EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan Name	EMPLOYEE BENEFIT PLAN
Plan identification number	510

EMPLOYEE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Prepaid legal Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

F.C. TUCKER COMPANY LLC. has sponsored the creation of one or more 401k plans.

Company Name:	F.C. TUCKER COMPANY LLC.
Employer identification number (EIN):	351661186
NAIC Classification:	531210
NAIC Description:	Offices of Real Estate Agents and Brokers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE BENEFIT PLAN

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
510	2022-01-01
510	2021-01-01
510	2020-01-01
510	2019-01-01
510	2018-01-01
510	2017-01-01	STANLEY PHARISS		PATRICK PURDUE	2018-07-26
510	2016-01-01	STANLEY PHARISS		PATRICK PURDUE	2017-07-21
510	2015-01-01	STANLEY PHARISS		PATRICK PURDUE	2016-07-08
510	2014-01-01	STANLEY PHARISS		H. JAMES LITTEN	2015-07-16
510	2013-01-01	STANLEY PHARISS		H. JAMES LITTEN	2014-07-30
510	2012-01-01	STANLEY PHARISS		H. JAMES LITTEN	2013-07-10
510	2011-01-01	STANLEY PHARISS		H. JAMES LITTEN	2012-07-25
510	2010-01-01	STANLEY PHARISS		H. JAMES LITTEN	2011-07-15
510	2009-01-01	STANLEY PHARISS		H. JAMES LITTEN	2010-06-23

Plan Statistics for EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for EMPLOYEE BENEFIT PLAN

Measure	Date	Value
2022: EMPLOYEE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	158
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	152
Number of retired or separated participants receiving benefits	2022-01-01	1
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	153
2021: EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	150
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	151
Number of retired or separated participants receiving benefits	2021-01-01	0
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	151
2020: EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	158
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	147
Number of retired or separated participants receiving benefits	2020-01-01	1
Number of other retired or separated participants entitled to future benefits	2020-01-01	1
Total of all active and inactive participants	2020-01-01	149
Total participants	2020-01-01	149
2019: EMPLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	158
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	157
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	1
Total of all active and inactive participants	2019-01-01	158
Total participants	2019-01-01	158
2018: EMPLOYEE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	164
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	158
Number of retired or separated participants receiving benefits	2018-01-01	0
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	158
Total participants	2018-01-01	158
2017: EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	169
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	156
Number of retired or separated participants receiving benefits	2017-01-01	5
Number of other retired or separated participants entitled to future benefits	2017-01-01	3
Total of all active and inactive participants	2017-01-01	164
Total participants	2017-01-01	164
2016: EMPLOYEE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	163
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	161
Number of retired or separated participants receiving benefits	2016-01-01	3
Number of other retired or separated participants entitled to future benefits	2016-01-01	5
Total of all active and inactive participants	2016-01-01	169
Total participants	2016-01-01	169
2015: EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	151
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	157
Number of retired or separated participants receiving benefits	2015-01-01	2
Number of other retired or separated participants entitled to future benefits	2015-01-01	4
Total of all active and inactive participants	2015-01-01	163
Total participants	2015-01-01	163
2014: EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	145
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	145
Number of retired or separated participants receiving benefits	2014-01-01	4
Number of other retired or separated participants entitled to future benefits	2014-01-01	2
Total of all active and inactive participants	2014-01-01	151
Total participants	2014-01-01	151
2013: EMPLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	149
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	142
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	3
Total of all active and inactive participants	2013-01-01	145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	145
2012: EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	144
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	146
Number of retired or separated participants receiving benefits	2012-01-01	1
Number of other retired or separated participants entitled to future benefits	2012-01-01	2
Total of all active and inactive participants	2012-01-01	149
Total participants	2012-01-01	149
2011: EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	149
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	140
Number of retired or separated participants receiving benefits	2011-01-01	2
Number of other retired or separated participants entitled to future benefits	2011-01-01	2
Total of all active and inactive participants	2011-01-01	144
Total participants	2011-01-01	144
2010: EMPLOYEE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	152
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	143
Number of retired or separated participants receiving benefits	2010-01-01	4
Number of other retired or separated participants entitled to future benefits	2010-01-01	2
Total of all active and inactive participants	2010-01-01	149
Total participants	2010-01-01	149
2009: EMPLOYEE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	145
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	144
Number of retired or separated participants receiving benefits	2009-01-01	5
Number of other retired or separated participants entitled to future benefits	2009-01-01	3
Total of all active and inactive participants	2009-01-01	152
Total participants	2009-01-01	152

Form 5500 Responses for EMPLOYEE BENEFIT PLAN

2022: EMPLOYEE BENEFIT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
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 BENEFIT PLAN 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 benefit arrangement – Insurance	Yes
2020: EMPLOYEE BENEFIT PLAN 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 benefit arrangement – Insurance	Yes
2019: EMPLOYEE BENEFIT PLAN 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 benefit arrangement – Insurance	Yes
2018: EMPLOYEE BENEFIT PLAN 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	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: EMPLOYEE BENEFIT PLAN 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	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: EMPLOYEE BENEFIT PLAN 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	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: EMPLOYEE BENEFIT PLAN 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	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: EMPLOYEE BENEFIT PLAN 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	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: EMPLOYEE BENEFIT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
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	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: EMPLOYEE BENEFIT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: EMPLOYEE BENEFIT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: EMPLOYEE BENEFIT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: EMPLOYEE BENEFIT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	G0J45
Policy instance	6
Insurance contract or identification number G0J45 Number of Individuals Covered 30 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Total amount of commissions paid to insurance broker USD $3,557 Total amount of fees paid to insurance company USD $212 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 Yes 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 $31,045 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,748 Amount paid for insurance broker fees 122 Additional information about fees paid to insurance broker FEES Insurance broker organization code? 3
PRE-PAID LEGAL SERVICES DBA LEGAL SHIELD (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	152331
Policy instance	5
Insurance contract or identification number 152331 Number of Individuals Covered 7 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Total amount of commissions paid to insurance broker USD $263 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 LEGAL 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 $1,120 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $163 Insurance broker organization code? 3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	882136
Policy instance	4
