $56,815 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $874,546 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 56815 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 0
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	NMC ALL GROUPS
Policy instance	9
Insurance contract or identification number NMC ALL GROUPS Number of Individuals Covered 3564 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 $6,752 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $149,161 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 6752 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 0
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number	993419
Policy instance	4
Insurance contract or identification number 993419 Number of Individuals Covered 1616 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 $10,023,756 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	118668 0008
Policy instance	5
Insurance contract or identification number 118668 0008 Number of Individuals Covered 83 Insurance policy start date 2022-01-01 Insurance policy end date 2023-01-01 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $561 Life Insurance Welfare Benefit Yes Other welfare benefits provided AD&D Welfare Benefit Premiums Paid to Carrier USD $11,214 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 561 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 4
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	118669 0009
Policy instance	6
Insurance contract or identification number 118669 0009 Number of Individuals Covered 382 Insurance policy start date 2022-01-01 Insurance policy end date 2023-01-01 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $6,954 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $139,077 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 6954 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 8
CVS PHARMACY, INC. (National Association of Insurance Commissioners NAIC id number: 44611 )
Policy contract number	2005552
Policy instance	7
Insurance contract or identification number 2005552 Number of Individuals Covered 1662 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 $7,924,147 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE FIRST REHABILITATION LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 81434 )
Policy contract number	D573181
Policy instance	8
Insurance contract or identification number D573181 Number of Individuals Covered 405 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Total amount of commissions paid to insurance broker USD $11,158 Total amount of fees paid to insurance company USD $0 Other welfare benefits provided DISABILITY WITH PAID FAMILY LEAVE Welfare Benefit Premiums Paid to Carrier USD $181,912 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $11,158 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 0
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN INC (National Association of Insurance Commissioners NAIC id number: 95491 )
Policy contract number	10006051
Policy instance	1
Insurance contract or identification number 10006051 Number of Individuals Covered 246 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 $1,702,354 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 )
Policy contract number	01442
Policy instance	2
Insurance contract or identification number 01442 Number of Individuals Covered 1692 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 $52,494 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $864,774 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 52494 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 0
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	118669 0009
Policy instance	3
Insurance contract or identification number 118669 0009 Number of Individuals Covered 391 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Total amount of commissions paid to insurance broker USD $-29,721 Total amount of fees paid to insurance company USD $25,172 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $101,438 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $-29,721 Amount paid for insurance broker fees 25172 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 8
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number	993419
Policy instance	4
Insurance contract or identification number 993419 Number of Individuals Covered 1537 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 $8,936,605 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	118668 0008
Policy instance	5
Insurance contract or identification number 118668 0008 Number of Individuals Covered 84 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 $588 Life Insurance Welfare Benefit Yes Other welfare benefits provided AD&D Welfare Benefit Premiums Paid to Carrier USD $11,760 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 588 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 8
CVS PHARMACY, INC. (National Association of Insurance Commissioners NAIC id number: 44611 )
Policy contract number	2005552
Policy instance	7
Insurance contract or identification number 2005552 Number of Individuals Covered 1697 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 $7,283,192 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE FIRST REHABILITATION LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 81434 )
Policy contract number	D573181
Policy instance	8
Insurance contract or identification number D573181 Number of Individuals Covered 408 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Total amount of commissions paid to insurance broker USD $11,382 Total amount of fees paid to insurance company USD $0 Other welfare benefits provided DISABILITY WITH PAID FAMILY LEAVE Welfare Benefit Premiums Paid to Carrier USD $170,807 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $11,382
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	NMC ALL GROUPS
Policy instance	9
Insurance contract or identification number NMC ALL GROUPS Number of Individuals Covered 3468 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 $3,735 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $144,856 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 3735 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 0
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	118668 0009
Policy instance	6
Insurance contract or identification number 118668 0009 Number of Individuals Covered 391 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 $11,946 Life Insurance Welfare Benefit Yes Other welfare benefits provided AD&D Welfare Benefit Premiums Paid to Carrier USD $238,910 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 11946 Additional information about fees paid to insurance broker ADMINSTRATION Insurance broker organization code? 8
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	118668 0008
Policy instance	5
Insurance contract or identification number 118668 0008 Number of Individuals Covered 82 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 $540 Life Insurance Welfare Benefit Yes Other welfare benefits provided AD&D Welfare Benefit Premiums Paid to Carrier USD $10,800 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 540 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 8
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN INC (National Association of Insurance Commissioners NAIC id number: 95491 )
Policy contract number	10006051
Policy instance	1
Insurance contract or identification number 10006051 Number of Individuals Covered 259 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 $1,673,231 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 )
Policy contract number	01442
Policy instance	2
Insurance contract or identification number 01442 Number of Individuals Covered 1684 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 $51,624 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $696,137 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 51624 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 0
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	118669 0009
Policy instance	3
Insurance contract or identification number 118669 0009 Number of Individuals Covered 401 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $29,721 Total amount of fees paid to insurance company USD $-13,501 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $121,777 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $29,721 Amount paid for insurance broker fees -13501 Insurance broker organization code? 8
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number	993419
Policy instance	4
Insurance contract or identification number 993419 Number of Individuals Covered 1518 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 $8,698,699 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	118668 0009
Policy instance	6
Insurance contract or identification number 118668 0009 Number of Individuals Covered 401 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 $15,361 Life Insurance Welfare Benefit Yes Other welfare benefits provided AD&D Welfare Benefit Premiums Paid to Carrier USD $283,715 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 15361 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 8
CVS PHARMACY, INC. (National Association of Insurance Commissioners NAIC id number: 44611 )
Policy contract number	2005552
Policy instance	7
Insurance contract or identification number 2005552 Number of Individuals Covered 1844 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 $6,910,945 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
THE FIRST REHABILITATION LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 81434 )
Policy contract number	D573181
Policy instance	8
Insurance contract or identification number D573181 Number of Individuals Covered 410 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $7,846 Total amount of fees paid to insurance company USD $0 Other welfare benefits provided DISABILITY WITH PAID FAMILY LEAVE Welfare Benefit Premiums Paid to Carrier USD $95,703 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,846
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	NCM ALL GROUPS
Policy instance	9
Insurance contract or identification number NCM ALL GROUPS Number of Individuals Covered 3492 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 $15,852 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $135,931 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 15852 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 0
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	118669 0009
Policy instance	3
Insurance contract or identification number 118669 0009 Number of Individuals Covered 405 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 $6,008 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $130,359 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 6008 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 8
DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 )
Policy contract number	01442
Policy instance	2
Insurance contract or identification number 01442 Number of Individuals Covered 1700 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 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $861,996 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN INC (National Association of Insurance Commissioners NAIC id number: 95491 )
Policy contract number	10006051
Policy instance	1
Insurance contract or identification number 10006051 Number of Individuals Covered 274 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 $1,649,740 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number	993419
Policy instance	5
Insurance contract or identification number 993419 Number of Individuals Covered 1527 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 $10,517,405 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	118668 0008
Policy instance	6
Insurance contract or identification number 118668 0008 Number of Individuals Covered 85 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 $575 Life Insurance Welfare Benefit Yes Other welfare benefits provided AD&D Welfare Benefit Premiums Paid to Carrier USD $11,496 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 575 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 8
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	118668 0009
Policy instance	7
Insurance contract or identification number 118668 0009 Number of Individuals Covered 405 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 $13,824 Life Insurance Welfare Benefit Yes Other welfare benefits provided AD&D Welfare Benefit Premiums Paid to Carrier USD $299,969 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 13824 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 8
CVS PHARMACY, INC. (National Association of Insurance Commissioners NAIC id number: 44611 )
Policy contract number	2005552
Policy instance	8
Insurance contract or identification number 2005552 Number of Individuals Covered 1888 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 Welfare Benefit Premiums Paid to Carrier USD $6,538,499 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
WESCO INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 25011 )
Policy contract number	0401140,001,002
Policy instance	9
Insurance contract or identification number 0401140,001,002 Number of Individuals Covered 436 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Total amount of commissions paid to insurance broker USD $3,848 Total amount of fees paid to insurance company USD $0 Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $62,168 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,848 Insurance broker organization code? 3
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	NMC
Policy instance	4
Insurance contract or identification number NMC Number of Individuals Covered 3530 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 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $156,016 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CVS PHARMACY, INC. (National Association of Insurance Commissioners NAIC id number: 44611 )
Policy contract number	2005552
Policy instance	8
Insurance contract or identification number 2005552 Number of Individuals Covered 1762 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 Welfare Benefit Premiums Paid to Carrier USD $6,502,944 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	118668 0009
Policy instance	7
Insurance contract or identification number 118668 0009 Number of Individuals Covered 399 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 $13,330 Life Insurance Welfare Benefit Yes Other welfare benefits provided AD&D Welfare Benefit Premiums Paid to Carrier USD $244,504 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 13330 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 8
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	118668 0008
Policy instance	6
Insurance contract or identification number 118668 0008 Number of Individuals Covered 85 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 $597 Life Insurance Welfare Benefit Yes Other welfare benefits provided AD&D Welfare Benefit Premiums Paid to Carrier USD $11,940 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 597 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 8
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number	993419
Policy instance	5
Insurance contract or identification number 993419 Number of Individuals Covered 1462 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 $8,031,671 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	NMC
Policy instance	4
Insurance contract or identification number NMC Number of Individuals Covered 3452 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 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $158,761 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	118669 0009
Policy instance	3
Insurance contract or identification number 118669 0009 Number of Individuals Covered 399 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 $5,964 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $109,197 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 5964 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 8
DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 )
Policy contract number	01442
Policy instance	2
Insurance contract or identification number 01442 Number of Individuals Covered 1748 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 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $930,692 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN INC (National Association of Insurance Commissioners NAIC id number: 95491 )
Policy contract number	10006051
Policy instance	1
Insurance contract or identification number 10006051 Number of Individuals Covered 298 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 $1,715,363 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
WESCO INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 25011 )
Policy contract number	0401140,001,002
Policy instance	9
Insurance contract or identification number 0401140,001,002 Number of Individuals Covered 432 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $4,234 Total amount of fees paid to insurance company USD $0 Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $38,677 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,234 Insurance broker organization code? 3
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	118669 0009
Policy instance	3
Insurance contract or identification number 118669 0009 Number of Individuals Covered 416 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 $5,749 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $125,052 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN INC (National Association of Insurance Commissioners NAIC id number: 95491 )
Policy contract number	10006051
Policy instance	1
Insurance contract or identification number 10006051 Number of Individuals Covered 310 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 $1,713,125 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 )
Policy contract number	01442
Policy instance	2
Insurance contract or identification number 01442 Number of Individuals Covered 1751 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 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $898,690 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	NMC
Policy instance	4
Insurance contract or identification number NMC Number of Individuals Covered 3437 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 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $153,013 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number	993419
Policy instance	5
Insurance contract or identification number 993419 Number of Individuals Covered 1484 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 $8,396,332 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	118668 0008
Policy instance	6
Insurance contract or identification number 118668 0008 Number of Individuals Covered 86 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 $608 Life Insurance Welfare Benefit Yes Other welfare benefits provided AD&D Welfare Benefit Premiums Paid to Carrier USD $12,150 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	118668 0009
Policy instance	7
Insurance contract or identification number 118668 0009 Number of Individuals Covered 416 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 $12,076 Life Insurance Welfare Benefit Yes Other welfare benefits provided AD&D Welfare Benefit Premiums Paid to Carrier USD $263,616 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CVS PHARMACY, INC. (National Association of Insurance Commissioners NAIC id number: 44611 )
Policy contract number	2005552
Policy instance	8
Insurance contract or identification number 2005552 Number of Individuals Covered 1842 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 Welfare Benefit Premiums Paid to Carrier USD $6,322,840 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
WESCO INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 25011 )
Policy contract number	0401140,001,002
Policy instance	9
Insurance contract or identification number 0401140,001,002 Number of Individuals Covered 457 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $3,928 Total amount of fees paid to insurance company USD $0 Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $41,112 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
INDEPENDENT HEALTH (National Association of Insurance Commissioners NAIC id number: 47034 )
Policy contract number	22339
Policy instance	12
Insurance contract or identification number 22339 Number of Individuals Covered 2 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 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 $20,983 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN INC (National Association of Insurance Commissioners NAIC id number: 95491 )
Policy contract number	10006051
Policy instance	1
Insurance contract or identification number 10006051 Number of Individuals Covered 300 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 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 $1,527,550 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	000099070661
Policy instance	13
Insurance contract or identification number 000099070661 Number of Individuals Covered 469 Insurance policy start date 2014-10-01 Insurance policy end date 2015-10-01 Total amount of commissions paid to insurance broker USD $70,366 Total amount of fees paid to insurance company USD $0 Other welfare benefits provided AD&D Welfare Benefit Premiums Paid to Carrier USD $201,045 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $70,366 Insurance broker organization code? 3 Insurance broker name REUBEN WARNER ASSOCIATES, INC.
