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PENNSYLVANIA SMALL BUSINESS BENEFITS TRUST 401k Plan overview

Plan NamePENNSYLVANIA SMALL BUSINESS BENEFITS TRUST
Plan identification number 501

PENNSYLVANIA SMALL BUSINESS BENEFITS TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

MANUFACTURER & BUSINESS ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name:MANUFACTURER & BUSINESS ASSOCIATION
Employer identification number (EIN):251374544
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PENNSYLVANIA SMALL BUSINESS BENEFITS TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012014-06-01
5012014-06-01
5012013-06-01
5012012-06-01STEVEN SHIVAK
5012011-06-01STEVEN SHIVAK
5012009-06-01GERALD DIFRANGO

Financial Data on PENNSYLVANIA SMALL BUSINESS BENEFITS TRUST

Measure Date Value
2015 : PENNSYLVANIA SMALL BUSINESS BENEFITS TRUST 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-05-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-05-31$858,373
Total income from all sources (including contributions)2015-05-31$5,859,032
Total of all expenses incurred2015-05-31$5,933,140
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-05-31$5,548,804
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-05-31$5,858,028
Value of total assets at end of year2015-05-31$0
Value of total assets at beginning of year2015-05-31$932,481
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-05-31$384,336
Total interest from all sources2015-05-31$1,004
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-05-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2015-05-31$0
Administrative expenses professional fees incurred2015-05-31$28,942
Was this plan covered by a fidelity bond2015-05-31Yes
Value of fidelity bond cover2015-05-31$1,000,000
If this is an individual account plan, was there a blackout period2015-05-31No
Were there any nonexempt tranactions with any party-in-interest2015-05-31No
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-05-31$14,049
Administrative expenses (other) incurred2015-05-31$266,128
Liabilities. Value of operating payables at end of year2015-05-31$0
Liabilities. Value of operating payables at beginning of year2015-05-31$111,319
Total non interest bearing cash at end of year2015-05-31$0
Total non interest bearing cash at beginning of year2015-05-31$102,648
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-05-31No
Value of net income/loss2015-05-31$-74,108
Value of net assets at end of year (total assets less liabilities)2015-05-31$0
Value of net assets at beginning of year (total assets less liabilities)2015-05-31$74,108
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-05-31No
Were any leases to which the plan was party in default or uncollectible2015-05-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-05-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-05-31$815,784
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-05-31$815,784
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-05-31$1,004
Expenses. Payments to insurance carriers foe the provision of benefits2015-05-31$5,548,804
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-05-31No
Was there a failure to transmit to the plan any participant contributions2015-05-31No
Has the plan failed to provide any benefit when due under the plan2015-05-31No
Contributions received in cash from employer2015-05-31$5,858,028
Contract administrator fees2015-05-31$89,266
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-05-31No
Liabilities. Value of benefit claims payable at end of year2015-05-31$0
Liabilities. Value of benefit claims payable at beginning of year2015-05-31$747,054
Did the plan have assets held for investment2015-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-05-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-05-31No
Opinion of an independent qualified public accountant for this plan2015-05-31Unqualified
Accountancy firm name2015-05-31SISTERSON & CO., LLP
Accountancy firm EIN2015-05-31251467156
2014 : PENNSYLVANIA SMALL BUSINESS BENEFITS TRUST 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-05-31$858,373
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-05-31$1,038,374
Total income from all sources (including contributions)2014-05-31$11,343,307
Total of all expenses incurred2014-05-31$11,472,458
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-05-31$10,884,532
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-05-31$11,337,277
Value of total assets at end of year2014-05-31$932,481
Value of total assets at beginning of year2014-05-31$1,241,633
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-05-31$587,926
Total interest from all sources2014-05-31$2,674
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-05-31No
Administrative expenses professional fees incurred2014-05-31$7,650
Was this plan covered by a fidelity bond2014-05-31Yes
Value of fidelity bond cover2014-05-31$1,000,000
If this is an individual account plan, was there a blackout period2014-05-31No
Were there any nonexempt tranactions with any party-in-interest2014-05-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-05-31$14,049
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-05-31$3,113
Other income not declared elsewhere2014-05-31$3,356
Administrative expenses (other) incurred2014-05-31$380,139
Liabilities. Value of operating payables at end of year2014-05-31$111,319
Liabilities. Value of operating payables at beginning of year2014-05-31$29,880
Total non interest bearing cash at end of year2014-05-31$102,648
Total non interest bearing cash at beginning of year2014-05-31$119,688
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-05-31No
