401k Plan data: CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. plan

CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. 401k Plan overview

Plan Name	CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC.
Plan identification number	001

CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

WESTWOOD BEHAVIORAL HEALTH CENTER, INC. has sponsored the creation of one or more 401k plans.

Company Name: WESTWOOD BEHAVIORAL HEALTH CENTER, INC.

Employer identification number (EIN): 341225732

NAIC Classification: 621420
NAIC Description: Outpatient Mental Health and Substance Abuse Centers

Additional information about WESTWOOD BEHAVIORAL HEALTH CENTER, INC.

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division

Incorporation Date: 1976-09-01

Company Identification Number: 486316

Legal Registered Office Address: 1158 WESTWOOD DR
-
VAN WERT
United States of America (USA)
45891

More information about WESTWOOD BEHAVIORAL HEALTH CENTER, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-07-01 MARK SPIELES 2023-11-14
001 2021-07-01 MARK SPIELES 2023-03-22
001 2020-07-01 MARK SPIELES 2021-12-08
001 2019-07-01 MARK SPIELES 2021-01-12
001 2018-07-01 MARK SPIELES 2019-12-13
001 2017-07-01 MARK SPIELES 2019-01-23
001 2016-07-01 MARK SPIELES 2018-03-22
001 2015-07-01 MARK A SPIELES MARK A SPIELES 2016-11-17
001 2014-07-01 MARK A SPIELES MARK A SPIELES 2016-01-18
001 2013-07-01 MARK A SPIELES MARK A SPIELES 2014-12-29
001 2012-07-01 MARK A SPIELES MARK A SPIELES 2014-10-07
001 2011-07-01 MARK A SPIELES MARK A SPIELES 2014-10-07
001 2010-07-01 MARK A SPIELES MARK A SPIELES 2012-01-24
001 2009-07-01 TOM STRICKER TOM STRICKER 2011-02-22
001 2009-07-01 TOM STRICKER TOM STRICKER 2011-07-27
001 2009-07-01 TOM STRICKER TOM STRICKER 2011-02-17

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-07-01	MARK SPIELES	2023-11-14
001	2021-07-01	MARK SPIELES	2023-03-22
001	2020-07-01	MARK SPIELES	2021-12-08
001	2019-07-01	MARK SPIELES	2021-01-12
001	2018-07-01	MARK SPIELES	2019-12-13
001	2017-07-01	MARK SPIELES	2019-01-23
001	2016-07-01	MARK SPIELES	2018-03-22
001	2015-07-01	MARK A SPIELES		MARK A SPIELES	2016-11-17
001	2014-07-01	MARK A SPIELES		MARK A SPIELES	2016-01-18
001	2013-07-01	MARK A SPIELES		MARK A SPIELES	2014-12-29
001	2012-07-01	MARK A SPIELES		MARK A SPIELES	2014-10-07
001	2011-07-01	MARK A SPIELES		MARK A SPIELES	2014-10-07
001	2010-07-01	MARK A SPIELES		MARK A SPIELES	2012-01-24
001	2009-07-01	TOM STRICKER		TOM STRICKER	2011-02-22
001	2009-07-01	TOM STRICKER		TOM STRICKER	2011-07-27
001	2009-07-01	TOM STRICKER		TOM STRICKER	2011-02-17

Plan Statistics for CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC.

401k plan membership statisitcs for CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC.

Measure Date Value
2015: CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. 2015 401k membership
Total participants, beginning-of-year 2015-07-01 35
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 34
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 0
Total of all active and inactive participants 2015-07-01 34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 0
2014: CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. 2014 401k membership
Total participants, beginning-of-year 2014-07-01 29
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 35
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 0
Total of all active and inactive participants 2014-07-01 35
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 0
Total participants 2014-07-01 35
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 0
2013: CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. 2013 401k membership
Total participants, beginning-of-year 2013-07-01 33
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 29
Total of all active and inactive participants 2013-07-01 29
Total participants 2013-07-01 29
2012: CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. 2012 401k membership
Total participants, beginning-of-year 2012-07-01 30
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 33
Total of all active and inactive participants 2012-07-01 33
Total participants 2012-07-01 33
2011: CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. 2011 401k membership
Total participants, beginning-of-year 2011-07-01 30
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 30
Total of all active and inactive participants 2011-07-01 30
Total participants 2011-07-01 30
2010: CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. 2010 401k membership
Total participants, beginning-of-year 2010-07-01 56
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 30
Total of all active and inactive participants 2010-07-01 30
Total participants 2010-07-01 30
2009: CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. 2009 401k membership
Total participants, beginning-of-year 2009-07-01 56
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 56
Total of all active and inactive participants 2009-07-01 56
Total participants 2009-07-01 56