CVS PHARMACY, INC. (National Association of Insurance Commissioners NAIC id number: 44611 )
Policy contract number	2005552
Policy instance	11
Insurance contract or identification number 2005552 Number of Individuals Covered 1743 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 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 $5,160,332 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	118668 0009
Policy instance	10
Insurance contract or identification number 118668 0009 Number of Individuals Covered 468 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $11,332 Life Insurance Welfare Benefit Yes Other welfare benefits provided AD&D Welfare Benefit Premiums Paid to Carrier USD $245,728 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 11332 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 8 Insurance broker name NEW YORK STATE UNITED TEACHERS
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	118668 0008
Policy instance	9
Insurance contract or identification number 118668 0008 Number of Individuals Covered 84 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $604 Life Insurance Welfare Benefit Yes Other welfare benefits provided AD&D Welfare Benefit Premiums Paid to Carrier USD $12,090 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 604 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 8 Insurance broker name NEW YORK STATE UNITED TEACHERS
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number	211932-0001
Policy instance	8
Insurance contract or identification number 211932-0001 Number of Individuals Covered 39 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 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 $236,849 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number	211932-0002
Policy instance	7
Insurance contract or identification number 211932-0002 Number of Individuals Covered 18 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 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 $151,626 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number	993419
Policy instance	6
Insurance contract or identification number 993419 Number of Individuals Covered 1372 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 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 $6,493,029 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: 55204 )
Policy contract number	00416912
Policy instance	5
Insurance contract or identification number 00416912 Number of Individuals Covered 30 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 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 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	NMC
Policy instance	4
Insurance contract or identification number NMC Number of Individuals Covered 3630 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $6,926 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $130,540 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 6926 Additional information about fees paid to insurance broker ADMINISTRATIVE Insurance broker organization code? 8 Insurance broker name NEW YORK STATE UNITED TEACHERS
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	118669 0009
Policy instance	3
Insurance contract or identification number 118669 0009 Number of Individuals Covered 466 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $9,326 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $202,169 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 9326 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 8 Insurance broker name NEW YORK STATE UNITED TEACHERS
DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 )
Policy contract number	01442
Policy instance	2
Insurance contract or identification number 01442 Number of Individuals Covered 1812 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $50,817 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $923,470 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 50817 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 8 Insurance broker name NEW YORK STATE UNITED TEACHERS
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number	211932-0002
Policy instance	8
Insurance contract or identification number 211932-0002 Number of Individuals Covered 21 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $160,370 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	118668 0009
Policy instance	10
Insurance contract or identification number 118668 0009 Number of Individuals Covered 467 Insurance policy start date 2014-01-01 Insurance policy end date 2015-01-01 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $12,004 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Life Insurance Welfare Benefit Yes Other welfare benefits provided AD&D Welfare Benefit Premiums Paid to Carrier USD $240,078 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 12004 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 8 Insurance broker name NEW YORK STATE UNITED TEACHERS
CVS PHARMACY, INC. (National Association of Insurance Commissioners NAIC id number: 44611 )
Policy contract number	2005552
Policy instance	11
Insurance contract or identification number 2005552 Number of Individuals Covered 1780 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Welfare Benefit Premiums Paid to Carrier USD $4,100,684 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	000099070661
Policy instance	12
Insurance contract or identification number 000099070661 Number of Individuals Covered 469 Insurance policy start date 2014-10-01 Insurance policy end date 2015-10-01 Total amount of commissions paid to insurance broker USD $70,366 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Other welfare benefits provided AD&D Welfare Benefit Premiums Paid to Carrier USD $201,045 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $70,366 Insurance broker organization code? 3 Insurance broker name REUBEN WARNER ASSOCIATES, INC.
INDEPENDENT HEALTH (National Association of Insurance Commissioners NAIC id number: 47034 )
Policy contract number	13364G
Policy instance	13
Insurance contract or identification number 13364G Number of Individuals Covered 2 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $19,780 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number	00008024-0001
Policy instance	7
Insurance contract or identification number 00008024-0001 Number of Individuals Covered 20 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $367,029 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: 55204 )
Policy contract number	00416912
Policy instance	5
Insurance contract or identification number 00416912 Number of Individuals Covered 26 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number	993419
Policy instance	6
Insurance contract or identification number 993419 Number of Individuals Covered 1315 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,276,963 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number	211932-0001
Policy instance	9
Insurance contract or identification number 211932-0001 Number of Individuals Covered 38 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $248,110 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	118669 0009
Policy instance	14
Insurance contract or identification number 118669 0009 Number of Individuals Covered 467 Insurance policy start date 2014-01-01 Insurance policy end date 2015-01-01 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $9,926 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $198,520 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 9926 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 8 Insurance broker name NEW YORK STATE UNITED TEACHERS
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN INC (National Association of Insurance Commissioners NAIC id number: 95491 )
Policy contract number	10006051
Policy instance	1
Insurance contract or identification number 10006051 Number of Individuals Covered 311 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,430,522 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 )
Policy contract number	01442
Policy instance	2
Insurance contract or identification number 01442 Number of Individuals Covered 1758 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $49,158 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $892,819 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 49158 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 8 Insurance broker name NEW YORK STATE UNITED TEACHERS
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	118668 0008
Policy instance	3
Insurance contract or identification number 118668 0008 Number of Individuals Covered 84 Insurance policy start date 2014-01-01 Insurance policy end date 2015-01-01 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $565 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Life Insurance Welfare Benefit Yes Other welfare benefits provided AD&D Welfare Benefit Premiums Paid to Carrier USD $11,292 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 565 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 8 Insurance broker name NEW YORK STATE UNITED TEACHERS
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	NMC
Policy instance	4
Insurance contract or identification number NMC Number of Individuals Covered 3578 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $5,011 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $142,375 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 5011 Additional information about fees paid to insurance broker ADMINISTRATIVE Insurance broker organization code? 8 Insurance broker name NEW YORK STATE UNITED TEACHERS
DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 )