Value of net income/loss2014-05-31$-129,151
Value of net assets at end of year (total assets less liabilities)2014-05-31$74,108
Value of net assets at beginning of year (total assets less liabilities)2014-05-31$203,259
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-05-31No
Were any leases to which the plan was party in default or uncollectible2014-05-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-05-31$815,784
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-05-31$1,118,832
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-05-31$1,118,832
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-05-31$2,674
Expenses. Payments to insurance carriers foe the provision of benefits2014-05-31$10,884,532
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-05-31No
Was there a failure to transmit to the plan any participant contributions2014-05-31No
Has the plan failed to provide any benefit when due under the plan2014-05-31No
Contributions received in cash from employer2014-05-31$11,337,277
Contract administrator fees2014-05-31$200,137
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-05-31No
Liabilities. Value of benefit claims payable at end of year2014-05-31$747,054
Liabilities. Value of benefit claims payable at beginning of year2014-05-31$1,008,494
Did the plan have assets held for investment2014-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-05-31No
Opinion of an independent qualified public accountant for this plan2014-05-31Unqualified
Accountancy firm name2014-05-31SISTERSON & CO., LLP
Accountancy firm EIN2014-05-31251467156
2013 : PENNSYLVANIA SMALL BUSINESS BENEFITS TRUST 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-05-31$1,038,374
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-05-31$1,168,868
Total income from all sources (including contributions)2013-05-31$13,442,421
Total of all expenses incurred2013-05-31$13,349,804
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-05-31$12,668,374
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-05-31$13,439,268
Value of total assets at end of year2013-05-31$1,241,633
Value of total assets at beginning of year2013-05-31$1,279,510
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-05-31$681,430
Total interest from all sources2013-05-31$3,153
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-05-31No
Administrative expenses professional fees incurred2013-05-31$11,831
Was this plan covered by a fidelity bond2013-05-31Yes
Value of fidelity bond cover2013-05-31$1,000,000
If this is an individual account plan, was there a blackout period2013-05-31No
Were there any nonexempt tranactions with any party-in-interest2013-05-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-05-31$3,113
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-05-31$340
Administrative expenses (other) incurred2013-05-31$606,716
Liabilities. Value of operating payables at end of year2013-05-31$29,880
Liabilities. Value of operating payables at beginning of year2013-05-31$25,522
Total non interest bearing cash at end of year2013-05-31$119,688
Total non interest bearing cash at beginning of year2013-05-31$143,959
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-05-31No
Value of net income/loss2013-05-31$92,617
Value of net assets at end of year (total assets less liabilities)2013-05-31$203,259
Value of net assets at beginning of year (total assets less liabilities)2013-05-31$110,642
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-05-31No
Were any leases to which the plan was party in default or uncollectible2013-05-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-05-31$1,118,832
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-05-31$1,135,211
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-05-31$1,135,211
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-05-31$3,153
Expenses. Payments to insurance carriers foe the provision of benefits2013-05-31$12,668,374
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-05-31No
Was there a failure to transmit to the plan any participant contributions2013-05-31No
Has the plan failed to provide any benefit when due under the plan2013-05-31No
Contributions received in cash from employer2013-05-31$13,439,268
Contract administrator fees2013-05-31$62,883
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-05-31No
Liabilities. Value of benefit claims payable at end of year2013-05-31$1,008,494
Liabilities. Value of benefit claims payable at beginning of year2013-05-31$1,143,346
Did the plan have assets held for investment2013-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-05-31No
Opinion of an independent qualified public accountant for this plan2013-05-31Unqualified
Accountancy firm name2013-05-31SISTERSON & CO., LLP
Accountancy firm EIN2013-05-31251467156
2012 : PENNSYLVANIA SMALL BUSINESS BENEFITS TRUST 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-05-31$1,168,868
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-05-31$1,437,640
Total income from all sources (including contributions)2012-05-31$16,120,125
Total of all expenses incurred2012-05-31$16,052,810
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-05-31$15,344,372
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-05-31$16,115,930
Value of total assets at end of year2012-05-31$1,279,510
Value of total assets at beginning of year2012-05-31$1,480,967
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-05-31$708,438
Total interest from all sources2012-05-31$4,195
Total dividends received (eg from common stock, registered investment company shares)2012-05-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-05-31No
