EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 401k Plan overview

Plan Name	EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION
Plan identification number	502

EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION Benefits

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

401k Sponsoring company profile

CTS CORPORATION EMPLOYEES HEALTH PLAN ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name:	CTS CORPORATION EMPLOYEES HEALTH PLAN ASSOCIATION
Employer identification number (EIN):	310930471
NAIC Classification:	334410

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2022-01-01	LISA POLEZOES	2023-07-19
502	2021-01-01	LISA POLEZOES	2022-07-26
502	2020-01-01	CAPRICE PEREZ	2021-07-13
502	2019-01-01	CAPRICE PEREZ	2020-07-15
502	2018-01-01
502	2017-01-01
502	2016-01-01	ASHISH AGRAWAL
502	2015-01-01	ASHISH AGRAWAL
502	2014-01-01	ASHISH AGRAWAL
502	2013-01-01	ASHISH AGRAWAL
502	2012-01-01	VERNON PITCHER		ASHISH AGRAWAL	2013-10-07
502	2011-01-01	VERNON J. PITCHER		SCOTT A. BOWMAR	2012-11-13
502	2009-01-01	VERNON PITCHER		MATTHEW LONG	2010-11-09
502	2009-01-01	VERNON PITCHER		MATTHEW LONG	2010-10-14
502	2009-01-01	VERNON PITCHER		DONNA BELUSAR	2011-09-12

Plan Statistics for EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION

401k plan membership statisitcs for EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION

Measure	Date	Value
2022: EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2022 401k membership
Total participants, beginning-of-year	2022-01-01	1,345
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	527
Number of retired or separated participants receiving benefits	2022-01-01	801
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	1,328
Number of employers contributing to the scheme	2022-01-01	0
2021: EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2021 401k membership
Total participants, beginning-of-year	2021-01-01	1,379
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	533
Number of retired or separated participants receiving benefits	2021-01-01	812
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	1,345
2020: EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2020 401k membership
Total participants, beginning-of-year	2020-01-01	536
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	494
Number of retired or separated participants receiving benefits	2020-01-01	839
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	1,333
2019: EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2019 401k membership
Total participants, beginning-of-year	2019-01-01	439
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	447
Number of retired or separated participants receiving benefits	2019-01-01	868
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	1,315
2018: EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2018 401k membership
Total participants, beginning-of-year	2018-01-01	1,718
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	645
Number of retired or separated participants receiving benefits	2018-01-01	1,056
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	1,701
2017: EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1,506
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	502
Number of retired or separated participants receiving benefits	2017-01-01	1,062
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	1,564
2016: EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1,676
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	680
Number of retired or separated participants receiving benefits	2016-01-01	929
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	1,609
2015: EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,732
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	722
Number of retired or separated participants receiving benefits	2015-01-01	8
Number of other retired or separated participants entitled to future benefits	2015-01-01	954
Total of all active and inactive participants	2015-01-01	1,684
2014: EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,905
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	707
Number of retired or separated participants receiving benefits	2014-01-01	16
Number of other retired or separated participants entitled to future benefits	2014-01-01	1,009
Total of all active and inactive participants	2014-01-01	1,732
2013: EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2013 401k membership
Total participants, beginning-of-year	2013-01-01	2,354
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	750
Number of retired or separated participants receiving benefits	2013-01-01	47
Number of other retired or separated participants entitled to future benefits	2013-01-01	1,108
Total of all active and inactive participants	2013-01-01	1,905
2012: EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2,414
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,218
Number of retired or separated participants receiving benefits	2012-01-01	26
Number of other retired or separated participants entitled to future benefits	2012-01-01	1,110
Total of all active and inactive participants	2012-01-01	2,354
2011: EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2,474
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,259
Number of retired or separated participants receiving benefits	2011-01-01	13
Number of other retired or separated participants entitled to future benefits	2011-01-01	1,142
Total of all active and inactive participants	2011-01-01	2,414
2009: EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2,636
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,231
Number of retired or separated participants receiving benefits	2009-01-01	28
Number of other retired or separated participants entitled to future benefits	2009-01-01	1,298
Total of all active and inactive participants	2009-01-01	2,557
Total participants	2009-01-01	2,557

Financial Data on EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION

Measure	Date	Value
2016 : EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$8,256,250
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$8,344,821
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$7,641,290
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$8,255,986
Value of total assets at end of year	2016-12-31	$0
Value of total assets at beginning of year	2016-12-31	$88,571
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$703,531
Total interest from all sources	2016-12-31	$264
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$3,304,898
Total non interest bearing cash at end of year	2016-12-31	$0
Total non interest bearing cash at beginning of year	2016-12-31	$533
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$-88,571
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$88,571
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$88,038
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$88,038
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$264
Expenses. Payments to insurance carriers foe the provision of benefits	2016-12-31	$2,011,715
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$4,951,088
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$5,629,575
Contract administrator fees	2016-12-31	$703,531
Did the plan have assets held for investment	2016-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	GRANT THORNTON LLP
Accountancy firm EIN	2016-12-31	366055558
2015 : EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$7,782,329
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$8,702,877
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$7,987,051
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$7,782,209
Value of total assets at end of year	2015-12-31	$88,571
Value of total assets at beginning of year	2015-12-31	$1,009,119
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$715,826
Total interest from all sources	2015-12-31	$120
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Administrative expenses professional fees incurred	2015-12-31	$20,000
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$3,071,222
Administrative expenses (other) incurred	2015-12-31	$111,794
Total non interest bearing cash at end of year	2015-12-31	$533
Total non interest bearing cash at beginning of year	2015-12-31	$2,935
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-920,548
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$88,571
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$1,009,119
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$88,038
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$1,006,184
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$1,006,184
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$120
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$1,720,133
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$4,710,987
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$6,266,918
Contract administrator fees	2015-12-31	$584,032
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	GRANT THORNTON LLP
Accountancy firm EIN	2015-12-31	366055558
2014 : EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$8,159,861
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$7,542,811
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$6,952,649
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$8,159,505
Value of total assets at end of year	2014-12-31	$1,009,119
Value of total assets at beginning of year	2014-12-31	$392,069
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$590,162
Total interest from all sources	2014-12-31	$356
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Administrative expenses professional fees incurred	2014-12-31	$14,399
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$3,562,349
Total non interest bearing cash at end of year	2014-12-31	$2,935
Total non interest bearing cash at beginning of year	2014-12-31	$777
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$617,050
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$1,009,119
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$392,069
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$1,006,184
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$391,292
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$391,292
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$356
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$1,899,015
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$4,597,156
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$5,053,634
Contract administrator fees	2014-12-31	$575,763
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	GRANT THORNTON LLP
Accountancy firm EIN	2014-12-31	366055558
2013 : EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$11,753,538
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$11,756,494
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$11,164,905
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$11,753,302
Value of total assets at end of year	2013-12-31	$392,069
Value of total assets at beginning of year	2013-12-31	$395,025
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$591,589
Total interest from all sources	2013-12-31	$236
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Administrative expenses professional fees incurred	2013-12-31	$115,110
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$4,644,389
Administrative expenses (other) incurred	2013-12-31	$10,930
Total non interest bearing cash at end of year	2013-12-31	$777
Total non interest bearing cash at beginning of year	2013-12-31	$13
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$-2,956
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$392,069
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$395,025
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$391,292
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$395,012
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$395,012
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$236
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$5,280,405
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$7,108,913
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$5,884,500
Contract administrator fees	2013-12-31	$465,549
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	GRANT THORNTON LLP
Accountancy firm EIN	2013-12-31	366055558
2012 : EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$11,644,552
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$12,105,112
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$11,540,482
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$11,644,233
Value of total assets at end of year	2012-12-31	$395,025
Value of total assets at beginning of year	2012-12-31	$855,585
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$564,630
Total interest from all sources	2012-12-31	$319
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$97,850
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$3,366,702
Administrative expenses (other) incurred	2012-12-31	$5,120
Total non interest bearing cash at end of year	2012-12-31	$13
Total non interest bearing cash at beginning of year	2012-12-31	$69
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$-460,560
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$395,025
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$855,585
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$395,012
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$855,516
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$855,516
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$319
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$5,797,900
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$8,277,531
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$5,742,582
Contract administrator fees	2012-12-31	$461,660
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	BKD, LLP
Accountancy firm EIN	2012-12-31	440160260
2011 : EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$12,033,902
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$11,805,049
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$11,149,659
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$12,033,609
Value of total assets at end of year	2011-12-31	$855,585
Value of total assets at beginning of year	2011-12-31	$626,732
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$655,390
Total interest from all sources	2011-12-31	$293
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Administrative expenses professional fees incurred	2011-12-31	$15,707
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$4,272,449
Administrative expenses (other) incurred	2011-12-31	$19,528
Total non interest bearing cash at end of year	2011-12-31	$69
Total non interest bearing cash at beginning of year	2011-12-31	$11
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$228,853
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$855,585
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$626,732
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$96,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$855,516
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$626,721
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$626,721
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$293
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$5,056,113
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$7,761,160
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$6,093,546
Contract administrator fees	2011-12-31	$524,155
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	BKD, LLP
Accountancy firm EIN	2011-12-31	440160260
2010 : EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$11,345,068
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$11,335,637
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$10,609,963
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$11,344,680
Value of total assets at end of year	2010-12-31	$626,732
Value of total assets at beginning of year	2010-12-31	$617,301
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$725,674
Total interest from all sources	2010-12-31	$388
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Administrative expenses professional fees incurred	2010-12-31	$117,000
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$3,785,788
Total non interest bearing cash at end of year	2010-12-31	$11
Total non interest bearing cash at beginning of year	2010-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$9,431
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$626,732
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$617,301
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$22,011
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$626,721
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$617,301
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$617,301
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$388
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$4,458,046
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$7,558,892
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$6,151,917
Contract administrator fees	2010-12-31	$586,663
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	BKD, LLP
Accountancy firm EIN	2010-12-31	440160260