Policy contract number	1442
Policy instance	2
Insurance contract or identification number 1442 Number of Individuals Covered 1762 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $48,624 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $926,546 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 48624 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 8 Insurance broker name NEW YORK STATE UNITED TEACHERS
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	118669 0009
Policy instance	3
Insurance contract or identification number 118669 0009 Number of Individuals Covered 464 Insurance policy start date 2013-01-01 Insurance policy end date 2014-01-01 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $9,570 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $175,245 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 9570 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 8 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Other welfare benefits provided AD&D Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Commission paid to Insurance Broker USD $22,094 Insurance broker name NEW YORK STATE UNITED TEACHERS
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	NMC
Policy instance	4
Insurance contract or identification number NMC Number of Individuals Covered 3555 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $6,261 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $129,767 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 6261 Additional information about fees paid to insurance broker ADMINISTRATIVE Insurance broker organization code? 8 Insurance broker name NEW YORK STATE UNITED TEACHERS
HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: 55204 )
Policy contract number	313717
Policy instance	5
Insurance contract or identification number 313717 Number of Individuals Covered 35 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $168,605 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number	993419
Policy instance	6
Insurance contract or identification number 993419 Number of Individuals Covered 1319 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,129,462 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number	211932-0002
Policy instance	8
Insurance contract or identification number 211932-0002 Number of Individuals Covered 18 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $141,902 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number	211932-0001
Policy instance	9
Insurance contract or identification number 211932-0001 Number of Individuals Covered 39 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $245,440 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	118668 0009
Policy instance	11
Insurance contract or identification number 118668 0009 Number of Individuals Covered 465 Insurance policy start date 2013-01-01 Insurance policy end date 2014-01-01 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $10,754 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Life Insurance Welfare Benefit Yes Other welfare benefits provided AD&D Welfare Benefit Premiums Paid to Carrier USD $197,352 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 10754 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 8 Insurance broker name NEW YORK STATE UNITED TEACHERS
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number	00008024-0001
Policy instance	7
Insurance contract or identification number 00008024-0001 Number of Individuals Covered 20 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $308,831 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	118668 0008
Policy instance	10
Insurance contract or identification number 118668 0008 Number of Individuals Covered 84 Insurance policy start date 2013-01-01 Insurance policy end date 2014-01-01 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $606 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Life Insurance Welfare Benefit Yes Other welfare benefits provided AD&D Welfare Benefit Premiums Paid to Carrier USD $12,112 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 606 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 8 Insurance broker name NEW YORK STATE UNITED TEACHERS
CVS PHARMACY, INC. (National Association of Insurance Commissioners NAIC id number: 44611 )
Policy contract number	2005552
Policy instance	12
Insurance contract or identification number 2005552 Number of Individuals Covered 1806 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Welfare Benefit Premiums Paid to Carrier USD $3,596,736 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN INC (National Association of Insurance Commissioners NAIC id number: 95491 )
Policy contract number	10006051
Policy instance	1
Insurance contract or identification number 10006051 Number of Individuals Covered 302 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,349,656 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	118668 0008
Policy instance	10
Insurance contract or identification number 118668 0008 Number of Individuals Covered 82 Insurance policy start date 2012-01-01 Insurance policy end date 2013-01-01 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $561 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Life Insurance Welfare Benefit Yes Other welfare benefits provided AD&D Welfare Benefit Premiums Paid to Carrier USD $11,235 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 561 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 8 Insurance broker name NEW YORK STATE UNITED TEACHERS
CVS PHARMACY, INC. (National Association of Insurance Commissioners NAIC id number: 44611 )
Policy contract number	2005552
Policy instance	12
Insurance contract or identification number 2005552 Number of Individuals Covered 2207 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Welfare Benefit Premiums Paid to Carrier USD $3,366,920 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	118669 0009
Policy instance	11
Insurance contract or identification number 118669 0009 Number of Individuals Covered 477 Insurance policy start date 2012-01-01 Insurance policy end date 2013-01-01 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $8,859 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $193,325 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 8859 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 8 Insurance broker name NEW YORK STATE UNITED TEACHERS
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number	211932-0001
Policy instance	9
Insurance contract or identification number 211932-0001 Number of Individuals Covered 40 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $219,003 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number	211932-0002
Policy instance	8
Insurance contract or identification number 211932-0002 Number of Individuals Covered 17 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $87,676 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number	12413-001
Policy instance	7
Insurance contract or identification number 12413-001 Number of Individuals Covered 20 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $276,386 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: 55204 )
Policy contract number	313717
Policy instance	5
Insurance contract or identification number 313717 Number of Individuals Covered 36 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Welfare Benefit Premiums Paid to Carrier USD $159,174 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN INC (National Association of Insurance Commissioners NAIC id number: 95491 )
Policy contract number	10006051
Policy instance	1
Insurance contract or identification number 10006051 Number of Individuals Covered 293 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,211,465 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number	993419
Policy instance	6
Insurance contract or identification number 993419 Number of Individuals Covered 1305 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,870,650 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	NMC
Policy instance	4
Insurance contract or identification number NMC Number of Individuals Covered 3538 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $145,203 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 0 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 8 Insurance broker name NEW YORK STATE UNITED TEACHERS
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number	188668 0009
Policy instance	3
Insurance contract or identification number 188668 0009 Number of Individuals Covered 478 Insurance policy start date 2012-01-01 Insurance policy end date 2013-01-01 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $9,747 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Life Insurance Welfare Benefit Yes Other welfare benefits provided AD&D Welfare Benefit Premiums Paid to Carrier USD $212,669 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 9747 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 8 Insurance broker name NEW YORK STATE UNITED TEACHERS
DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 )
Policy contract number	1442
Policy instance	2
Insurance contract or identification number 1442 Number of Individuals Covered 1741 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $48,198 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $935,771 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 48198 Additional information about fees paid to insurance broker ADMINISTRATION Insurance broker organization code? 8 Insurance broker name NEW YORK STATE UNITED TEACHERS
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN INC (National Association of Insurance Commissioners NAIC id number: 95491 )