Administrative expenses professional fees incurred2012-05-31$11,829
Was this plan covered by a fidelity bond2012-05-31Yes
Value of fidelity bond cover2012-05-31$1,000,000
If this is an individual account plan, was there a blackout period2012-05-31No
Were there any nonexempt tranactions with any party-in-interest2012-05-31No
Assets. Other investments not covered elsewhere at end of year2012-05-31$340
Assets. Other investments not covered elsewhere at beginning of year2012-05-31$1,265
Administrative expenses (other) incurred2012-05-31$631,582
Liabilities. Value of operating payables at end of year2012-05-31$25,522
Total non interest bearing cash at end of year2012-05-31$143,959
Total non interest bearing cash at beginning of year2012-05-31$117,919
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-05-31No
Value of net income/loss2012-05-31$67,315
Value of net assets at end of year (total assets less liabilities)2012-05-31$110,642
Value of net assets at beginning of year (total assets less liabilities)2012-05-31$43,327
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-05-31No
Were any leases to which the plan was party in default or uncollectible2012-05-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-05-31$1,135,211
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-05-31$1,361,783
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-05-31$1,361,783
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-05-31$4,195
Expenses. Payments to insurance carriers foe the provision of benefits2012-05-31$15,344,372
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-05-31No
Was there a failure to transmit to the plan any participant contributions2012-05-31No
Has the plan failed to provide any benefit when due under the plan2012-05-31No
Contributions received in cash from employer2012-05-31$16,115,930
Income. Dividends from common stock2012-05-31$0
Contract administrator fees2012-05-31$65,027
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-05-31No
Liabilities. Value of benefit claims payable at end of year2012-05-31$1,143,346
Liabilities. Value of benefit claims payable at beginning of year2012-05-31$1,437,640
Did the plan have assets held for investment2012-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-05-31No
Opinion of an independent qualified public accountant for this plan2012-05-31Unqualified
Accountancy firm name2012-05-31SISTERSON & CO LLP
Accountancy firm EIN2012-05-31251467156
2011 : PENNSYLVANIA SMALL BUSINESS BENEFITS TRUST 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-05-31$1,437,640
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-05-31$1,753,077
Total income from all sources (including contributions)2011-05-31$19,447,143
Total of all expenses incurred2011-05-31$19,678,860
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-05-31$18,670,476
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-05-31$19,440,358
Value of total assets at end of year2011-05-31$1,480,967
Value of total assets at beginning of year2011-05-31$2,028,121
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-05-31$1,008,384
Total interest from all sources2011-05-31$6,783
Total dividends received (eg from common stock, registered investment company shares)2011-05-31$2
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-05-31No
Administrative expenses professional fees incurred2011-05-31$7,959
Was this plan covered by a fidelity bond2011-05-31Yes
Value of fidelity bond cover2011-05-31$500,000
If this is an individual account plan, was there a blackout period2011-05-31No
Were there any nonexempt tranactions with any party-in-interest2011-05-31No
Assets. Other investments not covered elsewhere at end of year2011-05-31$1,265
Assets. Other investments not covered elsewhere at beginning of year2011-05-31$1,702
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-05-31$10,000
Administrative expenses (other) incurred2011-05-31$879,010
Total non interest bearing cash at end of year2011-05-31$117,919
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-05-31No
Value of net income/loss2011-05-31$-231,717
Value of net assets at end of year (total assets less liabilities)2011-05-31$43,327
Value of net assets at beginning of year (total assets less liabilities)2011-05-31$275,044
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-05-31No
Were any leases to which the plan was party in default or uncollectible2011-05-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-05-31$1,361,783
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-05-31$2,016,419
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-05-31$2,016,419
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-05-31$6,783
Expenses. Payments to insurance carriers foe the provision of benefits2011-05-31$18,670,476
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-05-31No
Was there a failure to transmit to the plan any participant contributions2011-05-31No
Has the plan failed to provide any benefit when due under the plan2011-05-31No
Contributions received in cash from employer2011-05-31$19,440,358
Income. Dividends from common stock2011-05-31$2
Contract administrator fees2011-05-31$121,415
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-05-31No
Liabilities. Value of benefit claims payable at end of year2011-05-31$1,437,640
Liabilities. Value of benefit claims payable at beginning of year2011-05-31$1,753,077
Did the plan have assets held for investment2011-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-05-31No
Opinion of an independent qualified public accountant for this plan2011-05-31Unqualified
Accountancy firm name2011-05-31SISTERSON & CO LLP
Accountancy firm EIN2011-05-31251467156