Form 5500 Responses for EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION

2022: EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	Yes
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	Yes
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	Yes
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	Yes
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	Yes
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	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 - Trust	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	Yes
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	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 - Trust	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 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	Yes
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	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 - Trust	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
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	Yes
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF CTS CORPORATION 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
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	Yes
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	156263
Policy instance	5
Insurance contract or identification number 156263 Number of Individuals Covered 131 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Total amount of commissions paid to insurance broker USD $8,317 Total amount of fees paid to insurance company USD $991 Health Insurance Welfare Benefit No 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 Other welfare benefits provided CRITICAL ILLNESS,HOSPITAL,ACCIDENT Welfare Benefit Premiums Paid to Carrier USD $78,101 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,905 Amount paid for insurance broker fees 649 Additional information about fees paid to insurance broker SUPPLEMENTAL COMPENSATION, NON-MONETARY COMPENSATION Insurance broker organization code? 3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	SA3890LF039901
Policy instance	4
Insurance contract or identification number SA3890LF039901 Number of Individuals Covered 1328 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Total amount of commissions paid to insurance broker USD $10,370 Total amount of fees paid to insurance company USD $9,454 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 Yes Unemployment Insurance Welfare Benefit No Other welfare benefits provided ACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM Welfare Benefit Premiums Paid to Carrier USD $505,042 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $8,776 Amount paid for insurance broker fees 8603 Additional information about fees paid to insurance broker SUPPLEMENTAL COMPENSATION Insurance broker organization code? 3
ARAG INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 34738 )
Policy contract number	18448-0001-001
Policy instance	3
Insurance contract or identification number 18448-0001-001 Number of Individuals Covered 74 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Total amount of commissions paid to insurance broker USD $990 Total amount of fees paid to insurance company USD $0 Other welfare benefits provided LEGAL Welfare Benefit Premiums Paid to Carrier USD $9,896 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $666 Amount paid for insurance broker fees 0 Insurance broker organization code? 3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number	30084948
Policy instance	2
Insurance contract or identification number 30084948 Number of Individuals Covered 332 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $34,680 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )
Policy contract number	20390
Policy instance	1
Insurance contract or identification number 20390 Number of Individuals Covered 393 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Total amount of commissions paid to insurance broker USD $9,388 Total amount of fees paid to insurance company USD $0 Dental Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $314,894 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes Commission paid to Insurance Broker USD $5,380 Amount paid for insurance broker fees 0 Insurance broker organization code? 3
DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )
Policy contract number	20390
Policy instance	1
Insurance contract or identification number 20390 Number of Individuals Covered 409 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Total amount of commissions paid to insurance broker USD $8,788 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No 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 $294,396 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $8,788 Insurance broker organization code? 3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	GF890LF039901
Policy instance	2
Insurance contract or identification number GF890LF039901 Number of Individuals Covered 521 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $1,236 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No 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 No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit Yes 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 $61,629 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 1236 Additional information about fees paid to insurance broker SUPPLEMENTAL COMPENSATION Insurance broker organization code? 3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	SA3890LF039901
Policy instance	3
Insurance contract or identification number SA3890LF039901 Number of Individuals Covered 1324 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Total amount of commissions paid to insurance broker USD $9,704 Total amount of fees paid to insurance company USD $6,760 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No 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 AND 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 $336,671 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $9,704 Amount paid for insurance broker fees 6760 Additional information about fees paid to insurance broker SUPPLEMENTAL COMPENSATION Insurance broker organization code? 3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number	30084948
Policy instance	4
Insurance contract or identification number 30084948 Number of Individuals Covered 334 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No 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 $34,196 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )
Policy contract number	20390
Policy instance	1
Insurance contract or identification number 20390 Number of Individuals Covered 444 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $9,418 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No 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 $315,370 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $9,418 Insurance broker organization code? 3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	0156262
Policy instance	2
Insurance contract or identification number 0156262 Number of Individuals Covered 48 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $5,543 Total amount of fees paid to insurance company USD $589 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No 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 No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Other welfare benefits provided CRITICAL ILLNESS 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 $30,872 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,543 Amount paid for insurance broker fees 24 Additional information about fees paid to insurance broker NON-MONETARY COMPENSATION Insurance broker organization code? 3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number	67822-8
Policy instance	3
Insurance contract or identification number 67822-8 Number of Individuals Covered 1926 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $20,328 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No 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 Yes Unemployment Insurance Welfare Benefit No Other welfare benefits provided EMPLOYEE ASSISTANCE PROGRAM, ACCIDENTAL DEATH AND 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 $552,975 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $20,328 Insurance broker organization code? 3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number	30084948
Policy instance	4
Insurance contract or identification number 30084948 Number of Individuals Covered 349 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No 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 $37,952 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number	30084948
Policy instance	4
Insurance contract or identification number 30084948 Number of Individuals Covered 342 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No 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 $38,384 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	0156262
Policy instance	2
Insurance contract or identification number 0156262 Number of Individuals Covered 68 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Total amount of commissions paid to insurance broker USD $5,935 Total amount of fees paid to insurance company USD $547 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No 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 No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Other welfare benefits provided CRITICAL ILLNESS 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 $41,196 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,935 Amount paid for insurance broker fees 42 Additional information about fees paid to insurance broker NON-MONETARY COMPENSATION Insurance broker organization code? 3
DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )
Policy contract number	20390
Policy instance	1
Insurance contract or identification number 20390 Number of Individuals Covered 430 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Total amount of commissions paid to insurance broker USD $7,500 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No 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 $251,029 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,500 Insurance broker organization code? 3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number	67822-8
Policy instance	3
Insurance contract or identification number 67822-8 Number of Individuals Covered 1968 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Total amount of commissions paid to insurance broker USD $26,596 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No 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 Yes Unemployment Insurance Welfare Benefit No Other welfare benefits provided EMPLOYEE ASSISTANCE PROGRAM, ACCIDENTAL DEATH AND 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 $568,084 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $26,596 Insurance broker organization code? 3
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number	92034
Policy instance	1
Insurance contract or identification number 92034 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 $3,136 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No 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 $20,916 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,136 Insurance broker organization code? 3
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number	19021
Policy instance	2
Insurance contract or identification number 19021 Number of Individuals Covered 121 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $6,321 Total amount of fees paid to insurance company USD $544 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No 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 No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Other welfare benefits provided ACCIDENT 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 $20,519 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,802 Insurance broker organization code? 3 Amount paid for insurance broker fees 544 Additional information about fees paid to insurance broker SUPPLEMENTAL COMPENSATION
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	0148473
Policy instance	3
Insurance contract or identification number 0148473 Number of Individuals Covered 1031 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $13,091 Total amount of fees paid to insurance company USD $6,832 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No 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 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 $485,645 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $13,091 Amount paid for insurance broker fees 70 Additional information about fees paid to insurance broker NON-MONETARY COMPENSATION Insurance broker organization code? 3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number	67822-8
Policy instance	5
Insurance contract or identification number 67822-8 Number of Individuals Covered 2164 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $26,414 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No 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 Yes Unemployment Insurance Welfare Benefit No Other welfare benefits provided EMPLOYEE ASSISTANCE PROGRAM, ACCIDENTAL DEATH AND 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 $633,213 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $26,414 Insurance broker organization code? 3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	0156262
Policy instance	4
Insurance contract or identification number 0156262 Number of Individuals Covered 89 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $6,467 Total amount of fees paid to insurance company USD $763 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No 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 No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Other welfare benefits provided CRITICAL ILLNESS 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 $43,257 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,467 Amount paid for insurance broker fees 70 Additional information about fees paid to insurance broker NON-MONETARY COMPENSATION Insurance broker organization code? 3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number	67822-8
Policy instance	6
Insurance contract or identification number 67822-8 Number of Individuals Covered 2363 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $23,435 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No 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 Yes Unemployment Insurance Welfare Benefit No Other welfare benefits provided PERSONAL ACCIDENT INSURANCE, EMPLOYEE ASSISTANCE PROGRAM, AD&D 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 $649,900 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $23,435 Insurance broker organization code? 3 Insurance broker name MERCER
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	0156263
Policy instance	5
Insurance contract or identification number 0156263 Number of Individuals Covered 6 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $286 Total amount of fees paid to insurance company USD $86 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No 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 No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Other welfare benefits provided CRITICAL ILLNESS 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 $1,339 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $286 Amount paid for insurance broker fees 86 Additional information about fees paid to insurance broker $49: NON-MONETARY COMPENSATION $37: SUPPLEMENTAL COMPENSATION Insurance broker organization code? 3 Insurance broker name MERCER
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	0156262
Policy instance	4
Insurance contract or identification number 0156262 Number of Individuals Covered 117 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $6,505 Total amount of fees paid to insurance company USD $875 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No 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 No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Other welfare benefits provided CRITICAL ILLNESS 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 $41,255 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,505 Amount paid for insurance broker fees 875 Additional information about fees paid to insurance broker $826: SUPPLEMENTAL COMPENSATION $49: NON-MONETARY COMPENSATION Insurance broker organization code? 3 Insurance broker name MERCER
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	0148473
Policy instance	3
Insurance contract or identification number 0148473 Number of Individuals Covered 1126 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $13,495 Total amount of fees paid to insurance company USD $8,755 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No 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 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 $500,195 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $13,495 Amount paid for insurance broker fees 8755 Additional information about fees paid to insurance broker $8706: SUPPLEMENTAL COMPENSATION $49: NON-MONETARY COMPENSATION Insurance broker organization code? 3 Insurance broker name MERCER
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number	92034
Policy instance	1
Insurance contract or identification number 92034 Number of Individuals Covered 133 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $3,569 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No 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 No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Other welfare benefits provided ACCIDENT, HOSPITAL INDEMNITY 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 $25,226 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,569 Insurance broker organization code? 3 Insurance broker name MERCER
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number	19021
Policy instance	2
Insurance contract or identification number 19021 Number of Individuals Covered 96 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $10,057 Total amount of fees paid to insurance company USD $690 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No 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 No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Other welfare benefits provided ACCIDENT 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 $19,504 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,008 Amount paid for insurance broker fees 690 Additional information about fees paid to insurance broker SUPPLEMENTAL COMPENSATION Insurance broker organization code? 3 Insurance broker name AON RISK SVCS CENTRAL INC
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	0156262
Policy instance	7
