NORTH AMERICAN COMMUNICATIONS, INC. LIFE, MEDICAL, DENTAL, VISION AND STD PLAN 401k Plan overview

Plan Name	NORTH AMERICAN COMMUNICATIONS, INC. LIFE, MEDICAL, DENTAL, VISION AND STD PLAN
Plan identification number	501

NORTH AMERICAN COMMUNICATIONS, INC. LIFE, MEDICAL, DENTAL, VISION AND STD 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 Other welfare benefit cover

401k Sponsoring company profile

NORTH AMERICAN COMMUNICATIONS, INC. has sponsored the creation of one or more 401k plans.

Company Name:	NORTH AMERICAN COMMUNICATIONS, INC.
Employer identification number (EIN):	251432664
NAIC Classification:	323100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH AMERICAN COMMUNICATIONS, INC. LIFE, MEDICAL, DENTAL, VISION AND STD PLAN

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2018-01-01	ROBERT HERMAN	2019-10-09
501	2017-01-01
501	2016-01-01
501	2015-01-01
501	2014-01-01
501	2013-01-01
501	2012-01-01	TERA HERMAN
501	2011-01-01	TERA HERMAN
501	2009-01-01	TERA HERMAN

Plan Statistics for NORTH AMERICAN COMMUNICATIONS, INC. LIFE, MEDICAL, DENTAL, VISION AND STD PLAN

401k plan membership statisitcs for NORTH AMERICAN COMMUNICATIONS, INC. LIFE, MEDICAL, DENTAL, VISION AND STD PLAN

Measure	Date	Value
2018: NORTH AMERICAN COMMUNICATIONS, INC. LIFE, MEDICAL, DENTAL, VISION AND STD PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	152
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	157
Total of all active and inactive participants	2018-01-01	157
2017: NORTH AMERICAN COMMUNICATIONS, INC. LIFE, MEDICAL, DENTAL, VISION AND STD PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	131
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	152
Total of all active and inactive participants	2017-01-01	152
2016: NORTH AMERICAN COMMUNICATIONS, INC. LIFE, MEDICAL, DENTAL, VISION AND STD PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	125
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	131
Total of all active and inactive participants	2016-01-01	131
2015: NORTH AMERICAN COMMUNICATIONS, INC. LIFE, MEDICAL, DENTAL, VISION AND STD PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	142
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	125
Total of all active and inactive participants	2015-01-01	125
2014: NORTH AMERICAN COMMUNICATIONS, INC. LIFE, MEDICAL, DENTAL, VISION AND STD PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	171
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	142
Total of all active and inactive participants	2014-01-01	142
2013: NORTH AMERICAN COMMUNICATIONS, INC. LIFE, MEDICAL, DENTAL, VISION AND STD PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	139
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	171
Total of all active and inactive participants	2013-01-01	171
2012: NORTH AMERICAN COMMUNICATIONS, INC. LIFE, MEDICAL, DENTAL, VISION AND STD PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	161
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	138
Number of retired or separated participants receiving benefits	2012-01-01	1
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	139
2011: NORTH AMERICAN COMMUNICATIONS, INC. LIFE, MEDICAL, DENTAL, VISION AND STD PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	180
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	156
Total of all active and inactive participants	2011-01-01	156
Total participants	2011-01-01	156
2009: NORTH AMERICAN COMMUNICATIONS, INC. LIFE, MEDICAL, DENTAL, VISION AND STD PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	380
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	272
Total of all active and inactive participants	2009-01-01	272
Total participants	2009-01-01	272

Form 5500 Responses for NORTH AMERICAN COMMUNICATIONS, INC. LIFE, MEDICAL, DENTAL, VISION AND STD PLAN

2018: NORTH AMERICAN COMMUNICATIONS, INC. LIFE, MEDICAL, DENTAL, VISION AND STD PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: NORTH AMERICAN COMMUNICATIONS, INC. LIFE, MEDICAL, DENTAL, VISION AND STD PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: NORTH AMERICAN COMMUNICATIONS, INC. LIFE, MEDICAL, DENTAL, VISION AND STD PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: NORTH AMERICAN COMMUNICATIONS, INC. LIFE, MEDICAL, DENTAL, VISION AND STD PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: NORTH AMERICAN COMMUNICATIONS, INC. LIFE, MEDICAL, DENTAL, VISION AND STD PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: NORTH AMERICAN COMMUNICATIONS, INC. LIFE, MEDICAL, DENTAL, VISION AND STD PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: NORTH AMERICAN COMMUNICATIONS, INC. LIFE, MEDICAL, DENTAL, VISION AND STD PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: NORTH AMERICAN COMMUNICATIONS, INC. LIFE, MEDICAL, DENTAL, VISION AND STD PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: NORTH AMERICAN COMMUNICATIONS, INC. LIFE, MEDICAL, DENTAL, VISION AND STD PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	006967NC0
Policy instance	17
Insurance contract or identification number 006967NC0 Number of Individuals Covered 0 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $7 Total amount of fees paid to insurance company USD $0 Welfare Benefit Premiums Paid to Carrier USD $99 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 Insurance broker organization code? 3
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	006967NN9
Policy instance	18
Insurance contract or identification number 006967NN9 Number of Individuals Covered 6 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $87 Total amount of fees paid to insurance company USD $0 Welfare Benefit Premiums Paid to Carrier USD $943 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $87
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967300
Policy instance	1
Insurance contract or identification number 006967300 Number of Individuals Covered 143 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $28,266 Total amount of fees paid to insurance company USD $0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $705,111 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $28,266 Insurance broker organization code? 3
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967301
Policy instance	2
Insurance contract or identification number 006967301 Number of Individuals Covered 10 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $1,894 Total amount of fees paid to insurance company USD $0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $46,243 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,894 Insurance broker organization code? 3
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967303
Policy instance	3
Insurance contract or identification number 006967303 Number of Individuals Covered 4 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $774 Total amount of fees paid to insurance company USD $0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $20,269 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $774 Insurance broker organization code? 3
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967900
Policy instance	4
Insurance contract or identification number 006967900 Number of Individuals Covered 0 Insurance policy start date 2018-01-01 Insurance policy end date 2018-01-01 Total amount of commissions paid to insurance broker USD $760 Total amount of fees paid to insurance company USD $0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $15,195 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $760 Insurance broker organization code? 3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	000000202567
Policy instance	5
Insurance contract or identification number 000000202567 Number of Individuals Covered 30 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $1,914 Total amount of fees paid to insurance company USD $0 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,157 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,823 Insurance broker organization code? 3
BENEFIT COORDINATORS CORPORATION (National Association of Insurance Commissioners NAIC id number: 52421 )
Policy contract number	NAC
Policy instance	6
Insurance contract or identification number NAC Number of Individuals Covered 141 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 Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,767 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05981790
Policy instance	7
Insurance contract or identification number TM05981790 Number of Individuals Covered 124 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $106 Total amount of fees paid to insurance company USD $0 Life Insurance Welfare Benefit Yes Other welfare benefits provided ADD Welfare Benefit Premiums Paid to Carrier USD $13,869 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $60 Additional information about fees paid to insurance broker NON-MONETARY COMPENSATION Insurance broker organization code? 3
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	6967NN0
Policy instance	8
Insurance contract or identification number 6967NN0 Number of Individuals Covered 68 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $923 Total amount of fees paid to insurance company USD $0 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $9,884 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $923 Insurance broker organization code? 3
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	6967NN1
Policy instance	9
Insurance contract or identification number 6967NN1 Number of Individuals Covered 42 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $1,133 Total amount of fees paid to insurance company USD $0 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,016 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,133 Insurance broker organization code? 3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	648975D
Policy instance	16
Insurance contract or identification number 648975D Number of Individuals Covered 4 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 Other welfare benefits provided WORK DISRUPTION Welfare Benefit Premiums Paid to Carrier USD $274 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number	7515
Policy instance	15
Insurance contract or identification number 7515 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 $1,401 Total amount of fees paid to insurance company USD $0 Other welfare benefits provided CRITICAL CARE, CANCER Welfare Benefit Premiums Paid to Carrier USD $14,693 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $633 Insurance broker organization code? 3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	JT133
Policy instance	14
Insurance contract or identification number JT133 Number of Individuals Covered 32 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $1,980 Total amount of fees paid to insurance company USD $0 Other welfare benefits provided HOSPITAL, ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $13,089 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $307 Insurance broker organization code? 3
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	6967NN8
Policy instance	13
Insurance contract or identification number 6967NN8 Number of Individuals Covered 5 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $98 Total amount of fees paid to insurance company USD $0 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,042 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $98 Insurance broker organization code? 3
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	6967NC2
Policy instance	12
Insurance contract or identification number 6967NC2 Number of Individuals Covered 1 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $83 Total amount of fees paid to insurance company USD $0 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,005 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $83 Insurance broker organization code? 3
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	6967NN5
Policy instance	11
Insurance contract or identification number 6967NN5 Number of Individuals Covered 11 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $255 Total amount of fees paid to insurance company USD $0 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,708 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $255
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	6967NN2
Policy instance	10
Insurance contract or identification number 6967NN2 Number of Individuals Covered 65 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $2,031 Total amount of fees paid to insurance company USD $0 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $21,667 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,031
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05981790
Policy instance	7
Insurance contract or identification number TM05981790 Number of Individuals Covered 126 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 $78 Life Insurance Welfare Benefit Yes Other welfare benefits provided ADD Welfare Benefit Premiums Paid to Carrier USD $13,087 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 78 Additional information about fees paid to insurance broker NON-MONETARY COMPENSATION Insurance broker organization code? 3 Insurance broker name HARTZ CONSULTING GROUP LLC
BENEFIT COORDINATORS CORPORATION (National Association of Insurance Commissioners NAIC id number: 52421 )
Policy contract number	NAC
Policy instance	6
Insurance contract or identification number NAC Number of Individuals Covered 152 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 Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $13,042 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	000000202567
Policy instance	5
Insurance contract or identification number 000000202567 Number of Individuals Covered 34 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $2,052 Total amount of fees paid to insurance company USD $171 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,554 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,052 Insurance broker organization code? 3 Amount paid for insurance broker fees 171 Additional information about fees paid to insurance broker ADDITIONAL COMPENSATION Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967900
Policy instance	4
Insurance contract or identification number 006967900 Number of Individuals Covered 3 Insurance policy start date 2017-01-01 Insurance policy end date 2017-01-01 Total amount of commissions paid to insurance broker USD $288 Total amount of fees paid to insurance company USD $0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,408 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $288 Insurance broker organization code? 3 Insurance broker name KEY INSURANCE & BENEFITS, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967303
Policy instance	3
Insurance contract or identification number 006967303 Number of Individuals Covered 2 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $682 Total amount of fees paid to insurance company USD $0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $15,662 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $682 Insurance broker organization code? 3 Insurance broker name KEY INSURANCE & BENEFITS, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967301
Policy instance	2
Insurance contract or identification number 006967301 Number of Individuals Covered 12 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $3,118 Total amount of fees paid to insurance company USD $0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $51,559 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,118 Insurance broker organization code? 3 Insurance broker name KEY INSURANCE & BENEFITS, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967300
Policy instance	1
Insurance contract or identification number 006967300 Number of Individuals Covered 138 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $25,223 Total amount of fees paid to insurance company USD $0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $638,389 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $25,223 Insurance broker organization code? 3 Insurance broker name KEY INSURANCE & BENEFITS, INC.