Insurance contract or identification number 882136 Number of Individuals Covered 159 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Total amount of commissions paid to insurance broker USD $9,875 Total amount of fees paid to insurance company USD $1,635 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 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 $65,835 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $9,875 Amount paid for insurance broker fees 1635 Additional information about fees paid to insurance broker FEES Insurance broker organization code? 3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	30030107
Policy instance	3
Insurance contract or identification number 30030107 Number of Individuals Covered 103 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Total amount of commissions paid to insurance broker USD $814 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 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 $11,504 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $814 Insurance broker organization code? 3
DELTA DENTAL OF INDIANA (National Association of Insurance Commissioners NAIC id number: 52634 )
Policy contract number	189
Policy instance	2
Insurance contract or identification number 189 Number of Individuals Covered 180 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 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 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 $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	W11624
Policy instance	1
Insurance contract or identification number W11624 Number of Individuals Covered 103 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Total amount of commissions paid to insurance broker USD $34,742 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 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 $1,132,509 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $34,742 Insurance broker organization code? 3
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number	W11624
Policy instance	1
Insurance contract or identification number W11624 Number of Individuals Covered 98 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Total amount of commissions paid to insurance broker USD $32,277 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 $1,070,580 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $32,277 Insurance broker organization code? 3
DELTA DENTAL OF INDIANA (National Association of Insurance Commissioners NAIC id number: 52634 )
Policy contract number	189
Policy instance	2
Insurance contract or identification number 189 Number of Individuals Covered 184 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 $44 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 $0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 44 Additional information about fees paid to insurance broker FEES Insurance broker organization code? 3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	30030107
Policy instance	3
Insurance contract or identification number 30030107 Number of Individuals Covered 97 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Total amount of commissions paid to insurance broker USD $800 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 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 $10,813 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $800 Insurance broker organization code? 3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	882136
Policy instance	4
Insurance contract or identification number 882136 Number of Individuals Covered 156 Insurance policy start date 2020-08-01 Insurance policy end date 2021-07-31 Total amount of commissions paid to insurance broker USD $8,204 Total amount of fees paid to insurance company USD $1,094 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 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 $54,695 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $8,204 Amount paid for insurance broker fees 1094 Additional information about fees paid to insurance broker FEES Insurance broker organization code? 3
PRE-PAID LEGAL SERVICES DBA LEGAL SHIELD (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	152331
Policy instance	5
Insurance contract or identification number 152331 Number of Individuals Covered 5 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Total amount of commissions paid to insurance broker USD $82 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 LEGAL 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 $1,531 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $60 Insurance broker organization code? 3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	G0J45
Policy instance	6
Insurance contract or identification number G0J45 Number of Individuals Covered 34 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Total amount of commissions paid to insurance broker USD $3,912 Total amount of fees paid to insurance company USD $61 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 Yes 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 $29,449 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,380 Amount paid for insurance broker fees 49 Additional information about fees paid to insurance broker FEES Insurance broker organization code? 3
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number	W11624
Policy instance	1
Insurance contract or identification number W11624 Number of Individuals Covered 148 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $41,047 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 $971,941 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $41,047 Insurance broker organization code? 3
DELTA DENTAL OF INDIANA (National Association of Insurance Commissioners NAIC id number: 52634 )
Policy contract number	0000189
Policy instance	2
Insurance contract or identification number 0000189 Number of Individuals Covered 160 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 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 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $0 Insurance broker organization code? 3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	30030107
Policy instance	3
Insurance contract or identification number 30030107 Number of Individuals Covered 90 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $769 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 $10,698 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $769 Insurance broker organization code? 3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	637506
Policy instance	4
Insurance contract or identification number 637506 Number of Individuals Covered 150 Insurance policy start date 2019-08-01 Insurance policy end date 2020-07-31 Total amount of commissions paid to insurance broker USD $4,100 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 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 Commission paid to Insurance Broker USD $990 Amount paid for insurance broker fees 0 Additional information about fees paid to insurance broker N/A Insurance broker organization code? 3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	637506
Policy instance	5
Insurance contract or identification number 637506 Number of Individuals Covered 150 Insurance policy start date 2019-08-01 Insurance policy end date 2020-07-31 Total amount of commissions paid to insurance broker USD $7,352 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 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 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $1,569 Amount paid for insurance broker fees 0 Additional information about fees paid to insurance broker N/A Insurance broker organization code? 3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	G0J45
Policy instance	6
Insurance contract or identification number G0J45 Number of Individuals Covered 39 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $3,772 Total amount of fees paid to insurance company USD $133 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 Yes 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 $34,840 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 Amount paid for insurance broker fees 0 Insurance broker organization code? 3
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number	W11624
Policy instance	1
Insurance contract or identification number W11624 Number of Individuals Covered 163 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Total amount of commissions paid to insurance broker USD $26,229 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 $1,071,252 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $26,229
DELTA DENTAL OF INDIANA (National Association of Insurance Commissioners NAIC id number: 52634 )
Policy contract number	0000189
Policy instance	2
Insurance contract or identification number 0000189 Number of Individuals Covered 170 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 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 Insurance broker organization code? 3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	30030107
Policy instance	3
Insurance contract or identification number 30030107 Number of Individuals Covered 97 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Total amount of commissions paid to insurance broker USD $261 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 $10,438 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $261 Insurance broker organization code? 3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	637506
Policy instance	4