Policy contract number	10006051
Policy instance	1
Insurance contract or identification number 10006051 Number of Individuals Covered 303 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,244,349 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	118668 0008
Policy instance	10
Insurance contract or identification number 118668 0008 Number of Individuals Covered 74 Insurance policy start date 2011-01-01 Insurance policy end date 2012-01-01 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $588 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Life Insurance Welfare Benefit Yes Other welfare benefits provided AD&D Welfare Benefit Premiums Paid to Carrier USD $11,763 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 )
Policy contract number	1442
Policy instance	2
Insurance contract or identification number 1442 Number of Individuals Covered 1779 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $47,733 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $905,555 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	188668 0009
Policy instance	3
Insurance contract or identification number 188668 0009 Number of Individuals Covered 491 Insurance policy start date 2011-01-01 Insurance policy end date 2012-01-01 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $13,440 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Life Insurance Welfare Benefit Yes Other welfare benefits provided AD&D Welfare Benefit Premiums Paid to Carrier USD $268,798 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number	12413-001
Policy instance	7
Insurance contract or identification number 12413-001 Number of Individuals Covered 20 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $236,745 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number	211932-0001
Policy instance	9
Insurance contract or identification number 211932-0001 Number of Individuals Covered 41 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $189,269 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number	993419
Policy instance	6
Insurance contract or identification number 993419 Number of Individuals Covered 1001 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $6,768,954 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: 55204 )
Policy contract number	313717
Policy instance	5
Insurance contract or identification number 313717 Number of Individuals Covered 39 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Welfare Benefit Premiums Paid to Carrier USD $163,003 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
INDEPENDENT HEALTH (National Association of Insurance Commissioners NAIC id number: 95308 )
Policy contract number	13364H
Policy instance	11
Insurance contract or identification number 13364H Number of Individuals Covered 10 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $18,695 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	118669 0009
Policy instance	12
Insurance contract or identification number 118669 0009 Number of Individuals Covered 490 Insurance policy start date 2011-01-01 Insurance policy end date 2012-01-01 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $11,234 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $224,684 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CVS PHARMACY, INC. (National Association of Insurance Commissioners NAIC id number: 44611 )
Policy contract number	2005552
Policy instance	13
Insurance contract or identification number 2005552 Number of Individuals Covered 1793 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Welfare Benefit Premiums Paid to Carrier USD $3,489,509 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	NMC
Policy instance	4
Insurance contract or identification number NMC Number of Individuals Covered 3701 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $7,008 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $126,994 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number	211932-0002
Policy instance	8
Insurance contract or identification number 211932-0002 Number of Individuals Covered 17 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $98,397 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	188668 0009
Policy instance	3
Insurance contract or identification number 188668 0009 Number of Individuals Covered 506 Insurance policy start date 2010-01-01 Insurance policy end date 2011-01-01 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $13,088 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Life Insurance Welfare Benefit Yes Other welfare benefits provided AD&D Welfare Benefit Premiums Paid to Carrier USD $261,754 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: 55204 )
Policy contract number	313717
Policy instance	5
Insurance contract or identification number 313717 Number of Individuals Covered 39 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Welfare Benefit Premiums Paid to Carrier USD $147,157 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 )
Policy contract number	1442
Policy instance	2
Insurance contract or identification number 1442 Number of Individuals Covered 802 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $47,189 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $914,623 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN INC (National Association of Insurance Commissioners NAIC id number: 95491 )
Policy contract number	10006051
Policy instance	1
Insurance contract or identification number 10006051 Number of Individuals Covered 112 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,148,591 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	NMC
Policy instance	4
Insurance contract or identification number NMC Number of Individuals Covered 3732 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $6,926 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $140,462 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number	993419
Policy instance	6
Insurance contract or identification number 993419 Number of Individuals Covered 1305 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,934,700 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number	12413-001
Policy instance	7
Insurance contract or identification number 12413-001 Number of Individuals Covered 37 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $234,225 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number	211932-0002
Policy instance	8
Insurance contract or identification number 211932-0002 Number of Individuals Covered 13 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $84,946 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number	211932-0001
Policy instance	9
Insurance contract or identification number 211932-0001 Number of Individuals Covered 41 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $169,160 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	118668 0008
Policy instance	10
Insurance contract or identification number 118668 0008 Number of Individuals Covered 70 Insurance policy start date 2010-01-01 Insurance policy end date 2011-01-01 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $432 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Life Insurance Welfare Benefit Yes Other welfare benefits provided AD&D Welfare Benefit Premiums Paid to Carrier USD $8,649 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	118669 0009
Policy instance	12
Insurance contract or identification number 118669 0009 Number of Individuals Covered 505 Insurance policy start date 2010-01-01 Insurance policy end date 2011-01-01 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $11,123 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $222,458 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CVS PHARMACY, INC. (National Association of Insurance Commissioners NAIC id number: 44611 )
Policy contract number	2005552
Policy instance	13
Insurance contract or identification number 2005552 Number of Individuals Covered 505 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Welfare Benefit Premiums Paid to Carrier USD $3,167,364 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
INDEPENDENT HEALTH (National Association of Insurance Commissioners NAIC id number: 95308 )
Policy contract number	13364H
Policy instance	11
Insurance contract or identification number 13364H Number of Individuals Covered 7 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,951 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No

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• NEW YORK STATE NURSES ASSOCIATION HEALTH REIMBURSEMENT ARRANGEMENT [EIN = 140923749]
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• NEW YORK CITY OUTWARD BOUND CENTER DEFINED CONTRIBUTION RETIREMENT PLAN [EIN = 133471084]
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• NEW YORK UNIVERSITY SCHOOL OF MEDICINE DEFINED BENEFIT RETIREMENT PLAN [EIN = 135562308]
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• NEW YORK METS EMPLOYEE SAVINGS PLAN [EIN = 112834957]
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• NEW YORK INSTITUTE OF TECHNOLOGY TAX DEFERRED ANNUITY PLAN [EIN = 111788788]
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• NEW YORK STATE INDUSTRIES FOR THE DISABLED, INC. RETIREMENT PLAN [EIN = 132841179]
• NEW YORK EYE AND EAR INFIRMARY SUPPLEMENTAL RETIREMENT PLAN [EIN = 135562304]
• NEW YORK STATE CATHOLIC HEALTH PLAN, INC., DBA FIDELIS CARE NEW YORK CAFETERIA PLAN [EIN = 113153422]
• NEW YORK LEAGUE FOR EARLY LEARNING, INC. DISCRETIONARY DEFINED CONTRIBUTION RETIREMENT PLAN [EIN = 112513824]
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• NEW YORK DIALYSIS SERVICES, INC. 401(K) PLAN [EIN = 043267217]