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	000000206430
Policy instance	8
Insurance contract or identification number 000000206430 Number of Individuals Covered 7 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $1,165 Total amount of fees paid to insurance company USD $0 Other welfare benefits provided GROUP LONG TERM CARE Welfare Benefit Premiums Paid to Carrier USD $8,200 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,165 Insurance broker organization code? 3 Insurance broker name WILLIAM R HARTZ
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	6967NN0
Policy instance	9
Insurance contract or identification number 6967NN0 Number of Individuals Covered 60 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $901 Total amount of fees paid to insurance company USD $0 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $7,179 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $901 Insurance broker organization code? 3 Insurance broker name KEY INSURANCE & BENEFITS, INC.
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number	7515
Policy instance	16
Insurance contract or identification number 7515 Number of Individuals Covered 85 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $2,581 Total amount of fees paid to insurance company USD $0 Other welfare benefits provided CRITICAL CARE, CANCER Welfare Benefit Premiums Paid to Carrier USD $18,503 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,481 Insurance broker organization code? 3 Insurance broker name SHAYNE L BRANDENBURG
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	648975D
Policy instance	17
Insurance contract or identification number 648975D Number of Individuals Covered 3 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 Other welfare benefits provided WORK DISRUPTION Welfare Benefit Premiums Paid to Carrier USD $100 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	JT133
Policy instance	15
Insurance contract or identification number JT133 Number of Individuals Covered 32 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $2,118 Total amount of fees paid to insurance company USD $0 Other welfare benefits provided HOSPITAL, ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $15,127 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $526 Insurance broker organization code? 3 Insurance broker name TYE ELLIOTT
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	6967NN8
Policy instance	14
Insurance contract or identification number 6967NN8 Number of Individuals Covered 0 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $2 Total amount of fees paid to insurance company USD $0 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $21 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2 Insurance broker organization code? 3 Insurance broker name KEY INSURANCE & BENEFITS, INC.
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	6967NC2
Policy instance	13
Insurance contract or identification number 6967NC2 Number of Individuals Covered 5 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $40 Total amount of fees paid to insurance company USD $0 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $487 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $40 Insurance broker organization code? 3 Insurance broker name KEY INSURANCE & BENEFITS, INC.
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	6967NN5
Policy instance	12
Insurance contract or identification number 6967NN5 Number of Individuals Covered 18 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $466 Total amount of fees paid to insurance company USD $0 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,023 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $466 Insurance broker organization code? 3 Insurance broker name KEY INSURANCE & BENEFITS, INC.
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	6967NN2
Policy instance	11
Insurance contract or identification number 6967NN2 Number of Individuals Covered 65 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $1,872 Total amount of fees paid to insurance company USD $0 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $19,898 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,872 Insurance broker organization code? 3 Insurance broker name KEY INSURANCE & BENEFITS, INC.
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	6967NN1
Policy instance	10
Insurance contract or identification number 6967NN1 Number of Individuals Covered 42 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $1,096 Total amount of fees paid to insurance company USD $0 Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $11,669 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,096 Insurance broker organization code? 3 Insurance broker name KEY INSURANCE & BENEFITS, INC.
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number	0000007515
Policy instance	11
Insurance contract or identification number 0000007515 Number of Individuals Covered 74 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $2,898 Total amount of fees paid to insurance company USD $0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $23,213 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,460 Insurance broker organization code? 3 Insurance broker name JAMES G BRANDT
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	JT133
Policy instance	10
Insurance contract or identification number JT133 Number of Individuals Covered 36 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $3,240 Total amount of fees paid to insurance company USD $103 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $14,234 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,167 Amount paid for insurance broker fees 64 Insurance broker organization code? 3 Insurance broker name TYE ELLIOTT
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	000000202567
Policy instance	9
Insurance contract or identification number 000000202567 Number of Individuals Covered 31 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $2,199 Total amount of fees paid to insurance company USD $0 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $15,200 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,030 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967905
Policy instance	8
Insurance contract or identification number 006967905 Number of Individuals Covered 0 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $125 Total amount of fees paid to insurance company USD $0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,796 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $125 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967901
Policy instance	7
Insurance contract or identification number 006967901 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 $115 Total amount of fees paid to insurance company USD $0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,383 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $115 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967305
Policy instance	5
Insurance contract or identification number 006967305 Number of Individuals Covered 5 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $1,002 Total amount of fees paid to insurance company USD $0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $25,297 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,002 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967304
Policy instance	4
Insurance contract or identification number 006967304 Number of Individuals Covered 3 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $850 Total amount of fees paid to insurance company USD $0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $21,438 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $850 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967303
Policy instance	3
Insurance contract or identification number 006967303 Number of Individuals Covered 8 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $1,614 Total amount of fees paid to insurance company USD $0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $40,604 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,614 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	006967AA8
Policy instance	13
Insurance contract or identification number 006967AA8 Number of Individuals Covered 85 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $804 Total amount of fees paid to insurance company USD $0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,676 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $804 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967301
Policy instance	2
Insurance contract or identification number 006967301 Number of Individuals Covered 11 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $2,238 Total amount of fees paid to insurance company USD $0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $60,141 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,238 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967300
Policy instance	1
Insurance contract or identification number 006967300 Number of Individuals Covered 125 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $23,367 Total amount of fees paid to insurance company USD $0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $582,019 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $23,367 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
BENEFIT COORDINATORS CORPORATION (National Association of Insurance Commissioners NAIC id number: 52421 )
Policy contract number	NAC
Policy instance	12
Insurance contract or identification number NAC Number of Individuals Covered 135 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 Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,018 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967900
Policy instance	6
Insurance contract or identification number 006967900 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $90 Total amount of fees paid to insurance company USD $0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $1,545 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $90 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	000000206430
Policy instance	24
Insurance contract or identification number 000000206430 Number of Individuals Covered 10 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $1,218 Total amount of fees paid to insurance company USD $0 Other welfare benefits provided GROUP LONG TERM CARE Welfare Benefit Premiums Paid to Carrier USD $15,677 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,218 Insurance broker organization code? 3 Insurance broker name HARTZ, WILLIAM R
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05981790
Policy instance	23
Insurance contract or identification number TM05981790 Number of Individuals Covered 130 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $100 Total amount of fees paid to insurance company USD $0 Life Insurance Welfare Benefit Yes Other welfare benefits provided ADD Welfare Benefit Premiums Paid to Carrier USD $12,449 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $100 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967902
Policy instance	22
Insurance contract or identification number 006967902 Number of Individuals Covered 0 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $34 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 Commission paid to Insurance Broker USD $34 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	006967CB3
Policy instance	21
Insurance contract or identification number 006967CB3 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 $64 Total amount of fees paid to insurance company USD $0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $352 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $64 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	006967CA9