Insurance contract or identification number 637506 Number of Individuals Covered 159 Insurance policy start date 2018-08-01 Insurance policy end date 2019-07-31 Total amount of commissions paid to insurance broker USD $3,035 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 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 Commission paid to Insurance Broker USD $2,360 Insurance broker organization code? 3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	637506
Policy instance	5
Insurance contract or identification number 637506 Number of Individuals Covered 159 Insurance policy start date 2018-08-01 Insurance policy end date 2019-07-31 Total amount of commissions paid to insurance broker USD $5,660 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 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,555 Insurance broker organization code? 3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	G0J45
Policy instance	6
Insurance contract or identification number G0J45 Number of Individuals Covered 47 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Total amount of commissions paid to insurance broker USD $5,046 Total amount of fees paid to insurance company USD $304 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 Yes 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 $39,997 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 Amount paid for insurance broker fees 0 Insurance broker organization code? 3
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number	00248467
Policy instance	1
Insurance contract or identification number 00248467 Number of Individuals Covered 179 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $22,869 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 $1,128,180 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $6,363 Insurance broker organization code? 3
DELTA DENTAL OF INDIANA (National Association of Insurance Commissioners NAIC id number: 52634 )
Policy contract number	189
Policy instance	2
Insurance contract or identification number 189 Number of Individuals Covered 173 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 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 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
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	30030107
Policy instance	3
Insurance contract or identification number 30030107 Number of Individuals Covered 99 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 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 $10,573 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	637506
Policy instance	4
Insurance contract or identification number 637506 Number of Individuals Covered 158 Insurance policy start date 2017-08-01 Insurance policy end date 2018-07-31 Total amount of commissions paid to insurance broker USD $3,283 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 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 Commission paid to Insurance Broker USD $2,310 Insurance broker organization code? 3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	637506
Policy instance	5
Insurance contract or identification number 637506 Number of Individuals Covered 158 Insurance policy start date 2017-08-01 Insurance policy end date 2018-07-31 Total amount of commissions paid to insurance broker USD $6,091 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 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $408 Insurance broker organization code? 3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	G0J45
Policy instance	6
Insurance contract or identification number G0J45 Number of Individuals Covered 52 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $6,837 Total amount of fees paid to insurance company USD $418 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 Yes 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 $48,601 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 Amount paid for insurance broker fees 0 Insurance broker organization code? 3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	637506
Policy instance	6
Insurance contract or identification number 637506 Number of Individuals Covered 157 Insurance policy start date 2016-08-01 Insurance policy end date 2017-07-31 Total amount of commissions paid to insurance broker USD $5,391 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 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 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,508 Amount paid for insurance broker fees 0 Insurance broker organization code? 3 Insurance broker name NFP INSURANCE SERVICES INC
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	637506
Policy instance	5
Insurance contract or identification number 637506 Number of Individuals Covered 157 Insurance policy start date 2016-08-01 Insurance policy end date 2017-07-31 Total amount of commissions paid to insurance broker USD $2,839 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 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 Commission paid to Insurance Broker USD $2,276 Amount paid for insurance broker fees 0 Insurance broker organization code? 3 Insurance broker name NFP INSURANCE SERVICES INC
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	30030107
Policy instance	4
Insurance contract or identification number 30030107 Number of Individuals Covered 105 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 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 $10,861 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	0000189
Policy instance	3
Insurance contract or identification number 0000189 Number of Individuals Covered 190 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 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 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
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	G0J45
Policy instance	2
Insurance contract or identification number G0J45 Number of Individuals Covered 61 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $7,248 Total amount of fees paid to insurance company USD $352 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 Yes 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 $44,368 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 Amount paid for insurance broker fees 0 Insurance broker organization code? 3 Insurance broker name KYLE ELLISON
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number	00248467
Policy instance	1
Insurance contract or identification number 00248467 Number of Individuals Covered 181 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $23,604 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 $1,052,434 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $23,604 Amount paid for insurance broker fees 0 Insurance broker organization code? 3 Insurance broker name SHEPHERD INSURANCE LLC
DELTA DENTAL OF INDIANA (National Association of Insurance Commissioners NAIC id number: 52634 )
Policy contract number	0000189
Policy instance	5
Insurance contract or identification number 0000189 Number of Individuals Covered 146 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 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
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	30030107
Policy instance	4
Insurance contract or identification number 30030107 Number of Individuals Covered 87 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 Yes Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $8,824 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ADVANTAGE HEALTH SOLUTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 52568 )
Policy contract number	8236H000
Policy instance	3
Insurance contract or identification number 8236H000 Number of Individuals Covered 173 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 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 $850,419 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	637506
Policy instance	2
Insurance contract or identification number 637506 Number of Individuals Covered 148 Insurance policy start date 2014-08-01 Insurance policy end date 2015-07-31 Total amount of commissions paid to insurance broker USD $2,148 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 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,148 Amount paid for insurance broker fees 0 Additional information about fees paid to insurance broker N/A Insurance broker organization code? 3 Insurance broker name SHEPHERD INSURANCE LLC
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	637506
Policy instance	1
Insurance contract or identification number 637506 Number of Individuals Covered 148 Insurance policy start date 2014-08-01 Insurance policy end date 2015-07-31 Total amount of commissions paid to insurance broker USD $4,304 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 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,304 Amount paid for insurance broker fees 0 Additional information about fees paid to insurance broker N/A Insurance broker organization code? 3 Insurance broker name SHEPHERD INSURANCE LLC
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	G0J45
Policy instance	6
Insurance contract or identification number G0J45 Number of Individuals Covered 53 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $6,572 Total amount of fees paid to insurance company USD $1,325 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 Yes 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 $40,405 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 Amount paid for insurance broker fees 0 Insurance broker organization code? 3 Insurance broker name INDIANA PROFIT SOLUTIONS INC