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• NEW YORK STATE PUBLIC HIGH SCHOOL ATHLETIC ASSOCIATION, INC. 401K PROFIT SHARING PLAN [EIN = 112652408]
• NEW YORK APPLE ASSOCIATION, INC. SAVINGS AND RETIREMENT PLAN [EIN = 160760119]
• NEW YORK SEMICONDUCTOR CORP 401 K PROFIT SHARING PLAN TRUST [EIN = 113630080]
• NEW YORK BOILER, INC. 401(K) PLAN [EIN = 112809119]
• NEW YORK UNDERGROUND, INC. 401(K) PLAN [EIN = 061834110]
• NEW YORK REPLACEMENT PARTS CORP. 401(K) PROFIT SHARING PLAN [EIN = 132963283]
• NEW YORK PRODUCTION ALLIANCE 401K PLAN AND TRUST [EIN = 134181130]
• NEW YORK COLLEGE OF HEALTH PROFESSIONS [EIN = 112705352]
• NEW YORK STATE ACADEMY OF FAMILY PHYSICIANS MONEY PURCHASE PLAN AND TRUST [EIN = 150524107]
• NEW YORK OUTDOOR, INC. 401(K) PLAN [EIN = 134012413]
• NEW YORK BANKERS ASSOCIATION 401(K) PLAN [EIN = 131882974]
• NEW YORK STATE ASSOCIATION OF INDEPENDENT SCHOOLS 403(B) DC [EIN = 141504908]
• NEW YORK COMMERCIAL FLOORING, INC. 401(K) SAFE HARBOR PLAN [EIN = 020751608]
• NEW YORK PHYSICAL THERAPY, P.C. PROFIT SHARING PLAN [EIN = 112860202]
• NEW YORK CENTER FOR REHABILITATION CARE RETIREMENT SAVINGS PLAN [EIN = 113626586]
• NEW YORK WINDOWS & DOORS INC. 401K PROFIT SHARING PLAN & TRUST [EIN = 113578982]
• NEW YORK FOOD COMPANY, INC. 401(K) PROFIT SHARING PLAN [EIN = 953897142]
• NEW YORK TRENCHLESS, INC. PROFIT SHARING PLAN [EIN = 113519631]
• NEW YORK STATE COALITION AGAINST SEXUAL ASSAULT, INC. 401(K) PLAN [EIN = 141700765]
• NEW YORK MUTUAL UNDERWRITERS 401(K) PLAN [EIN = 140920715]
• NEW YORK BRONX PEDIATRIC MEDICINE, PC 401K PROFIT SHARING PLAN AND TRUST [EIN = 134039698]
• NEW YORK ALLIANCE FOR DONATION INC 401(K) PLAN [EIN = 510430374]
• NEW YORK CENTER FOR LIVER TRAN 401 K PROFIT SHARING PLAN TRUST [EIN = 133510056]
• NEW YORK CARDIOLOGY GROUP, P.C. 401(K) PROFIT SHARING PLAN [EIN = 113339481]
• NEW YORK DERMATOLOGY, P.C. PROFIT SHARING PLAN AND TRUST [EIN = 113212960]
• NEW YORK COUNTY MEDICAL SOCIETY 401K PROFIT SHARING PLAN AND TRUST [EIN = 131030750]
• NEW YORK SENIOR CARE LLC 401(K) PROFIT SHARING PLAN & TRUST [EIN = 205547002]
• NEW YORK CARDIOVASCULAR ANESTHESIOLOGISTS PC RETIREMENT TRUST 401(K) PLAN [EIN = 113027215]
• NEW YORK CARDIOVASCULAR ASSOCIATES 401(K) PLAN [EIN = 260086404]
• NEW YORK PSYCHOANALYTIC INSTITUTE TAX-DEFERRED (TDA) ANNUITY PLAN [EIN = 131624130]
• NEW YORK NEUROLOGIC ASSOCIATES 401(K) P/S PLAN AND TRUST [EIN = 113340826]
• NEW YORK STATE WINE AND 401 K PROFIT SHARING PLAN TRUST [EIN = 201682175]
• NEW YORK CENTER FOR NANOMEDICI 401 K PROFIT SHARING PLAN TRUST [EIN = 471966850]
• NEW YORK TITLE RESEARCH 401(K) PROFIT SHARING PLAN & TRUST [EIN = 133873977]
• NEW YORK LAND SURVEYOR PC 401 K PROFIT SHARING PLAN TRUST [EIN = 205865530]
• NEW YORK COLLABORATES FOR AUTI 401 K PROFIT SHARING PLAN TRUST [EIN = 571136147]
• NEW YORK EYE CANCER CENTER DEFINED BENEFIT PENSION PLAN & TRUST [EIN = 134166365]
• NEW YORK CITY POLICE FOUNDATION, INC. 403(B) RETIREMENT PLAN [EIN = 132711338]
• NEW YORK CITY INDUSTRIAL TECHNOLOGY ASSISTANC E CORPORATION TAX SHELTERED ANNUITY [EIN = 133410779]
• NEW YORK STATE PUBLIC HIGH SCHOOL ATHLETIC ASSOCIATION, INC. MONEY PURCHASE PENSION PLAN [EIN = 112652408]
• NEW YORK STATE SOCIETY OF ANESTHESIOLOGISTS, INC. EMPLOYEES SAVINGS & RETIREMENT PLAN [EIN = 131938679]
• NEW YORK SECURITY SYSTEMS, INC. 401K PLAN [EIN = 141648882]
• NEW YORK STATE ASSOCIATION 401 K PROFIT SHARING PLAN TRUST [EIN = 140992970]
• NEW YORK SPACES, INC. 401(K) PS PLAN [EIN = 133559698]
• NEW YORK GOLF CENTER INC 401 K PROFIT SHARING PLAN TRUST [EIN = 133117316]
• NEW YORK BISCOTTI COMPANY [EIN = 113452788]
• NEW YORK REHABILITATIVE SERVICES LLC 401K PLAN [EIN = 770618878]
• NEW YORK STATE RESTAURANT ASSOCIATION, INC. 401(K) PLAN [EIN = 131101544]
• NEW YORK COUNCIL FOR THE HUMANITIES TAX-SHELTERED RETIREMENT ANNUITY PLAN [EIN = 510152266]
• NEW YORK STATE FUNERAL DIRECTORS ASSOCIATION, INC. RETIREMENT PLAN [EIN = 150398553]
• NEW YORK OIL HEATING ASSOCIATION, INC. 401K RETIREMENT PLAN [EIN = 135668120]
• NEW YORK CARDIOVASCULAR 401 K PROFIT SHARING PLAN TRUST [EIN = 760849946]
• NEW YORK STATE MUSEUM INSTITUTE DEFINED CONTRIBUTION RETIREMENT PLAN [EIN = 222714165]
• NEW YORK PHYSICIANS LLP 401(K) SAVINGS PLAN [EIN = 061562780]
• NEW YORK PRINTING SYSTEMS INC 401 K PROFIT SHARING PLAN TRUST [EIN = 161497587]
• NEW YORK NEEDS YOU 403(B) PLAN [EIN = 270601596]
• NEW YORK TRANS HARBOR LLC 401(K) PLAN [EIN = 470858384]
• NEW YORK PRECISION EQUIPMENT I 401 K PROFIT SHARING PLAN TRUST [EIN = 112904877]
• NEW YORK WOMENS CHAMBER OF COMMERCE [EIN = 141845651]
• NEW YORK STATE DEFENDERS ASSOCIATION, INC. 403(B) PLAN [EIN = 112461900]
• NEW YORK NUCLEAR CORP. & AFFILIATES DEFINED BENEFIT PENSION PLAN [EIN = 133149399]
• NEW YORK ASSOCIATES IN GASTROENTEROLOGY, LLP 401(K) PROFIT SHARING PLAN [EIN = 134114875]
• NEW YORK BARIATRIC AND LAPAROSCOPY, P.C. RETIREMENT PLAN [EIN = 200121622]
• NEW YORK CONSTRUCTION 401(K) PLAN [EIN = 134171043]
• NEW YORK WEALTH MANAGEMENT, LLC 401K PROFIT SHARING PLAN [EIN = 270339461]
• NEW YORKS LITTLE ELVES INC 401 K PROFIT SHARING PLAN TRUST [EIN = 133874666]
• NEW YORK YOUTH SYMPHONY 403B [EIN = 136133041]
• NEW YORK TIMES EMPLOYEES FEDERAL CREDIT UNION CAPITAL ACCUMULATION PLAN [EIN = 131780480]
• NEW YORK PAIN CONSULTANTS, LLC RETIREMENT PLAN [EIN = 200239132]
• NEW YORK STATE TECHNOLOGY ENTERPRISE CORPORATION 403B RETIREMENT PLAN [EIN = 161521105]
• NEW YORK YOUTH AT RISK [EIN = 133533428]
• NEW YORK EYE EAR INFIRMARY O 401 K PROFIT SHARING PLAN TRUST [EIN = 133660461]
• NEW YORK COUNTY DENTAL SOCIETY PROFIT SHARING PLAN [EIN = 135606330]
• NEW YORK BUILDING CONGRESS, INC. PROFIT SHARING P [EIN = 131097030]
• NEW YORK ACCESSORY GROUP, INC. 401(K) PLAN [EIN = 134175959]
• NEW YORK SAMPLE CARD CO. PROFIT SHARING PLAN [EIN = 135582882]
• NEW YORK ORAL, MAXILLOFACIAL AND IMPLANT SURGERY, P.C. 401(K) PROFIT SHARING PLAN [EIN = 112621554]
• NEW YORK JEWELERS, INC. RETIREMENT SAVINGS PLAN [EIN = 362471887]
• NEW YORK FIRE ACADEMY, INC. PROFIT SHARING PLAN [EIN = 272982077]
• NEW YORK DOUGH COMPANY, INC. 401 (K) PROFIT SHARING PLAN [EIN = 454994423]
• NEW YORK STATE REHABILITATION ASSOCIATION, INC. 401(K) PROFIT SHARING PLAN [EIN = 141748065]
• NEW YORK COUNCIL OF NONPROFITS, INC. 403(B) PLAN [EIN = 141343047]
• NEW YORK REAL ESTATE INSTITUTE 401(K) PLAN [EIN = 200484486]
• NEW YORK INSTITUTE OF MASSAGE 401 K PROFIT SHARING PLAN TRUST [EIN = 161501956]
• NEW YORKERS FOR CHILDREN, INC. 403(B) PLAN [EIN = 133904537]
• NEW YORK UNIVERSITY FEDERAL CREDIT UNION CAPITAL ACCUMULATION PLAN [EIN = 133147950]
• NEW YORK CARDIOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN [EIN = 223374409]
• NEW YORK DELI NEWS, INC. 401(K) PROFIT SHARING PLAN & TRUST [EIN = 841114774]
• NEW YORK JUNIOR TENNIS LEAGUE 401K PLAN [EIN = 237442256]
• NEW YORK TIMES EMPLOYEES FEDERAL CREDIT UNION RETIREMENT PENSION PLAN [EIN = 131780480]
• NEW YORK COLLEGE OF HEALTH PROFESSIONS [EIN = 112705352]
• NEW YORK CITY REGIONAL CENTER, LLC CASH BALANCE PLAN [EIN = 262686201]
• NEW YORK PROFESSIONAL NURSES UNION RETIREMENT PLAN [EIN = 133642959]
• NEW YORK CARDIOTHORACIC SURGEONS/ P.C. DEFINED BENEFIT PLAN [EIN = 113486382]
• NEW YORK EYE CANCER CENTER 401(K) PROFIT SHARING PLAN & TRUST [EIN = 134166365]
• NEW YORK NEUROLOGICAL ASSOCIATES, P. C. TARGET BENEFIT PLAN [EIN = 132792803]
• NEW YORK BUSINESS SYSTEMS 401(K) PROFIT SHARING PLAN [EIN = 112817533]
• NEW YORK OPHTHALMOLOGY, P.C. PROFIT SHARING PLAN [EIN = 113563467]
• NEW YORK ISPINE SPECIALIST MEDICAL 401(K) PLAN [EIN = 474507961]
• NEW YORK PAIN MANAGEMENT, PLLC PROFIT SHARING 401 K) PLAN [EIN = 421554476]
• NEW YORK CORNEA, PLLC PROFIT SHARING PLAN [EIN = 571147780]
• NEW YORK COUNTY LAWYERS' ASSOCIATION 403(B) PLAN [EIN = 135273040]
• NEW YORK MRI MANAGEMENT, INC. 401(K) PROFIT SHARING PLAN [EIN = 650967298]
• NEW YORK DESIGN CENTER, INC 401(K) PLAN [EIN = 135582860]
• NEW YORK TECHNOLOGY PARTNERS 401 K PROFIT SHARING PLAN TRUST [EIN = 134082098]
• NEW YORK METROPOLITAN REFERENCE & RESEARCH LIBRARY AGENCY (METRO) TAX DEFERRED ANNUITY PLAN [EIN = 136210582]
• NEW YORK STATE HOSPITALITY & TOURISM ASSOCIATION, INC. PROFIT SHARING AND 401(K) PLAN [EIN = 131101450]
• NEW YORK CITY RESCUE MISSION 401 K PROFIT SHARING PLAN TRUST [EIN = 135596794]
• NEW YORK STATE HEALTH FOUNDATION RETIREMENT PLAN [EIN = 300127892]
• NEW YORK PRESS SERVICE, INC. SAVINGS PLUS PLAN [EIN = 161030258]
• NEW YORK STATE WEST YOUTH SOCCER ASSOCIATION, INC 401(K) PLAN [EIN = 161185044]
• NEW YORK COMMUNICATIONS CO., INC. PROFIT SHARING PLAN AND TRUST [EIN = 141459493]
• NEW YORK E-COMMERCE ADVISORY INC. 401(K) PROFIT SHARING PLAN [EIN = 453950113]
• NEW YORK SUSTAINABLE 401 K PROFIT SHARING PLAN TRUST [EIN = 161562172]
• NEW YORK FOUNDATION FOR THE ARTS, INC. ANNUITY PLAN [EIN = 237129564]
• NEW YORK LONG TERM CARE BROKERS RETIREMENT PLAN [EIN = 141764648]
• NEW YORK HARM REDUCTION EDUCATORS 403(B) PLAN [EIN = 133678499]
• NEW YORK ADJUSTMENT BUREAU 401K PLAN [EIN = 112947108]
• NEW YORK ENVIRONMENTAL & ANALYTICAL LABS INC 401K PLAN [EIN = 113045775]
• NEW YORK PUBLIC WELFARE ASSOCIATION, INC. MONEY PURCHASE PLAN [EIN = 160968352]
• NEW YORK ST ASSOC. OF AREA AGENCIES ON AGING TDA RETIREMENT PLAN [EIN = 161107763]
• NEW YORK METROPOLITAN REFERENCE & RESEARCH LIBRARY AGENCY (METRO) DEFINED CONTRIBUTION PLAN [EIN = 136210582]
• NEW YORK INSULATION INC 401 K PROFIT SHARING PLAN TRUST [EIN = 112966988]
• NEW YORK STATE BROADCASTERS ASSOCIATION, INC. DB PENSION PLAN [EIN = 141541060]
• NEW YORK CONGREGATIONAL NURSING CENTER LOCAL 144 DIVISION OF 1199 PENSION PLAN [EIN = 113188802]