Policy instance	20
Insurance contract or identification number 006967CA9 Number of Individuals Covered 0 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $50 Total amount of fees paid to insurance company USD $0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $433 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $50 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	006967CA8
Policy instance	19
Insurance contract or identification number 006967CA8 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 $18 Total amount of fees paid to insurance company USD $0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $191 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $18 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	006967AB3
Policy instance	18
Insurance contract or identification number 006967AB3 Number of Individuals Covered 17 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $542 Total amount of fees paid to insurance company USD $0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $5,619 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $542 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	006967AB2
Policy instance	17
Insurance contract or identification number 006967AB2 Number of Individuals Covered 3 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $57 Total amount of fees paid to insurance company USD $0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $908 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $57 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	006967AB1
Policy instance	16
Insurance contract or identification number 006967AB1 Number of Individuals Covered 10 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $84 Total amount of fees paid to insurance company USD $0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $930 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $84 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	006967AB0
Policy instance	15
Insurance contract or identification number 006967AB0 Number of Individuals Covered 8 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $209 Total amount of fees paid to insurance company USD $0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $2,343 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $209 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	006967AA9
Policy instance	14
Insurance contract or identification number 006967AA9 Number of Individuals Covered 61 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $1,726 Total amount of fees paid to insurance company USD $0 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $17,976 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,726 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	006967AB3
Policy instance	19
Insurance contract or identification number 006967AB3 Number of Individuals Covered 19 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $494 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 $5,383 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $494 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05981790
Policy instance	24
Insurance contract or identification number TM05981790 Number of Individuals Covered 142 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $262 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 Life Insurance Welfare Benefit Yes Other welfare benefits provided ADD Welfare Benefit Premiums Paid to Carrier USD $12,477 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $248 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967902
Policy instance	23
Insurance contract or identification number 006967902 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 $464 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 $12,449 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $464 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	006967CB3
Policy instance	22
Insurance contract or identification number 006967CB3 Number of Individuals Covered 7 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $273 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 $2,661 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $273 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967901
Policy instance	8
Insurance contract or identification number 006967901 Number of Individuals Covered 6 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $1,493 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 $34,351 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,493 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967905
Policy instance	9
Insurance contract or identification number 006967905 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 $568 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 $14,621 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $568 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967900
Policy instance	7
Insurance contract or identification number 006967900 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 $6,448 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967305
Policy instance	6
Insurance contract or identification number 006967305 Number of Individuals Covered 5 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $951 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 $22,492 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $951 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967304
Policy instance	5
Insurance contract or identification number 006967304 Number of Individuals Covered 3 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $756 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 $19,061 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $756 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967303
Policy instance	4
Insurance contract or identification number 006967303 Number of Individuals Covered 8 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $1,828 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 $44,417 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,828 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967302
Policy instance	3
Insurance contract or identification number 006967302 Number of Individuals Covered 0 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $303 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 $6,015 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $303 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967301
Policy instance	2
Insurance contract or identification number 006967301 Number of Individuals Covered 11 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $1,852 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 $46,649 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,852 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967300
Policy instance	1
Insurance contract or identification number 006967300 Number of Individuals Covered 142 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $23,947 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 $607,085 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $23,947 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	000000202567
Policy instance	10
Insurance contract or identification number 000000202567 Number of Individuals Covered 34 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $2,124 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 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,682 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,902 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	JT133
Policy instance	11
Insurance contract or identification number JT133 Number of Individuals Covered 36 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $2,147 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 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,513 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $609 Insurance broker organization code? 3 Insurance broker name TYE ELLIOTT
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	006967CA9
Policy instance	21
Insurance contract or identification number 006967CA9 Number of Individuals Covered 4 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $22 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 $238 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $22 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	006967CA8
Policy instance	20
Insurance contract or identification number 006967CA8 Number of Individuals Covered 0 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $1 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 $16 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	006967AB2
Policy instance	18
Insurance contract or identification number 006967AB2 Number of Individuals Covered 1 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $59 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 $588 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $59 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	006967AB1
Policy instance	17
Insurance contract or identification number 006967AB1 Number of Individuals Covered 6 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $49 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 $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 $49 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	006967AB0
Policy instance	16
Insurance contract or identification number 006967AB0 Number of Individuals Covered 3 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $79 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 $838 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $79 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	006967AA9
Policy instance	15
Insurance contract or identification number 006967AA9 Number of Individuals Covered 84 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $2,376 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 $24,808 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,376 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	006967AA8
Policy instance	14
Insurance contract or identification number 006967AA8 Number of Individuals Covered 94 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $842 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 $8,720 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $842 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
BENEFIT COORDINATORS CORPORATION (National Association of Insurance Commissioners NAIC id number: 52421 )
Policy contract number	NAC
Policy instance	13
Insurance contract or identification number NAC Number of Individuals Covered 138 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 Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $4,212 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number	0000007515
Policy instance	12
Insurance contract or identification number 0000007515 Number of Individuals Covered 74 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $5,251 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 $29,670 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,061 Insurance broker organization code? 3 Insurance broker name JAMES G BRANDT
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967304
Policy instance	8
Insurance contract or identification number 006967304 Number of Individuals Covered 3 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $628 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 $17,121 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $628 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967303
Policy instance	7
Insurance contract or identification number 006967303 Number of Individuals Covered 14 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $1,789 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 $49,143 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,789 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967302