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	637506
Policy instance	6
Insurance contract or identification number 637506 Number of Individuals Covered 140 Insurance policy start date 2013-08-01 Insurance policy end date 2014-07-31 Total amount of commissions paid to insurance broker USD $4,193 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 Commission paid to Insurance Broker USD $555 Amount paid for insurance broker fees 0 Additional information about fees paid to insurance broker N/A Insurance broker organization code? 3 Insurance broker name WELLS FARGO INS SVCS USA INC
ADVANTAGE HEALTH SOLUTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 52568 )
Policy contract number	8236H000
Policy instance	1
Insurance contract or identification number 8236H000 Number of Individuals Covered 155 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 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 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 $822,244 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	0000189
Policy instance	2
Insurance contract or identification number 0000189 Number of Individuals Covered 152 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 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 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
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 52050 )
Policy contract number	30030107
Policy instance	3
Insurance contract or identification number 30030107 Number of Individuals Covered 88 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $9,070 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	637506
Policy instance	4
Insurance contract or identification number 637506 Number of Individuals Covered 140 Insurance policy start date 2013-08-01 Insurance policy end date 2014-07-31 Total amount of commissions paid to insurance broker USD $2,098 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 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $366 Amount paid for insurance broker fees 0 Additional information about fees paid to insurance broker N/A Insurance broker organization code? 3 Insurance broker name WELLS FARGO INS SVCS USA INC
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number	G0J45
Policy instance	5
Insurance contract or identification number G0J45 Number of Individuals Covered 66 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $19,115 Total amount of fees paid to insurance company USD $87 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 Yes 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 $35,599 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 Amount paid for insurance broker fees 0 Additional information about fees paid to insurance broker N/A Insurance broker organization code? 3 Insurance broker name INDIANA PROFIT SOLUTIONS INC
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 52050 )
Policy contract number	30030107
Policy instance	5
Insurance contract or identification number 30030107 Number of Individuals Covered 78 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit Yes Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $8,359 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	637506
Policy instance	2
Insurance contract or identification number 637506 Number of Individuals Covered 142 Insurance policy start date 2012-08-01 Insurance policy end date 2013-07-31 Total amount of commissions paid to insurance broker USD $2,327 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 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes Commission paid to Insurance Broker USD $264 Amount paid for insurance broker fees 0 Additional information about fees paid to insurance broker N/A Insurance broker organization code? 3 Insurance broker name WELLS FARGO INS SVCS USA INC
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	637506
Policy instance	3
Insurance contract or identification number 637506 Number of Individuals Covered 142 Insurance policy start date 2012-08-01 Insurance policy end date 2013-07-31 Total amount of commissions paid to insurance broker USD $4,539 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 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? Yes Commission paid to Insurance Broker USD $423 Additional information about fees paid to insurance broker N/A Insurance broker organization code? 3 Insurance broker name WELLS FARGO INS SVCS USA INC
DELTA DENTAL OF INDIANA (National Association of Insurance Commissioners NAIC id number: 52634 )
Policy contract number	189
Policy instance	4
Insurance contract or identification number 189 Number of Individuals Covered 146 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 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 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
ADVANTAGE HEALTH SOLUTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 52568 )
Policy contract number	8236H000
Policy instance	1
Insurance contract or identification number 8236H000 Number of Individuals Covered 180 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 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 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 $762,711 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	637506
Policy instance	2
Insurance contract or identification number 637506 Number of Individuals Covered 140 Insurance policy start date 2011-08-01 Insurance policy end date 2012-07-31 Total amount of commissions paid to insurance broker USD $2,306 Life Insurance Welfare Benefit Yes Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,045 Amount paid for insurance broker fees 0 Additional information about fees paid to insurance broker N/A Insurance broker organization code? 3 Insurance broker name WELLS FARGO INS SVCS USA INC
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	637506
Policy instance	5
Insurance contract or identification number 637506 Number of Individuals Covered 140 Insurance policy start date 2011-08-01 Insurance policy end date 2012-07-31 Total amount of commissions paid to insurance broker USD $4,497 Total amount of fees paid to insurance company USD $0 Long Term Disability Insurance Welfare Benefit Yes Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,083 Amount paid for insurance broker fees 0 Additional information about fees paid to insurance broker N/A Insurance broker organization code? 3 Insurance broker name WELLS FARGO INS SVCS USA INC
DELTA DENTAL OF INDIANA (National Association of Insurance Commissioners NAIC id number: 52634 )
Policy contract number	189
Policy instance	3
Insurance contract or identification number 189 Number of Individuals Covered 158 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Dental Insurance Welfare Benefit Yes 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: 52050 )
Policy contract number	30030107
Policy instance	4
Insurance contract or identification number 30030107 Number of Individuals Covered 86 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,629 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
ADVANTAGE HEALTH SOLUTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 52568 )
Policy contract number	8236H000
Policy instance	1
Insurance contract or identification number 8236H000 Number of Individuals Covered 172 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $671,048 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	709044
Policy instance	3
Insurance contract or identification number 709044 Number of Individuals Covered 186 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 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $681,938
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	637506
Policy instance	1
Insurance contract or identification number 637506 Number of Individuals Covered 137 Insurance policy start date 2010-08-01 Insurance policy end date 2011-07-31 Total amount of commissions paid to insurance broker USD $2,635 Total amount of fees paid to insurance company USD $0 Life Insurance Welfare Benefit Yes Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	637506
Policy instance	2
Insurance contract or identification number 637506 Number of Individuals Covered 137 Insurance policy start date 2010-08-01 Insurance policy end date 2011-07-31 Total amount of commissions paid to insurance broker USD $4,975 Total amount of fees paid to insurance company USD $0 Long Term Disability Insurance Welfare Benefit Yes Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	709044
Policy instance	3
Insurance contract or identification number 709044 Number of Individuals Covered 200 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit Yes Vision Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $685,358 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $0 Insurance broker organization code? 3 Insurance broker name
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	637506
Policy instance	2