• NEW YORK NEUROLOGICAL ASSOCIATES, P. C. PROFIT SHARING & EMPLOYEES SAVINGS PLAN [EIN = 132792803]
• NEW YORK CENTER FOR INTERPERSONAL DEVELOPMENT 403(B) PLAN [EIN = 237085239]
• NEW YORK COMMUNITIES FOR CHANG 401 K PROFIT SHARING PLAN TRUST [EIN = 271359103]
• NEW YORK BOILER, INC. CASH BALANCE PLAN [EIN = 112809119]
• NEW YORK CAREER INSTITUTE, INC 401(K) PLAN [EIN = 132502849]
• NEW YORK FOOT AND ANKLE, PLLC DEFINED BENEFIT PLAN [EIN = 455012159]
• NEW YORK OPTICAL, INC. DEFINED BENEFIT PENSION PLAN [EIN = 112654052]
• NEW YORK 811, INC. 401(K) PLAN [EIN = 900289921]
• NEW YORK ELECTRICAL DESIGN INC 401 K PROFIT SHARING PLAN TRUST [EIN = 300343412]
• NEW YORK VALUE CLUB, LTD. 401(K) PROFIT SHARING PLAN [EIN = 113288102]
• NEW YORK PSYCHOANALYTIC INSTITUTE DEFINED CONTRIBUTION RETIREMENT PLAN [EIN = 131624130]
• NEW YORK STRUCTURAL BIOLOGY CENTER 403(B) DEFINED CONTRIBUTION PLAN [EIN = 134043587]
• NEW YORK CENTER FOR SPECIALIZED DENTISTRY, P.C. PROFIT SHARING 401K PLAN [EIN = 132951569]
• NEW YORK STATE ASSOCIATION FOR 401 K PROFIT SHARING PLAN TRUST [EIN = 134001946]
• NEW YORK JOINT BOARD NY CLOTHING MANUFACTURERS SCHOLARSHIP FUND [EIN = 133118573]
• NEW YORK STATE ASSOCIATION OF INDEPENDENT SCHOOLS 403(B) TDA PLAN [EIN = 141504908]
• NEW YORK SPEAKERS BUREAU, INC. 401(K) PLAN [EIN = 133793535]
• NEW YORK OTOLARYNGOLOGY GROUP, P.C. PROFIT SHARING PLAN [EIN = 133295335]
• NEW YORK APPLE SALES, INC. 401(K) PROFIT SHARING PLAN [EIN = 141772604]
• NEW YORK FOOT CARE SERVICES PLLC PROFIT SHARING PL [EIN = 204026741]
• NEW YORK STATE BROADCASTERS ASSOCIATION, INC. EMPLOYEE RETIREMENT PLAN [EIN = 141541060]
• NEW YORK SKYLINE, INC 401(K) PLAN [EIN = 113149397]
• NEW YORK MOTORS CORP. PENSION PLAN [EIN = 223477428]
• NEW YORK SECURITY SYSTEMS, INC. 401K PLAN [EIN = 141648882]
• NEW YORK DIALYSIS SERVICES, INC. MEP 401(K) PLAN [EIN = 043267217]
• NEW YORK ORAL, MAXILLOFACIAL AND IMPLANT SURGERY, P.C. MONEY PURCHASE PENSION PLAN [EIN = 112621554]
• NEW YORK PODIATRIC MEDICINE & SURGERY 401(K) PROFIT SHARING PLAN & TRUST [EIN = 203426389]
• NEW YORK CITY SOCIAL SPORTS CLUB, INC. RETIREMENT PLAN [EIN = 205774314]
• NEW YORK GRANT COMPANY 401K/PROFIT SHARING PLAN [EIN = 043680621]
• NEW YORK MUNICIPAL ADVISORS CORPORATION 401K PROFIT SHARING PLAN [EIN = 113206884]
• NEW YORK JUNIOR TENNIS LEAGUE 403(B) PLAN [EIN = 237442256]
• NEW YORK REPRESENTATIVES, LTD. PROFIT SHARING TRUST [EIN = 112657913]
• NEW YORK CITY MISSION SOCIETY 403(B) PLAN [EIN = 135562301]
• NEW YORK LANGUAGE CENTER, INC. & IT'S AFFILIATES 401(K) PROFIT SHARING PLAN [EIN = 133275377]
• NEW YORK CONCRETE CORP. 401(K) PLAN [EIN = 113076836]
• NEW YORK CITY ENERGY EFFICIENCY CORPORATION 401(K) PLAN [EIN = 273731338]
• NEW YORK ARTIFICIAL KIDNEY CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST [EIN = 113561833]
• NEW YORK LIFE INTERNATIONAL LLC PROFIT SHARING PLAN [EIN = 134199614]
• NEW YORK QUEENS OB/GYN, P.C. CASH OR DEFERRED PLAN AND TRUST [EIN = 113395424]
• NEW YORK HEALTH PLAN ASSOCIATION, INC. PENSION PLAN [EIN = 141641053]
• NEW YORK TENT COMPANY, INC. PENSION PLAN [EIN = 113234663]
• NEW YORK TENT COMPANY, INC. 401(K) PLAN [EIN = 113234663]
• NEW YORK PROSECUTORS TRAINING INSTITUTE, INC. EMPLOYEE RETIREMENT PLAN AND TRUST [EIN = 113289827]
• NEW YORK SPINE & NEUROSURGERY ASSOCIATES, P.C. 401(K) PLAN [EIN = 200590854]
• NEW YORK COMMERCIAL REAL ESTATE, LTD 401(K) PLAN [EIN = 264179466]
• NEW YORK LASER EYE LLP 401K PLAN [EIN = 421600458]
• NEW YORK HEATING CORP. 401(K) PLAN [EIN = 112999708]
• NEW YORK STATE DENTAL ASSOCIATION RETIREMENT PLAN [EIN = 141434154]
• NEW YORK COSMOS, LLC. 401(K) PLAN [EIN = 270849852]
• NEW YORK CITY REGIONAL CENTER, LLC 401(K) PLAN [EIN = 262686201]
• NEW YORK SAMPLE CARD COMPANY PROFIT SHARING PLAN [EIN = 135582882]
• NEW YORK HOTEL AND MOTEL TRADES COUNCIL, AFL-CIO DEFINED BENEFIT PENSION PLAN [EIN = 131098484]
• NEW YORK TEMPERATURE CONTROLS, INC 401 K PROFIT SHARING PLAN TRUST [EIN = 203260332]
• NEW YORK FIRE DETECTION, INC. 401(K) PLAN [EIN = 113145334]
• NEW YORK BLACK CAR FUND 401(K) PLAN [EIN = 134074646]
• NEW YORK STATE FENCE, INC. RETIREMENT SAVINGS PLAN [EIN = 161098453]
• NEW YORK STATE PSYCHOLOGICAL ASSOCIATION, INC. 401(K) PLAN [EIN = 131956620]
• NEW YORK RURAL WATER ASSOCIATION 401(K) PROFIT SHARING PLAN [EIN = 222257996]
• NEW YORK SPORTS AND PHYSICAL THERAPY INSTITUTE DEFINED BENEFIT [EIN = 112356557]
• NEW YORK & ATLANTIC RAILWAY UNION 401(K) PLAN [EIN = 133926500]
• NEW YORK FLAG & POLE CO., INC. PROFIT SHARING PLAN [EIN = 133132131]
• NEW YORK PAVING, INC. PROFIT SHARING PLAN [EIN = 112426065]
• NEW YORK PACKAGING II LLC CASH BALANCE PLAN [EIN = 043834351]
• NEW YORK REAL ESTATE INSTITUTE PENSION PLAN [EIN = 200484486]
• NEW YORK STATE PODIATRIC MEDICAL ASSOCIATION 401(K) PLAN [EIN = 131679614]
• NEW YORK STATE ASSOC OF ALCOHO 401 K PROFIT SHARING PLAN TRUST [EIN = 141793172]
• NEW YORK CARDIOLOGY GROUP, P.C. CASH BALANCE PENSION PLAN [EIN = 113339481]
• NEW YORK URGENT CARE, P.C. PROFIT SHARING 401(K) PENSION PLAN [EIN = 260250985]
• NEW YORK INTEGRATIVE RHEUMATOLOGY & ARTHRITIS CARE 401(K) PLAN [EIN = 270609949]
• NEW YORK CITY RENT GUIDELINES BOARD PROFIT SHARIN [EIN = 133026145]
• NEW YORK COOLING TOWERS INC 401 K PROFIT SHARING PLAN TRUST [EIN = 133266877]
• NEW YORK LAW JOURNAL UNION EMPLOYEES' PENSION PLAN [EIN = 133273851]
• NEW YORK RESIDENTIAL WORKS INC 401 K PROFIT SHARING PLAN TRUST [EIN = 112984526]
• NEW YORK ORAL, MAXILLOFACIAL AND IMPLANT SURGERY, P.C. DEFINED BENEFIT PLAN [EIN = 112621554]
• NEW YORK CITY RUNS, INC. 401(K) PLAN [EIN = 274480140]
• NEW YORK TYPOGRAPHICAL 401(K) P/S PLAN [EIN = 135276340]
• NEW YORK BIOTECHNOLOGY ASSOCIATION SAVINGS AND RETIREMENT PLAN [EIN = 113026494]
• NEW YORK GASTROENTEROLOGY ASSOCIATES, LLP 401(K) PLAN [EIN = 134056764]
• NEW YORK CHILD RESOURCE CENTER PROFIT SHARING PLAN [EIN = 133792985]
• NEW YORK SPINE PHYSICAL THERAPY, P.C. [EIN = 113497018]
• NEW YORK RHB, LLC 401K PLAN [EIN = 208104462]
• NEW YORK ORTHOPAEDIC HOSPITAL ASSOCIATES, P.C. RETIREMENT PLAN [EIN = 133297333]
• NEW YORK STATE DEFENDERS JUSTICE FUND, INC. 401(K) PLAN [EIN = 205311731]
• NEW YORK MILITARY ACADEMY [EIN = 140921372]
• NEW YORK STATE FORUM INC 401K PLAN [EIN = 263962887]
• NEW YORK CITY POLICE MUSEUM 401 K PROFIT SHARING PLAN TRUST [EIN = 134000578]
• NEW YORKER ELECTRONICS CO. INC. RETIREMENT PLAN [EIN = 131666917]
• NEW YORK CITY CENTER FOR CHARTER SCHOOL EXCELLENCE 403(B) PLAN [EIN = 200759687]
• NEW YORK STATE HISTORICAL ASSOCIATION AND THE FARMERS MUSEUM [EIN = 150539110]
• NEW YORK STATE WEATHERIZATION DIRECTORS' ASSOCIATION 401(K) PLAN [EIN = 222712338]
• NEW YORK LAW INSTITUTE 403(B) PLAN [EIN = 135600417]
• NEW YORK FOUNDATION FOR THE ARTS, INC. ANNUITY PLAN [EIN = 237129564]
• NEW YORK ASIAN WOMEN'S CENTER 403(B)(7) PLAN [EIN = 133286250]
• NEW YORK PLASTIC SURGERY, P.C. PROFIT-SHARING PLA [EIN = 133651645]
• NEW YORK PREMIER WINES, INC. PROFIT SHARING PLAN [EIN = 203705744]
• NEW YORK CENTER FOR CIVIL JUSTICE TOLERANCE & VALUES DEFINED BENEFIT PENSION PLAN [EIN = 010701804]
• NEW YORK PATHWAYS 401K PROFIT SHARING PLAN [EIN = 300667649]
• NEW YORK FARM VIABILITY INSTIT 401 K PROFIT SHARING PLAN TRUST [EIN = 134295807]
• NEW YORK FILM ACADEMY LTD 401(K) PROFIT SHARING PLAN & TRUST [EIN = 133723331]
• NEW YORK ENGINEERS 401(K) PLAN [EIN = 454064575]
• NEW YORK LOAN EXCHANGE 401K PLAN [EIN = 383717882]
• NEW YORK HAND REHABILITATION, O.T., P.C. 401(K) PLAN [EIN = 133671130]
• NEW YORK OBSTETRICS & GYNECOLOGY PC 401(K) PROFIT SHARING PLAN [EIN = 133890271]
• NEW YORK ANESTHESIOLOGY MEDICAL SPECIALTIES, PC PENSION PLAN [EIN = 161592210]
• NEW YORK DENTAL GROUP LLP 401(K) PLAN [EIN = 331130608]
• NEW YORK HEALTH PURCHASING ALLIANCE, INC. 401(K) PLAN [EIN = 134019932]
• NEW YORK RISK SOLUTIONS, INC. 401(K) PLAN [EIN = 364697668]
• NEW YORK FOLDING BOX CO. PROFIT SHARING PLAN [EIN = 221662323]
• NEW YORK EHEALTH COLLABORATIVE (NYEC) 401(K) PLAN [EIN = 208022336]
• NEW YORK SPEAKERS BUREAU, INC. DEFINED BENEFIT PLAN [EIN = 133793535]
• NEW YORK ORTHOPEDIC SPECIALISTS, PC 401K PROFIT SHARING PLAN AND TRUST [EIN = 132795179]
• NEW YORK BITUMINOUS PRODUCTS C 401 K PROFIT SHARING PLAN TRUST [EIN = 061069341]
• NEW YORK PELVIC PAIN AND MINIMALLY INVASIVE GYNECOLOGIC SURGERY, P.C. CASH BALANCE PENSION PLAN [EIN = 205706671]
• NEW YORK ACADEMY OF ART 403B RETIREMENT PLAN [EIN = 133643485]
• NEW YORK REPUBLICAN STATE COMMITTEE 401(K) PLAN [EIN = 131214350]
• NEW YORK HOME X-RAY LLC 401 K PROFIT SHARING PLAN TRUST [EIN = 200975541]
• NEW YORK DESIGN ARCHITECTS LLP 401K PLAN [EIN = 113338348]
• NEW YORK RESTORATION PROJECT 401(K) RETIREMENT PLAN [EIN = 133959056]
• NEW YORK EXPORT CO., INC. EMPLOYEES PROFIT SHARING PLAN [EIN = 135516850]
• NEW YORK PULMONARY & SLEEP MEDICINE, PC PROFIT SHARING [EIN = 462712332]
• NEW YORK WOMEN IN FILM & TELEVISION, INC. 401(K) RETIREMENT PLAN [EIN = 132983705]
• NEW YORK CENTER FOR LIVING INC 401K PLAN [EIN = 202323022]
• NEW YORK AFFORDABLE RELIABLE ELECTR [EIN = 205860747]
• NEW YORK ORTHODONTICS GROUP PLLC 401(K) PROFIT SHARING PLAN [EIN = 271447761]
• NEW YORK OTOLARYNGOLOGY GROUP, P.C. CASH BALANCE PENSION PLAN [EIN = 133295335]
• NEW YORK URGENT CARE, P.C. DEFINED BENEFIT PLAN [EIN = 260250985]
• NEW YORK STATE ASSOCIATION OF COUNTY HEALTH OFFICIALS RETIREMENT TRUST [EIN = 141747742]
• NEW YORK UROLOGICAL ASSOCIATES PC RETIREMENT PLAN [EIN = 133548722]
• NEW YORK GOLD MART MONEY PURCHASE PLAN [EIN = 133427970]
• NEW YORK CARDIOVASCULAR ANESTHESIOLOGISTS PC DEFINED BENEFIT PLAN [EIN = 113027215]
• NEW YORK HOTEL AND MOTEL TRADES COUNCIL, AFL-CIO MONEY PURCHASE PLAN [EIN = 131098484]