Policy instance	6
Insurance contract or identification number 006967302 Number of Individuals Covered 5 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $1,114 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 $29,414 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,114 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967301
Policy instance	5
Insurance contract or identification number 006967301 Number of Individuals Covered 11 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $2,331 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 $61,803 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,331 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract number	512490003
Policy instance	3
Insurance contract or identification number 512490003 Number of Individuals Covered 11 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 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $391 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967300
Policy instance	4
Insurance contract or identification number 006967300 Number of Individuals Covered 134 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $18,092 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 $493,608 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $18,092 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract number	512490002
Policy instance	2
Insurance contract or identification number 512490002 Number of Individuals Covered 2 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 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $63 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967305
Policy instance	9
Insurance contract or identification number 006967305 Number of Individuals Covered 7 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $1,996 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 $53,065 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,996 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967900
Policy instance	10
Insurance contract or identification number 006967900 Number of Individuals Covered 3 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $460 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 $12,487 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $460 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967901
Policy instance	11
Insurance contract or identification number 006967901 Number of Individuals Covered 5 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 $4,696 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967903
Policy instance	12
Insurance contract or identification number 006967903 Number of Individuals Covered 0 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $46 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 $1,152 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $46 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	000000202567
Policy instance	20
Insurance contract or identification number 000000202567 Number of Individuals Covered 38 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $1,926 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 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $11,910 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,787 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	006967AA0
Policy instance	14
Insurance contract or identification number 006967AA0 Number of Individuals Covered 28 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $371 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 $3,701 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $371 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	006967CA5
Policy instance	19
Insurance contract or identification number 006967CA5 Number of Individuals Covered 7 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 $532 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	006967AA1
Policy instance	15
Insurance contract or identification number 006967AA1 Number of Individuals Covered 87 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $1,861 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 $18,660 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,861 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	006967AA4
Policy instance	17
Insurance contract or identification number 006967AA4 Number of Individuals Covered 7 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $178 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 $1,780 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $178 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	006967AA2
Policy instance	16
Insurance contract or identification number 006967AA2 Number of Individuals Covered 3 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $88 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 $879 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $88 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract number	512490001
Policy instance	1
Insurance contract or identification number 512490001 Number of Individuals Covered 171 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 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,403 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
BENEFIT COORDINATORS CORPORATION (National Association of Insurance Commissioners NAIC id number: 52421 )
Policy contract number	NAC
Policy instance	24
Insurance contract or identification number NAC Number of Individuals Covered 155 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 Temporary Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $3,897 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number	0000007515
Policy instance	23
Insurance contract or identification number 0000007515 Number of Individuals Covered 69 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $10,473 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 $28,674 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,029 Insurance broker organization code? 3 Insurance broker name JAMES G BRANDT
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	JT133
Policy instance	22
Insurance contract or identification number JT133 Number of Individuals Covered 33 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $1,878 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 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $14,798 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $389 Insurance broker organization code? 3 Insurance broker name DEBRA L CARL
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	000000206430
Policy instance	21
Insurance contract or identification number 000000206430 Number of Individuals Covered 11 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $1,217 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 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,212 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,217 Insurance broker organization code? 3 Insurance broker name HARTZ, WILLIAM R
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	006967905
Policy instance	13
Insurance contract or identification number 006967905 Number of Individuals Covered 1 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 $1,642 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 )
Policy contract number	006967AA5
Policy instance	18
Insurance contract or identification number 006967AA5 Number of Individuals Covered 24 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $831 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 $8,423 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $831 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC.
UPMC HEALTH NETWORK, INC. (National Association of Insurance Commissioners NAIC id number: 11994 )
Policy contract number	006967300
Policy instance	10
Insurance contract or identification number 006967300 Number of Individuals Covered 134 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $17,844 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? No 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 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 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 Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $446,104 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $17,844 Insurance broker organization code? 3 Insurance broker name BANYAN CONSULTING DIVISION OF FNRM
UPMC HEALTH NETWORK, INC. (National Association of Insurance Commissioners NAIC id number: 11994 )
Policy contract number	006967901
Policy instance	15
Insurance contract or identification number 006967901 Number of Individuals Covered 5 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $491 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? No 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 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 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 Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $12,287 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $491 Insurance broker organization code? 3 Insurance broker name BANYAN CONSULTING DIVISION OF FNRM
UPMC HEALTH NETWORK, INC. (National Association of Insurance Commissioners NAIC id number: 11994 )
Policy contract number	006967900
Policy instance	14
Insurance contract or identification number 006967900 Number of Individuals Covered 3 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $728 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? No 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 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 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 Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $18,204 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $728 Insurance broker organization code? 3 Insurance broker name BANYAN CONSULTING DIVISION OF FNRM
UPMC HEALTH NETWORK, INC. (National Association of Insurance Commissioners NAIC id number: 11994 )
Policy contract number	006967303
Policy instance	13
Insurance contract or identification number 006967303 Number of Individuals Covered 12 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $1,731 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? No 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 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 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 Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $43,284 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,731 Insurance broker organization code? 3 Insurance broker name BANYAN CONSULTING DIVISION OF FNRM
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract number	512490003
Policy instance	3
Insurance contract or identification number 512490003 Number of Individuals Covered 10 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Are there contracts with allocated funds for individual policies? No 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 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 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 Yes Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $614 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract number	512490002
Policy instance	2
Insurance contract or identification number 512490002 Number of Individuals Covered 1 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Are there contracts with allocated funds for individual policies? No 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 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 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 Yes Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $66 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05981790
Policy instance	4