Measure	Date	Value
2015: CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. 2015 401k membership
Total participants, beginning-of-year	2015-07-01	35
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	34
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	0
Total of all active and inactive participants	2015-07-01	34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	0
2014: CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. 2014 401k membership
Total participants, beginning-of-year	2014-07-01	29
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	35
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	0
Total of all active and inactive participants	2014-07-01	35
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	0
Total participants	2014-07-01	35
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	0
2013: CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. 2013 401k membership
Total participants, beginning-of-year	2013-07-01	33
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	29
Total of all active and inactive participants	2013-07-01	29
Total participants	2013-07-01	29
2012: CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. 2012 401k membership
Total participants, beginning-of-year	2012-07-01	30
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	33
Total of all active and inactive participants	2012-07-01	33
Total participants	2012-07-01	33
2011: CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. 2011 401k membership
Total participants, beginning-of-year	2011-07-01	30
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	30
Total of all active and inactive participants	2011-07-01	30
Total participants	2011-07-01	30
2010: CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. 2010 401k membership
Total participants, beginning-of-year	2010-07-01	56
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	30
Total of all active and inactive participants	2010-07-01	30
Total participants	2010-07-01	30
2009: CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. 2009 401k membership
Total participants, beginning-of-year	2009-07-01	56
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	56
Total of all active and inactive participants	2009-07-01	56
Total participants	2009-07-01	56

Financial Data on CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC.

Measure	Date	Value
2016 : CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. 2016 401k financial data
Total income from all sources	2016-06-30	$57,584
Expenses. Total of all expenses incurred	2016-06-30	$3,868
Benefits paid (including direct rollovers)	2016-06-30	$1,224
Total plan assets at end of year	2016-06-30	$560,269
Total plan assets at beginning of year	2016-06-30	$506,553
Total contributions received or receivable from participants	2016-06-30	$43,829
Other income received	2016-06-30	$-3,427
Net income (gross income less expenses)	2016-06-30	$53,716
Net plan assets at end of year (total assets less liabilities)	2016-06-30	$560,269
Net plan assets at beginning of year (total assets less liabilities)	2016-06-30	$506,553
Assets. Value of participant loans	2016-06-30	$3,330
Total contributions received or receivable from employer(s)	2016-06-30	$17,182
Expenses. Administrative service providers (salaries,fees and commissions)	2016-06-30	$2,644
2015 : CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. 2015 401k financial data
Total income from all sources	2015-06-30	$59,743
Total plan assets at end of year	2015-06-30	$506,553
Total plan assets at beginning of year	2015-06-30	$446,810
Total contributions received or receivable from participants	2015-06-30	$37,195
Other income received	2015-06-30	$7,320
Net income (gross income less expenses)	2015-06-30	$59,743
Net plan assets at end of year (total assets less liabilities)	2015-06-30	$506,553
Net plan assets at beginning of year (total assets less liabilities)	2015-06-30	$446,810
Total contributions received or receivable from employer(s)	2015-06-30	$15,228
2014 : CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. 2014 401k financial data
Total income from all sources	2014-06-30	$92,935
Expenses. Total of all expenses incurred	2014-06-30	$1,983
Total plan assets at end of year	2014-06-30	$446,810
Total plan assets at beginning of year	2014-06-30	$355,858
Total contributions received or receivable from participants	2014-06-30	$35,292
Other income received	2014-06-30	$44,858
Net income (gross income less expenses)	2014-06-30	$90,952
Net plan assets at end of year (total assets less liabilities)	2014-06-30	$446,810
Net plan assets at beginning of year (total assets less liabilities)	2014-06-30	$355,858
Total contributions received or receivable from employer(s)	2014-06-30	$12,785
Expenses. Administrative service providers (salaries,fees and commissions)	2014-06-30	$1,983
2013 : CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. 2013 401k financial data
Total income from all sources	2013-06-30	$87,723
Expenses. Total of all expenses incurred	2013-06-30	$117,174
Benefits paid (including direct rollovers)	2013-06-30	$117,174
Total plan assets at end of year	2013-06-30	$355,858
Total plan assets at beginning of year	2013-06-30	$385,309
Total contributions received or receivable from participants	2013-06-30	$37,048
Other income received	2013-06-30	$37,994
Net income (gross income less expenses)	2013-06-30	$-29,451
Net plan assets at end of year (total assets less liabilities)	2013-06-30	$355,858
Net plan assets at beginning of year (total assets less liabilities)	2013-06-30	$385,309
Total contributions received or receivable from employer(s)	2013-06-30	$12,681
2012 : CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. 2012 401k financial data
Total income from all sources	2012-06-30	$47,038
Total plan assets at end of year	2012-06-30	$385,309
Total plan assets at beginning of year	2012-06-30	$338,271
Total contributions received or receivable from participants	2012-06-30	$35,766
Other income received	2012-06-30	$-1,146
Net income (gross income less expenses)	2012-06-30	$47,038
Net plan assets at end of year (total assets less liabilities)	2012-06-30	$385,309
Net plan assets at beginning of year (total assets less liabilities)	2012-06-30	$338,271
Total contributions received or receivable from employer(s)	2012-06-30	$12,418
2011 : CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. 2011 401k financial data
Total income from all sources	2011-06-30	$102,198
Total plan assets at end of year	2011-06-30	$338,271
Total plan assets at beginning of year	2011-06-30	$236,073
Total contributions received or receivable from participants	2011-06-30	$30,712
Other income received	2011-06-30	$59,231
Net income (gross income less expenses)	2011-06-30	$102,198
Net plan assets at end of year (total assets less liabilities)	2011-06-30	$338,271
Net plan assets at beginning of year (total assets less liabilities)	2011-06-30	$236,073
Total contributions received or receivable from employer(s)	2011-06-30	$12,255