Insurance contract or identification number 0156262 Number of Individuals Covered 111 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $5,272 Total amount of fees paid to insurance company USD $939 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 Other welfare benefits provided CRITICAL ILLNESS 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 $34,384 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,272 Amount paid for insurance broker fees 846 Additional information about fees paid to insurance broker NON MONETARY COMPENSATION SUPPLEMENTAL COMPENSATION Insurance broker organization code? 3 Insurance broker name AON CONSULTING
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number	GTP 0009124264
Policy instance	3
Insurance contract or identification number GTP 0009124264 Number of Individuals Covered 0 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 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 No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Other welfare benefits provided ACCIDENTAL DEATH AND 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 $23,006 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number	G2001
Policy instance	4
Insurance contract or identification number G2001 Number of Individuals Covered 1148 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 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 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 $443,008 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	0148473
Policy instance	5
Insurance contract or identification number 0148473 Number of Individuals Covered 1188 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $14,274 Total amount of fees paid to insurance company USD $10,212 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 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 $580,358 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $14,274 Amount paid for insurance broker fees 8501 Additional information about fees paid to insurance broker NON MONETARY COMPENSATION SUPPLEMENTAL COMPENSATION Insurance broker organization code? 3 Insurance broker name AON CONSULTING
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number	92034
Policy instance	1
Insurance contract or identification number 92034 Number of Individuals Covered 101 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $2,696 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 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 Other welfare benefits provided HOSPITAL INDEMNITY 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 $17,974 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,696 Insurance broker organization code? 3 Insurance broker name AON RISK SERVICES CENTRAL INC
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number	19021
Policy instance	6
Insurance contract or identification number 19021 Number of Individuals Covered 47 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $2,021 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 $8,079 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,021 Insurance broker organization code? 3 Insurance broker name AON RISK SERVICES CENTRAL INC.
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number	67822-8
Policy instance	2
Insurance contract or identification number 67822-8 Number of Individuals Covered 1818 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $14,040 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 No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit Yes Unemployment Insurance Welfare Benefit No Other welfare benefits provided ACCIDENTAL DEATH AND DISMEMBERMENT, EAP 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 $637,957 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $14,040 Insurance broker organization code? 3 Insurance broker name AON RISK SERVICES CENTRAL INC
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number	19021
Policy instance	6
Insurance contract or identification number 19021 Number of Individuals Covered 28 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $429 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 Other welfare benefits provided CRITICAL ACCIDENT 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 $1,717 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $429 Insurance broker organization code? 3 Insurance broker name AON RISK SERVICES CENTRAL INC.
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	0148473
Policy instance	5
Insurance contract or identification number 0148473 Number of Individuals Covered 1194 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $18,505 Total amount of fees paid to insurance company USD $40,674 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 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 $613,448 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $18,505 Amount paid for insurance broker fees 38804 Additional information about fees paid to insurance broker NON-MONETARY COMPENSATION Insurance broker organization code? 3 Insurance broker name AON CONSULTING
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number	GTP 0009124264
Policy instance	3
Insurance contract or identification number GTP 0009124264 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $3,451 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 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 Other welfare benefits provided ACCIDENTAL DEATH AND 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 $23,006 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,451 Insurance broker organization code? 3 Insurance broker name AON RISK SERVICES CENTRAL INC.
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	G0200
Policy instance	1
Insurance contract or identification number G0200 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 $5,587 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 $1,424 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $5,587 Insurance broker organization code? 3 Insurance broker name AON CONSULTING, INC.
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number	G2001
Policy instance	4
Insurance contract or identification number G2001 Number of Individuals Covered 1121 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $252,562 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 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 $549,173 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $252,562 Insurance broker organization code? 3 Insurance broker name AON RISK SERVICES
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number	67822-8
Policy instance	2
Insurance contract or identification number 67822-8 Number of Individuals Covered 2494 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $14,040 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 No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit Yes Unemployment Insurance Welfare Benefit No Other welfare benefits provided ACCIDENTAL DEATH AND DISMEMBERMENT, EAP 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 $680,035 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $14,040 Insurance broker organization code? 3 Insurance broker name AON RISK SERVICES CENTRAL INC
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	0178473
Policy instance	8
Insurance contract or identification number 0178473 Number of Individuals Covered 2187 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 $17 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 $911,996 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 17 Additional information about fees paid to insurance broker NON-MONETARY COMPENSATION Insurance broker organization code? 3 Insurance broker name AON RISK SERVICES CENTRAL INC
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number	67822-8
Policy instance	2
Insurance contract or identification number 67822-8 Number of Individuals Covered 4854 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $14,040 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 No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit Yes Unemployment Insurance Welfare Benefit No Other welfare benefits provided ACCIDENTAL DEATH AND DISMEMBERMENT, EAP 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 $894,757 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $14,040 Insurance broker organization code? 3 Insurance broker name AON RISK SERVICES CENTRAL INC
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	600063
Policy instance	3
Insurance contract or identification number 600063 Number of Individuals Covered 65 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $10,459 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 $419,341 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $10,459 Insurance broker organization code? 3 Insurance broker name AON CONSULTING, INC.
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number	GTP 0009124264
Policy instance	5
Insurance contract or identification number GTP 0009124264 Number of Individuals Covered 4300 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 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 No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Other welfare benefits provided ACCIDENTAL DEATH AND 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 $0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number	G2001
Policy instance	4
Insurance contract or identification number G2001 Number of Individuals Covered 955 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 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 $110,425 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number	G2001
Policy instance	6
Insurance contract or identification number G2001 Number of Individuals Covered 1468 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 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 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 $503,621 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	114344
Policy instance	7
Insurance contract or identification number 114344 Number of Individuals Covered 221 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $24,126 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 $1,051,236 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $24,126 Insurance broker name AON CONSULTING INC
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	G0200
Policy instance	1
Insurance contract or identification number G0200 Number of Individuals Covered 244 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $73,785 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 $1,421,733 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $73,785 Insurance broker organization code? 3 Insurance broker name AON CONSULTING, INC.
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number	G2001
Policy instance	6
Insurance contract or identification number G2001 Number of Individuals Covered 1469 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 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 Other welfare benefits provided STOP LOSS 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 $470,646 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	114344
Policy instance	2
Insurance contract or identification number 114344 Number of Individuals Covered 208 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $22,239 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 $887,982 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $22,239 Insurance broker organization code? 3 Insurance broker name AON CONSULTING, INC.
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	600063
Policy instance	3
Insurance contract or identification number 600063 Number of Individuals Covered 95 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $13,068 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 $478,130 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $13,068 Insurance broker organization code? 3 Insurance broker name AON CONSULTING, INC.
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	43770-1
Policy instance	4
Insurance contract or identification number 43770-1 Number of Individuals Covered 2688 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 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 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 $785,831 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	G0200
Policy instance	1
Insurance contract or identification number G0200 Number of Individuals Covered 372 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $101,060 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 $2,004,828 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $101,060 Insurance broker organization code? 3 Insurance broker name AON CONSULTING, INC.
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	085795
Policy instance	5
Insurance contract or identification number 085795 Number of Individuals Covered 2490 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 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 No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit Yes 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 $181,101 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number	GTP 0009124264
Policy instance	7
Insurance contract or identification number GTP 0009124264 Number of Individuals Covered 4300 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 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 No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Other welfare benefits provided ACCIDENTAL DEATH AND 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 $0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	600063
Policy instance	3
Insurance contract or identification number 600063 Number of Individuals Covered 98 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $13,797 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 $496,604 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	G0200
Policy instance	7
Insurance contract or identification number G0200 Number of Individuals Covered 430 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $107,855 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 $2,177,113 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number	GTP 9124264
Policy instance	6
Insurance contract or identification number GTP 9124264 Number of Individuals Covered 5652 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $3,422 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 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 Other welfare benefits provided ACCIDENTAL DEATH AND 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 $22,812 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number	G2001
Policy instance	1
Insurance contract or identification number G2001 Number of Individuals Covered 1482 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 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 Other welfare benefits provided STOP LOSS 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 $480,207 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	085795
Policy instance	5
Insurance contract or identification number 085795 Number of Individuals Covered 2396 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 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 No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit Yes 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 $170,940 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	43770-1
Policy instance	4
Insurance contract or identification number 43770-1 Number of Individuals Covered 1272 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 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 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 $528,950 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	114344
Policy instance	2
Insurance contract or identification number 114344 Number of Individuals Covered 199 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $49,902 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 $788,964 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number	111051
Policy instance	1
Insurance contract or identification number 111051 Number of Individuals Covered 1348 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 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 $86,062 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number	3321560
Policy instance	2
Insurance contract or identification number 3321560 Number of Individuals Covered 1427 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 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 $356,746 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	43770
Policy instance	7
Insurance contract or identification number 43770 Number of Individuals Covered 2099 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 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 AD AND D, OPTIONAL LIFE, DEPENDENT LIFE 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 $734,114 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	C12125
Policy instance	9
Insurance contract or identification number C12125 Number of Individuals Covered 440 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 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 $2,027,741 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number	G2001
Policy instance	3
Insurance contract or identification number G2001 Number of Individuals Covered 1348 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $2,984 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 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 $86,062 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
DELTA DENTAL OF INDIANA (National Association of Insurance Commissioners NAIC id number: 52634 )
Policy contract number	0005675
Policy instance	4
Insurance contract or identification number 0005675 Number of Individuals Covered 2192 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 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 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	114344
Policy instance	5
Insurance contract or identification number 114344 Number of Individuals Covered 193 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 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 $670,557 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	085795
Policy instance	8
Insurance contract or identification number 085795 Number of Individuals Covered 2396 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 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 No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit Yes Unemployment Insurance Welfare Benefit No Other welfare benefits provided EMPLOYEE ASSISTANCE PROGRAM 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 $168,640 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	600063
Policy instance	6
Insurance contract or identification number 600063 Number of Individuals Covered 87 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 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 $386,870 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No