Insurance contract or identification number 637506 Number of Individuals Covered 146 Insurance policy start date 2009-08-01 Insurance policy end date 2010-07-31 Total amount of commissions paid to insurance broker USD $2,055 Life Insurance Welfare Benefit Yes Commission paid to Insurance Broker USD $1,563 Additional information about fees paid to insurance broker N/A Insurance broker organization code? 3 Insurance broker name WELLS FARGO INS SVCS USA INC
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	637506
Policy instance	1
Insurance contract or identification number 637506 Number of Individuals Covered 146 Insurance policy start date 2009-08-01 Insurance policy end date 2010-07-31 Total amount of commissions paid to insurance broker USD $4,047 Total amount of fees paid to insurance company USD $676 Long Term Disability Insurance Welfare Benefit Yes Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,371 Amount paid for insurance broker fees 0 Additional information about fees paid to insurance broker N/A Insurance broker organization code? 3 Insurance broker name WELLS FARGO INS SVCS USA INC

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• EMPLOYEE BENEFIT PLAN OF LIFELINE HOMECARE, INC. [EIN = 611161293]
• EMPLOYEE BENEFIT PLAN OF FAMILY SERVICES OF GREATER NEW ORLEANS [EIN = 720408931]
• EMPLOYEE BENEFIT PLAN FOR SEITZ LLC [EIN = 453526819]
• EMPLOYEE BENEFIT PLAN OF DUTCHESS COUNTY CHAPTER - NEW YORK STATE ASSOCIATION FOR RETARDED CHILDREN [EIN = 146077915]
• EMPLOYEE BENEFIT PLAN OF LUTHERAN CHILD AND FAMILY SERVICES OF ILLINOIS [EIN = 362167778]
• EMPLOYEE BENEFITS PLAN OF UNITED WAY SUNCOAST, INC [EIN = 593725701]
• EMPLOYEE BENEFIT PLAN OF US AIR CONDITIONING DISTRIBUTORS [EIN = 260852920]
• EMPLOYEE BENEFIT PLAN FOR SONY ONLINE ENTERTAINMENT [EIN = 204347762]
• EMPLOYEE BENEFIT PLAN [EIN = 950884320]
• EMPLOYEE BENEFIT PLAN OF EASTER SEALS EL MIRADOR [EIN = 742830135]
• EMPLOYEE BENEFIT PLAN OF JUVENILE JUSTICE CENTER OF PHILADELPHIA [EIN = 232097840]
• EMPLOYEE BENEFIT PLAN OF COMMUNITY ACTION PROGRAM FOR CENTRAL ARKANSAS, INC [EIN = 710393919]
• EMPLOYEE BENEFIT PLAN OF BONAR(FORMERLY COLBOND) [EIN = 200411022]
• EMPLOYEE BENEFIT PLAN OF DANIEL, COKER, HORTON & BELL, P.A. [EIN = 640653454]
• EMPLOYEE BENEFIT PLAN [EIN = 742083149]
• EMPLOYEE BENEFIT PLAN OF CAMBRIA RESIDENTIAL SERVICES INC [EIN = 251405563]
• EMPLOYEE BENEFIT PLAN OF COASTAL COMMUNITY ACTION, INC. [EIN = 566075606]
• EMPLOYEE BENEFIT PLAN OF ROCKLAND CO. CHAPTER-NEW YORK STATE ASSOCIATION FO [EIN = 131916359]
• EMPLOYEE BENEFIT PLAN OF HOLY CROSS HEAD START, INC. [EIN = 222659648]
• EMPLOYEE BENEFITS PLAN - MEDICAL, DENTAL AND VISION [EIN = 580566243]
• EMPLOYEE BENEFIT PLAN OF PARTNERSHIP FOR STRONG FAMILIES, INC. [EIN = 030423150]
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• EMPLOYEE BENEFIT PLAN OF KODIAK AREA NATIVE ASSOCIATION [EIN = 920038225]
• EMPLOYEE BENEFIT PLAN OF EVANGELICAL CHILDREN'S HOME [EIN = 430654856]
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• EMPLOYEE BENEFIT PLAN OF ARIZONA AUTISM UNITED, INC. [EIN = 161738730]
• EMPLOYEE BENEFIT PLAN OF THE ARC OF LITCHFIELD COUNTY, INC. [EIN = 066075006]
• EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE [EIN = 362225483]
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• EMPLOYEE BENEFIT PLAN FOR ELEPHANTS FOOD GROUP, INC. [EIN = 930734229]
• EMPLOYEE BENEFIT PLAN OF THE FAMILY SERVICE ASSOCIATION [EIN = 350876375]
• EMPLOYEE BENEFIT PLAN OF LIFE INC. [EIN = 561612948]
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• EMPLOYEE BENEFIT PLAN OF WESTCHESTER VISITING NURSE SERVICES GROUP, INC. [EIN = 133323176]
• EMPLOYEE BENEFITS PLAN OF FAMILY SUPPORT SERVICES [EIN = 750800642]
• EMPLOYEE BENEFIT PLAN OF COMMUNITY HEALTH DEVELOPMENT, INC. [EIN = 542144549]
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• EMPLOYEE BENEFIT PLAN OF FAMILY SERVICE LEAGUE, INC. [EIN = 111631827]
• EMPLOYEE BENEFIT PLAN OF THE WINTER GROUP OF COMPANIES [EIN = 582337538]
• EMPLOYEE BENEFIT PLAN OF IRIDIUM INDUSTRIES, INC. [EIN = 134033374]
• EMPLOYEE BENEFIT PLAN - DISABILITY LTD [EIN = 580566243]
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• EMPLOYEE BENEFIT PLAN OF NORTH STAR COMMUNITY SERVICES, INC. [EIN = 421038039]
• EMPLOYEE BENEFIT PLAN OF COMMUNITY ACTION CORPORATION OF SOUTH TEXAS [EIN = 741679824]
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• EMPLOYEE BENEFIT PLAN OF STATEN ISLAND MENTAL HEALTH SOCIETY, INC. [EIN = 135623279]
• EMPLOYEE BENEFIT PLAN FOR THE SCOTT FETZER COMPANY [EIN = 470691256]
• EMPLOYEE BENEFIT PLAN OF ROCKLAND CO. CHAPTER-NEW YORK STATE ASSOCIATION FOR RETARDED SHILDREN [EIN = 131916359]
• EMPLOYEE BENEFIT PLAN FOR AMERICA'S CREDIT UNION [EIN = 910620623]
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• EMPLOYEE BENEFIT PLAN FOR HENRY BROTHERS AUTO BODY AND PAINT SHOP [EIN = 510367295]
• EMPLOYEE BENEFITS PLAN OF ALPHA MANUFACTURING COMPANY INC [EIN = 570558620]
• EMPLOYEE BENEFIT PLAN OF BIRCH COMMUNICATIONS, INC. [EIN = 582233012]
• EMPLOYEE BENEFIT PLAN OF HAPAG-LLOYD AMERICA INC. [EIN = 132520327]
• EMPLOYEE BENEFITS PLAN OF THE LEAH ROSE RESIDENCE FOR SENIOR CITIZENS [EIN = 620849787]
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• EMPLOYEE BENEFIT PLAN OF MOBRIDGE REGIONAL HOSPITAL [EIN = 460255944]
• EMPLOYEE BENEFIT PLAN OF HAWAII COUNTY ECONOMIC OPPORTUNITYCOUNCIL [EIN = 990113845]
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• EMPLOYEE BENEFIT PLAN OF HILL COUNTRY COMMUNITY ACTION ASSOCIATION, INC. [EIN = 741547195]
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• EMPLOYEE BENEFIT PLAN OF TAZEWELL COUNTY RESOURCE CENTERS, INC. [EIN = 376016936]
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• EMPLOYEE BENEFIT PLAN OF GIRL SCOUT COUNCIL OF NORTHWEST MISSISSIPPI, INC. [EIN = 640385640]
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• EMPLOYEE BENEFIT PLAN OF HENRY STREET SETTLEMENT [EIN = 131562242]
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• EMPLOYEE BENEFIT PLAN OF LIFE CONCEPTS, INC. D/B/A QUEST, INC. [EIN = 592013160]
• EMPLOYEE BENEFIT PLAN OF NEW RIVER COMMUNITY ACTION, INC. [EIN = 540793072]
• EMPLOYEE BENEFIT PLAN OF S.E.K. - C.A.P., INC. [EIN = 480725078]
• EMPLOYEE BENEFIT PLAN OF SARAH TUXIS RESIDENTIAL SERVICES, INC. [EIN = 061297908]
• EMPLOYEE BENEFIT PLAN OF TDK COMPONENTS USA, INC. [EIN = 621259948]
• EMPLOYEE BENEFIT PLAN OF GREATER LAWRENCE FAMILY HEALTH CENTER [EIN = 042708824]
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• EMPLOYEE BENEFIT PLAN OF NEIGHBOR TO FAMILY, INC. NEIGHBOR TO FAMILY, INC. [EIN = 364354882]
• EMPLOYEE BENEFIT PLAN LIFE AND HEALTH INSURANCE [EIN = 411533780]
• EMPLOYEE BENEFIT PLAN OF MCLARTY CMFO, INC. [EIN = 474658086]
• EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE [EIN = 340714611]
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• EMPLOYEE BENEFIT PLAN OF CORPORATE FITNESS WORKS, INC. [EIN = 521563984]
• EMPLOYEE BENEFITS PLAN OF TRI-COUNTY URBAN LEAGUE [EIN = 370888235]
• EMPLOYEE BENEFIT PLAN OF STEWART AGENCY, INC. D/B/A EARL STEWART TOYOTA [EIN = 591556109]
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• EMPLOYEE BENEFIT PLAN OF UNITED WAY OF GREATER NEW HAVEN, INC. [EIN = 060646761]
• EMPLOYEE BENEFIT PLAN OF ALMA FAMILY SERVICES [EIN = 952959331]
• EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION [EIN = 363197647]
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• EMPLOYEE BENEFIT PLAN OF HOME OF THE INNOCENTS - LIFE INSURANCE [EIN = 610445834]
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• EMPLOYEE BENEFIT PLAN OF DUBOIS-PIKE-WARRICK ECONOMIC OPPORTUNITY COMMITTEE [EIN = 351121163]
• EMPLOYEE BENEFIT PLAN OF BOONE DRUGS [EIN = 560999109]
• EMPLOYEE BENEFIT PLAN OF THE NEW IEM, LLC [EIN = 651212631]
• EMPLOYEE BENEFIT PLAN OF STARC OF LOUISIANA, INC. [EIN = 720727074]
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• EMPLOYEE BENEFITS LEASING, INC. 401(K) PLAN [EIN = 270016253]
• EMPLOYEE BENEFIT PLAN OF FLORA, INC. [EIN = 911747264]
• EMPLOYEE BENEFIT PLAN OF CORTLAND COUNTY COMMUNITY ACTION PROGRAM INC. [EIN = 161004653]
• EMPLOYEE BENEFIT PLAN FOR TOOT 'N TOTUM FOOD STORES [EIN = 750948150]
• EMPLOYEE BENEFIT PLAN OF ROCHESTER MANAGEMENT, INC. [EIN = 161556654]
• EMPLOYEE BENEFIT PLAN [EIN = 951716787]
• EMPLOYEE BENEFIT PLAN OF EASTER SEALS - UCP [EIN = 370686250]
• EMPLOYEE BENEFIT PLAN OF HOTEL KAIMANA, INC. [EIN = 990107802]
• EMPLOYEE BENEFIT PLAN OF METHODIST HOME FOR CHILDREN AND ITS SUBSIDIARIES [EIN = 233095660]
• EMPLOYEE BENEFITS PLAN OF THE TRUST FOR PUBLIC LAND [EIN = 237222333]
• EMPLOYEE BENEFITS PLAN OF CAMBRIA RESIDENTIAL SERV INC [EIN = 251405563]
• EMPLOYEE BENEFIT PLAN OF YOUTH GUIDANCE [EIN = 362167032]
• EMPLOYEE BENEFITS PLAN [EIN = 133536050]
• EMPLOYEE BENEFITS PLAN OF THE WILLIAM BREMAN JEWISH HOME, INC [EIN = 580610059]
• EMPLOYEE BENEFIT PLAN OF TUCSON JEWISH COMMUNITY CENTER [EIN = 860183578]
• EMPLOYEE BENEFIT PLAN OF US AIR CONDITIONING DISTRIBUTORS [EIN = 954270407]
• EMPLOYEE BENEFIT PLAN OF FAMILY SERVICES, INC. [EIN = 560689235]
• EMPLOYEE BENEFIT PLAN OF PHIPPS HOUSES [EIN = 111187480]
• EMPLOYEE BENEFIT PLAN OF SENIOR CITIZENS HOME ASSISTANCE SERVICE, INC. [EIN = 620809589]
• EMPLOYEE BENEFIT PLAN OF HONOLULU COUNTRY CLUB, LLC,DBA HONOLULU COUNTRY CL [EIN = 990346343]
• EMPLOYEE BENEFIT PLAN OF IOWA TRIBE OF OKLAHOMA [EIN = 730930652]
• EMPLOYEE BENEFIT PLAN OF THE CHILDREN'S SHELTER [EIN = 741109660]