• NEW YORK LEAK DETECTION, INC. 401(K) PROFIT SHARING PLAN [EIN = 161299328]
• NEW YORK PULMONARY & SLEEP MEDICINE PC PENSION PLAN [EIN = 462712332]
• NEW YORK LEGAL ASSISTANCE GROUP SAVINGS PLAN [EIN = 133505428]
• NEW YORK METRO TRUCK, INC. 401(K) PLAN [EIN = 113057170]
• NEW YORK EYE SAVINGS PLAN [EIN = 132686866]
• NEW YORK INSTITUTE OF BUSINESS TECHNOLOGY 401(K) PLAN [EIN = 133903957]
• NEW YORK STATE RESTAURANT ASSOCIATION 401(K) PLAN [EIN = 131101544]
• NEW YORK LEAGUE OF CONSERVATION VOTERS 401(K) PLAN [EIN = 113095033]
• NEW YORK AERIAL SERVICES 401(K) PLAN [EIN = 161613650]
• NEW YORK INSURANCE ASSOCIATION 401K SAVINGS PLAN [EIN = 161521843]
• NEW YORK NETWORK MANAGEMENT LLC CASH BALANCE PLAN [EIN = 113347168]
• NEW YORK MINT LTD. 401(K) PLAN [EIN = 411840859]
• NEW YORK DISTRICT COUNCIL OF CARPENTERS ANNUITY FUND [EIN = 364660775]
• NEW YORK BAKERY 401(K) PROFIT SHARING PLAN & TRUST [EIN = 300886210]
• NEW YORK STATE REHABILITATION ASSOCIATION, INC. 401(K) PROFIT SHARING PLAN [EIN = 141596108]
• NEW YORK GRAPHIC SOCEITY 401(K) PLAN [EIN = 060834793]
• NEW YORK PEACE INSTITUTE, INC. 401(K) PROFIT SHARING PLAN [EIN = 451964622]
• NEW YORK E COMMERCE ADVISORY, INC. PENSION PLAN [EIN = 453950113]
• NEW YORK COSMETIC AND [EIN = 464096493]
• NEW YORK INTERNATIONAL SCHOOL, INC. 401K PLAN [EIN = 463640492]
• NEW YORK TRUCK & EQUIPMENT, INC. PROFIT SHARING 401(K) PLAN [EIN = 900915971]
• NEW YORK URBAN PROFESSIONALS ATHLETIC LEAGUE, INC. PROFIT SHARING PLAN [EIN = 133975259]
• NEW YORK SPORTS CHIROPRACTIC 401(K) PLAN [EIN = 271115776]
• NEW YORK-CONNECTICUT DEVELOPME 401 K PROFIT SHARING PLAN TRUST [EIN = 134042619]
• NEW YORK VETERINARY SPECIALTY CENTER DEFINED BENEFIT PLAN [EIN = 364530633]
• NEW YORK RESTORATION PROJECT 401(K) RETIREMENT PLAN [EIN = 133959056]
• NEW YORK DIGITAL CORP. 401(K) PROFIT SHARING PLAN [EIN = 870789932]
• NEW YORK STATE RESTAURANT 401(K) PROFIT SHARING PLAN & TRUST [EIN = 141817369]
• NEW YORK BEACON, INC. 401(K) PLAN [EIN = 113449447]
• NEW YORK ACHIEVEMENT LLC 401 K PROFIT SHARING PLAN TRUST [EIN = 232834912]
• NEW YORK DOG SPA & HOTEL INC 401K PROFIT SHARING PLAN [EIN = 133995305]
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• NEW YORK FRENCH AMERICAN CHARTER SCHOOL 401(K) PLAN [EIN = 800518737]
• NEW YORK HOMTOWN STORES SEARS [EIN = 461661511]
• NEW YORK EYE CANCER CENTER 401(K) PROFIT SHARING PLAN & TRUST [EIN = 134166365]
• NEW YORK TECH INDUSTRIES INC 401K PLAN [EIN = 020587191]
• NEW YORK CENTER FOR ADDICTION TREATMENT 401(K) PLAN [EIN = 133704138]
• NEW YORK CENTER FOR LIVER TRAN 401 K PROFIT SHARING PLAN TRUST [EIN = 133510056]
• NEW YORK PRODUCTS DISTRIBUTORS INC 401(K) PROFIT SHARING PLAN [EIN = 113213359]
• NEW YORK CITY ENVIRONMENTAL JU 401 K PROFIT SHARING PLAN TRUST [EIN = 133779250]
• NEW YORK PHYSICAL MEDICINE CENTER 401(K) PROFIT SHARING PLAN [EIN = 204226416]
• NEW YORK GASTROENTEROLOGY & HEPATOLOGY 401(K) PLAN [EIN = 364698047]
• NEW YORK STATE RESTAURANT ASSN 401(K) PROFIT SHARING PLAN & TRUST [EIN = 131101544]
• NEW YORK GASTROENTEROLOGY ASSOCIATES DEFINED BENEFIT PLAN [EIN = 134056764]
• NEW YORK NECK & BACK CENTER 401(K) PLAN [EIN = 900893068]
• NEW YORK STATE HEALTH FOUNDATION TAX DEFERRED ANNUITY PLAN [EIN = 300127892]
• NEW YORK MEDICAL & DIAGNOSTIC CENTER, INC. EMPLOYEES PROFIT SHARING PLAN & TRUST [EIN = 113405167]
• NEW YORK HOUSING CONFERENCE IN 401(K) PROFIT SHARING PLAN & TRUST [EIN = 263846042]
• NEW YORK, NEW YORK SALON INC 401K PLAN [EIN = 521529495]
• NEW YORK STATEWIDE SENIOR ACTION COUNCIL, INC. 403(B) TDA PLAN [EIN = 222233947]
• NEW YORK STOCK EXCHANGE INC., AND SUBSIDIARY COMPANIES EMPLOYEE SAVINGS PLAN - MASTER TRUST [EIN = 203783862]
• NEW YORK STATE BANKERS RETIREMENT SYSTEM VOLUME SUBMITTER PLAN [EIN = 111380045]
• NEW YORK CARDIAC DIAGNOSTIC CENTER DEFINED BENEFIT PLAN [EIN = 133413929]
• NEW YORK CAROLINA EXPRESS, INC. 401(K) RETIREMENT PLAN [EIN = 161236489]
• NEW YORK DIALYSIS SERVICES, INC. SECTION 125 CAFETERIA PLAN [EIN = 043267217]
• NEW YORK CORPORATE OFFICE/FAMS DISABILITY PLAN [EIN = 133324058]
• NEW YORK STATE BANKERS RETIREMENT SYSTEM VOLUME SUBMITTER PLAN [EIN = 141454232]
• NEW YORK EYE & EAR INFIRMARY SHORT TERM DISABILITY PLAN [EIN = 135562304]
• NEW YORK ORTHOPEDIC & SPINE SV PLLC 401K PLAN [EIN = 113433664]
• NEW YORK NEWSPAPER SAVINGS PLUS PLAN [EIN = 141772204]
• NEW YORK COMPENSATION INSURANCE RATING BOARD LTD PLAN [EIN = 130594020]
• NEW YORK UNIVERSITY RETIREMENT PLAN FOR ADJUNCT FACULTY MEMBERS [EIN = 135562308]
• NEW YORK LOCKSMITH SUPPLY, INC. RETIREMENT TRUST [EIN = 133146769]
• NEW YORK STOCK EXCHANGE INC., AND SUBSIDIARY COMPANIES OPERATIONS LEVEL EMPLOYEE SAVINGS PLAN [EIN = 203783862]
• NEW YORK MINUTE MANAGEMENT, INC. 401(K) PLAN [EIN = 113628783]
• NEW YORK CENTER HEALTH PLAN [EIN = 113626586]
• NEW YORK ORTHOPAEDICS AND SPORTS MEDICINE, P.C. PROFIT SHARING PLAN [EIN = 133955151]
• NEW YORK WELFARE FUND [EIN = 204285629]
• NEW YORK STATE BANKERS RETIREMENT SYSTEM VOLUME SUBMITTER PLAN [EIN = 160341550]
• NEW YORK BOTANICAL GARDEN PENSION BENEFIT PLAN [EIN = 131693134]
• NEW YORK GENEALOGICAL & BIOGRAPHICAL SOCIETY DEFINED CONTRIBUTION MONEY PURCHASE RETIREMENT PLA [EIN = 135596870]
• NEW YORK STATE BAR ASSOCIATION TERMINATION PAY PLAN [EIN = 140923640]
• NEW YORK DISABILITY BENEFITS LAW PLAN [EIN = 010085930]
• NEW YORK TRAP ROCK-HOURLY RETIREE GROUP HEALTH PLAN [EIN = 061032119]
• NEW YORK WESTCHESTER SQUARE MEDICAL CENTER INC. PROFIT SHARING PLAN [EIN = 131732601]
• NEW YORK STATE BANKERS RETIREMENT SYSTEM VOLUME SUBMITTER PLAN [EIN = 110804410]
• NEW YORK COLLEGE OF TRADITIONAL CHINESE MEDICINE 401(K) PROFIT SHARING PLAN & TRUST [EIN = 113358541]
• NEW YORK WATER SERVICE CORPORATION POST RETIREMENT HEALTHCARE PLAN [EIN = 550823550]
• NEW YORK ISLANDERS HOCKEY CLUB DENTAL PLAN [EIN = 112254417]
• NEW YORK STOCK EXCHANGE INC., AND SUBSIDIARY COMPANIES EMPLOYEE SAVINGS PLAN [EIN = 203783862]
• NEW YORK STATE AFL-CIO [EIN = 140923720]
• NEW YORK CARDIOLOGY PC DEFINED BENEFIT PENSION PLAN [EIN = 113638015]
• NEW YORK GROUP ADMINISTRATORS INC PENSION PLAN AND TRUST [EIN = 161160566]
• NEW YORK LIFE INSURANCE COMPANY EMPLOYEE PROGRESS-SHARING INVESTMENT PLAN [EIN = 135582869]
• NEW YORK MERCANTILE EXCHANGE [EIN = 135274360]
• NEW YORK STATE TEAMSTERS COUNCIL HEALTH & HOSPITAL FUND [EIN = 150551885]
• NEW YORK MEDIA LLC 401(K) PLAN [EIN = 320101978]
• NEW YORK INDEPENDENT SYSTEM OPERATOR, INC. CAFETERIA PLAN [EIN = 141815612]
• NEW YORK PRESBYTERIAN HOSPITAL MASTER TRUST - NYP DREYFUS [EIN = 134011699]
• NEW YORK LEAGUE FOR EARLY LEARNING WELFARE BENEFITS PLAN [EIN = 112513824]
• NEW YORK PRESBYTERIAN HOSPITAL MASTER TRUST - LONG TERM POOL [EIN = 134011699]
• NEW YORK ANESTHESIOLOGY MEDICAL SPECIALTIES, P.C. HEALTH AND WELFARE BENEFITS PLAN [EIN = 161592210]
• NEW YORK KIDS CLUB 401(K) AND PROFIT SHARING PLAN [EIN = 474552493]
• NEW YORK CRUISE LINES RETIREMENT AND 401(K) PLAN [EIN = 133082308]
• NEW YORK CITY ACOUSTICS INC 401K PLAN [EIN = 133564989]
• NEW YORK UNIVERSITY STAFF PENSION PLAN FOR NON-CONTRIBUTORY [EIN = 135562308]
• NEW YORK INSTITUTE OF TECHNOLOGY GROUP LIFE AND ACCIDENT INSURANCE PLAN [EIN = 111788788]
• NEW YORK ISLANDERS HOCKEY CLUB, LP 401(K) PLAN [EIN = 112254417]
• NEW YORK MARINE T/T INDUSTRY PLAN I [EIN = 205336063]
• NEW YORK STATE UNITED TEACHERS MEMBER BENEFITS TRUST [EIN = 222480854]
• NEW YORK COMMUNITY BANCORP, INC. GROUP BENEFITS PLAN [EIN = 061377322]
• NEW YORK THERAPY PLACEMENT INC. 401(K) PROFIT SHARING PLAN III [EIN = 113139640]
• NEW YORK FARM BUREAU, INC. 401(K) PLAN [EIN = 150539109]
• NEW YORK LEGAL ASSISTANCE GROUP HEALTH AND WELFARE BENEFITS PLAN [EIN = 133505428]
• NEW YORK LIFE INSURANCE COMPANY JOB ELIMINATION SEVERANCE BENEFIT PLAN [EIN = 135582869]
• NEW YORK CITY ACOUSTICS INC. DEFINED BENEFIT PENSION PLAN [EIN = 133564989]
• NEW YORK PRESBYTERIAN HOSPITAL MASTER TRUST - WESTCHESTER DREYFUS [EIN = 134011699]
• NEW YORK STATE AFL-CIO 401(K) PROFIT SHARING PLAN [EIN = 140923720]
• NEW YORK COUNCIL OF NONPROFITS, INC. HEALTH PLAN [EIN = 141343047]
• NEW YORK COUNCIL FOR THE HUMANITIES TAX-SHELTERED ANNUITY PLAN [EIN = 510152266]
• NEW YORK PUBLIC RADIO RETIREMENT PLAN [EIN = 133015230]
• NEW YORK LIFE INSURANCE COMPANY PENSION PLAN [EIN = 135582869]
• NEW YORK LAW SCHOOL DEFINED CONTRIBUTION RET. PLAN [EIN = 135645885]
• NEW YORK TRANSIT, INC 401(K) [EIN = 942956194]
• NEW YORK STATE TECHNOLOGY ENTERPRISE CORPORATION LIFE & LTD PLAN [EIN = 161521105]
• NEW YORK ISLANDERS HOCKEY CLUB LIFE & LTD PLAN [EIN = 112254417]
• NEW YORK PRESBYTERIAN HOSPITAL MASTER TRUST - LEGACY POOL [EIN = 134011699]
• NEW YORK THERAPY PLACEMENT INC. 401(K) PROFIT SHARING PLAN II [EIN = 113139640]
• NEW YORK CITY Q-CARDS, INC. 401(K) PROFIT SHARING PLAN [EIN = 201115600]
• NEW YORK SHIPPING ASSOCIATION 401(K) PLAN [EIN = 135637319]
• NEW YORK PROSTHETIC & AESTHETIC DENTISTRY, PC 401K PROFIT SHARING PLAN [EIN = 455162331]
• NEW YORK CITY MILLWORK LLC 401 K PROFIT SHARING PLAN TRUST [EIN = 474300970]
• NEW YORK SCALE AND EQUIPMENT, INC. 401(K) PROFIT SHARING PLAN [EIN = 465736198]
• NEW YORK TECHNOLOGY PARTNERS HEALTH AND WELFARE BENEFITS PLAN [EIN = 223529507]
• NEW YORK MEDICAL SCIENCES, P.C. 401(K) PLAN [EIN = 472177995]
• NEW YORK CITY HEMOPHILIA CHAPTER 403(B) PLAN [EIN = 261915425]
• NEW YORK CONCRETE, CORP. 401(K) PLAN [EIN = 541510482]
• NEW YORK GREEN BUILDERS INC 401 K PROFIT SHARING PLAN TRUST [EIN = 320101575]
• NEW YORK INSTITUTE OF FINANCE 401(K) PLAN [EIN = 800151037]
• NEW YORK CENTER FOR LIVING INC 401K PLAN [EIN = 202313022]
• NEW YORK ART WORLD INC 401 K PROFIT SHARING PLAN TRUST [EIN = 133698970]