Potentially related plans

• EMPLOYEE HEALTH CARE PLAN [EIN = 270451448]
• EMPLOYEE HEALTH AND SAFETY PROGRAM BENEFIT PLAN [EIN = 263287805]
• EMPLOYEE HEALTH PLAN OF WHIT-FAM, INC. [EIN = 570833438]
• EMPLOYEE HEALTH PLAN OF EPSI, INC. [EIN = 752269095]
• EMPLOYEE HEALTH PLAN [EIN = 462859936]
• EMPLOYEE HEALTH AND WELFARE BENEFITS [EIN = 341455539]
• EMPLOYEE HEALTH PLAN OF VARIETY CANTEEN [EIN = 581163796]
• EMPLOYEE HEALTH & WELFARE BENEFIT PLAN [EIN = 560750913]
• EMPLOYEE HEALTH PLAN OF BILIKIN, INC. [EIN = 841256705]
• EMPLOYEE HEALTH PLAN OF CERWIN HOLDINGS, INC. [EIN = 261724817]
• EMPLOYEE HEALTH PLAN OF TOMOLIV CORPORATION [EIN = 113070792]
• EMPLOYEE HEALTH PLAN-DENTAL [EIN = 462859936]
• EMPLOYEE HEALTH PLAN [EIN = 591460239]
• EMPLOYEE HEALTH PLAN OF SUNBURST RESTAURANT, INC. [EIN = 593612563]
• EMPLOYEE HEALTH CARE PLAN OF TIMES PUBLISHING COMPANY, INC. [EIN = 250839114]
• EMPLOYEE HEALTH AND SAFETY PROGRAM BENEFIT PLAN [EIN = 760770964]
• EMPLOYEE HEALTH PLAN OF SAGO HOSPITALITY LLC [EIN = 900395162]
• EMPLOYEE HEALTH PLAN OF NORCAL FAST FOODS, INC [EIN = 800958155]
• EMPLOYEE HEALTH INSURANCE [EIN = 420730347]
• EMPLOYEE HEALTH PLAN OF JJ ENTERPRISES [EIN = 371247220]
• EMPLOYEE HEALTH PLAN-LONG TERM DISABILITY [EIN = 462859936]
• EMPLOYEE HEALTH PLAN-VISION [EIN = 462859936]
• EMPLOYEE HEALTH INSURANCE [EIN = 465441783]
• EMPLOYEE HEALTH AND DENTAL [EIN = 820189910]
• EMPLOYEE HEALTH PLAN OF RJS ENTERPRISES OF WAUPACA, INC [EIN = 391362748]
• EMPLOYEE HEALTH PLAN OF CHIODO CORP [EIN = 363767541]
• EMPLOYEE HEALTH PLAN OF GEORGETOWNE GROUP [EIN = 223014457]
• EMPLOYEE HEALTH PLAN OF CAMMILLERI HOLDINGS [EIN = 161533430]
• EMPLOYEE HEALTH PLAN OF SCREAMIN HOT CONCEPTS, LLC [EIN = 770700409]
• EMPLOYEE HEALTH AND SAFETY PROGRAM BENEFIT PLAN [EIN = 011273345]
• EMPLOYEE HEALTH PLAN OF AMPM ENTERPRISES INC. [EIN = 411821720]
• EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC [EIN = 261145933]
• EMPLOYEE HEALTH PLAN OF CAVE ENTERPRISES BK 120 [EIN = 204023518]
• EMPLOYEE HEALTH PLAN OF CROWN MANAGEMENT GROUP, INC [EIN = 593262694]
• EMPLOYEE HEALTH PLAN OF ALABAMA QUALITY, L.L.C. [EIN = 631176149]
• EMPLOYEE HEALTH AND DENTAL INSURANCE [EIN = 510064318]
• EMPLOYEE HEALTH AND WELFARE BENEFITS [EIN = 341455539]
• EMPLOYEE HEALTH PLAN OF CREATIVE FOODS CORP [EIN = 221893515]
• EMPLOYEE HEALTH PLAN OF KRISTI CO [EIN = 630972267]
• EMPLOYEE HEALTH PLAN OF C&C COMMERCIAL PROPERTIES, LLC [EIN = 870469975]
• EMPLOYEE HEALTH PLAN OF ASFOUR FAMILY CORP [EIN = 330407654]
• EMPLOYEE HEALTH PLAN OF FRANKLIN MANAGEMENT OF CLEVELAND, LLC [EIN = 371450807]
• EMPLOYEE HEALTH PLAN OF LANCASTER SUBWAY, INC [EIN = 561731360]
• EMPLOYEE HEALTH & WELFARE BENEFIT PLAN [EIN = 310846401]
• EMPLOYEE HEALTH CARE INSURANCE [EIN = 590657322]
• EMPLOYEE HEALTH PLAN OF JRDH RESTAURANTS, LLC [EIN = 262173917]
• EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES [EIN = 010727775]
• EMPLOYEE HEALTH PLAN OF MIDNIGHT SUN SUBWAY LLC [EIN = 203166758]
• EMPLOYEE HEALTH PLAN OF ANRO MANAGEMENT [EIN = 760678939]
• EMPLOYEE HEALTH PLAN OF RC RESTAURANT GROUP LP [EIN = 710961282]
• EMPLOYEE HEALTH PLAN OF CLEMENTS MANAGEMENT,LLC [EIN = 721488069]
• EMPLOYEE HEALTH PLAN OF LEE DEE VENDING CO [EIN = 720896137]
• EMPLOYEE HEALTH PLAN OF NAMG, LLC [EIN = 861094429]
• EMPLOYEE HEALTH PLAN OF JENCO FOODS/VOLUNTEER FOODS OF AL [EIN = 201926962]
• EMPLOYEE HEALTH PLAN OF DUOMARK [EIN = 562671434]
• EMPLOYEE HEALTH PLAN OF JS FOODS [EIN = 953781342]
• EMPLOYEE HEALTH PLAN-LIFE AND AD&D [EIN = 462859936]
• EMPLOYEE HEALTH PLAN OF TEXAS SKI RANCH LP [EIN = 742970301]
• EMPLOYEE HEALTH PLAN OF FIRST ALBERN FOODS, LTD. [EIN = 561526997]
• EMPLOYEE HEALTH PLAN FOR READY MIX USA [EIN = 203037056]
• EMPLOYEE HEALTH PLAN OF RT BWW, LLC [EIN = 300447835]
• EMPLOYEE HEALTH PLAN OF SHORCO [EIN = 760246812]
• EMPLOYEE HEALTH PLAN OF NELDA, LLC [EIN = 743237725]
• EMPLOYEE HEALTH PLAN OF TALARICO [EIN = 770369481]
• EMPLOYEE HEALTH PLAN OF JMP PIZZA INC DBA DOMINOS PIZZA [EIN = 651123143]
• EMPLOYEE HEALTH AND WELFARE PLAN OF CAMBRIA RESIDENTIAL SERVICES INC [EIN = 251405563]
• EMPLOYEE HEALTH PLAN OF KOSTEL [EIN = 751679949]
• EMPLOYEE HEALTH PLAN OF ARE, INC. [EIN = 521983944]
• EMPLOYEE HEALTH PLAN OF HAKIMIANPOUR SANTA MONICA GROUP,LLC [EIN = 954862674]
• EMPLOYEE HEALTH PLAN OF SERTEX OF LONGVIEW INC. [EIN = 751860964]
• EMPLOYEE HEALTH PLAN OF ROJAN, INC. [EIN = 760437011]
• EMPLOYEE HEALTH PLAN OF REPUBLIC FOODS, INC [EIN = 521261792]
• EMPLOYEE HEALTH PLAN OF CLASSIC FOODS, INC. [EIN = 223337082]
• EMPLOYEE HEALTH PLAN OF ZELLMER, LLC [EIN = 010583952]
• EMPLOYEE HEALTH PLAN OF BWW SOUTHERN MGT [EIN = 272342180]
• EMPLOYEE HEALTH PLAN OF CALRES, INC [EIN = 731076008]
• EMPLOYEE HEALTH PLAN OF MEINEKE CAR CARE [EIN = 208606231]
• EMPLOYEE HEALTH PLAN OF PASTA QUIK, LP [EIN = 752405010]
• EMPLOYEE HEALTH PLAN OF MASTORAN CORPORATION [EIN = 042965675]
• EMPLOYEE HEALTH PLAN OF SEASEVEN,LLC [EIN = 461610396]
• EMPLOYEE HEALTH PLAN OF FOCUSED MANAGEMENT EXPERTS,INC. [EIN = 311435137]