• EMPLOYEE BENEFIT PLAN OF ADOLPH & ROSE LEVIS JEWISH COMMUNITY CENTER, INC. [EIN = 651127438]
• EMPLOYEE BENEFIT PLAN OF COMMUNITY HOPE, INC. [EIN = 222647038]
• EMPLOYEE BENEFIT PLAN OF THE CENTER FOR LIFE ENRICHMENT, INC. [EIN = 520799313]
• EMPLOYEE BENEFITS PLAN FOR ARC - BATON ROUGE [EIN = 720540957]
• EMPLOYEE BENEFIT AND WELFARE PROGRAM [EIN = 861139935]
• EMPLOYEE BENEFIT PROGRAM [EIN = 363421443]
• EMPLOYEE BENEFITS PLAN OF WOMENS HEALTH SERVICES OF EASTERN IOWA INC [EIN = 421116446]
• EMPLOYEE BENEFIT PLAN OF FAMILY SERVICES OF WESTCHESTER, INC. [EIN = 131773419]
• EMPLOYEE BENEFIT PLAN [EIN = 111980085]
• EMPLOYEE BENEFITS PLAN OF DOVE POINTE, INC. [EIN = 520884222]
• EMPLOYEE BENEFIT PLAN OF UNITED CEREBRAL PALSY OF SOUTH CENTRAL PENNSYLVANI [EIN = 231878861]
• EMPLOYEE BENEFITS PLAN OF CATHOLIC CHARITIES MAINE [EIN = 010280225]
• EMPLOYEE BENEFIT PLAN FOR EMPLOYEES OF AMERISAFE INC. [EIN = 752069407]
• EMPLOYEE BENEFIT MANAGEMENT CORP FLEXIBLE COMPENSATION PLAN [EIN = 310747539]
• EMPLOYEE BENEFIT PLAN OF RICHCROFT, INC. [EIN = 521302331]
• EMPLOYEE BENEFIT PLAN [EIN = 043590499]
• EMPLOYEE BENEFIT PLAN OF NORTHUMBERLAND LMG CORPORATION [EIN = 431999527]
• EMPLOYEE BENEFIT PLAN OF PFR ACQUISITION, LLC [EIN = 710986135]
• EMPLOYEE BENEFIT PLAN OF SELF HELP FEDERAL CREDIT UNION [EIN = 263016612]
• EMPLOYEE BENEFIT PLAN OF THE REHABILITATION CENTER, INC. [EIN = 351087526]
• EMPLOYEE BENEFIT PLAN OF EMPIRE COUNTERTOPS, LLC [EIN = 451145076]
• EMPLOYEE BENEFIT PLAN OF ON EVENT SERVICES, LLC. [EIN = 261506958]
• EMPLOYEE BENEFIT PLAN OF GOODWILL INDUSTRIES OF CH CHESAPEAKE INC [EIN = 520591576]
• EMPLOYEE BENEFIT PLAN OF VISTA MARIA [EIN = 381359262]
• EMPLOYEE BENEFIT PLAN OF CHUCK-A-RAMA BUFFET, INC. [EIN = 870274330]
• EMPLOYEE BENEFIT PLAN FOR PLATTE VALLEY MEDICAL CENTER [EIN = 840482695]
• EMPLOYEE BENEFIT PLAN OF TRANSPORTATION INSIGHT [EIN = 562197884]
• EMPLOYEE BENEFIT PLAN OF TENNANT TRUCK LINES, INC. [EIN = 366069190]
• EMPLOYEE BENEFIT PLAN CHEMICAL WEED CONTROL, INC [EIN = 752140016]
• EMPLOYEE BENEFIT PLAN OF RENO-SPARKS INDIAN COLONY OF THE STATE OF NEVADA [EIN = 886004349]
• EMPLOYEE BENEFIT PLAN OF READING EMERGENCY UNIT, INC [EIN = 382415274]
• EMPLOYEE BENEFIT & WELFARE PLAN [EIN = 264451080]
• EMPLOYEE BENEFIT PLAN OF THE ARC OF CADDO-BOSSIER [EIN = 720482891]
• EMPLOYEE BENEFITS PLAN OF THE ARC GLOUCESTER, INC. [EIN = 210697151]
• EMPLOYEE BENEFIT PLAN OF NORTHEAST CENTER FOR YOUTH AND FAMILIES, INC. [EIN = 042680339]
• EMPLOYEE BENEFITS CORPORATION ESOP [EIN = 392044064]
• EMPLOYEE BENEFIT PLAN OF LINCOLN MANUFACTURING USA, LLC [EIN = 300104814]
• EMPLOYEE BENEFIT PLAN OF AKG NORTH AMERICA [EIN = 133102380]
• EMPLOYEE BENEFIT PLAN OF CGH TECHNOLOGIES, INC. [EIN = 521701132]
• EMPLOYEE BENEFITS PLAN OF UNITED WAY OF NORTHEAST FLORIDA, INC [EIN = 590637825]
• EMPLOYEE BENEFITS PLAN FOR CARIDIANBCT [EIN = 841155788]
• EMPLOYEE BENEFIT PLANS FOR EMPLOYEES OF KENDALL PACKAGING CORPORATION [EIN = 391542665]
• EMPLOYEE BENEFIT PLAN OF MEALS ON WHEELS AND MORE, INC. [EIN = 237202594]
• EMPLOYEE BENEFIT PLAN OF PROGRESS, INC. [EIN = 620869547]
• EMPLOYEE BENEFIT PLAN [EIN = 521107027]
• EMPLOYEE BENEFIT PLAN OF FEDERATION OF ORGANIZATIONS FOR THE NEW YORK STATE [EIN = 237237931]
• EMPLOYEE BENEFITS PLAN OF UNITED WAY OF EAST CENTRAL ALABAMA [EIN = 630350957]
• EMPLOYEE BENEFIT PLAN OF ST. MARY'S RESIDENTIAL TRAINING SCHOOL [EIN = 721108412]
• EMPLOYEE BENEFIT PLAN OF HIGHER ED HOLDINGS, LLC [EIN = 200907759]
• EMPLOYEE BENEFITS PLAN FOR EMPLOYEES OF YOUTHCARE [EIN = 910917079]
• EMPLOYEE BENEFIT PLAN OF SOUTHERN UTE COMMUNITY ACTION PROGRAMS INC [EIN = 840576978]
• EMPLOYEE BENEFIT PLAN OF AREA AGENCY ON AGING FOR LINCOLNLAND, INC. [EIN = 370981610]
• EMPLOYEE BENEFIT PLAN OF BLIND AND VISION REHABILITATION SERVICES OF PITTSB [EIN = 251803195]
• EMPLOYEE BENEFIT PLAN OF HOSPICE OF THE CHESAPEAKE [EIN = 521181448]
• EMPLOYEE BENEFIT PLAN OF UNIVERSAL NUTRITION [EIN = 222302481]
• EMPLOYEE BENEFIT PLAN OF HEART OF FLORIDA UNITED WAY, INC. [EIN = 590808854]
• EMPLOYEE BENEFIT PLAN OF LYTTON RANCHERIA OF CALIFORNIA [EIN = 770619118]
• EMPLOYEE BENEFIT PLAN OF UNITED COMMUNITY ACTION PROGRAM INC [EIN = 730777705]
• EMPLOYEE BENEFITS PLAN OF GOLDEN AGE, INC. [EIN = 640339632]
• EMPLOYEE BENEFITS PLAN OF GREENWOOD GENETIC CENTER [EIN = 570604070]
• EMPLOYEE BENEFIT PLAN OF TURNING POINT OF CENTRAL CALIFORNIA [EIN = 941719862]
• EMPLOYEE BENEFIT PLAN OF PREFERRED CHILDREN'S SERVICES, INC. [EIN = 222821035]
• EMPLOYEE BENEFIT PLAN OF COMMUNITY ACTION COMMITTEE OF LEHIGH VALLEY, INC. [EIN = 231669589]
• EMPLOYEE BENEFIT PLAN FOR OGLEBAY NORTON COMPANY [EIN = 341888342]
• EMPLOYEE BENEFIT PLAN OF SENIOR SOLUTIONS [EIN = 570634502]
• EMPLOYEE BENEFIT PLAN OF GREATER PHOENIX URBAN LEAGUE, INC. [EIN = 860124189]
• EMPLOYEE BENEFITS PLAN OF UNITED WAY OF METROPOLITAN NASHVILLE, INC. [EIN = 620533104]
• EMPLOYEE BENEFIT PLAN OF NORTHWESTERN UNIVERSITY SETTLEMENTASSOCIATION [EIN = 362167818]
• EMPLOYEE BENEFITS PLAN OF BOYS & GIRLS CLUB OF THE OF THE EAST VALLEY [EIN = 860550646]
• EMPLOYEE BENEFIT PLAN OF SUNSHINE HOMES, INC. [EIN = 630596473]
• EMPLOYEE BENEFIT PLAN FOR HUBBARD-HALL INC. [EIN = 060881614]
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• EMPLOYEE BENEFIT PLAN OF ARC OF ATLANTIC COUNTY [EIN = 221779284]
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• EMPLOYEE BENEFITS PLAN FOR EMPLOYEES COVERED BY THE ERIE LOGISTICS COLLECTIVE BARGAINING AGREEMENTS [EIN = 161592810]
• EMPLOYEE BENEFIT PLAN OF YOUNG HOUSE FAMILY SERVICES, INCORPORATED [EIN = 420959956]
• EMPLOYEE BENEFIT PLAN OF DIAMONDBACK TACTICAL [EIN = 841599667]
• EMPLOYEE BENEFIT PLAN OF PREVENT CHILD ABUSE AMERICA [EIN = 237235671]
• EMPLOYEE BENEFIT PLAN OF PREFERRED CHILDREN'S SERVICES, INC. [EIN = 222821035]
• EMPLOYEE BENEFITS PLAN [EIN = 470767990]
• EMPLOYEE BENEFIT PLAN OF TRI-COUNTY COMMUNITY ACTION, INC. [EIN = 751213282]
• EMPLOYEE BENEFITS PLAN OF SUMTER SENIOR SERVICES, INC. [EIN = 570609664]
• EMPLOYEE BENEFIT PLAN OF ADVOCACY RESOURCE CENTER OF MARION, INC. [EIN = 592217524]
• EMPLOYEE BENEFIT PLAN OF DAUGHTERS OF THE REPUBLIC OF TEXAS [EIN = 741193444]
• EMPLOYEE BENEFIT PLAN OF THE NORTHWEST DADE COMMUNITY MENTAL HEALTH CENTER [EIN = 591865751]
• EMPLOYEE BENEFIT PLAN OF MASCO CORPORATION [EIN = 381794485]
• EMPLOYEE BENEFIT PLAN OF DETROIT AREA AGENCY ON AGING [EIN = 382320421]
• EMPLOYEE BENEFITS PLAN FOR WALTON BEVERAGE COMPANY [EIN = 910691235]
• EMPLOYEE BENEFIT PLAN OF COMPASS FAMILY SERVICES [EIN = 941156622]
• EMPLOYEE BENEFIT PLAN OF P.L.U.S. GROUP HOMES, INC. [EIN = 112530267]
• EMPLOYEE BENEFIT PLAN OF KENT COUNTY VISITING NURSE ASSOCIATION [EIN = 050242659]
• EMPLOYEE BENEFIT PLAN OF ENVISION INDUSTRIES, INC. [EIN = 480543705]
• EMPLOYEE BENEFITS PLAN OF FOOTHILL FAMILY SERVICE [EIN = 951690990]
• EMPLOYEE BENEFIT PROGRAM OF JEANNE D'ARC CREDIT UN [EIN = 041231965]
• EMPLOYEE BENEFITS PLAN OF METHODIST HOME FOR CHILDREN [EIN = 560547482]
• EMPLOYEE BENEFITS PLAN OF THE CHILDREN'S HOME, INC. [EIN = 590696284]
• EMPLOYEE BENEFIT PLAN OF BOYS AND GIRLS CLUBS OF GARDEN GROVE, INC. [EIN = 956112702]
• EMPLOYEE BENEFITS PLAN OF NEWMONT [EIN = 132526632]
• EMPLOYEE BENEFIT PLAN OF FEARLESS, INC. [EIN = 990198335]
• EMPLOYEE BENEFIT PLAN OF MONTACHUSETT OPPORTUNITY COUNCIL, INC. [EIN = 042401111]
• EMPLOYEE BENEFIT TRUST FOR COMMUNITY HEALTH GROUP, INC. [EIN = 953766170]
• EMPLOYEE BENEFIT PLAN OF BRIDGES, INC. [EIN = 222776414]
• EMPLOYEE BENEFIT PLAN FOR AUGSBURG COLLEGE EMPLOYEES [EIN = 410694721]
• EMPLOYEE BENEFIT PLAN OF WESTBROOK HEALTH SERVICES, INC. [EIN = 550484662]
• EMPLOYEE BENEFIT PLAN OF ARC OF MERIDEN - WALLINGFORD, INC. [EIN = 060756834]
• EMPLOYEE BENEFIT PLAN OF THE CHILDREN'S CENTER OF HAMDEN, INC. [EIN = 061580427]
• EMPLOYEE BENEFIT PLAN OF BRYAN HONDA [EIN = 560483102]
• EMPLOYEE BENEFITS PLAN OF GRAND PRAIRIE SERVICES [EIN = 362362364]
• EMPLOYEE BENEFIT MANAGEMENT CORP WEEKLY DISABILITY BENEFITS PLAN [EIN = 310747539]
• EMPLOYEE BENEFIT PLAN OF WEST BAY RESIDENTIAL SERVICES, INC. [EIN = 050395035]
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• EMPLOYEE BENEFIT PLAN OF LENMORE, INC. [EIN = 251507915]
• EMPLOYEE BENEFIT PLAN OF WASHINGTON COUNTY BAR ASSOCIATION [EIN = 251090014]
• EMPLOYEE BENEFIT PLAN OF IMPERIAL TESTING AND ENGINEERING, INC. [EIN = 591816123]
• EMPLOYEE BENEFIT PLAN OF CRANDALL, HANSCOM & COLLINS, P.A [EIN = 010323494]
• EMPLOYEE BENEFIT PLAN OF UNITED WAY OF SANTA BARBARA COUNTY, INC. [EIN = 951641968]
• EMPLOYEE BENEFIT PLAN OF MENTAL HEALTH AMERICA OF GREATER TARRANT COUNTY, I [EIN = 750983834]
• EMPLOYEE BENEFITS PLAN OF LAKE AREA UNITED WAY, INC. [EIN = 237170019]
• EMPLOYEE BENEFITS PLAN OF HUMAN SERVICES COUNCIL [EIN = 066102160]
• EMPLOYEE BENEFIT PLAN OF WESLEY COMMUNITY CENTERS, INC. [EIN = 580593422]
• EMPLOYEE BENEFIT PLAN OF MONROE HARDING, INC. [EIN = 620476670]
• EMPLOYEE BENEFIT PLAN OF SECURITY BICYCLE ACCESSORIES, INC [EIN = 135588438]
• EMPLOYEE BENEFIT PLAN OF PASSAIC COUNTY COURT APPOINTED SPECIAL ADVOCATES ( [EIN = 208456398]
• EMPLOYEE BENEFIT PLAN OF TRAVELERS AID SOCIETY OF PHILADELPHIA DBA FAMILIES FORWARD PHILADELPHI [EIN = 231161210]
• EMPLOYEE BENEFIT PLAN OF NEW START DEVELOPMENT, LLC [EIN = 263955966]
• EMPLOYEE BENEFIT PLAN OF SUNNYSIDE FEDERAL SAVINGS AND LOANASSOCIATION OF [EIN = 131733508]