Insurance contract or identification number TM05981790 Number of Individuals Covered 138 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 $130 Are there contracts with allocated funds for individual policies? No 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 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 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 Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Other welfare benefits provided ACCIDENTAL DEATH & DISMEMBERMENT Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $12,023 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 130 Additional information about fees paid to insurance broker NON-MONETARY COMPENSATION Insurance broker organization code? 3 Insurance broker name BANYAN CONSULTING LLC
UPMC HEALTH NETWORK, INC. (National Association of Insurance Commissioners NAIC id number: 11994 )
Policy contract number	006967305
Policy instance	6
Insurance contract or identification number 006967305 Number of Individuals Covered 10 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $2,076 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? No 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 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 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 Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $51,889 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,076 Insurance broker organization code? 3 Insurance broker name BANYAN CONSULTING DIVISION OF FNRM
UPMC HEALTH NETWORK, INC. (National Association of Insurance Commissioners NAIC id number: 11994 )
Policy contract number	006967304
Policy instance	5
Insurance contract or identification number 006967304 Number of Individuals Covered 3 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $611 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? No 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 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 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 Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $15,286 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $611 Insurance broker organization code? 3 Insurance broker name BANYAN CONSULTING DIVISION OF FNRM
UPMC HEALTH NETWORK, INC. (National Association of Insurance Commissioners NAIC id number: 11994 )
Policy contract number	006967301
Policy instance	11
Insurance contract or identification number 006967301 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 $2,640 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? No 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 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 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 Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $65,993 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,640 Insurance broker organization code? 3 Insurance broker name BANYAN CONSULTING DIVISION OF FNRM
UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62294 )
Policy contract number	252409
Policy instance	8
Insurance contract or identification number 252409 Number of Individuals Covered 108 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $1,227 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? No 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 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 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 Yes Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $27,948 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,227 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract number	251468
Policy instance	9
Insurance contract or identification number 251468 Number of Individuals Covered 52 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $324 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? No 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 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 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 Yes Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $7,442 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $324 Insurance broker organization code? 3 Insurance broker name FIRST NIAGARA RISK MANAGEMENT, INC
UPMC HEALTH NETWORK, INC. (National Association of Insurance Commissioners NAIC id number: 11994 )
Policy contract number	006967903
Policy instance	7
Insurance contract or identification number 006967903 Number of Individuals Covered 1 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $123 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? No 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 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 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 Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $3,085 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $123 Insurance broker organization code? 3 Insurance broker name BANYAN CONSULTING DIVISION OF FNRM
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract number	512490001
Policy instance	1
Insurance contract or identification number 512490001 Number of Individuals Covered 161 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Are there contracts with allocated funds for individual policies? No 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 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 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 Yes Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $8,003 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UPMC HEALTH NETWORK, INC. (National Association of Insurance Commissioners NAIC id number: 11994 )
Policy contract number	006967302
Policy instance	12
Insurance contract or identification number 006967302 Number of Individuals Covered 5 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $671 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? No 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 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 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 Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $16,770 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $671 Insurance broker organization code? 3 Insurance broker name BANYAN CONSULTING DIVISION OF FNRM
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05981790
Policy instance	13
Insurance contract or identification number TM05981790 Number of Individuals Covered 156 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of fees paid to insurance company USD $203 Life Insurance Welfare Benefit Yes Other welfare benefits provided ADD Welfare Benefit Premiums Paid to Carrier USD $13,007 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UPMC HEALTH NETWORK, INC. (National Association of Insurance Commissioners NAIC id number: 11994 )
Policy contract number	006967301
Policy instance	5
Insurance contract or identification number 006967301 Number of Individuals Covered 27 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $4,123 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract number	512490001
Policy instance	1
Insurance contract or identification number 512490001 Number of Individuals Covered 102 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $0 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $9,284 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes
UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62294 )
Policy contract number	252409
Policy instance	2
Insurance contract or identification number 252409 Number of Individuals Covered 115 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $1,101 Dental Insurance Welfare Benefit Yes Life Insurance Welfare Benefit No Welfare Benefit Premiums Paid to Carrier USD $30,010 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract number	251468
Policy instance	3
Insurance contract or identification number 251468 Number of Individuals Covered 49 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $298 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,195 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes
UPMC HEALTH NETWORK, INC. (National Association of Insurance Commissioners NAIC id number: 11994 )
Policy contract number	006967300
Policy instance	4
Insurance contract or identification number 006967300 Number of Individuals Covered 151 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $20,485 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UPMC HEALTH NETWORK, INC. (National Association of Insurance Commissioners NAIC id number: 11994 )
Policy contract number	006967302
Policy instance	6
Insurance contract or identification number 006967302 Number of Individuals Covered 4 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $570 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UPMC HEALTH NETWORK, INC. (National Association of Insurance Commissioners NAIC id number: 11994 )
Policy contract number	006967303
Policy instance	7
Insurance contract or identification number 006967303 Number of Individuals Covered 14 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $1,429 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UPMC HEALTH NETWORK, INC. (National Association of Insurance Commissioners NAIC id number: 11994 )
Policy contract number	006967900
Policy instance	8
Insurance contract or identification number 006967900 Number of Individuals Covered 3 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $676 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UPMC HEALTH NETWORK, INC. (National Association of Insurance Commissioners NAIC id number: 11994 )
Policy contract number	006967901
Policy instance	9
Insurance contract or identification number 006967901 Number of Individuals Covered 5 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $252 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract number	512490002
Policy instance	10
Insurance contract or identification number 512490002 Number of Individuals Covered 104 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $0 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $222 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract number	512490003
Policy instance	11
Insurance contract or identification number 512490003 Number of Individuals Covered 109 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $0 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $499 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	202567
Policy instance	12
Insurance contract or identification number 202567 Number of Individuals Covered 39 Insurance policy start date 2011-01-01 Insurance policy end date 2012-01-01 Total amount of commissions paid to insurance broker USD $1,102 Life Insurance Welfare Benefit Yes Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	JT133
Policy instance	14
Insurance contract or identification number JT133 Number of Individuals Covered 55 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $6,186 Total amount of fees paid to insurance company USD $177 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $28,950 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UPMC HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95216 )
Policy contract number	006967300
Policy instance	5
Insurance contract or identification number 006967300 Number of Individuals Covered 180 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $25,366 Health Insurance Welfare Benefit No Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $25,366 Insurance broker name BANYAN CONSULTING, LLC
AMERICAN FAMILY LIFE INSURANCE COMPANY OF COLUMBUS (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	NJ142
Policy instance	4
Insurance contract or identification number NJ142 Number of Individuals Covered 1 Insurance policy start date 2010-06-01 Insurance policy end date 2011-05-31 Total amount of commissions paid to insurance broker USD $48 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $689 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $27 Insurance broker name KIMMON GUSEMAN