• EMPLOYEE HEALTH AND WELFARE BENEFITS PLAN [EIN = 541278830]
• EMPLOYEE HEALTH PLAN OF CANTEEN CO. OF N TX, INC. [EIN = 751806298]
• EMPLOYEE HEALTH & WELFARE BENEFIT PROGRAM OF GUGGENHEIM CAPITAL, LLC [EIN = 364358656]
• EMPLOYEE HEALTH PLAN OF MOLLICA SUBS [EIN = 200100308]
• EMPLOYEE HEALTH PLAN OF DOWELL MANAGEMENT [EIN = 421276982]
• EMPLOYEE HEALTH AND SAFETY PROGRAM BENEFIT PLAN [EIN = 621317705]
• EMPLOYEE HEALTH PLAN OF EDN, INC [EIN = 581694140]
• EMPLOYEE HEALTH AND SAFETY PROGRAM [EIN = 362443580]
• EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN [EIN = 521266582]
• EMPLOYEE HEALTH PLAN OF EXCEPTIONAL BRANDS, LLC [EIN = 260905347]
• EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES [EIN = 205204465]
• EMPLOYEE HEALTH PLAN OF J DAVIS ENTERPRISES [EIN = 592883844]
• EMPLOYEE HEALTH INSURANCE FRINGE BENEFITS PLAN SECTION 125 PRE TAX [EIN = 411424025]
• EMPLOYEE HEALTH PLAN OF NEARLY FAMOUS, INC. [EIN = 582362714]
• EMPLOYEE HEALTH PLAN OF CAMPUS KING, INC. [EIN = 860880148]
• EMPLOYEE HEALTH PLAN FOR FERRAN SERVICES & CONTRACTING INC [EIN = 593617819]
• EMPLOYEE HEALTH PLAN OF JPL MANAGEMENT [EIN = 610973818]
• EMPLOYEE HEALTH PLAN OF DEBBIE RENFRO AKA ITS A BUFFALO INC. [EIN = 202989954]
• EMPLOYEE HEALTH BENEFIT PLAN [EIN = 752332791]
• EMPLOYEE HEALTH PLAN OF EAU-D [EIN = 391554756]
• EMPLOYEE HEALTH PLAN OF THE JAN COMPANIES [EIN = 050318793]
• EMPLOYEE HEALTH PLAN OF OSHKOSH RESTAURANTS LLC [EIN = 391938447]
• EMPLOYEE HEALTH PLAN OF STIX & CO, INC. [EIN = 202862405]
• EMPLOYEE HEALTH PLAN OF CAPITAL FAST FOODS LTD. [EIN = 752728846]
• EMPLOYEE HEALTH PLAN OF SUBWAY OF ALASKA, INC [EIN = 920135465]
• EMPLOYEE HEALTH AND TEMPORARY DISABILITY PLAN [EIN = 420279585]
• EMPLOYEE HEALTH PLAN-SHORT TERM DISABILITY [EIN = 462859936]
• EMPLOYEE HEALTH PLAN OF MARTIN FRANCHISE GROUP [EIN = 562142488]
• EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS [EIN = 611563971]
• EMPLOYEE HEALTH PLAN OF PARKS RESTAURANT MANAGEMENT [EIN = 204496998]
• EMPLOYEE HEALTH PLAN [EIN = 860004538]
• EMPLOYEE HEALTH PLAN OF AMPAL GROUP [EIN = 263773982]
• EMPLOYEE HEALTH PLAN OF SAWTOOTH, INC. [EIN = 030269737]
• EMPLOYEE HEALTH PLAN OF SAVANNAH RESTAURANTS CORP [EIN = 581682762]
• EMPLOYEE HEALTH PLAN OF PHOENIX MGT & CONSULTING [EIN = 650949149]
• EMPLOYEE HEALTH PLAN OF SUPREME FOODS [EIN = 270859771]
• EMPLOYEE HEALTH PLAN OF TENNESSEE OPERATING PARTNERS [EIN = 621789140]
• EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. [EIN = 721112805]
• EMPLOYEE HEALTH PLAN OF WATERVILLE BURGER CORP [EIN = 060990186]
• EMPLOYEE HEALTH AND SAFETY PROGRAM BENEFIT PLAN [EIN = 611273345]
• EMPLOYEE HEALTH AND WELFARE PLAN FOR COLLECTIVE BARGAINING UNIT EMPLOYEES [EIN = 741473579]
• EMPLOYEE HEALTH AND SAFETY PROGRAM BENEFIT PLAN [EIN = 271108379]
• EMPLOYEE HEALTH AND SAFETY BENEFIT PLAN [EIN = 752497104]
• EMPLOYEE HEALTH BENEFIT PLAN [EIN = 580619030]
• EMPLOYEE HEALTH CARE PLAN [EIN = 930499857]
• EMPLOYEE HEALTH, DENTAL & VISION PLAN [EIN = 043294619]
• EMPLOYEE HEALTH PLAN [EIN = 591460239]
• EMPLOYEE HEALTH PLAN OF DESTINY FOODS, INC [EIN = 742896645]
• EMPLOYEE HEALTH PLAN OF K & JK [EIN = 351798457]
• EMPLOYEE HEALTH PLAN OF JAGETA, INC [EIN = 200683600]
• EMPLOYEE HEALTH PLAN OF SIDMAR MANAGEMENT CORP [EIN = 222221933]
• EMPLOYEE HEALTH PLAN OF CANBY-DENN, INC [EIN = 912127737]
• EMPLOYEE HEALTH PLAN OF MID MISSOURI SUBWAYS [EIN = 431670704]
• EMPLOYEE HEALTH PLAN OF ORWALL INDUSTRIES BK22 [EIN = 590905902]
• EMPLOYEE HEALTH PLAN OF SCORDIA REST. GROUP, INC. [EIN = 311384479]
• EMPLOYEE HEALTH PLAN OF PARS PIES INC DBA DOMINO'S PIZZA [EIN = 472123606]
• EMPLOYEE HEALTH PLAN OF DESCRY CAL, INC [EIN = 330011673]
• EMPLOYEE HEALTH PLAN OF AEQUITAS RESTAURANT HOLDINGS, INC [EIN = 205409051]
• EMPLOYEE HEALTH PLAN OF DELPHIA INC [EIN = 954444896]
• EMPLOYEE HEALTH AND WELFARE BENEFIT PROGRAM OF THE YMCA OF METROPOLITAN CHICAGO [EIN = 362179782]
• EMPLOYEE HEALTH PLAN OF KANE ENTERPRISES, INC [EIN = 061274411]
• EMPLOYEE HEALTH PLAN OF GROUP 2029, INC [EIN = 383691963]
• EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN [EIN = 954297274]
• EMPLOYEE HEALTH AND WELFARE BENEFITS [EIN = 341455539]
• EMPLOYEE HEALTH PLAN OF 24-7 RESTAURANT GROUP, LLC [EIN = 261105173]
• EMPLOYEE HEALTH PLAN OF ROCK KING LLP [EIN = 364008440]
• EMPLOYEE HEALTH PLAN OF WETZEL SUBWAY [EIN = 208490692]
• EMPLOYEE HEALTH PLAN OF ADAMS RESTAURANT GROUP, INC [EIN = 204618472]
• EMPLOYEE HEALTH PLAN OF LISBON RESTAURANTS INC [EIN = 010318594]
• EMPLOYEE HEALTH PLAN OF MIROOTS, INC. [EIN = 260766629]
• EMPLOYEE HEALTH PROTECTION PLAN FOR JOE N MILES & SONS, INC [EIN = 640411846]
• EMPLOYEE HEALTH PLAN OF D OF ALASKA [EIN = 920057333]
• EMPLOYEE HEALTH PLAN OF ELEVANTA, LLC [EIN = 811548250]
• EMPLOYEE HEALTH PLAN OF LOWCOUNTRY BAGEL, INC [EIN = 208005772]
• EMPLOYEE HEALTH PLAN OF SUMMIT 7, LLC [EIN = 201542718]
• EMPLOYEE HEALTH PLAN OF NOVO OPERATIONS,INC [EIN = 383220616]
• EMPLOYEE HEALTH PLAN OF WINGS WEST ONE, LLC [EIN = 342009112]
• EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN [EIN = 586049575]
• EMPLOYEE HEALTH INSURANCE [EIN = 472124820]
• EMPLOYEE HEALTH PLAN OF RWDT FOODS [EIN = 455037575]
• EMPLOYEE HEALTH PLAN OF R.E. MASSEY [EIN = 742861837]
• EMPLOYEE HEALTH PLAN OF PRYOR & PRYOR, INC. [EIN = 592391734]
• EMPLOYEE HEALTH INSURANCE [EIN = 461293167]
• EMPLOYEE HEALTH AND SAFETY PROGRAM BENEFIT PLAN [EIN = 274634292]
• EMPLOYEE HEALTH INSURANCE [EIN = 810663761]
• EMPLOYEE HEALTH PLAN OF SMASH MANAGEMENT, INC [EIN = 274203417]
• EMPLOYEE HEALTH PLAN OF ARVADA WINGS, LLC DBA BWW 3003 [EIN = 841344256]
• EMPLOYEE HEALTH PLAN OF JOANDY, INC. [EIN = 201188996]
• EMPLOYEE HEALTH INSURANCE [EIN = 461744864]
• EMPLOYEE HEALTH PLAN OF CONSUMER FOOD SERVICES, LLC [EIN = 133847462]
• EMPLOYEE HEALTH PLAN OF YASMIN, INC [EIN = 760267671]
• EMPLOYEE HEALTH PLAN OF PLANET CENTRAL VALLEY, LLC [EIN = 452017990]
• EMPLOYEE HEALTH AND SAFETY PROGRAM BENEFIT PLAN [EIN = 760137985]
• EMPLOYEE HEALTH AND SAFETY PROGRAM BENEFIT PLAN [EIN = 464061915]
• EMPLOYEE HEALTH BENEFIT PLAN FOR THE EMPLOYEES OF PIGGLY WIGGLY ALABAMA DISTRIBUTING COMPANY, INC. [EIN = 630393676]
• EMPLOYEE HEALTH PLAN [EIN = 061497200]
• EMPLOYEE HEALTH PROTECTION PLAN FOR SANDERSON FARMS, INC. AND AFFILIATES [EIN = 640615843]
• EMPLOYEE HEALTH PLAN OF SCREAMIN HOT CONCEPTS, LLC [EIN = 271429889]
• EMPLOYEE HEALTH PLAN OF ATLANTIC COAST FOODS [EIN = 561446090]
• EMPLOYEE HEALTH PLAN OF PFC CLASSIC DINING ORIGINAL [EIN = 352058091]
• EMPLOYEE HEALTH PLAN OF VIGIL VENTURES, INC. [EIN = 752671745]
• EMPLOYEE HEALTH PLAN OF DEVLIN AUTOMOTIVE, INC [EIN = 453042527]
• EMPLOYEE HEALTH PLAN OF RAPID OF EDMOND [EIN = 611533445]
• EMPLOYEE HEALTH AND SAFETY PROGRAM BENEFIT PLAN [EIN = 621474685]
• EMPLOYEE HEALTH PLAN OF TRICO DEVELOPMENT CORP. [EIN = 431177852]
• EMPLOYEE HEALTH PLAN OF ALC HOSPITALITY [EIN = 462369762]
• EMPLOYEE HEALTH PLAN OF DEGEN ENTERPRISES [EIN = 470644864]
• EMPLOYEE HEALTH PLAN OF CAROLINA QUALITY, INC. [EIN = 561506083]
• EMPLOYEE HEALTH PLAN OF SOUTHWIND RESTAURANTS, LLC [EIN = 113669884]
• EMPLOYEE HEALTH PLAN OF FIRST ALBERN FOODS, LTD. [EIN = 561543665]
• EMPLOYEE HEALTH PLAN OF PICTOR ENTERPRISE [EIN = 010941768]
• EMPLOYEE HEALTH PLAN OF NOVA ENGINEERING, PC [EIN = 364370863]
• EMPLOYEE HEALTH PLAN OF JESBON CORP. MANAGEMENT [EIN = 141876271]
• EMPLOYEE HEALTH PLAN OF CARL-CIN BK OFFICE [EIN = 570662065]
• EMPLOYEE HEALTH PLAN OF THE DECK RESTAURANT [EIN = 364351940]
• EMPLOYEE HEALTH PLAN OF SIDMAR MANAGEMENT CORP [EIN = 222221933]
• EMPLOYEE HEALTH PLAN OF HOT PIZZA, INC. [EIN = 752743938]
• EMPLOYEE HEALTH PLAN OF RMH ENTERPRISES, INC. [EIN = 860602878]
• EMPLOYEE HEALTH PLAN OF SHEEHY ENTERPRISES, INC. [EIN = 860318871]
• EMPLOYEE HEALTH PLAN OF GREAT AMERICAN HOLDING COMPANY [EIN = 591833413]
• EMPLOYEE HEALTH PLAN OF CROSSROADS PIZZA, INC. [EIN = 260837907]
• EMPLOYEE HEALTH BENEFIT PLAN [EIN = 130453095]
• EMPLOYEE HEALTH PLAN OF ESTEP & COMPANY CATERING, LLC [EIN = 452609289]
• EMPLOYEE HEALTH PLAN OF KING RESTAURANT MGT [EIN = 860994835]
• EMPLOYEE HEALTH PLAN OF TEXAS SKI RANCH LP [EIN = 742571200]
• EMPLOYEE HEALTH CARE PLAN FOR RIO ALGOM MINING CORP. QUIVERA MINING COMPANY AND AFFILIATE COMPANIES [EIN = 731623282]
• EMPLOYEE HEALTH PLAN OF CLEMENTS MANAGEMENT [EIN = 721488065]
• EMPLOYEE HEALTH PLAN OF ALL AMERICAN FOODS I [EIN = 351431071]
• EMPLOYEE HEALTH PLAN OF GO-BURGER, L.P. [EIN = 200276917]
• EMPLOYEE HEALTH PLAN OF SP FOOD, INC. [EIN = 650482121]
• EMPLOYEE HEALTH PLAN OF GO-BURGER, L.P. [EIN = 200276917]
• EMPLOYEE HEALTH PLAN OF AUDRAIN MEDICAL CENTER [EIN = 431550298]
• EMPLOYEE HEALTH PLAN OF AARON ENTERPRISES [EIN = 621087324]
• EMPLOYEE HEALTH AND SAFETY PROGRAM BENEFIT PLAN [EIN = 621474684]
• EMPLOYEE HEALTH INSURANCE PLAN [EIN = 391681041]
• EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN [EIN = 391243143]
• EMPLOYEE HEALTH PLAN [EIN = 752411095]
• EMPLOYEE HEALTH BENEFIT PLAN AND EMPLOYEE DENTAL BENEFIT PLAN [EIN = 232176124]
• EMPLOYEE HEALTH PLAN OF SMS ENTERPRISES, INC. [EIN = 223116659]
• EMPLOYEE HEALTH PLAN OF STATNY FOODS INC. [EIN = 363367836]
• EMPLOYEE HEALTH PLAN OF FOLEY SPORTS JV LLC DBA GROOVY GOAT [EIN = 821762905]
• EMPLOYEE HEALTH PLAN OF S&J ENTERPRISES, LLC [EIN = 542051047]
• EMPLOYEE HEALTH PLAN OF ST JUSTE MANAGEMENT CORP [EIN = 743006345]
• EMPLOYEE HEALTH PLAN OF BARRERAS ENTITIES TEXAS INC [EIN = 742879998]
• EMPLOYEE HEALTH PLAN OF PICTOR ENTERPRISE [EIN = 010941768]
• EMPLOYEE HEALTH PLAN OF DELRIO VENTURE LP [EIN = 474175668]
• EMPLOYEE HEALTH PLAN OF BANTA MANAGEMENT SERVICES, INC [EIN = 141701563]
• EMPLOYEE HEALTH PLAN OF TBAYOU LLC [EIN = 822263506]
• EMPLOYEE HEALTH PLAN OF NOVA ENGINEERING [EIN = 364370863]
• EMPLOYEE HEALTH PLAN OF ZIA FOODS INC [EIN = 461039060]
• EMPLOYEE HEALTH PLAN OF BULLDOG BWW [EIN = 274759500]
• EMPLOYEE HEALTH PLAN OF AD ASTRA II, INC [EIN = 811656488]
• EMPLOYEE HEALTH PLAN OF GROUP ENTERPRISE OF NORTH AMERICA, INC. [EIN = 251495862]