• EMPLOYEE BENEFIT PLAN OF WOMEN S CHRISTIAN ASSOCIATION [EIN = 440552023]
• EMPLOYEE BENEFIT PLAN OF BELFORD PATRICK, INC. [EIN = 330602976]
• EMPLOYEE BENEFIT PLAN OF THE RACQUET AND TENNIS CLUB, INC. [EIN = 131194010]
• EMPLOYEE BENEFIT PLAN OF LIFE CONNECTION OF OHIO [EIN = 311285637]
• EMPLOYEE BENEFIT PLAN OF ALASKA SUMMIT ENTERPRISE, INC. [EIN = 470924715]
• EMPLOYEE BENEFIT PLAN OF BOWER'S HEALTHCARE, INC. [EIN = 060924419]
• EMPLOYEE BENEFIT PLAN OF ILAN D. BORNSTEIN, M.D.,LLC [EIN = 205189556]
• EMPLOYEE BENEFIT PLAN OF COMMUNITY ACTION COMMITTEE OF CAPE COD & ISLANDS, [EIN = 042396835]
• EMPLOYEE BENEFIT PLAN OF PARTNERS FOR KIDS AND FAMILIES, INC. [EIN = 223764656]
• EMPLOYEE BENEFIT PLAN OF MILWAUKEE URBAN LEAGUE MILWAUKEE URBAN LEAGUE [EIN = 390826861]
• EMPLOYEE BENEFIT PLAN OF THE ARC OF ST. MARTIN, INC. [EIN = 720693091]
• EMPLOYEE BENEFIT PLAN OF UNITED WAY OF CENTRAL GEORGIA, INC. [EIN = 580639811]
• EMPLOYEE BENEFIT PLAN OF ALDRICH RENT-ALL, INC. [EIN = 592860174]
• EMPLOYEE BENEFIT PLAN OF STEVEN R. JENKINS CO., INC. [EIN = 351499425]
• EMPLOYEE BENEFIT PLAN OF PROFESSIONAL IMAGE, INC. [EIN = 990184341]
• EMPLOYEE BENEFIT PLAN OF THE AULSON CO., INC. [EIN = 043107307]
• EMPLOYEE BENEFIT PLAN OF SELECT MILWAUKEE, INC. [EIN = 391793410]
• EMPLOYEE BENEFIT PLAN OF LMI INSURANCE COMPANY [EIN = 340368340]
• EMPLOYEE BENEFIT PLAN OF ARC OF HAMILTON COUNTY, INC. [EIN = 237009946]
• EMPLOYEE BENEFIT PLAN OF ST. MARKS BROOKLYN ASSOCIATES L. L. C. DBA CROWN HEIGHTS CENTER FOR NURS [EIN = 460772413]
• EMPLOYEE BENEFIT PLAN OF TIMMERMANN INSURANCE SERVICES, INC. [EIN = 560774883]
• EMPLOYEE BENEFIT PLAN OF UNITED WAY OF RUTHERFORD COUNTY,INC. [EIN = 561030597]
• EMPLOYEE BENEFIT PLAN OF THE LAW OFFICES OF ROMEO R. PEREZ,P.C. [EIN = 202123712]
• EMPLOYEE BENEFIT PLAN OF IMAGINE A CHILD'S CAPACITY, INC. [EIN = 421580057]
• EMPLOYEE BENEFIT PLAN TAX DEFERRED ANNUITY [EIN = 370661504]
• EMPLOYEE BENEFIT PLAN OF SOUTHWEST COMMUNITY SERVICES, INC. [EIN = 237136028]
• EMPLOYEE BENEFIT 401(K) PROFIT SHARING PLAN FOR THE EMPLOYEES OF ALSTON WILKES SOCIETY [EIN = 570477907]
• EMPLOYEE BENEFITS PLAN OF NILES HOME FOR CHILDREN [EIN = 440565392]
• EMPLOYEE BENEFIT PLAN OF IONIA R WHIPPER HOME, INC. [EIN = 530227958]
• EMPLOYEE BENEFITS PLAN OF THE COMMUNITY CORPORATIO [EIN = 340714598]
• EMPLOYEE BENEFIT PLAN OF GREATER SACRAMENTO URBAN LEAGUE [EIN = 941686314]
• EMPLOYEE BENEFIT PLAN OF THE PEOPLE CONNECTION, INC. [EIN = 942938415]
• EMPLOYEE BENEFIT PLAN OF CAMDEN AHEC, INC. [EIN = 222358827]
• EMPLOYEE BENEFITS PLAN OF ASHTABULA COUNTY PUBLIC DEFENDER, INC. [EIN = 341770634]
• EMPLOYEE BENEFIT PLAN OF RISK AND INSURANCE BROKERAGE CORPORATION [EIN = 593031297]
• EMPLOYEE BENEFIT PLAN OF ROSALIE MANOR COMMUNITY AND FAMILY SERVICES, INC. [EIN = 391154354]
• EMPLOYEE BENEFIT PLAN OF THE PENNSYLVANIA PRISON SOCIETY [EIN = 231352267]
• EMPLOYEE BENEFIT PLAN OF TECHMATES GROUP, LLC [EIN = 464610913]
• EMPLOYEE BENEFITS PLAN OF UNITED WAY OF LUBBOCK IN [EIN = 750961812]
• EMPLOYEE BENEFIT PLAN OF JEWISH COMMUNITY RELATIONS COUNCIL [EIN = 205631988]
• EMPLOYEE BENEFIT PLAN OF FARM PUMP AND IRRIGATION COMPANY, INC. [EIN = 953868044]
• EMPLOYEE BENEFIT PLAN OF THE FRANCES CLARK CENTER FOR KEYBOARD PEDAGOGY, I [EIN = 221843506]
• EMPLOYEE BENEFIT PLAN OF RESORT HOLDINGS LLC [EIN = 010566098]
• EMPLOYEE BENEFIT PLAN OF M.Y.S.A. - MASSACHUSETTS YOUTH SOCCER ASSOCIATION [EIN = 042627953]
• EMPLOYEE BENEFIT PLAN OF AVIATION DEVELOPMENT COUNCIL [EIN = 112597513]
• EMPLOYEE BENEFIT PLAN OF AIRPORT FOUNDATION MSP [EIN = 364088129]
• EMPLOYEE BENEFIT PLAN OF THE ARC OF SOUTHSIDE [EIN = 540675097]
• EMPLOYEE BENEFIT PLAN OF ARRIBA JUNTOS [EIN = 941663434]
• EMPLOYEE BENEFIT PLAN OF UNITED WAY OF THE COLUMBIA-WILLAMETTE [EIN = 930582124]
• EMPLOYEE BENEFIT PLAN OF QCI NURSE SPECIALISTS, INC. [EIN = 383375662]
• EMPLOYEE BENEFIT PLAN OF BMC METALWORKS, LLC [EIN = 270608329]
• EMPLOYEE BENEFIT PLAN OF VICTIMS INFORMATION BUREAU OF SUFFOLK [EIN = 112411984]
• EMPLOYEE BENEFIT PLAN OF PICKERSGILL, INC. [EIN = 520591530]
• EMPLOYEE BENEFIT PLAN OF THE O'DONNELL GROUP, INC. [EIN = 330418874]
• EMPLOYEE BENEFIT PLAN OF COMMUNITY NETWORKS, INC. [EIN = 550662121]
• EMPLOYEE BENEFIT PLAN OF ETA IMPORT AND EXPORT, LTD. [EIN = 112911842]
• EMPLOYEE BENEFIT PLAN OF A. S. R. ELECTRICAL CONTRACTING, INC. [EIN = 113129921]
• EMPLOYEE BENEFIT PLAN OF VITALISTIC THERAPEUTIC CENTER, INC [EIN = 231875409]
• EMPLOYEE BENEFIT PLAN OF CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT, INC [EIN = 060712058]
• EMPLOYEE BENEFIT PLAN OF UNITED WAY OF THE VIRGINIA PENINSULA [EIN = 540535602]
• EMPLOYEE BENEFIT PLAN OF ABBOTT HOUSE, INC. [EIN = 460229822]
• EMPLOYEE BENEFIT PLAN OF GIBRALTAR GROUP, INC. [EIN = 751662287]
• EMPLOYEE BENEFIT PLAN OF THE ALLIANCE GROUP LLC [EIN = 113345242]
• EMPLOYEE BENEFIT PLAN OF FLORIDA AERO PRECISION, INC. [EIN = 592112908]
• EMPLOYEE BENEFIT PLAN OF THE NORTH FLORIDA CENTER FOR EQUALJUSTICE, INC. [EIN = 260181144]
• EMPLOYEE BENEFIT PLAN OF JUNEAU CONVENTION & VISITORS BUREAU [EIN = 920109696]
• EMPLOYEE BENEFIT PLAN OF THE CENTER FOR INDEPENDENCE, INC. [EIN = 591492617]
• EMPLOYEE BENEFIT PLAN OF E. E. ROBBINS, LLC [EIN = 911998697]
• EMPLOYEE BENEFIT PLAN OF SUPERIOR ELECTRIC SUPPLY COMPANY [EIN = 340204190]
• EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CONNECTIONS, INC. [EIN = 251211863]
• EMPLOYEE BENEFITS PLAN OF THE UNITED WAY OF LACKAWANNA COUNTY [EIN = 240824164]
• EMPLOYEE BENEFIT PLAN OF MONTGOMERY COUNTY COLLABORATION COUNCIL FOR CHILDR [EIN = 141904589]
• EMPLOYEE BENEFIT PLAN OF COUNCIL OF INTERNATIONAL PROGRAMS USA [EIN = 340929221]
• EMPLOYEE BENEFIT PLAN OF CHAMBER OF COMMERCE OF WAYNE COUNTY, INC. [EIN = 560172525]
• EMPLOYEE BENEFIT PLAN OF OLD WESTBURY GARDENS, INC. [EIN = 111902968]
• EMPLOYEE BENEFIT PLAN OF ACORD COMPANIES [EIN = 731095633]
• EMPLOYEE BENEFIT PLAN OF PRO CAREERS, INC. [EIN = 550704556]
• EMPLOYEE BENEFIT PLAN OF ROSS COUNTY COMMUNITY ACTION COMMISSION, INC. [EIN = 316059908]
• EMPLOYEE BENEFIT PLAN OF ACTIVE FEED COMPANY [EIN = 383150105]
• EMPLOYEE BENEFIT PLAN OF AVON PARK COMMUNITY CHILD DEVELOPMENT CENTER [EIN = 510182725]
• EMPLOYEE BENEFIT PLAN OF UNITED WAY OF ASHEVILLE AND BUNCOMBE COUNTY, INC. [EIN = 560576157]
• EMPLOYEE BENEFIT PLAN OF UNITED WAY OF THE MID-SOUTH [EIN = 561010742]
• EMPLOYEE BENEFIT PLAN OF YSLETA DEL SUR PUEBLO [EIN = 741851338]
• EMPLOYEE BENEFIT PLAN OF WASTE-AID SYSTEMS, INC. [EIN = 593455654]
• EMPLOYEE BENEFIT PLAN OF THE RACQUET AND TENNIS CLUB, INC. [EIN = 131194010]
• EMPLOYEE BENEFIT PLAN OF HEARTLAND COMMUNITY ACTION AGENCY,INC. [EIN = 410904860]
• EMPLOYEE BENEFIT PLAN OF AREA AGENCY ON AGING OF CENTRAL FLORIDA, INC. D/B [EIN = 593144723]
• EMPLOYEE BENEFIT PLAN OF LANGLEY WIRE CLOTH PRODUCTS, INC. [EIN = 621325695]
• EMPLOYEE BENEFIT PLAN OF FOOTHILLS BEHAVIORAL HEALTH PARTNERS, LLC [EIN = 263511032]
• EMPLOYEE BENEFIT PLAN OF TRANSIT FOR LIVABLE COMMUNITIES [EIN = 411833066]
• EMPLOYEE BENEFIT PLAN OF BURNS GLASS SERVICES, LTD. [EIN = 161191108]
• EMPLOYEE BENEFIT PLAN OF JACKSON'S INTERNATIONAL AUCTIONEERS & APPRAISERS [EIN = 421407002]
• EMPLOYEE BENEFIT PLAN OF THE JM FOUNDATION [EIN = 136068340]
• EMPLOYEE BENEFIT PLAN OF FROMI USA CORP. [EIN = 208938829]
• EMPLOYEE BENEFIT PLAN OF CAPITAL AREA AGENCY ON AGING - DISTRICT II, INC. [EIN = 727038045]
• EMPLOYEE BENEFIT PLAN OF OVERHEAD DOOR COMPANY OF RALEIGH, INC. [EIN = 560634491]
• EMPLOYEE BENEFIT PLAN OF WALTON OPTIONS FOR INDEPENDENT LIVING, INC. [EIN = 582132383]
• EMPLOYEE BENEFIT PLAN OF LOUISVILLE URBAN LEAGUE [EIN = 610444771]
• EMPLOYEE BENEFIT PLAN OF LINES UNLIMITED, INC. [EIN = 561301391]
• EMPLOYEE BENEFIT PLAN OF PURITY PRODUCTS, INC. [EIN = 940786020]
• EMPLOYEE BENEFIT PLAN OF THE LEAGUE OF WOMEN VOTERS OF THE UNITED STATES [EIN = 530115655]
• EMPLOYEE BENEFIT PLAN OF GIRL SCOUTS OF SOUTHEAST FLORIDA, INC. [EIN = 590657327]
• EMPLOYEE BENEFIT PLAN OF UNITED WAY ASSOCIATION OF SOUTH CAROLINA, INC. [EIN = 570515275]
• EMPLOYEE BENEFIT PLAN OF WAIANAE COAST COMMUNITY MENTAL HEALTH CENTER, INC [EIN = 990256258]
• EMPLOYEE BENEFIT PLAN OF PELLHAM-PHILLIPS ARCHITECTS AND ENGINEERS, INC. [EIN = 431175080]
• EMPLOYEE BENEFIT PLAN OF CENTRAL VIRGINIA LEGAL AID SOCIETY [EIN = 540900644]
• EMPLOYEE BENEFIT PLAN OF PACIFIC ELECTRICAL SALES AGENCY, INC. [EIN = 990116894]
• EMPLOYEE BENEFIT PLAN OF HAWAI I ALLIANCE OF NONPROFIT ORGANIZATIONS [EIN = 990073497]
• EMPLOYEE BENEFIT PLAN OF 21 PLUS, INC. [EIN = 222286760]
• EMPLOYEE BENEFIT PLAN OF NORTHWEST ONCOLOGY, P.C. [EIN = 300200047]
• EMPLOYEE BENEFIT PLAN OF SOUTHSIDE LEARNING & DEVELOPMENT CENTER [EIN = 314379811]
• EMPLOYEE BENEFIT PLAN OF INTERSTATE INSURANCE SERVICES GROUP, INC. [EIN = 593235163]
• EMPLOYEE BENEFIT PLAN OF LIFEWELL BEHAVIORAL WELLNESS [EIN = 860292390]
• EMPLOYEE BENEFIT PLAN OF PORTLAND FISH EXCHANGE [EIN = 222689746]
• EMPLOYEE BENEFIT PLAN FOR EMPLOYEES OF FALCON SUPPLY CO., INC. [EIN = 222252994]
• EMPLOYEE BENEFIT PLAN OF BOETTCHER SUPPLY INC. [EIN = 480687760]
• EMPLOYEE BENEFITS PLAN OF ALASKA LEGAL SERVICES CORPORATION [EIN = 920034754]
• EMPLOYEE BENEFIT PLAN OF THE ARC BIG BEND, INC. [EIN = 591568446]
• EMPLOYEE BENEFITS PLAN OF GIRL SCOUTS OF WESTERN NEW YORK, INC. [EIN = 160743096]