• NEW YORK ADVISORY SERVICES 401K PROFIT SHARING PLAN AND TRUST [EIN = 133743797]
• NEW YORK RETINA CONSULTANTS PL 401 K PROFIT SHARING PLAN TRUST [EIN = 813634016]
• NEW YORK TECH BENEFITS PROGRAM [EIN = 826109942]
• NEW YORK FILM ACADEMY LTD. HEALTH AND WELFARE PLAN [EIN = 133723331]
• NEW YORK HEALTH CARE WELFARE BENEFIT PLAN [EIN = 112636089]
• NEW YORK WIRE RETIREMENT SAVINGS PLAN [EIN = 452856535]
• NEW YORK BANKERS ASSOCIATION PENSION PLAN AS A MEMBER OF THE NEW YORK STATE BANKERS RETIREMENT SYSTEM [EIN = 131882974]
• NEW YORK AESTHETIC CONSULTANTS 401(K) PLAN [EIN = 113422704]
• NEW YORK STOCK EXCHANGE INC., AND SUBSIDIARY COMPANIES EMPLOYEE SAVINGS PLAN [EIN = 205474429]
• NEW YORK CREDIT UNION ASSOCIATION HEALTH PLAN [EIN = 135582889]
• NEW YORK NATIONAL BANK EMPLOYEE STOCK OWNERSHIP PLAN [EIN = 133078761]
• NEW YORK WIRE EMPLOYEE BENEFIT PLAN [EIN = 452856535]
• NEW YORK ACADEMY OF MEDICINE EE BENEFIT PLAN [EIN = 131656674]
• NEW YORK COLLEGE OF HEALTH PROFESSIONS [EIN = 112705352]
• NEW YORK PSYCHOLOGICAL SERVICES, PC PROFIT SHARING PLAN [EIN = 134093755]
• NEW YORK ROAD RUNNERS, INC. LONG-TERM DISABILITY PLAN [EIN = 132949483]
• NEW YORK STATE LABOR COMMUNITY SERVICES AGENCY INC. [EIN = 133347505]
• NEW YORK DOWNTOWN HOSPITAL HEALTH AND WELFARE PLAN [EIN = 133957095]
• NEW YORK CITY ECONOMIC DEVELOPMENT CORPORATION 403B PLAN [EIN = 455311842]
• NEW YORK CITY INDUSTRIES FOR THE BLIND, INC. 401(K) PLAN [EIN = 133862439]
• NEW YORK CHIROPRACTIC COLLEGE TAX DEFERRED ANNUITY PLAN [EIN = 131916574]
• NEW YORK WIRE EMPLOYEE BENEFIT PLAN [EIN = 233022760]
• NEW YORK LEAGUE FOR EARLY LEARNING WELFARE PLAN [EIN = 112513824]
• NEW YORK COMPENSATION INSURANCE RATING BOARD DENTAL PLAN [EIN = 130594020]
• NEW YORK GENEALOGICAL & BIOGRAPHICAL SOCIETY DEFINED CONTRIBUTION MONEY PURCHASE RETIREMENT PLA [EIN = 135596870]
• NEW YORK COMPENSATION INSURANCE RATING BOARD LIFE INSURANCE PLAN [EIN = 130594020]
• NEW YORK ROAD RUNNERS FSA PLAN [EIN = 132949483]
• NEW YORK DOWNTOWN HOSPITAL HEALTH AND WELFARE PLAN [EIN = 133049852]
• NEW YORK CITY OPERA 403B RETIREMENT PLAN [EIN = 132974347]
• NEW YORK MEDICAL ALLIANCE, U.F.P.C. RETIREMENT PLAN [EIN = 134169311]
• NEW YORK COMPENSATION INSURANCE RATING BOARD HEALTH PLAN [EIN = 130594020]
• NEW YORK STATE PUBLIC EMPLOYEES FEDERATION HEALTHCARE PLAN [EIN = 141825178]
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• NEW YORK CRIMINAL JUSTICE AGENCY [EIN = 132900682]
• NEW YORK WIRE COMPANY RETIREMENT SAVINGS PLAN [EIN = 233022760]
• NEW YORK CAROLINA EXPRESS PREMIUM CONVERSION PLAN [EIN = 161236489]
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• NEW YORK CITY ECONOMIC DEVELOPMENT CORPORATION 403B PLAN [EIN = 132577233]
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• NEW YORK FISH HOUSE/TRUE WORLD FOODS, INC. OF NEW YORK LIFE PLAN [EIN = 132974013]
• NEW YORK FISH HOUSE/TRUE WORLD FOODS, INC. OF NEW YORK HEALTH PLAN [EIN = 132974013]
• NEW YORK SCHOOL OF INTERIOR DESIGN DEFINED CONTRIBUTION RETIREMENT PLAN [EIN = 131662715]
• NEW YORK PRESBYTERIAN HOSPITAL MASTER TRUST - LEGACY QUEENS [EIN = 134011699]
• NEW YORK CHILDHOOD CENTER RETIREMENT PLAN [EIN = 112661607]
• NEW YORK STATE BANKERS RETIREMENT SYSTEM VOLUME SUBMITTER PLAN [EIN = 150492520]
• NEW YORK CITY BALLET, INC 403(B) PLAN [EIN = 132947386]
• NEW YORK PRESBYTERIAN HOSPITAL MASTER TRUST - QUEENS DREYFUS [EIN = 134011699]
• NEW YORK LAW SCHOOL GROUP DENTAL PLAN [EIN = 135645885]
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• NEW YORK FISH HOUSE/TRUE WORLD FOODS, INC. OF NEW YORK DENTAL PLAN [EIN = 132974013]
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• NEW YORK LIMB LENGTHENING AND COMPLEX RECONSTRUCTION SURGERY DEFINED BENEFIT PLAN [EIN = 814385738]
• NEW YORK GEOMATICS INC. 401(K) PROFIT SHARING PLAN [EIN = 455590859]
• NEW YORK CAT HOSPITAL 401(K) PLAN [EIN = 200702449]
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• NEW YORK BUILDERS SUPPLY CORP. EMPLOYEES PROFIT SHARING PLAN [EIN = 135676648]
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• NEW YORK SUN WORKS INC 401(K) PROFIT SHARING PLAN & TRUST [EIN = 200670312]
• NEW YORK BIOLOGICS INC. CASH BALANCE PLAN [EIN = 133711324]
• NEW YORK SOCIETY LIBRARY 403(B) PLAN [EIN = 131635307]
• NEW YORK NEUROMODULATION MEDICAL, P.L.L.C. D/B/A AFFECTIVE CARE 401(K) PROFIT SHARING PLAN & TRUST [EIN = 813404953]
• NEW YORK MAINTENANCE GROUP INC 401K PLAN [EIN = 800482640]
• NEW YORK REHABILITATIVE SERVICES LLC CASH BALANCE PLAN [EIN = 770618878]
• NEW YORK HAND SURGERY, PC CASH BALANCE PLAN [EIN = 471411746]
• NEW YORK GUARDIANSHIP SERVICES [EIN = 364713549]
• NEW YORK SOLAR ENERGY INDUSTRIES ASSOCIATION 403(B) PLAN [EIN = 223777367]
• NEW YORK-NEW JERSEY DC PLAN [EIN = 226042838]
• NEW YORK ISLANDERS HOCKEY CLUB VISION PLAN [EIN = 112254417]
• NEW YORK CONSULTATION MEDICAL PLLC 401K PLAN [EIN = 462369172]
• NEW YORK MASSAGE CORP 401(K) PROFIT SHARING PLAN & TRUST [EIN = 452654179]
• NEW YORK PHYSICAL AND OCCUPATIONAL THERAPY SERVICES, PLLC 401(K) PLAN [EIN = 811468345]
• NEW YORK STEM CELL FOUNDATION, INC. HEALTH & WELFARE PLAN [EIN = 202905531]
• NEW YORK CUSTOM PHYSICAL THERA 401(K) PROFIT SHARING PLAN & TRUST [EIN = 462093687]
• NEW YORK LIFE INVESTMENTS COLLECTIVE INVESTMENT TRUST [EIN = 844914573]
• NEW YORK LIBERTY 401(K) PLAN [EIN = 371785985]
• NEW YORK FOOT AND ANKLE, PLLC 401(K) PLAN [EIN = 455012159]
• NEW YORK SPINE MEDICINE AND SURGERY, PLLC 401K PROFIT SHARING PLAN [EIN = 854078810]
• NEW YORK ANESTHESIA ASSOCIATES, P.C. PROFIT SHARING PLAN [EIN = 800797091]
• NEW YORK CHICKEN AND GYRO 401(K) PLAN [EIN = 833772964]
• NEW YORK CITY PLASTIC SURGERY, PC 401(K) PLAN [EIN = 261474901]
• NEW YORK TRUCK PARTS INC 401(K) PROFIT SHARING PLAN & TRUST [EIN = 200403874]
• NEW YORK MUSICIANS CENTER LLC. [EIN = 205889378]
• NEW YORK THOROUGHBRED HORSEMEN'S ASSOCIATION, INC. 401(K) PLAN [EIN = 112940010]
• NEW YORK CITY PLASTIC SURGERY, PC CASH BALANCE PLAN [EIN = 261474901]
• NEW YORK AMA COMMUNICATION SERVICES, INC. 401(K) PROFIT SHARING PLAN [EIN = 043612168]
• NEW YORK PERIODONTICS 401(K) PROFIT SHARING PLAN [EIN = 833152409]
• NEW YORK CHILDREN'S MEDICAL PROVIDER SERVICES, PC 401K RETIREMENT PLAN [EIN = 853381942]
• NEW YORK STATE MARINE HIGHWAY TRANSPORTATION CO., LLC 401(K) PLAN [EIN = 800120349]
• NEW YORK STATE ENERGY COALITION, INC 401(K) RETIREMENT PLAN [EIN = 842984452]
• NEW YORKERS AGAINST GUN VIOLENCE EDUCATION FUND, INC [EIN = 133808186]
• NEW YORK DAILY NEWS 401(K) PLAN [EIN = 863584090]
• NEW YORK ISLANDERS HOCKEY CLUB, L.P. HEALTH AND WELFARE BENEFIT PLAN [EIN = 112254417]
• NEW YORK STATE NURSES ASSOCIATION BENEFITS FUND BRIDGE TO MEDICARE HEALTH REIMBURSEMENT ARRANGEMENT PLAN [EIN = 237336001]
• NEW YORK FARM BUREAU, INC. 401(K) PLAN [EIN = 150539109]
• NEW YORK LIFE BASIC LIFE [EIN = 831485877]
• NEW YORK LIFE SHORT TERM DISABILITY [EIN = 831485877]
• NEW YORK LIFE BASIC AD&D [EIN = 831485877]
• NEW YORK LIFE INSURANCE COMPANY [EIN = 833519292]
• NEW YORK ICE CREAM INC 401(K) PROFIT SHARING PLAN & TRUST [EIN = 200373423]
• NEW YORK CARE COORDINATION PRO 401(K) PROFIT SHARING PLAN & TRUST [EIN = 452808067]
• NEW YORK STAMPINGS INC. RETIREMENT PLAN [EIN = 882794320]
• NEW YORK AVE 401(K) PLAN [EIN = 800933954]
• NEW YORK RECORDS RETRIEVAL, LLC 401(K) PROFIT SHARING PLAN [EIN = 831202738]
• NEW YORK PUBLIC LIBRARY RETIREE BENEFIT PLAN [EIN = 131887440]
• NEW YORK HARDWARE, INC. 401(K) PROFIT SHARING PLAN [EIN = 264323430]
• NEW YORK GALLERY LLC 401K [EIN = 800835710]
• NEW YORK INTERNAL MEDICINE P.C. PROFIT SHARING PLAN [EIN = 463246501]
• NEW YORK FAN COIL LLC 401(K) PLAN [EIN = 462801989]
• NEW YORK RHINOPLASTY PLLC CASH BALANCE PLAN [EIN = 821743610]
• NEW YORK WELLNESS MASSAGE - 401K [EIN = 853735076]
• NEW YORK HOME HEALTH HOLDINGS 401(K) PROFIT SHARING PLAN [EIN = 474810121]
• NEW YORK STAFF SEARCH - 401K [EIN = 800861820]
• NEW YORK QUARTERLY MEETING OF THE RELIGIOUS SOCIETY OF FRIENDS RETIREMENT PLAN [EIN = 135628570]
• NEW YORK MEDICAL & VASCULAR CARE [EIN = 204285509]
• NEW YORK GYNECOLOGY SURGERY PLLC PENSION PLAN [EIN = 870837833]
• NEW YORK LIFE LONG TERM DISABILITY [EIN = 831485877]
• NEW YORKERS FOR PARKS 403(B) PLAN [EIN = 136167879]
• NEW YORK CRUISE LINES INC WELFARE BENEFITS PLAN [EIN = 133083208]
• NEW YORK DOGWORKS INC 401(K) PLAN [EIN = 932357278]
• NEW YORK STATE NURSES ASSOCIATION WELFARE BENEFIT PLAN [EIN = 140923749]
• NEW YORK ART CONSERVATION 401(K) PROFIT SHARING PLAN & TRUST [EIN = 880636683]
• NEW YORK CUSTOMS BROKERS INC. 401(K) PLAN [EIN = 112621822]
• NEW YORK HEARING CENTER 401(K) PLAN [EIN = 205381426]
• NEW YORK COLLEGE OF HEALTH PROFESSIONS [EIN = 115270535]
• NEW YORK ROASTING COMPANY LLC 401(K) PLAN [EIN = 464860548]
• NEW YORK COUNSELING FOR CHANGE, LLC [EIN = 844300467]
• NEW YORK HOP GUILD LLC 401(K) PROFIT SHARING PLAN & TRUST [EIN = 831853527]
• NEW YORK EMPIRE BASEBALL 401(K) PLAN [EIN = 452899254]
• NEW YORK HOME HEALTH CARE EQUIPMENT LLC 401(K) PROFIT SHARING PLAN AND TRUST [EIN = 113392879]
• NEW YORK CHICKEN AND GYRO PASADENA, INC. 401(K) PLAN [EIN = 882228190]
• NEW YORK CLEANERS INC. 401(K) PLAN [EIN = 371278955]
• NEW YORK CONVENTION CENTER OPERATING CORPORATION HEALTH AND WELFARE PLAN [EIN = 133033619]
• NEW YORK CONVENTION CENTER OPERATING CORPORATION HEALTH AND WELFARE PLAN [EIN = 133033619]
• NEW YORK CONVENTION CENTER OPERATING CORPORATION HEALTH AND WELFARE PLAN [EIN = 133033619]
• NEW YORK COMMERCIAL ASSOCIATES LLC 401K PLAN [EIN = 134126883]
• NEW YORK GYNECOLOGY SURGERY PLLC 401K PLAN [EIN = 870837833]
• NEW YORK LIFE BASIC AND VOLUNTARY AD&D [EIN = 811156354]
• NEW YORK LIFE BASIC AND VOLUNTARY LIFE [EIN = 811156354]