• EMPLOYEE HEALTH PLAN OF MERIDIAN RESTAURANTS UNLIMITED, L.C. [EIN = 223863257]
• EMPLOYEE HEALTH PLAN OF GREEN FOOD 2 GO [EIN = 814113582]
• EMPLOYEE HEALTH PLAN OF ESG HOLDINGS, LLC [EIN = 814726985]
• EMPLOYEE HEALTH PLAN OF RACKSON RESTAURANTS, LLC [EIN = 812076912]
• EMPLOYEE HEALTH PLAN OF DSG KANKAKEE LLC [EIN = 461428147]
• EMPLOYEE HEALTH PLAN OF CEMA, INC [EIN = 310992020]
• EMPLOYEE HEALTH PLAN OF MUFFLERS USA, INC [EIN = 742832536]
• EMPLOYEE HEALTH PLAN OF CORLE BUILDING SYSTEMS, INC. [EIN = 251805260]
• EMPLOYEE HEALTH PLAN OF SHAU MUFFLER OGDEN INC DBA MIDAS [EIN = 362697725]
• EMPLOYEE HEALTH PLAN OF RKB ENTERPRISES, INC [EIN = 382792178]
• EMPLOYEE HEALTH PLAN OF ANDERSON MANAGEMENT GROUP [EIN = 201598467]
• EMPLOYEE HEALTH PLAN OF FLYING S WINGS [EIN = 341883073]
• EMPLOYEE HEALTH PLAN OF CORLE BUILDING SYSTEMS, INC. [EIN = 251805260]
• EMPLOYEE HEALTH PLAN OF SMS CORP OFFICE [EIN = 570439385]
• EMPLOYEE HEALTH PLAN OF SMITH VENDING [EIN = 261365659]
• EMPLOYEE HEALTH PLAN OF RESTAURANT SERVICES, INC. [EIN = 650308534]
• EMPLOYEE HEALTH PLAN OF TEXAS RESTAURANT HOLDINGS LLC [EIN = 831060092]
• EMPLOYEE HEALTH PLAN OF MCJJ HOLDING LLC [EIN = 462809280]
• EMPLOYEE HEALTH PLAN OF WEST SIDE PIZZA PIE LLC [EIN = 263776884]
• EMPLOYEE HEALTH PLAN OF DJD FITNESS NAZARETH INC [EIN = 460862497]
• EMPLOYEE HEALTH PLAN OF DEEP VALLEY ENTERPRISES [EIN = 942580612]
• EMPLOYEE HEALTH PLAN OF NW KINGS LLC [EIN = 814140158]
• EMPLOYEE HEALTH PLAN OF PB FITNESS [EIN = 901013012]
• EMPLOYEE HEALTH PLAN OF MEINEKE CAR CARE 2262,1223 [EIN = 454145514]
• EMPLOYEE HEALTH PLAN OF ANGEL-TECH, INC DBA MINEOLA MIDAS AUTO SERVICES & TIRES [EIN = 261495335]
• EMPLOYEE HEALTH PLAN OF PFIFA DBA PF INDEPENDENT FRANCHISEE COUNCIL [EIN = 471014888]
• EMPLOYEE HEALTH PLAN OF PF DENVER, LLC (PF AURORA) [EIN = 463069462]
• EMPLOYEE HEALTH PLAN OF BERKSHIRE FOOD [EIN = 060905660]
• EMPLOYEE HEALTH PLAN OF BEST OF THE BEST INC DBA SUPERCUTS [EIN = 841646602]
• EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC [EIN = 581875890]
• EMPLOYEE HEALTH PLAN OF PF RHODE ISLAND (KIWIMEX) [EIN = 453188880]
• EMPLOYEE HEALTH PLAN OF MID MISSOURI CAR CARE, INC. [EIN = 421761633]
• EMPLOYEE HEALTH PLAN OF GOURMET SUBS OF CHARLOTTE, LLC [EIN = 331138976]
• EMPLOYEE HEALTH PLAN OF THE PROCACCIO CORP [EIN = 412207619]
• EMPLOYEE HEALTH PLAN OF EVOLUTION MANAGEMENT, LLC [EIN = 352614267]
• EMPLOYEE HEALTH PLAN OF MLJ FOODS INC [EIN = 204227833]
• EMPLOYEE HEALTH PLAN OF JEFFREY GIANGRANDE CORPORATION [EIN = 521707974]
• EMPLOYEE HEALTH PLAN OF JETHWA MANAGEMENT LLC [EIN = 223666724]
• EMPLOYEE HEALTH PLAN OF DONYA CORPORATION [EIN = 820504778]
• EMPLOYEE HEALTH PLAN OF MARCOR LLC DBA MEINEKE [EIN = 273091032]
• EMPLOYEE HEALTH PLAN OF GTM RESTAURANT CORP [EIN = 232108143]
• EMPLOYEE HEALTH PLAN OF NEW KING INC [EIN = 061031059]
• EMPLOYEE HEALTH PLAN OF EMB ENTERPRISE LLC [EIN = 571236293]
• EMPLOYEE HEALTH PLAN OF ROOSTER TAIL INC DBA MEINEKE CAR CARE [EIN = 043087259]
• EMPLOYEE HEALTH PLAN OF ULTRO GROUP, LLC [EIN = 465445886]
• EMPLOYEE HEALTH PLAN OF SYED RESTAURANTS ENTERPRISES [EIN = 261276014]
• EMPLOYEE HEALTH PLAN OF NATIONAL CITIES CORPORATION I LP [EIN = 813906458]
• EMPLOYEE HEALTH PLAN OF TOTALLY TASTY ENTREES, LLC [EIN = 275418543]
• EMPLOYEE HEALTH PLAN OF CORAL CAY RESTAURANTS LLC [EIN = 471884804]
• EMPLOYEE HEALTH PLAN OF 413 HAGERSTOWN [EIN = 831386022]
• EMPLOYEE HEALTH PLAN OF BREW AVENUE REFRESHMENT SVCS [EIN = 262960013]
• EMPLOYEE HEALTH PLAN OF JARDEL ENTERPRISES INC [EIN = 840796459]
• EMPLOYEE HEALTH PLAN OF CAROLINA FRANCHISE HOLDINGS [EIN = 824240401]
• EMPLOYEE HEALTH PLAN OF S & F INVESTMENTS, INC [EIN = 571072521]
• EMPLOYEE HEALTH AND SAFETY PROGRAM BENEFIT PLAN [EIN = 760137035]
• EMPLOYEE HEALTH PLAN OF ATLANTA FAMILY NEUROLOGY PC [EIN = 260376624]
• EMPLOYEE HEALTH PLAN OF ALPHARETTA CARDIOLOGY, LLC [EIN = 582575191]
• EMPLOYEE HEALTH PLAN OF FACTORIAL RESTAURANT HOLDINGS LLC [EIN = 852920023]
• EMPLOYEE HEALTH PLAN OF ATLANTA PSYCHIATRY & PSYCHOTHERAPY ASSOCIATES [EIN = 455348915]
• EMPLOYEE HEALTH PLAN OF COLUMBUS FAMILY MEDICINE LLC [EIN = 814243040]
• EMPLOYEE HEALTH PLAN OF CARDIOLOGY CONSULTANTS OF ATLANTA [EIN = 562529451]
• EMPLOYEE HEALTH PLAN OF ADVANCED INTERNAL MEDICINE [EIN = 300058901]
• EMPLOYEE HEALTH PLAN OF 108 ASSETS LLC [EIN = 824424352]
• EMPLOYEE HEALTH PLAN OF ARCNV INC [EIN = 833436725]
• EMPLOYEE HEALTH PLAN OF FIRST MEDICAL CARE INC [EIN = 581716416]
• EMPLOYEE HEALTH PLAN OF DW AUTOMOTIVE SERVICES INC [EIN = 472123446]
• EMPLOYEE HEALTH PLAN OF ALPHA EYE ASSOCIATES, LLC [EIN = 582498161]
• EMPLOYEE HEALTH PLAN OF JOHNS CREEK SURGERY, PC [EIN = 582636217]
• EMPLOYEE HEALTH PLAN OF CHA OB/GYN PC [EIN = 474056884]
• EMPLOYEE HEALTH PLAN OF PROVIDER OF COMPUTER PROFESSIONALS INC [EIN = 752723411]
• EMPLOYEE HEALTH PLAN OF ATLANTA RHEUMATOLOGY CONSULTANTS [EIN = 260455216]
• EMPLOYEE HEALTH PLAN OF SHEEHY ENTERPRISES, INC. [EIN = 860318871]
• EMPLOYEE HEALTH PLAN OF CENTER FOR DERMATOLOGY LLC [EIN = 264301954]