Form 5500 Responses for PENNSYLVANIA SMALL BUSINESS BENEFITS TRUST

2014: PENNSYLVANIA SMALL BUSINESS BENEFITS TRUST 2014 form 5500 responses
2014-06-01Type of plan entityMulitple employer plan
2014-06-01Submission has been amendedYes
2014-06-01This submission is the final filingYes
2014-06-01Plan funding arrangement – TrustYes
2014-06-01Plan benefit arrangement – InsuranceYes
2013: PENNSYLVANIA SMALL BUSINESS BENEFITS TRUST 2013 form 5500 responses
2013-06-01Type of plan entityMulitple employer plan
2013-06-01Submission has been amendedYes
2013-06-01Plan funding arrangement – TrustYes
2013-06-01Plan benefit arrangement – InsuranceYes
2012: PENNSYLVANIA SMALL BUSINESS BENEFITS TRUST 2012 form 5500 responses
2012-06-01Type of plan entityMulitple employer plan
2012-06-01Plan funding arrangement – TrustYes
2012-06-01Plan benefit arrangement – InsuranceYes
2011: PENNSYLVANIA SMALL BUSINESS BENEFITS TRUST 2011 form 5500 responses
2011-06-01Type of plan entityMulitple employer plan
2011-06-01Plan funding arrangement – TrustYes
2011-06-01Plan benefit arrangement – InsuranceYes
2009: PENNSYLVANIA SMALL BUSINESS BENEFITS TRUST 2009 form 5500 responses
2009-06-01Type of plan entityMulitple employer plan
2009-06-01This submission is the final filingNo
2009-06-01Plan funding arrangement – TrustYes
2009-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62294 )
Policy contract number259168 + SUBS
Policy instance 3
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number510
Policy instance 4
UNITED CONCORDIA DENTAL PLANS OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 47089 )
Policy contract number0176244
Policy instance 1
KEYSTONE HEALTH PLAN WEST, INC (National Association of Insurance Commissioners NAIC id number: 95048 )
Policy contract number1068456
Policy instance 5
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberFHM908799
Policy instance 6
UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62294 )
Policy contract number260087,88,89
Policy instance 9
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00414661
Policy instance 7
HIGHMARK HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number05831000
Policy instance 8
CAPITAL ADVANTAGE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 14411 )
Policy contract number00506002
Policy instance 2
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberSMB-001 TO 005
Policy instance 10
HIGHMARK HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number01332315
Policy instance 11
HIGHMARK HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number01228604
Policy instance 12
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberSMB-001 TO 005
Policy instance 10
UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62294 )
Policy contract number260087,88,89
Policy instance 9
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number1068456
Policy instance 8
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00414661
Policy instance 7
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberFHM908799
Policy instance 6
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number510
Policy instance 4
UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62294 )
Policy contract number259168 + SUBS
Policy instance 3
CAPITAL ADVANTAGE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 14411 )
Policy contract number00506002
Policy instance 2
UNITED CONCORDIA DENTAL PLANS OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 47089 )
Policy contract number0176244
Policy instance 1
KEYSTONE HEALTH PLAN WEST, INC (National Association of Insurance Commissioners NAIC id number: 95048 )
Policy contract number1068456
Policy instance 5
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberFHM908799
Policy instance 8
UNITED CONCORDIA DENTAL PLANS OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 47089 )
Policy contract number0176244
Policy instance 1
CAPITAL ADVANTAGE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 41203 )
Policy contract number00506002
Policy instance 2
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number510
Policy instance 4
UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62294 )
Policy contract number259168 + SUBS
Policy instance 3
KEYSTONE HEALTH PLAN WEST, INC (National Association of Insurance Commissioners NAIC id number: 95048 )
Policy contract number1068456
Policy instance 5
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number1068456
Policy instance 6
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00414661
Policy instance 7
UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62294 )
Policy contract number260087,88,89
Policy instance 9
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberSMB-001 TO 005
Policy instance 10
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number01068456
Policy instance 5
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number510
Policy instance 4
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberSMB-001 TO 005
Policy instance 13
UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62294 )
Policy contract number260087, 88,89
Policy instance 3
UNITED CONCORDIA DENTAL PLANS OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 47089 )
Policy contract numberACCT 0176244
Policy instance 1
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number01068456
Policy instance 6
KEYSTONE HEALTH PLAN WEST, INC (National Association of Insurance Commissioners NAIC id number: 95048 )
Policy contract number01068456
Policy instance 7
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number01068456
Policy instance 8
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number01068456
Policy instance 9
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract numberGP11/GP497
Policy instance 10
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberFHM908799
Policy instance 11
UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62294 )
Policy contract number0058485
Policy instance 12
CAPITAL ADVANTAGE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 41203 )
Policy contract number00506002
Policy instance 2
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberFHM908799
Policy instance 11
UNITED CONCORDIA DENTAL PLANS OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 47089 )
Policy contract number251239-ALL SUBS
Policy instance 1
CAPITAL ADVANTAGE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 41203 )
Policy contract number00506002
Policy instance 2
UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62294 )
Policy contract number260087, 88,89
Policy instance 3
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number510
Policy instance 4
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number01068456
Policy instance 5
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number01068456
Policy instance 6
KEYSTONE HEALTH PLAN WEST, INC (National Association of Insurance Commissioners NAIC id number: 95048 )
Policy contract number01068456
Policy instance 7
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number01068456
Policy instance 8
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number01068456
Policy instance 9
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract numberGP11/GP497
Policy instance 10

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