• EMPLOYEE BENEFITS PLAN OF CENTRAL AGENCY FOR JEWISH EDUCATION [EIN = 237123583]
• EMPLOYEE BENEFIT PLAN OF CALIFORNIA CLEAN ENERGY FUND [EIN = 770640000]
• EMPLOYEE BENEFIT PLAN OF MUSEUM OF SCIENCE & HISTORY [EIN = 590651090]
• EMPLOYEE BENEFIT PLAN OF CRAWFORD COUNTY MENTAL HEALTH AWARENESS PROGRAM [EIN = 251633859]
• EMPLOYEE BENEFIT PLAN OF HOME HEALTH ADVANTAGE, INC. [EIN = 205793429]
• EMPLOYEE BENEFIT PLAN OF JEFFERSON ELDER CARE [EIN = 541744905]
• EMPLOYEE BENEFIT PLAN OF NEW ORLEANS COUNCIL ON AGING [EIN = 720634096]
• EMPLOYEE BENEFIT PLAN OF BEN WATTS MARINA, INC. [EIN = 362378194]
• EMPLOYEE BENEFIT PLAN OF LOWCOUNTRY FOOD BANK [EIN = 570751835]
• EMPLOYEE BENEFIT PLAN OF UNITED WAY OF BUFFALO AND ERIE COUNTY [EIN = 160743969]
• EMPLOYEE BENEFIT PLAN OF LIGHTHOUSE FOR THE BLIND AND VISUALLY IMPAIRED [EIN = 941415317]
• EMPLOYEE BENEFIT PLAN OF ELECTRICAL TESTING & MAINTENANCE CORPORATION, INC [EIN = 621557599]
• EMPLOYEE BENEFIT PLAN OF COMMUNITY ACTION SERVICES OF MORGAN COUNTY, TENNES [EIN = 621067908]
• EMPLOYEE BENEFIT PLAN OF SKY LIGHT CENTER [EIN = 133473726]
• EMPLOYEE BENEFIT PLAN OF ADVANTAGE CREDIT COUNSELING SERVICE INC [EIN = 251201741]
• EMPLOYEE BENEFIT PLAN OF CIVIC WORKS, INC. [EIN = 521925614]
• EMPLOYEE BENEFIT PLAN OF THE ENDOMETRIOSIS ASSOCIATION, INC. [EIN = 391414754]
• EMPLOYEE BENEFIT PLAN OF LEWIS & MURPHY REALTY, INC. [EIN = 111539845]
• EMPLOYEE BENEFIT PLAN OF COMMUNITY HOUSINGWORKS [EIN = 330317950]
• EMPLOYEE BENEFIT PLAN OF MONTESSORI SCHOOL AT LONE TREE [EIN = 841245215]
• EMPLOYEE BENEFIT PLAN OF WESTSIDE INFANT-FAMILY NETWORK [EIN = 274018980]
• EMPLOYEE BENEFIT PLAN OF FAMILY SERVICE OF CHESTER COUNTY [EIN = 231726329]
• EMPLOYEE BENEFIT PLAN OF HAPPY KIDS PRESCHOOL,LLC [EIN = 760808841]
• EMPLOYEE BENEFIT PLAN OF ACVREP [EIN = 860987138]
• EMPLOYEE BENEFIT PLAN OF AMG ENGINEERING & MACHINING, INC. [EIN = 351760838]
• EMPLOYEE BENEFIT PLAN OF CENTER FOR FINE ARTS EDUCATION, INC. [EIN = 203566980]
• EMPLOYEE BENEFIT PLAN OF UNITED NEIGHBORHOOD CENTERS OF NORTHEASTERN PENNSYLVANIA [EIN = 240795389]
• EMPLOYEE BENEFIT PLAN OF GIRLS, INCORPORATED OF DOTHAN [EIN = 630717073]
• EMPLOYEE BENEFIT PLAN OF CHILDREN'S NEPHROLOGY CLINIC, LLC [EIN = 880495545]
• EMPLOYEE BENEFIT PLAN OF BIG BROTHERS BIG SISTERS OF SOUTHWESTERN ILLINOIS [EIN = 371095468]
• EMPLOYEE BENEFIT PLAN OF GIRL SCOUTS OF GULFCOAST FLORIDA, INC. [EIN = 590760212]
• EMPLOYEE BENEFIT PLAN OF MEALS ON WHEELS PLUS OF MANATEE, INC. [EIN = 591420986]
• EMPLOYEE BENEFIT PLAN OF BENNETT TOOL & DIE, LLC [EIN = 462298982]
• EMPLOYEE BENEFIT PLAN OF NOUVEAU INDUSTRIES, INC. [EIN = 113105613]
• EMPLOYEE BENEFIT PLAN OF DR. STEPHEN J. PUERINI,DMD & DR. STEVEN J. SACCOCC [EIN = 050516057]
• EMPLOYEE BENEFIT PLAN OF NORTHEAST FLORIDA AREA AGENCY ON AGING, INC. [EIN = 591569867]
• EMPLOYEE BENEFIT PLAN OF AUTO DATA, INC. [EIN = 582021215]
• EMPLOYEE BENEFIT PLAN OF NORTHWEST GEORGIA FAMILY CRISIS CENTER, INC. [EIN = 581374660]
• EMPLOYEE BENEFIT PLAN OF SARAH FOUNDATION, INC. [EIN = 061281792]
• EMPLOYEE BENEFIT PLAN OF MARRIAGE AND FAMILY COUNSELING SERVICE [EIN = 362606683]
• EMPLOYEE BENEFIT PLAN OF WHITFIELD COUNTY DALTON DAY CARE CENTER [EIN = 237117944]
• EMPLOYEE BENEFIT PLAN OF COMMUNITY SERVICES, INC. OF OCEAN COUNTY [EIN = 222070381]
• EMPLOYEE BENEFIT PLAN OF MEALS ON WHEELS, INC. [EIN = 221946479]
• EMPLOYEE BENEFIT PLAN OF MISSISSIPPI HARDWARE COMPANY [EIN = 640205550]
• EMPLOYEE BENEFIT PLAN OF HANDISHOP INDUSTRIES, INC. [EIN = 237195604]
• EMPLOYEE BENEFIT PLAN OF UNITED WAY OF CENTRAL LOUISIANA [EIN = 720462338]
• EMPLOYEE BENEFIT PLAN OF GRAND LAKE ACE HARDWARE, INC. [EIN = 942331632]
• EMPLOYEE BENEFIT PLAN OF ROJAC TRUCKING, INC. [EIN = 990228723]
• EMPLOYEE BENEFITS PLAN OF THE AL SIGL CENTER [EIN = 510243019]
• EMPLOYEE BENEFIT PLAN OF THE CHILDREN'S CENTER [EIN = 876114073]
• EMPLOYEE BENEFIT PLAN OF REYNOLDS FORD OF OKC, INC. [EIN = 731617012]
• EMPLOYEE BENEFIT PLAN OF SPECIAL OLYMPICS PENNSYLVANIA, INC. [EIN = 232078543]
• EMPLOYEE BENEFITS CONSULTANTS, INC. RETIREMENT PLAN [EIN = 363570208]
• EMPLOYEE BENEFITS PLAN OF SOUTH TEXAS COUNCIL ON ALCOHOL AND DRUG ABUSE [EIN = 741400228]
• EMPLOYEE BENEFIT PLAN OF ADPEN LABORATORIES, INC. [EIN = 592961743]
• EMPLOYEE BENEFIT PLAN OF AINA EXCAVATION & GRADING, INC. [EIN = 990222450]
• EMPLOYEE BENEFITS PLAN OF THE DELAWARE ART MUSEUM [EIN = 510065746]
• EMPLOYEE BENEFIT PLAN OF SHORT HILLS PHARMACY, LLC SHORT HILLS PHARMACY, LLC [EIN = 223511111]
• EMPLOYEE BENEFIT PLAN OF HOSPICE OF WEST ALABAMA, INC. [EIN = 630799225]
• EMPLOYEE BENEFIT PLAN OF PER, INC. [EIN = 990211585]
• EMPLOYEE BENEFIT PLAN OF GRASS UNLIMITED, INC. / NATURE S NOOK [EIN = 391040938]
• EMPLOYEE BENEFIT PLAN OF T & J MARKETING, INC. [EIN = 731407496]
• EMPLOYEE BENEFITS PLAN OF VISITING NURSE ASSOCCIATION & HOSPICE OF NORTHERN BERKSHIRE, INC [EIN = 042910547]
• EMPLOYEE BENEFIT PLAN OF ALASKA FAMILY SERVICES, INC. [EIN = 920078235]
• EMPLOYEE BENEFIT PLAN OF OASIS WOMEN S CENTER [EIN = 371017792]
• EMPLOYEE BENEFIT PLAN OF LAUREL SURGERY AND ENDOSCOPY CENTER, LLC [EIN = 412044822]
• EMPLOYEE BENEFIT PLAN OF GIRL SCOUTS OF CITRUS COUNCIL, INC. [EIN = 590696293]
• EMPLOYEE BENEFITS PLAN OF ARKELL HALL FOUNDATION, INC. [EIN = 141343077]
• EMPLOYEE BENEFIT PLAN OF COMMUNITY FOOD BANK OF CENTRAL ALABAMA [EIN = 630837956]
• EMPLOYEE BENEFIT PLAN OF JEWISH COMMUNITY CENTER OF SCHENECTADY, INC. [EIN = 141343041]
• EMPLOYEE BENEFIT PLAN OF ALYESKA TITLE GUARANTY AGENCY, INC. [EIN = 920175224]
• EMPLOYEE BENEFITS PLAN OF UNITED HOUSING, INC. [EIN = 621597364]
• EMPLOYEE BENEFIT PLAN OF KEMCO SYSTEMS CO., LLC. KEMCO SYSTEMS CO., LLC. [EIN = 475439055]
• EMPLOYEE BENEFIT PLAN OF APPLEWOOD CONSTRUCTION CORPORATION [EIN = 043228026]
• EMPLOYEE BENEFIT PLAN OF HARTLEY HOUSE [EIN = 131656652]
• EMPLOYEE BENEFITS PLAN OF HEALTH COUNCIL OF SOUTH FLORIDA [EIN = 592268478]
• EMPLOYEE BENEFIT PLAN OF VISITING HOMEMAKER HOME H HEALTH AIDE SERVICE OF BERGEN COUNTY INC [EIN = 221610844]
• EMPLOYEE BENEFIT SPECIALISTS 401(K) PROFIT SHARING PLAN [EIN = 770171549]
• EMPLOYEE BENEFIT PLAN OF ALERT HOLDINGS GROUP, LLC [EIN = 990111338]
• EMPLOYEE BENEFIT PLAN OF LAWRENCE W. SNOW, MD, INC, PS [EIN = 911114336]
• EMPLOYEE BENEFIT PLAN OF NORTH GEORGIA COMMUNITY ACTION, INC. [EIN = 581204839]
• EMPLOYEE BENEFIT PLAN OF THE JAY SHOP, INC. [EIN = 381815551]
• EMPLOYEE BENEFIT PLAN OF CONNECTICUT SHOTGUN MANUFACTURING COMPANY [EIN = 061362464]
• EMPLOYEE BENEFITS ADMINISTRATION CORPORATION 401(K) PLAN [EIN = 342043825]
• EMPLOYEE BENEFIT PLAN OF YCC, INC. (DBA GLASS DOOR BAR AND LIQUOR STORE) [EIN = 920064150]
• EMPLOYEE BENEFIT PLAN OF WELLSPRING, INC. [EIN = 311020023]
• EMPLOYEE BENEFIT PLAN OF DAKOTA FAMILY SERVICES, INC. [EIN = 260480153]
• EMPLOYEE BENEFITS PLAN OF CLUBHOUSE OF SUFFOLK, INC. [EIN = 113012392]
• EMPLOYEE BENEFIT PLAN OF NATIVE VILLAGE OF EYAK [EIN = 920061041]
• EMPLOYEE BENEFIT PLAN OF COMMISSION FOR JEWISH EDUCATION OF THE PALM BEACHES, INC. [EIN = 650219982]
• EMPLOYEE BENEFIT PLAN OF ALBUQUERQUE CONVENTION AND VISITOR'S BUREAU, INC. [EIN = 850285280]
• EMPLOYEE BENEFIT PLAN OF AIR SERVICES DEVELOPMENT OFFICE, INC. [EIN = 113142457]
• EMPLOYEE BENEFIT PLAN OF PLANNED PARENTHOOD MINNESOTA, NORTH DAKOTA, SOUTH [EIN = 410948382]
• EMPLOYEE BENEFIT PLAN OF FAMILY OPTIONS, INC. [EIN = 061594221]
• EMPLOYEE BENEFIT PLAN OF MOSAIC REHABILITATION, INC. [EIN = 208627356]
• EMPLOYEE BENEFIT PLAN OF BABYLON BEACH HOUSE FOR ADULTS [EIN = 112509729]
• EMPLOYEE BENEFIT PLAN OF MEALS-ON-WHEELS OF JOHNSON AND ELLIS COUNTIES [EIN = 751555153]
• EMPLOYEE BENEFIT PLAN OF STANLY COUNTY PARTNERSHIP FOR CHILDREN, INC. [EIN = 561851138]
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• EMPLOYEE BENEFIT PLAN OF LEITHOLD PIANO CO., INC. [EIN = 390968101]
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• EMPLOYEE BENEFIT PLAN OF THE ECONOMIC DEVELOPMENT CORPORATION SERVING FRESNO COUNTY [EIN = 942816185]
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• EMPLOYEE BENEFIT PLAN OF HAZARD PERRY COUNTY COMMUNITY MINISTRIES [EIN = 610899221]
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• EMPLOYEE BENEFIT PLAN OF M-B-W, INC. M-B-W, INC. [EIN = 391081431]
• EMPLOYEE BENEFIT PLAN OF THE DETROIT ECONOMIC GROWTH CORPORATION [EIN = 382192028]
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• EMPLOYEE BENEFIT PLAN OF NATIONAL ATHLETIC TRAINERS ASSOCIATION [EIN = 752575595]
• EMPLOYEE BENEFIT PLAN OF CHATHAM COUNTY COUNCIL ON AGING, INC. [EIN = 561084260]
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• EMPLOYEE BENEFIT PLAN OF WEST TEXAS GIRL SCOUT COUNCIL [EIN = 750979890]
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• EMPLOYEE BENEFIT PLAN OF LATIN UNITED COMMUNITY HOUSING ASSOCIATION [EIN = 363213453]
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• EMPLOYEE BENEFIT PLAN OF GORDON OPERATING COMPANY, LLC [EIN = 810683179]
• EMPLOYEE BENEFIT PLAN OF ERPORTAL SOFTWARE, INC. ERPORTAL SOFTWARE, INC. [EIN = 043059313]
• EMPLOYEE BENEFIT PLAN OF TRIPLE G TRUCKING, INCORPORATED [EIN = 640321105]
• EMPLOYEE BENEFIT PLAN OF CHALLENGE OF TARRANT COUNTY [EIN = 752126450]
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• EMPLOYEE BENEFIT PLAN OF MENTAL HEALTH ASSOCIATION OF ALAMEDA COUNTY [EIN = 941254645]
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