UPMC HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95216 )
Policy contract number	006967301
Policy instance	3
Insurance contract or identification number 006967301 Number of Individuals Covered 46 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $6,270 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,270 Insurance broker name BANYAN CONSULTING, LLC
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	JT133
Policy instance	2
Insurance contract or identification number JT133 Number of Individuals Covered 59 Insurance policy start date 2010-06-01 Insurance policy end date 2011-05-31 Total amount of commissions paid to insurance broker USD $5,285 Total amount of fees paid to insurance company USD $18 Long Term Disability Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $27,855 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,865 Amount paid for insurance broker fees 5 Insurance broker name MARK BARBIER
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract number	512490002
Policy instance	1
Insurance contract or identification number 512490002 Number of Individuals Covered 2 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $228 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes
UPMC HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95216 )
Policy contract number	006967302
Policy instance	6
Insurance contract or identification number 006967302 Number of Individuals Covered 4 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $823 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $823 Insurance broker name BANYAN CONSULTING, LLC
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract number	51249003
Policy instance	7
Insurance contract or identification number 51249003 Number of Individuals Covered 3 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $398 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract number	512490001
Policy instance	8
Insurance contract or identification number 512490001 Number of Individuals Covered 103 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $9,214 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	FHM913094
Policy instance	10
Insurance contract or identification number FHM913094 Number of Individuals Covered 159 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $1,473 Life Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $12,144 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,473 Insurance broker name BANYAN CONSULTING, LLC
UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62294 )
Policy contract number	252409
Policy instance	11
Insurance contract or identification number 252409 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 $1,179 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $27,089 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes Commission paid to Insurance Broker USD $1,179 Insurance broker name BANYAN CONSULTING LLC
UPMC HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95216 )
Policy contract number	006967303
Policy instance	12
Insurance contract or identification number 006967303 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 $2,835 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,835 Insurance broker name BANYAN CONSULTING LLC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	202567
Policy instance	13
Insurance contract or identification number 202567 Number of Individuals Covered 14 Insurance policy start date 2010-01-01 Insurance policy end date 2011-01-01 Total amount of commissions paid to insurance broker USD $1,110 Life Insurance Welfare Benefit Yes Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,110 Insurance broker name HARTZ CONSULTING GROUP LLC
UNITED CONCORDIA DENTAL PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 95253 )
Policy contract number	251468
Policy instance	14
Insurance contract or identification number 251468 Number of Individuals Covered 51 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $367 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,522 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes Commission paid to Insurance Broker USD $367 Insurance broker name BANYAN CONSULTING LLC
UPMC HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95216 )
Policy contract number	006967901
Policy instance	15
Insurance contract or identification number 006967901 Number of Individuals Covered 3 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $406 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $406 Insurance broker name BANYAN CONSULTING, LLC
UPMC HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95216 )
Policy contract number	006967900
Policy instance	9
Insurance contract or identification number 006967900 Number of Individuals Covered 6 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $4,608 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,608 Insurance broker name BANYAN CONSULTING LLC

Potentially related plans

• NORTH AMERICAN CREDIT SERVICES HEALTH AND DENTAL PLAN [EIN = 621071441]
• NORTH AMERICAN LIGHTING, INC. GROUP HEALTH & LIFE INSURANCE PLAN [EIN = 371131470]
• NORTH AMERICAN SIGNS INC [EIN = 351262888]
• NORTH AMERICAN SCIENCE ASSOCIATES, LLC PROFIT SHARING & 401(K) PLAN [EIN = 341020232]
• NORTH AMERICAN CONSTRUCTION LP DAVIS-BACON PENSION PLAN AND TRUST [EIN = 450489154]
• NORTH AMERICAN PROPERTIES LIFE AND LTD PLAN [EIN = 310615626]
• NORTH AMERICAN HEALTH CARE, INC. 401(K) RETIREMENT SAVINGS PLAN [EIN = 880252963]
• NORTH AMERICAN TRUCK & TRAILER, INC 401(K) PLAN [EIN = 460318253]
• NORTH AMERICAN HOGANAS HIGH ALLOYS HOURLY PENSION PLAN [EIN = 510286842]
• NORTH AMERICAN ELECTRIC RELIABILITY CORPORATION HEALTH AND WELFARE PLAN [EIN = 204821888]
• NORTH AMERICAN MECHANICAL INC. EMPLOYEE BENEFITS PLAN [EIN = 742877129]
• NORTH AMERICAN STAMPING GROUP 401(K) PLAN [EIN = 621750944]
• NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN [EIN = 112923650]
• NORTH AMERICAN TRUCK AND TRAILER, INC. CAFETERIA PLAN [EIN = 460318253]
• NORTH AMERICAN AUTOMOTIVE SERVICES, INC. GROUP HEALTH BENEFIT PLAN [EIN = 363796094]
• NORTH AMERICAN COMMUNICATIONS RESOURCE, INC. GROUP HEALTH PLAN [EIN = 411763228]
• NORTH AMERICAN ROOFING SERVICES, INC. EMPLOYEE STOCK OWNERSHIP PLAN [EIN = 133724765]
• NORTH AMERICAN PRODUCTION SHARING, INC. DEFINED BENEFIT PENSION PLAN [EIN = 330486327]
• NORTH AMERICAN HEALTH CARE WELFARE BENEFIT PLAN [EIN = 880252963]
• NORTH AMERICAN COATINGS 401(K) AND PROFIT SHARING PLAN [EIN = 201396310]
• NORTH AMERICAN PENSION SERVICES, LLC EMPLOYEES' PROFIT SHARING PLAN [EIN = 412152077]
• NORTH AMERICAN PROPERTIES, INC. RETIREMENT SAVINGS PLAN [EIN = 310615626]
• NORTH AMERICAN LUBRICANTS 401(K) PLAN [EIN = 943409060]
• NORTH AMERICAN SEED CO. 401(K) PLAN [EIN = 770140527]
• NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP PROFIT SHARING PLAN [EIN = 112923650]
• NORTH AMERICAN TITLE GROUP, INC. AND SUBSIDIARIES [EIN = 562523130]
• NORTH AMERICAN HOGANAS SALARY 401(K) PLAN [EIN = 510389733]
• NORTH AMERICAN CREDIT SERVICES HEALTH AND WELFARE PLAN [EIN = 621071441]
• NORTH AMERICAN RETIREMENT SAVINGS PLAN [EIN = 364369474]
• NORTH AMERICAN BREWERIES, INC. EMPLOYEES' SAVINGS AND INVESTMENT PLAN [EIN = 800301528]
• NORTH AMERICAN STAINLESS EMPLOYEE BENEFITS PLAN [EIN = 611283966]
• NORTH AMERICAN INDUSTRIAL SERVICES FLEXIBLE BENEFITS PLAN [EIN = 141783961]
• NORTH AMERICAN WESTERN DATA SYSTEMS, INC. EMPLOYEE STOCK OWNERSHIP PLAN [EIN = 760088803]
• NORTH AMERICAN STAMPING GROUP WELFARE BENEFIT PLAN [EIN = 621750945]
• NORTH AMERICAN BREWERIES, INC. FLEXIBLE SPENDING ACCOUNT [EIN = 800301528]
• NORTH AMERICAN STAINLESS SAVINGS PLAN [EIN = 611283966]
• NORTH AMERICAN PROPERTIES WELFARE BENEFITS PLAN [EIN = 310615626]
• NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP GROUP HEALTH PLAN [EIN = 112923650]
• NORTH AMERICAN CREDIT SERVICES LIFE INSURANCE PLAN [EIN = 621071441]
• NORTH AMERICAN CREDIT SERVICE, INC. 401(K) PLAN [EIN = 621071441]
• NORTH AMERICAN RISK SERVICES, INC. 401(K) PLAN [EIN = 133901415]
• NORTH AMERICAN CONTAINER CORPORATION 401(K) PROFIT SHARING PLAN AND TRUST [EIN = 580971873]
• NORTH AMERICAN WEATHER CONSULTANTS, INC. 401(K) PROFIT SHARING PLAN [EIN = 870635825]
• NORTH AMERICAN LIGHTING, INC. COMMAND PLUS PLAN [EIN = 371131470]
• NORTH AMERICAN CORPORATION OF ILLINOIS EMPLOYEE HEALTH INSURANCE PLAN [EIN = 364369474]
• NORTH AMERICAN COMMUNICATIONS RESOURCE, INC. GROUP TERM LIFE INSURANCE AND LONG TERM DISABILITY INSURANCE PLAN [EIN = 411763228]
• NORTH AMERICAN BANCSHARES, INC. 401(K) PLAN [EIN = 752013184]
• NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP GROUP DENTAL PLAN [EIN = 112923650]
• NORTH AMERICAN REFRACTORIES CO. SALARIED EMPLOYEES' PENSION PLAN [EIN = 310943770]
• NORTH AMERICAN SECURITY RETIREMENT PLAN [EIN = 954502871]
• NORTH AMERICAN ON-SITE, LLC [EIN = 271059633]
• NORTH AMERICAN TOOL CORPORATION 401(K) SAVINGS PLAN [EIN = 363438764]
• NORTH AMERICAN SCIENCE ASSOCIATES INC FLEXIBLE BENEFITS PLAN [EIN = 341020232]
• NORTH AMERICAN FAMILY INSTITUTE INC. RETIREMENT PLAN [EIN = 042921507]
• NORTH AMERICAN FLEET SALES, INC. DEFINED BENEFIT PENSION PLAN & TRUST [EIN = 593565544]
• NORTH AMERICAN LAWN & LANDSCAPE, LLC 401(K) PLAN [EIN = 061668671]
• NORTH AMERICAN HERITAGE SERVICES 401(K) PLAN [EIN = 030356103]
• NORTH AMERICAN TRADE SCHOOLS, INC PROFIT SHARING 401(K) PLAN [EIN = 202834877]
• NORTH AMERICAN TITLE GROUP, INC. & SUBSIDIARIES COMBINED HEALTH & WELFARE PLAN [EIN = 562523130]
• NORTH AMERICAN CREDIT SERVICES DENTAL PLAN [EIN = 621071441]
• NORTH AMERICAN HOGANAS UNION 401(K) PLAN [EIN = 510389733]
• NORTH AMERICAN SPRING & STAMPING CORP. UNION EMPLOYEES' PENSION PLAN [EIN = 362873946]
• NORTH AMERICAN SAVINGS BANK, F.S.B. SAVINGS AND RETIREMENT PLAN [EIN = 440373310]
• NORTH AMERICAN BANCARD GROUP HEALTH PLAN [EIN = 453514691]
• NORTH AMERICAN COMMERCIAL PARTS AND SERVICE, INC. 401(K) PLAN [EIN = 571176529]
• NORTH AMERICAN WHOLESALE FLORIST, INC. 401(K) PLAN [EIN = 460442865]
• NORTH AMERICAN RAILWAY SERVICE PROFIT SHARING PLAN [EIN = 720813772]
• NORTH AMERICAN WINDOW & DOOR CO. 401(K) PLAN [EIN = 232139352]
• NORTH AMERICAN ROOFING SERVICES, INC. 401(K) PLAN [EIN = 133724765]
• NORTH AMERICAN PUBLISHING COMPANY 401(K) PROFIT SHARING PLAN [EIN = 231472948]
• NORTH AMERICAN GOLDEN AGE FESTIVALS, INC. PROFIT SHARING PLAN [EIN = 222384711]
• NORTH AMERICAN PUBLISHING WELFARE BENEFITS PLAN [EIN = 231472948]
• NORTH AMERICAN CONTAINER CORPORATION HEALTH CARE PLAN [EIN = 580971873]
• NORTH AMERICAN HERITAGE SERVICES INC [EIN = 030356103]
• NORTH AMERICAN POWER GROUP LTD 401(K) PLAN [EIN = 841207696]
• NORTH AMERICAN BREWERIES, INC. EMPLOYEE WELFARE BENEFIT PLAN [EIN = 800301528]
• NORTH AMERICAN AUCTION COMPANY PROFIT SHARING PLAN [EIN = 450899904]
• NORTH AMERICAN ON-SITE 401(K) PLAN [EIN = 271059633]
• NORTH AMERICAN PET PRODUCTS PROFIT SHARING PLAN [EIN = 330660317]
• NORTH AMERICAN ROOFING SYSTEMS, INC. EMPLOYEE BENEFIT PLAN [EIN = 133724765]
• NORTH AMERICAN PRECIS SYNDICATE, INC. 401(K) PLAN [EIN = 131859958]
• NORTH AMERICAN HOGANAS, INC. EMPLOYEE BENEFITS PROGRAM [EIN = 232540690]
• NORTH AMERICAN COMPANIES 401(K) RETIREMENT PLAN [EIN = 450355620]
• NORTH AMERICAN ELECTRIC RELIABILITY CORPORATION SAVINGS AND INVESTMENT PLAN [EIN = 204821888]
• NORTH AMERICAN SYSTEMS 401K PLAN [EIN = 411766624]
• NORTH AMERICAN REFRIGERATION 401(K) PLAN [EIN = 593687751]
• NORTH AMERICAN SOCIETY OF PEDS 401 K PROFIT SHARING PLAN TRUST [EIN = 841264966]
• NORTH AMERICAN BUILDINGS 401(K) PLAN [EIN = 043709415]
• NORTH AMERICAN CARRIER GROUP, L.L.C. 401(K) PLAN [EIN = 680401863]
• NORTH AMERICAN JOURNEYS DEFINED BENEFIT PENSION PLAN [EIN = 680436037]
• NORTH AMERICAN SIGNS, INC. 401(K) PLAN FOR UNION EMPLOYEES [EIN = 351262888]
• NORTH AMERICAN MONEY ORDER 401K PLAN [EIN = 581843708]