Form 5500 Responses for CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC.

2015: CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2014: CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2013: CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2012: CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2011: CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2010: CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan benefit arrangement – Insurance	Yes
2009: CUSTOM BENEFIT PLAN FOR THE EMPLOYEES OF WESTWOOD BEHAVIORAL HEALTH CENTER, INC. 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	Yes
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

ART0100445EE

Policy instance

Insurance contract or identification number	ART0100445EE
Number of Individuals Covered	34
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $2,305
Total amount of fees paid to insurance company	USD $340
Are there contracts with allocated funds for individual policies?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,167
Insurance broker organization code?	3
Amount paid for insurance broker fees	300
Insurance broker name	MICHAEL REED

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

A010110920

Policy instance

Insurance contract or identification number	A010110920
Number of Individuals Covered	1
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Are there contracts with allocated funds for individual policies?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	GREGORY A MCROBERTS

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

ART0100445EE

Policy instance

Insurance contract or identification number	ART0100445EE
Number of Individuals Covered	35
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $2,020
Total amount of fees paid to insurance company	USD $164
Are there contracts with allocated funds for individual policies?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,016
Insurance broker organization code?	3
Amount paid for insurance broker fees	155
Insurance broker name	KENNETH C CORNACCHIONE

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

ART0100445EE

Policy instance

Insurance contract or identification number	ART0100445EE
Number of Individuals Covered	29
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $1,832
Total amount of fees paid to insurance company	USD $152
Are there contracts with allocated funds for individual policies?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $932
Insurance broker organization code?	3
Amount paid for insurance broker fees	141
Insurance broker name	MICHAEL REED

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

A010110920

Policy instance

Insurance contract or identification number	A010110920
Number of Individuals Covered	1
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Are there contracts with allocated funds for individual policies?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	GREGORY A MCROBERTS

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

ART0100445EE

Policy instance

Insurance contract or identification number	ART0100445EE
Number of Individuals Covered	32
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Total amount of commissions paid to insurance broker	USD $2,150
Total amount of fees paid to insurance company	USD $350
Are there contracts with allocated funds for individual policies?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,123
Insurance broker organization code?	3
Amount paid for insurance broker fees	331
Insurance broker name	MICHAEL REED

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

A010110920

Policy instance

Insurance contract or identification number	A010110920
Number of Individuals Covered	1
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Are there contracts with allocated funds for individual policies?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	GREGORY A MCROBERTS

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

ART0100445EE

Policy instance

Insurance contract or identification number	ART0100445EE
Number of Individuals Covered	29
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $1,901
Total amount of fees paid to insurance company	USD $217
Are there contracts with allocated funds for individual policies?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

A010110920

Policy instance

Insurance contract or identification number	A010110920
Number of Individuals Covered	1
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Are there contracts with allocated funds for individual policies?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

ART0100445EE

Policy instance

Insurance contract or identification number	ART0100445EE
Number of Individuals Covered	29
Insurance policy start date	2010-07-01
Insurance policy end date	2011-06-30
Total amount of commissions paid to insurance broker	USD $2,106
Total amount of fees paid to insurance company	USD $277
Are there contracts with allocated funds for individual policies?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

A010110920

Policy instance

Insurance contract or identification number	A010110920
Number of Individuals Covered	1
Insurance policy start date	2010-07-01
Insurance policy end date	2011-06-30
Are there contracts with allocated funds for individual policies?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	WESTWOOD BEHAVIORAL HEALTH CENTER, INC.
Employer identification number (EIN):	341225732
NAIC Classification:	621420
NAIC Description:	Outpatient Mental Health and Substance Abuse Centers

Jurisdiction of Incorporation:	Ohio Secretary of State Business Services Division
Incorporation Date:	1976-09-01
Company Identification Number:	486316
Legal Registered Office Address:	1158 WESTWOOD DR - VAN WERT United States of America (USA) 45891