• EMPLOYEE HEALTH PLAN OF IVY FALLS FAMILY MEDICINE INC [EIN = 203545124]
• EMPLOYEE HEALTH PLAN OF PRIMARY CARE CENTER OF GA, INC [EIN = 582407274]
• EMPLOYEE HEALTH PLAN OF RU HUNGRY LLC [EIN = 550907996]
• EMPLOYEE HEALTH PLAN OF PAUL INTERNAL MEDICINE ASSOCIATES [EIN = 680594620]
• EMPLOYEE HEALTH PLAN OF HUNTSVILLE CAESARS INC [EIN = 203472600]
• EMPLOYEE HEALTH PLAN OF T. TIME INC [EIN = 204105437]
• EMPLOYEE HEALTH PLAN OF CAPRI MEDICAL GROUP [EIN = 263128223]
• EMPLOYEE HEALTH PLAN OF B&A REPAIR CO [EIN = 301003982]
• EMPLOYEE HEALTH AND SAFETY PROGRAM BENEFIT PLAN [EIN = 915893103]
• EMPLOYEE HEALTH CENTRE LLC MEDOVA LIFESTYLE HEALTH PLAN [EIN = 300417858]
• EMPLOYEE HEALTHCARE PLAN [EIN = 010822836]
• EMPLOYEE HEALTH PLAN OF FLATBEC INC [EIN = 203612212]
• EMPLOYEE HEALTH PLAN OF ONE T INC [EIN = 204189481]
• EMPLOYEE HEALTH PLAN OF PF BASELINE FITNESS LLC [EIN = 451503978]
• EMPLOYEE HEALTH PLAN OF MRK ENTERPRISES [EIN = 611132949]
• EMPLOYEE HEALTH PLAN OF BURGER BARN [EIN = 862467626]
• EMPLOYEE HEALTH PLAN OF HAWBROOK HOLDINGS LLC [EIN = 202176503]
• EMPLOYEE HEALTH PLAN OF MODERN OBSTETRICS & GYNECOLOGY OF NORTH ATLANTA [EIN = 272887978]
• EMPLOYEE HEALTH PLAN OF MARK ANTHONY ENTERPRISES [EIN = 621813704]
• EMPLOYEE HEALTH PLAN OF THOMPSON KING HOLDINGS [EIN = 872035125]
• EMPLOYEE HEALTH PLAN OF STB INC [EIN = 611261562]
• EMPLOYEE HEALTH PLAN OF CENTRAL MS ENTERPRISES [EIN = 822683857]
• EMPLOYEE HEALTH PLAN OF SOUTHERN BEHAVIORAL HEALTHCARE, PC [EIN = 043730144]
• EMPLOYEE HEALTH PLAN OF CHI INVESTMENTS [EIN = 431834367]
• EMPLOYEE HEALTH PLAN OF MACHINE CUISINE [EIN = 330976445]
• EMPLOYEE HEALTH PLAN OF ACTIVE ANKLE AND FOOT CARE SPECIALISTS [EIN = 262855885]
• EMPLOYEE HEALTH PLAN OF PURPOSEFUL ADAPTATIONS [EIN = 862263067]
• EMPLOYEE HEALTH PLAN OF BURGERS OF COLUMBIA PIKE [EIN = 621320936]
• EMPLOYEE HEALTH PLAN OF KARVID PARTNERS II, LLC [EIN = 833436581]
• EMPLOYEE HEALTH PLAN OF EXTRA PICKLES [EIN = 842499296]
• EMPLOYEE HEALTH PLAN OF ALBERT F JOHARY MD, PC [EIN = 582421431]
• EMPLOYEE HEALTH PLAN OF ATLANTA ROPHEKA MEDICAL CENTER [EIN = 200540802]
• EMPLOYEE HEALTH PLAN OF CENTER FOR MEDICINE, LLC [EIN = 582356591]
• EMPLOYEE HEALTH PLAN OF PANIMOR CORP [EIN = 831436390]
• EMPLOYEE HEALTH PLAN OF K-H ENTERPRISES [EIN = 470757325]
• EMPLOYEE HEALTH PLAN OF APOLLO BEHAVIOR SERVICES LLC [EIN = 843298073]
• EMPLOYEE HEALTH PLAN OF ST. THERESA'S OB/GYN, INC [EIN = 463240302]
• EMPLOYEE HEALTH PLAN OF HOLDINGS LLC [EIN = 843286472]
• EMPLOYEE HEALTH PLAN OF D&D FOODSERVICE, INC [EIN = 680555829]
• EMPLOYEE HEALTH PLAN OF RGT II INC DBA MEINEKE CAR CARE CENTER [EIN = 471082849]
• EMPLOYEE HEALTH PLAN OF PJ FOODS LLC [EIN = 522127598]
• EMPLOYEE HEALTH PLAN OF CONSOLIDATED BURGER C, LLC [EIN = 822435818]
• EMPLOYEE HEALTH PLAN OF SOUTH ATLANTA VASCULAR INSTITUTE LLC [EIN = 830636051]
• EMPLOYEE HEALTH PLAN OF MAS RESTAURANT GROUP LLC [EIN = 862738243]
• EMPLOYEE HEALTH PLAN OF M SQUARED AZ INC [EIN = 851608911]
• EMPLOYEE HEALTH PLAN OF TRI COUNTY INTERNAL MEDICINE, PC [EIN = 582635783]
• EMPLOYEE HEALTH PLAN OF SIRIPI LLC [EIN = 822970722]
• EMPLOYEE HEALTH PLAN OF EAGLESLANDING DIABETES & ENDOCRINOLOGY [EIN = 300084490]
• EMPLOYEE HEALTH BENEFIT PLAN FOR FIBER OPTIC MANAGEMENT, LLC DBA TURNKEY NETWORK SOLUTIONS [EIN = 263627811]
• EMPLOYEE HEALTH PLAN OF MABAM ENTERPRISES [EIN = 341733393]
• EMPLOYEE HEALTH PLAN OF GRALO [EIN = 043834161]
• EMPLOYEE HEALTH PLAN OF NJ WAX 8 [EIN = 872574869]
• EMPLOYEE HEALTH PLAN OF DANKERT DANKERT ASSOCIATES [EIN = 351889838]
• EMPLOYEE HEALTH PLAN OF TLA SERVICES INC [EIN = 270382943]
• EMPLOYEE HEALTH PLAN OF ALPHA MOTOR WORKS [EIN = 853384519]
• EMPLOYEE HEALTH PLAN OF CARDIOLOGY OF ATLANTA [EIN = 260805667]
• EMPLOYEE HEALTH PLAN OF RENDEZVOUS ENTERPRISES [EIN = 941694577]
• EMPLOYEE HEALTH PLAN OF RIVERDALE FOOT ANKLE AND LEG CLINIC [EIN = 030432582]
• EMPLOYEE HEALTH PLAN OF SBA HOLDINGS INC [EIN = 824878919]
• EMPLOYEE HEALTH PLAN OF SBS HOLDINGS [EIN = 844708174]
• EMPLOYEE HEALTH PLAN OF ALIGN SPINE AND PAIN INSTITUTE LLC [EIN = 871751283]
• EMPLOYEE HEALTH PLAN OF CMH AUTO [EIN = 201166092]
• EMPLOYEE HEALTH PLAN OF ASHLAND ENTERPRISES [EIN = 541903968]
• EMPLOYEE HEALTH AND WELFARE PLAN [EIN = 421727335]
• EMPLOYEE HEALTH PLAN OF RADIANT ONE LLC [EIN = 854045032]
• EMPLOYEE HEALTH PLAN OF VENITA GROUP LLC [EIN = 824202772]
• EMPLOYEE HEALTH PLAN OF BUTLER AUTOMOTIVE [EIN = 462798190]
• EMPLOYEE HEALTH PLAN OF C&A AZ LLC [EIN = 920622329]
• EMPLOYEE HEALTH PLAN OF C3M ENTERPRISES, INC. [EIN = 462975736]
• EMPLOYEE HEALTH PLAN OF COVENANT MEDICAL GROUP [EIN = 822423015]
• EMPLOYEE HEALTH PLAN OF KEM HEALTH [EIN = 850838005]
• EMPLOYEE HEALTH PLAN OF KRYGIER MANAGEMENT, INC. [EIN = 271726124]
• EMPLOYEE HEALTH PLAN OF ROYAL RESTAURANT GROUP [EIN = 921116188]
• EMPLOYEE HEALTH PLAN OF SUNSET SUBWAY [EIN = 860730233]
• EMPLOYEE HEALTH CARE OF WOODBURY CAR CARE DBA MEINEKE CAR CARE #538 [EIN = 825528509]
• EMPLOYEE HEALTH PLAN OF NORTHEAST ATLANTA ENT [EIN = 581949171]