• NORTH AMERICAN CLUTCH & DRIVELINE, INC. PROFIT SHARING AND 401(K) PLAN [EIN = 362809683]
• NORTH AMERICAN WARHORSE 401K PLAN [EIN = 233047289]
• NORTH AMERICAN AMBULANCE ALLIANCE GROUP RETIREMENT PLAN [EIN = 246020996]
• NORTH AMERICAN PLYWOOD CORPORATION OF CALIFORNIA 401(K)/PROFIT SHARING PLAN [EIN = 952028762]
• NORTH AMERICAN STATE BANK 401(K) PROFIT SHARING PLAN [EIN = 410445590]
• NORTH AMERICAN SPARES, LTD. 401(K) PROFIT SHARING PLAN [EIN = 954347905]
• NORTH AMERICAN AMBULANCE ALLIANCE GROUP RETIREMENT PLAN [EIN = 251423189]
• NORTH AMERICAN WORLD TRADE GROUP 401(K) PLAN [EIN = 931074041]
• NORTH AMERICAN HOSTS INC 401 K PROFIT SHARING PLAN TRUST [EIN = 260469034]
• NORTH AMERICAN RURAL HEALTH SE 401 K PROFIT SHARING PLAN TRUST [EIN = 431693343]
• NORTH AMERICAN GREEN, INC. SAVINGS AND RETIREMENT PLAN [EIN = 351624650]
• NORTH AMERICAN INTERPIPE, INC. 401(K) PLAN [EIN = 760668455]
• NORTH AMERICAN LINEMAN TRAINING CENTER 401(K) PROFIT SHARING PLAN & TRUST [EIN = 205370860]
• NORTH AMERICAN SEAL AND SUPPLY, INC. 401K PROFIT SHARING PLAN AND TRUST [EIN = 341355106]
• NORTH AMERICAN TECHNICAL SERVI 401 K PROFIT SHARING PLAN TRUST [EIN = 202033492]
• NORTH AMERICAN REALTY INVESTMENT & DEVELOPMENT, INC. 401K PLAN [EIN = 953170698]
• NORTH AMERICAN ELEVATOR INC 401 K PROFIT SHARING PLAN TRUST [EIN = 421764449]
• NORTH AMERICAN AMBULANCE ALLIANCE GROUP RETIREMENT PLAN [EIN = 251481574]
• NORTH AMERICAN CONSTRUCTION CO 401K PROFIT SHARING PLAN & TRUST [EIN = 351505121]
• NORTH AMERICAN LIMOUSIN FOUNATION 401K PLAN [EIN = 840591215]
• NORTH AMERICAN HOSE & FITTINGS, LLC 401(K) PROFIT SHARING PLAN [EIN = 200320680]
• NORTH AMERICAN CONTRACTORS, INC. 401(K) P/S PLAN [EIN = 061645654]
• NORTH AMERICAN AIR CHARTER, INC. 401(K) PROFIT SHARING PLAN [EIN = 113089048]
• NORTH AMERICAN BENEFITS COMPANY 401(K) PLAN [EIN = 232682285]
• NORTH AMERICAN POWER 401(K) PLAN [EIN = 271077320]
• NORTH AMERICAN CRONITE, INC. EMPLOYEE SAVINGS & RETIREMENT PLAN [EIN = 341195191]
• NORTH AMERICAN FOOD DISTRIBUTING CO., INC. PROFIT SHARING PLAN [EIN = 941717567]
• NORTH AMERICAN ASSEMBLY, LLC 401(K) RETIREMENT PLAN [EIN = 383477024]
• NORTH AMERICAN ARMS, INC. 401(K) PROFIT SHARING PLAN [EIN = 870500601]
• NORTH AMERICAN AMBULANCE ALLIANCE GROUP RETIREMENT PLAN [EIN = 232464545]
• NORTH AMERICAN AMBULANCE ALLIANCE GROUP RETIREMENT PLAN [EIN = 251346114]
• NORTH AMERICAN SLEEP MANAGEMENT, LLC 401(K) PROFIT SHARING PLAN [EIN = 451984480]
• NORTH AMERICAN INTERNATIONAL 401 K PROFIT SHARING PLAN TRUST [EIN = 223230208]
• NORTH AMERICAN JEWELERS,INC 401(K) PLAN [EIN = 363467765]
• NORTH AMERICAN AMBULANCE ALLIANCE GROUP RETIREMENT PLAN [EIN = 480791872]
• NORTH AMERICAN RESCUE, LLC 401(K) RETIREMENT PLAN [EIN = 271024029]
• NORTH AMERICAN BEAR CO., INC. CROSS-TESTED 401(K) PLAN [EIN = 363108627]
• NORTH AMERICAN MEAT INSTITUTE 401(K) PLAN [EIN = 900811732]
• NORTH AMERICAN CHEMICAL SERVICES INC. 401(K) PLAN [EIN = 452768289]
• NORTH AMERICAN HOME SERVICES 401(K) PLAN [EIN = 680211502]
• NORTH AMERICAN COLOR, INC EMPLOYEE INVESTMENT PLAN [EIN = 382355887]
• NORTH AMERICAN AMBULANCE ALLIANCE GROUP RETIREMENT PLAN [EIN = 310900981]
• NORTH AMERICAN BREEDERS, INC. PROFIT SHARING PLAN [EIN = 540887309]
• NORTH AMERICAN PLASTICS AND CHEMICALS EMPLOYEES PROFIT SHARING RETIREMENT PLAN AND TRUST [EIN = 341152503]
• NORTH AMERICAN HOLDING, INC. SAVINGS AND RETIREMENT PLAN [EIN = 540743077]
• NORTH AMERICAN TRAINING & LOGISTICS, INC. 401(K) PLAN [EIN = 202815207]
• NORTH AMERICAN INDUSTRIES UNION EMPLOYEE 401K PLAN [EIN = 263887773]
• NORTH AMERICAN CONSULTANTS PROFIT SHARING PLAN [EIN = 760505257]
• NORTH AMERICAN PEDIATRIC RENAL 401 K PROFIT SHARING PLAN TRUST [EIN = 311673897]
• NORTH AMERICAN TRADE SHOWS, INC. 401(K) SAVINGS PLAN [EIN = 411639143]
• NORTH AMERICAN TECHNICIAN EXCELLENCE 401(K) PLAN [EIN = 752705796]
• NORTH AMERICAN ELECTRIC, INC 401(K) PLAN [EIN = 521244831]
• NORTH AMERICAN FENCING CORP. 401(K) PLAN [EIN = 251203742]
• NORTH AMERICAN PROPERTY CORPORATION 401(K) PLAN [EIN = 980051015]
• NORTH AMERICAN CABLE EQUIPMENT 401 K PROFIT SHARING PLAN TRUST [EIN = 232692118]
• NORTH AMERICAN AUTO EQUIPMENT 401 K PROFIT SHARING PLAN TRUST [EIN = 275438429]
• NORTH AMERICAN GEAR & FORGE 401(K) PLAN [EIN = 272824352]
• NORTH AMERICAN EQUIPMENT 401(K) [EIN = 020505581]
• NORTH AMERICAN STEEL ALLIANCE 401(K) PROFIT SHARING PLAN [EIN = 364119061]
• NORTH AMERICAN SALES ASSOCIATES, INC. PROFIT SHARING PLAN & TRUST [EIN = 364358326]
• NORTH AMERICAN ELECTRIC, INC. 401(K) SAVINGS & PROFIT SHARING PLAN [EIN = 593203473]
• NORTH AMERICAN RAILWAY FOUNDATION RETIREMENT PLAN [EIN = 251801614]
• NORTH AMERICAN PRECISION METALS, INC. DEFINED BENEFIT PLAN [EIN = 743130679]
• NORTH AMERICAN MANAGEMENT CORP. 401(K) PROFIT SHARING PLAN [EIN = 042306308]
• NORTH AMERICAN ENVIROTHON 403(B) PLAN [EIN = 300367267]
• NORTH AMERICAN FIRE EQUIPMENT, INC. 401(K) RETIREMENT PLAN [EIN = 630725655]
• NORTH AMERICAN METALS, INC. SAFE HARBOR 401(K) PLAN [EIN = 760222410]
• NORTH AMERICAN MONTESSORI 401(K) PROFIT SHARING PLAN [EIN = 431296220]
• NORTH AMERICAN AUTOMOTIVE GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST [EIN = 262253602]
• NORTH AMERICAN SAFETY VALVE INDUSTRIES, INC. SAVINGS PLAN [EIN = 431256680]
• NORTH AMERICAN DIVERSIFIED INC 401 K PROFIT SHARING PLAN TRUST [EIN = 953485071]
• NORTH AMERICAN MILLWRIGHT SERVICES, INC 401(K) [EIN = 521600749]
• NORTH AMERICAN IDEON LLC 401 K PROFIT SHARING PLAN TRUST [EIN = 263686449]
• NORTH AMERICAN RAIL SOLUTIONS, LLC 401K PLAN [EIN = 201361479]
• NORTH AMERICAN INSULATION MANUFACTURERS ASSOC 401(K) PLAN [EIN = 131087340]
• NORTH AMERICAN INTERCONNECT, LLC 401K PLAN [EIN = 743043048]
• NORTH AMERICAN WAREHOUSING COMPANY 401K PLAN [EIN = 364156539]
• NORTH AMERICAN POWER SYSTEMS, LLC 401(K) PLAN [EIN = 383528169]
• NORTH AMERICAN ASSOCIATION FOR ENVIRONMENTAL EDUCATION RETIREMENT PLAN [EIN = 237158061]
• NORTH AMERICAN HOCKEY LEAGUE 401(K) PLAN [EIN = 383203750]
• NORTH AMERICAN MANAGEMENT 401(K) PLAN [EIN = 541696101]
• NORTH AMERICAN PLASTICS RETIREMENT PLAN [EIN = 020365622]
• NORTH AMERICAN FILTER CORPORATION EMPLOYEES RETIREMENT SAVINGS AND P/S PLAN [EIN = 161224290]
• NORTH AMERICAN ADVANCED TECHNOLOGIES, INC. 401(K) PLAN [EIN = 943310421]
• NORTH AMERICAN FABRICATION CO. 401(K) PROFIT SHARING PLAN [EIN = 363232906]
• NORTH AMERICAN TEXTILE CORP 401K PLAN [EIN = 954293102]
• NORTH AMERICAN WHOLESALE LUMBER ASSOCIATION 401(K) PLAN [EIN = 131084090]
• NORTH AMERICAN TRADE SCHOOLS, INC. PROFIT SHARING 401K PLAN [EIN = 202834877]
• NORTH AMERICAN QUITLINE CONSORTIUM 401(K) PLAN [EIN = 270142713]
• NORTH AMERICAN AMBULANCE ALLIANCE GROUP RETIREMENT PLAN [EIN = 227233570]
• NORTH AMERICAN TRADE COMPANY 401(K) PROFIT SHARING PLAN &TRUST DBA NORAMCO 401(K) PLAN [EIN = 760131454]
• NORTH AMERICAN UNDERWRITERS, INC. SECTION 401(K) PROFIT SHARING PLAN [EIN = 060841347]
• NORTH AMERICAN MAILING SERVICES 401(K) SAVINGS PLAN [EIN = 200209576]
• NORTH AMERICAN THEATRIX [EIN = 061396388]
• NORTH AMERICAN CINEMAS, INC. 401(K) PROFIT SHARING PLAN [EIN = 942184124]
• NORTH AMERICAN ROOFERS INC 401 K PROFIT SHARING PLAN TRUST [EIN = 232753350]
• NORTH AMERICAN SIGNS, INC. DEFERRED COMPENSATION PLAN AND TRUST [EIN = 351262888]
• NORTH AMERICAN AMBULANCE ALLIANCE GROUP RETIREMENT PLAN [EIN = 251366982]
• NORTH AMERICAN MACHINE WORKS, INC. 401K PROFIT SHARING PLAN [EIN = 231878804]
• NORTH AMERICAN WASTE SOLUTIONS 401K PROFIT SHARING PLAN TRUST [EIN = 452336799]
• NORTH AMERICAN DISMANTLING CORPORATION PROFIT SHARING PLAN [EIN = 382551338]
• NORTH AMERICAN PLANTS, INC. 401(K) PLAN [EIN = 931241461]
• NORTH AMERICAN ENTERTAINMENT GROUP, INC. PROFIT SHARING PLAN [EIN = 061464231]
• NORTH AMERICAN PLASTIC MANUFACTURING 401(K) PLAN [EIN = 061130362]
• NORTH AMERICAN AMBULANCE ALLIANCE GROUP RETIREMENT PLAN [EIN = 202302642]
• NORTH AMERICAN COLD STORAGE, INC. 401(K) PLAN [EIN = 463927349]
• NORTH AMERICAN AMBULANCE ALLIANCE GROUP RETIREMENT PLAN [EIN = 251304338]
• NORTH AMERICAN CLUTCH CORP. 401(K) PROFIT SHARING PLAN [EIN = 390986212]
• NORTH AMERICAN MEAT INSTITUTE 457F PLAN [EIN = 900811732]
• NORTH AMERICAN FIRE HOSE CORPORATION 401(K) PLAN [EIN = 953564495]
• NORTH AMERICAN BLUEBERRY COUNCIL 401K PROFIT SHARING PLAN [EIN = 386144292]
• NORTH AMERICAN INSURANCE AGENCY RETIREMENT PLAN [EIN = 720761691]
• NORTH AMERICAN TRAILER, LLC 401(K) PLAN [EIN = 203681703]
• NORTH AMERICAN MARKETING TOURS INC. 401(K) PLAN [EIN = 223445103]
• NORTH AMERICAN CAST STONE INC. 401K PLAN [EIN = 820565022]
• NORTH AMERICAN FILTRATION, INC. AND SUBSIDIARIES 401(K) PLAN [EIN = 582320866]
• NORTH AMERICAN ASSEMBLIES LLC 401 K PROFIT SHARING PLAN TRUST [EIN = 113704331]
• NORTH AMERICAN ASSEMBLY LLC CASH BALANCE PLAN [EIN = 383477024]
• NORTH AMERICAN INS CONSULTANTS INC 401K PLAN [EIN = 593042180]
• NORTH AMERICAN AUTOMOTIVE GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST [EIN = 582192899]
• NORTH AMERICAN SOLAR LLC 401 K PROFIT SHARING PLAN TRUST [EIN = 464525279]
• NORTH AMERICAN PLASTICS EMPLOYEE RETIREMENT PLAN [EIN = 341152503]
• NORTH AMERICAN MFG INC RETIREMENT SAVINGS PLAN [EIN = 351907137]
• NORTH AMERICAN KITCHEN SOLUTIONS, INC. 401(K) PROFIT SHARING PLAN [EIN = 811763278]
• NORTH AMERICAN MILLWORK PROFIT SHARING PLAN [EIN = 463071874]
• NORTH AMERICAN SURVEILLANCE SYSTEMS 401(K) PLAN [EIN = 264539926]
• NORTH AMERICAN LIGHTING SUPPLEMENTAL RETIREMENT PLAN [EIN = 371131470]
• NORTH AMERICAN AMBULANCE ALLIANCE GROUP RETIREMENT PLAN [EIN = 251590442]
• NORTH AMERICAN SIGNAL CO. 401(K) AND PROFIT SHARING PLAN [EIN = 363765787]
• NORTH AMERICAN AMBULANCE ALLIANCE GROUP RETIREMENT PLAN [EIN = 251337424]
• NORTH AMERICAN POLYSILICON 401 K PROFIT SHARING PLAN TRUST [EIN = 753226911]
• NORTH AMERICAN CHROME & ALLOY 401(K) PLAN [EIN = 760485481]
• NORTH AMERICAN BREAKER CO., INC. PROFIT SHARING PLAN [EIN = 954645434]
• NORTH AMERICAN TRANSMISSION FORUM 401(K) PLAN [EIN = 270570089]
• NORTH AMERICAN BIOPRODUCTS CORPORATION 401(K) PLAN [EIN = 010561370]
• NORTH AMERICAN ALLOYS, INC. RETIREMENT PLAN [EIN = 954207646]
• NORTH AMERICAN INC 401K PLAN [EIN = 610870057]
• NORTH AMERICAN AMBULANCE ALLIANCE GROUP RETIREMENT PLAN [EIN = 251513894]
• NORTH AMERICAN PENSION SERVICES, LLC 401(K) PLAN [EIN = 412152077]
• NORTH AMERICAN BROADCASTING COMPANY, INC. PROFIT SHARING TRUST [EIN = 314420684]
• NORTH AMERICAN WIRE ROPE & SUPPLY, INC. 401K PLAN [EIN = 880361700]
• NORTH AMERICAN INDIAN CENTER 401 K PROFIT SHARING PLAN TRUST [EIN = 043132204]
• NORTH AMERICAN FUR 401(K) PLAN AND TRUST [EIN = 222992428]
• NORTH AMERICAN CRANE COMPANY 401(K) PLAN [EIN = 330918857]
• NORTH AMERICAN SOCIETY FOR TRE 401 K PROFIT SHARING PLAN TRUST [EIN = 363727335]
• NORTH AMERICAN SERVICES, INC. RETIREMENT SAVINGS PLAN [EIN = 770174125]
• NORTH AMERICAN PRODUCTION SHARING, INC. PROFIT SHARING PLAN [EIN = 330486327]
• NORTH AMERICAN MISSION BOARD OF THE SOUTHERN BAPTIST CONVENTION RETIREMENT PLAN [EIN = 582379481]
• NORTH AMERICAN FLIGHT SERVICES, INC. 401(K) PLAN [EIN = 141821451]
• NORTH AMERICAN NATURAL RESOURCES 401(K) PLAN [EIN = 561922689]
• NORTH AMERICAN INTERNATIONAL CASH BALANCE PLAN [EIN = 223230208]
• NORTH AMERICAN MARKETING TOURS INC. PENSION PLAN [EIN = 223445103]
• NORTH AMERICAN AMBULANCE ALLIANCE GROUP RETIREMENT PLAN [EIN = 113679409]
• NORTH AMERICAN GRAPPLING ASSOCIATION, LLC 401(K) PLAN [EIN = 010606687]
• NORTH AMERICAN ENCLOSURES, INC. CASH OR DEFERRED PLAN & TRUST [EIN = 112015193]
• NORTH AMERICAN MARINE, INC. EMPLOYEES' PROFIT SHARING PLAN [EIN = 341022079]
• NORTH AMERICAN GRAPPLING ASSOCIATION, LLC PENSION PLAN [EIN = 010606687]
• NORTH AMERICAN TRADE COMPANY 401(K) PROFIT SHARIN PLAN AND TRUST DBA NORAMCO 401K PLAN [EIN = 760131454]
• NORTH AMERICAN PROFESSIONAL 401(K) PROFIT SHARING PLAN [EIN = 043545919]
• NORTH AMERICAN TRANSPORT CONCEPTS 401(K) PROFIT SHARING PLAN [EIN = 752478918]
• NORTH AMERICAN CONVEYOR, INC. PROFIT SHARING PLAN [EIN = 953023202]
• NORTH AMERICAN DUTY FREE, INC. PENSION PLAN [EIN = 592736883]
• NORTH AMERICAN COMMUNICATIONS RESOURCE, INC. GROUP DENTAL PLAN [EIN = 411763228]
• NORTH AMERICAN FOREST PRODUCTS, INC. HEALTH & WELFARE BENEFIT PLAN [EIN = 382896089]
• NORTH AMERICAN AIRCRAFT 401(K) PROFIT SHARING PLAN AND TRUST [EIN = 742692340]
• NORTH AMERICAN ENERGY ALLIANCE, LLC 401(K) PLAN [EIN = 352318182]
• NORTH AMERICAN FAMILY INSTITUTE INC 403B PLAN [EIN = 042921507]
• NORTH AMERICAN FOREST PRODUCTS, INC. 401K PSP [EIN = 382896089]
• NORTH AMERICAN MEMBERSHIP GROUP HOLDINGS, INC RETIREMENT SAVINGS PLAN [EIN = 411327162]
• NORTH AMERICAN SAVINGS BANK FLEXIBLE BENEFIT PLAN FOR EMPLOYEES [EIN = 440373310]
• NORTH AMERICAN SIGNS, INC. [EIN = 351262888]
• NORTH AMERICAN INSURANCE TRUST PLAN FAMILY LIFE INSURANCE PLAN [EIN = 510152883]
• NORTH AMERICAN COMMUNICATIONS RESOURCE, INC. GROUP SHORT TERM DISABILITY, LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT PLAN [EIN = 411763228]
• NORTH AMERICAN BREWERIES EMPLOYEES' SAVINGS & INVESTMENT PLAN [EIN = 300535544]
• NORTH AMERICAN SPECIALTY GLASS, LLC 401(K) PLAN [EIN = 421671065]
• NORTH AMERICAN HOGANAS, INC. UNION 401(K) PLAN [EIN = 232540690]
• NORTH AMERICAN MEMBERSHIP GROUP HOLDINGS, INC. LIFE AND DISABILITY PLAN [EIN = 411322716]
• NORTH AMERICAN FAMILY INSTITUTE INC GROUP INSURANCECAFETERIA PLAN [EIN = 042921507]
• NORTH AMERICAN RISK SERVICES, INC. HEALTH & WELFARE BENEFIT PLAN [EIN = 133901415]
• NORTH AMERICAN CROP RETIREMENT PLAN [EIN = 473291823]
• NORTH AMERICAN VIDEO CORPORATION EMPLOYEE STOCK OWNERSHIP PLAN [EIN = 042534190]
• NORTH AMERICAN SERVICES GROUP 401(K) PROFIT SHARING PLAN [EIN = 141771951]
• NORTH AMERICAN PLANTS, INC. 401(K) PLAN [EIN = 272280833]
• NORTH AMERICAN HERITAGE SERVICES INC. LIFE PLAN [EIN = 030356103]
• NORTH AMERICAN POWER 401(K) PLAN [EIN = 454825499]
• NORTH AMERICAN CONSTRUCTION COMPANY, INC. 401(K) PLAN [EIN = 570707312]
• NORTH AMERICAN HOGANAS HOLDINGS, INC. EMPLOYEE BENEFITS PROGRAM [EIN = 510389733]
• NORTH AMERICAN TECHNOLOGY EXCHANGE, INC. 401(K) P/S PLAN [EIN = 841335241]
• NORTH AMERICAN DEED CO. 401(K) PLAN [EIN = 860888857]
• NORTH AMERICAN SITE SERVICES, LLC DBA ULTIMATE SERVICE ASSOCIATES 401(K) PLAN [EIN = 453697652]
• NORTH AMERICAN OFFICE SOLUTION 401 K PROFIT SHARING PLAN TRUST [EIN = 593694573]
• NORTH AMERICAN SWITCHGEAR, INC. 401(K) PLAN [EIN = 341442784]
• NORTH AMERICAN DENTAL MANAGEMENT, LLC DENTAL PLAN [EIN = 274348426]
• NORTH AMERICAN POINTE RETIREMENT PLAN [EIN = 471885824]
• NORTH AMERICAN HOGANAS, INC. EMPLOYEE BENEFITS PROGRAM [EIN = 252540690]
• NORTH AMERICAN SIGNS, INC. [EIN = 351262888]
• NORTH AMERICAN FAMILY INSTITUTE, INC. LIFE INSURANCE PLAN [EIN = 042921507]
• NORTH AMERICAN STAMPING GROUP WELFARE BENEFIT PLAN [EIN = 621750943]
• NORTH AMERICAN PRODUCTION SHARING, INC PROFIT SHARING PLAN [EIN = 330486327]
• NORTH AMERICAN MEMBERSHIP GROUP HOLDINGS, INC. CAFETERIA BENEFITS PLAN [EIN = 411951936]
• NORTH AMERICAN HOGANAS, INC. EMPLOYEE BENEFITS PROGRAM [EIN = 232540609]
• NORTH AMERICAN SUBSTATION SERVICES, LLC LIFE AND ADD PLAN [EIN = 261960401]
• NORTH AMERICAN AIRCRAFT SERVICES, INC. EMPLOYEE BENEFITS PLAN [EIN = 742692340]
• NORTH AMERICAN SUBSTATION SERVICES, LLC MEDICAL PLAN [EIN = 261960401]
• NORTH AMERICAN MEAT ASSOCIATION 401(K) PLAN [EIN = 900811732]
• NORTH AMERICAN SUBSTATION SERVICES, LLC SHORT-TERM DISABILITY PLAN [EIN = 261960401]
• NORTH AMERICAN SUBSTATION SERVICES, LLC LONG-TERM DISABILITY PLAN [EIN = 261960401]
• NORTH AMERICAN MEDICAL MANAGEMENT, INC. [EIN = 330673955]
• NORTH AMERICAN SUBSTATION SERVICES, LLC VOLUNTARY LIFE AND ADD PLAN [EIN = 261960401]
• NORTH AMERICAN SUBSTATION SERVICES, LLC VISION PLAN [EIN = 261960401]
• NORTH AMERICAN SUBSTATION SERVICES, LLC DENTAL PLAN [EIN = 261960401]
• NORTH AMERICAN BUS INDUSTRIES, INC. WELFARE BENEFIT PLAN [EIN = 521792099]
• NORTH AMERICAN MEDICAL MANAGEMENT, INC. [EIN = 330673955]
• NORTH AMERICAN BUS INDUSTRIES, INC. 401(K) PLAN [EIN = 521792099]
• NORTH AMERICAN MEMBERSHIP GROUP HOLDINGS, INC. LIFE AND DISABILITY PLAN [EIN = 411951936]
• NORTH AMERICAN REFRACTORIES COMPANY SALARIED EMPLOYEES' PENSION PLAN [EIN = 310943370]
• NORTH AMERICAN PRODUCTS EMPLOYEE BENEFIT PLAN [EIN = 202129737]
• NORTH AMERICAN PHOTO, INC. EMPLOYEE STOCK OWNERSHIP PLAN [EIN = 381844942]
• NORTH AMERICAN PRECAST LLC [EIN = 261807010]
• NORTH AMERICAN GALVANIZING AND COATINGS INC. GROUP BENEFIT PLAN [EIN = 710268502]
• NORTH AMERICAN AIRLINES 401(K) SAVINGS PLAN [EIN = 330358792]
• NORTH AMERICAN PAYROLL HOLDINGS, LLC 401(K) PROFIT SHARING PLAN [EIN = 461628222]
• NORTH AMERICAN ENERGY I LLC 401K PLAN [EIN = 475383173]
• NORTH AMERICAN UTILITY SOLUTIONS LLC SOCA BENEFIT PLAN [EIN = 810873580]
• NORTH AMERICAN FUNDING CORP 401(K) PROFIT SHARING PLAN [EIN = 363774705]
• NORTH AMERICAN TRAVELER EMPLOYEE RETIREMENT PLAN [EIN = 205283885]
• NORTH AMERICAN GOLF PROPERTIES, L.L.C. 401(K) PROFIT SHARING PLAN [EIN = 061462740]
• NORTH AMERICAN CONTROLS CORP. 401(K) PLAN [EIN = 742209594]
• NORTH AMERICAN TESTING ORGANIZATION 401(K) PROFIT SHARING PLAN [EIN = 954756501]
• NORTH AMERICAN STEEL SHEET PILING ASSOC.401(K) PSP [EIN = 582678429]
• NORTH AMERICAN PROFESSIONAL AUDIO 401(K) PROFIT SHARING PLAN & TRUST [EIN = 470867248]
• NORTH AMERICAN AUTO NET, INC. 401(K) PLAN [EIN = 581785829]
• NORTH AMERICAN ENERGY SERVICES COMPANY BLACKHAWK PENSION EQUITY PLAN FOR BARGAINING UNIT EMPLOYEES [EIN = 911111672]
• NORTH AMERICAN GALVANIZING SAVINGS-INVESTMENT- RETIREMENT PLAN [EIN = 710268502]
• NORTH AMERICAN PARTS DISTRIBUTORS, INC. 401(K) PLAN [EIN = 222701953]
• NORTH AMERICAN REALTY INC PENSION PLAN AND TRUST [EIN = 411223548]
• NORTH AMERICAN ENERGY SERVICES COMPANY RETIREMENT SAVINGS PLAN [EIN = 911111672]
• NORTH AMERICAN GALVANIZING AND COATINGS INC. LIFE AND DISABILITY PLAN [EIN = 710268502]
• NORTH AMERICAN LIGHTING INC FLEXIBLE BENEFIT PLAN [EIN = 371131470]
• NORTH AMERICAN RAILNET, INC. 401(K) P/S PLAN [EIN = 752669022]
• NORTH AMERICAN FIRE EQUIPMENT, INC. 401(K) RETIREMENT PLAN [EIN = 620725655]
• NORTH AMERICAN LOGISTICS GROUP LLC 401(K) PLAN [EIN = 472888920]
• NORTH AMERICAN INSURANCE GROUP [EIN = 650968533]
• NORTH AMERICAN SECURITY AND INVESTIGATIONS, INC. RETIREMENT PLAN [EIN = 954502871]
• NORTH AMERICAN CROP RETIREMENT SAVINGS PLAN [EIN = 473291823]
• NORTH AMERICAN SECURITY & INVESTIGATIONS, INC. HEALTH & WELFARE PLAN [EIN = 202054660]
• NORTH AMERICAN FIRE HOSE CORPORATION 401(K) PLAN [EIN = 953564494]
• NORTH AMERICAN FUEL CORPORATION 401(K) PLAN [EIN = 262500067]
• NORTH AMERICAN FASTENER CBWV BENEFITL PLAN [EIN = 550667775]
• NORTH AMERICAN MONTESSORI CHILD CARE INC.401(K) PROFIT SHARING PLAN [EIN = 431296220]
• NORTH AMERICAN INVESTIGATIONS INC 401(K) PLAN [EIN = 113134704]
• NORTH AMERICAN SHIPPING AGENCI 401(K) PROFIT SHARING PLAN & TRUST [EIN = 454021689]
• NORTH AMERICAN GEOTHERMAL LLC 401(K) PROFIT SHARING PLAN & TRUST [EIN = 452652548]
• NORTH AMERICAN FORENSIC ACCOUNT PC 401(K) PROFIT SHARING PLAN [EIN = 474108136]
• NORTH AMERICAN SEALING SOLUTIO 401(K) PROFIT SHARING PLAN & TRUST [EIN = 272571976]
• NORTH AMERICAN TRANSPORT CO [EIN = 911194000]
• NORTH AMERICAN BROADCASTING COMPANY, INC SOCA BENEFIT PLAN [EIN = 314420684]
• NORTH AMERICAN MIDWAY ENTERTAINMENT 401(K) PLAN [EIN = 201838277]
• NORTH AMERICAN RESCUE, LLC EMPLOYEE BENEFITS PLAN [EIN = 271024029]
• NORTH AMERICAN COMMERCIAL TIRE RESOURCES, INC [EIN = 341083310]
• NORTH AMERICAN PACKAGING, LLC DBA ECONO-PAK 401K PROFIT SHARING PLAN AND TRUST [EIN = 201305068]
• NORTH AMERICAN PLANT HEALTH WELFARE PLAN [EIN = 272280833]
• NORTH AMERICAN LOGISTICS MEDICAL PLAN [EIN = 472888920]
• NORTH AMERICAN LOGISTICS WELFARE BENEFIT PLAN [EIN = 472888920]
• NORTH AMERICAN PARTNERS IN ANESTHESIA OF NEW JERSEY, LLC GROUP HEALTH PLAN [EIN = 262306566]
• NORTH AMERICAN PARTNERS IN ANESTHESIA (MARYLAND), LLC GROUP HEALTH PLAN [EIN = 680506823]
• NORTH AMERICAN PARTNERS IN ANESTHESIA (CT) P.C. GROUP HEALTH PLAN [EIN = 060903697]
• NORTH AMERICAN SECURITY, INC. HEALTH AND WELFARE PLAN [EIN = 954502871]
• NORTH AMERICAN UNIVERSITY 403(B) RETIREMENT PLAN [EIN = 208825983]
• NORTH AMERICAN UNIVERSITY 403(B) RETIREMENT PLAN [EIN = 208825983]
• NORTH AMERICAN ADVANCED TECHNOLOGIES DEFINED BENEFIT PLAN [EIN = 943310421]
• NORTH AMERICAN MILLERS ASSOCIATION 401(K) PLAN [EIN = 361486340]
• NORTH AMERICAN PET [EIN = 330660317]
• NORTH AMERICAN TRADE AND EXPORT INC. 401(K) P/S PLAN [EIN = 460601057]
• NORTH AMERICAN GRAPHICS SERVICES, LLC 401(K) SALARY REDUCTION PLAN & TRUST [EIN = 853477539]
• NORTH AMERICAN HERITAGE SERVICES HEALTH AND WELFARE PLAN [EIN = 030356103]
• NORTH AMERICAN MOTORCAR LLC - 401(K) [EIN = 821466608]
• NORTH AMERICAN STONE, INC. 401(K) PLAN [EIN = 651237692]
• NORTH AMERICAN TOOL CORPORATION 401(K) SAVINGS PLAN [EIN = 843878837]
• NORTH AMERICAN CAMP TRUST INC 401(K) PROFIT SHARING PLAN & TRUST [EIN = 813572035]
• NORTH AMERICAN FINANCIAL CORP. 401(K) PLAN [EIN = 270278355]
• NORTH AMERICAN PROPERTIES LIFE & DISABILITY PLAN [EIN = 310615626]
• NORTH AMERICAN RETAILING CONSULTANTS, LLC INDIVIDUAL 401(K) PLAN [EIN = 202702432]
• NORTH AMERICAN GOOD LIFE 401K PROFIT SHARING PLAN [EIN = 463203727]
• NORTH AMERICAN PLANTS VISION PLAN [EIN = 272280833]
• NORTH AMERICAN PLANT ANCILLIARY PLAN [EIN = 272280833]
• NORTH AMERICAN SUBROGATION LLC 401(K) PLAN [EIN = 364769059]
• NORTH AMERICAN PETROLEUM STORE, LLC 401(K) PLAN [EIN = 471610198]
• NORTH AMERICAN HOLDINGS, INC. HEALTH AND WELFARE WRAP PLAN [EIN = 301081818]
• NORTH AMERICAN TRACK 401(K) PLAN [EIN = 461111264]
• NORTH AMERICAN PROPERTIES LIFE & DISABILITY PLAN [EIN = 854273442]
• NORTH AMERICAN MEDIA 401(K) PLAN [EIN = 853289687]
• NORTH AMERICAN CRANE BUREAU GR 401(K) PROFIT SHARING PLAN & TRUST [EIN = 593534486]
• NORTH AMERICAN TAPES, LLC 401(K) PLAN [EIN = 437659180]
• NORTH AMERICAN FUEL TANK 401(K) PLAN [EIN = 465735010]
• NORTH AMERICAN FOOD PROFIT SHARING/401 K PLAN [EIN = 941717567]
• NORTH AMERICAN TRAINING SOLUTIONS INC. 401K PLAN [EIN = 473425303]
• NORTH AMERICAN ENERGY I, INC. 401(K) PLAN [EIN = 871231442]
• NORTH AMERICAN PROPERTIES BUSINESS TRAVEL ACCIDENT PLAN [EIN = 310615626]
• NORTH AMERICAN PROPERTIES LLC RETIREMENT SAVINGS PLAN [EIN = 854273442]
• NORTH AMERICAN MEDICAL INDIVIDUAL 401(K) PLAN [EIN = 203599628]
• NORTH AMERICAN BUILDERS SUPPLY INC 401K PLAN [EIN = 830934422]
• NORTH AMERICAN PROPERTIES BUSINESS TRAVEL ACCIDENT PLAN [EIN = 854273442]
• NORTH AMERICAN FIRE PROTECTION CBIN BENEFIT PLAN [EIN = 871953042]
• NORTH AMERICAN SUSTAINABLE REFRIGERATION COUNCIL 401(K) PLAN [EIN = 474473961]
• NORTH AMERICAN 3RS COLLABORATIVE 401(K) PLAN [EIN = 815084899]
• NORTH AMERICAN MANUFACTURING CORP.401(K) PROFIT SHARING PLAN AND TRUST [EIN = 422572740]
• NORTH AMERICAN WHOLESALERS LLC 401K PLAN [EIN = 205919076]
• NORTH AMERICAN SOLUTIONS LLC SOCA BENEFIT PLAN [EIN = 452336799]
• NORTH AMERICAN LTC 401(K) PLAN [EIN = 472445692]
• NORTH AMERICAN FUEL TANK 401(K) PLAN [EIN = 454884808]
• NORTH AMERICAN CONSULTING SVCS 401(K) PLAN [EIN = 550770179]
• NORTH AMERICAN REFRIGERATION 401(K) PLAN [EIN = 862196895]
• NORTH AMERICAN INFRARED, INC. 401(K) PROFIT SHARING PLAN [EIN = 461982892]
• NORTH AMERICAN PROCUREMENT COMPANY INC. 401(K) PLAN [EIN = 200410826]
• NORTH AMERICAN TRADITIONAL INDIGENOUS FOOD SYSTEMS 403(B) PLAN [EIN = 820613944]
• NORTH AMERICAN ENVIRONMENTAL SOCA BENEFIT PLAN [EIN = 810584090]
• NORTH AMERICAN WHOLESALE FLORIST, INC. EMPLOYEE STOCK OWNERSHIP 401(K) PLAN [EIN = 460442865]
• NORTH AMERICAN ARMS, INC. EMPLOYEE STOCK OWNERSHIP PLAN [EIN = 870500601]
• NORTH AMERICAN FILTRATION, INC. AND SUBSIDIARIES 401(K) PLAN [EIN = 874393736]