401k Plan data: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN plan

PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN
Plan identification number	504

PROFESSIONAL THERAPY SERVICES, INC. WELFARE 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) Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

PROFESSIONAL THERAPY SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name: PROFESSIONAL THERAPY SERVICES, INC.

Employer identification number (EIN): 371087415

NAIC Classification: 621340
NAIC Description: Offices of Physical, Occupational and Speech Therapists, and Audiologists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2023-08-01 MICHAEL RILEY
504 2022-08-01
504 2022-08-01 MICHAEL RILEY
504 2021-08-01
504 2021-08-01 MICHAEL RILEY
504 2020-08-01
504 2019-08-01
504 2016-08-01 MICHAEL RILEY
504 2015-08-01 MICHAEL RILEY
504 2014-08-01 MICHAEL RILEY
504 2013-08-01 MICHAEL RILEY
504 2012-08-01 MICHAEL R RILEY MICHAEL R RILEY 2014-02-21
504 2011-08-01 MICHAEL RILEY MICHAEL RILEY 2013-02-20
504 2009-08-01 MICHAEL RILEY
504 2009-08-01 MICHAEL RILEY

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
504	2023-08-01	MICHAEL RILEY
504	2022-08-01
504	2022-08-01	MICHAEL RILEY
504	2021-08-01
504	2021-08-01	MICHAEL RILEY
504	2020-08-01
504	2019-08-01
504	2016-08-01	MICHAEL RILEY
504	2015-08-01	MICHAEL RILEY
504	2014-08-01	MICHAEL RILEY
504	2013-08-01	MICHAEL RILEY
504	2012-08-01	MICHAEL R RILEY	MICHAEL R RILEY	2014-02-21
504	2011-08-01	MICHAEL RILEY	MICHAEL RILEY	2013-02-20
504	2009-08-01	MICHAEL RILEY
504	2009-08-01	MICHAEL RILEY

Plan Statistics for PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN

401k plan membership statisitcs for PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN

Measure Date Value
2022: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-08-01 222
Total number of active participants reported on line 7a of the Form 5500 2022-08-01 200
Number of retired or separated participants receiving benefits 2022-08-01 2
Number of other retired or separated participants entitled to future benefits 2022-08-01 0
Total of all active and inactive participants 2022-08-01 202
2021: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-08-01 239
Total number of active participants reported on line 7a of the Form 5500 2021-08-01 219
Number of retired or separated participants receiving benefits 2021-08-01 3
Number of other retired or separated participants entitled to future benefits 2021-08-01 0
Total of all active and inactive participants 2021-08-01 222
2020: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-08-01 227
Total number of active participants reported on line 7a of the Form 5500 2020-08-01 237
Number of retired or separated participants receiving benefits 2020-08-01 2
Number of other retired or separated participants entitled to future benefits 2020-08-01 0
Total of all active and inactive participants 2020-08-01 239
2019: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-08-01 273
Total number of active participants reported on line 7a of the Form 5500 2019-08-01 225
Number of retired or separated participants receiving benefits 2019-08-01 2
Number of other retired or separated participants entitled to future benefits 2019-08-01 0
Total of all active and inactive participants 2019-08-01 227
2016: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-08-01 352
Total number of active participants reported on line 7a of the Form 5500 2016-08-01 345
Number of retired or separated participants receiving benefits 2016-08-01 2
Number of other retired or separated participants entitled to future benefits 2016-08-01 0
Total of all active and inactive participants 2016-08-01 347
2015: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-08-01 273
Total number of active participants reported on line 7a of the Form 5500 2015-08-01 278
Number of retired or separated participants receiving benefits 2015-08-01 2
Number of other retired or separated participants entitled to future benefits 2015-08-01 0
Total of all active and inactive participants 2015-08-01 280
2014: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-08-01 275
Total number of active participants reported on line 7a of the Form 5500 2014-08-01 268
Number of retired or separated participants receiving benefits 2014-08-01 5
Number of other retired or separated participants entitled to future benefits 2014-08-01 0
Total of all active and inactive participants 2014-08-01 273
2013: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-08-01 199
Total number of active participants reported on line 7a of the Form 5500 2013-08-01 201
Number of retired or separated participants receiving benefits 2013-08-01 2
Number of other retired or separated participants entitled to future benefits 2013-08-01 0
Total of all active and inactive participants 2013-08-01 203
2012: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-08-01 196
Total number of active participants reported on line 7a of the Form 5500 2012-08-01 199
Total of all active and inactive participants 2012-08-01 199
2011: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-08-01 212
Total number of active participants reported on line 7a of the Form 5500 2011-08-01 194
Number of retired or separated participants receiving benefits 2011-08-01 2
Total of all active and inactive participants 2011-08-01 196
2009: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-08-01 208
Total number of active participants reported on line 7a of the Form 5500 2009-08-01 200
Number of retired or separated participants receiving benefits 2009-08-01 3
Number of other retired or separated participants entitled to future benefits 2009-08-01 0
Total of all active and inactive participants 2009-08-01 203
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-08-01 0
Total participants 2009-08-01 203

Measure	Date	Value
2022: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-08-01	222
Total number of active participants reported on line 7a of the Form 5500	2022-08-01	200
Number of retired or separated participants receiving benefits	2022-08-01	2
Number of other retired or separated participants entitled to future benefits	2022-08-01	0
Total of all active and inactive participants	2022-08-01	202
2021: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-08-01	239
Total number of active participants reported on line 7a of the Form 5500	2021-08-01	219
Number of retired or separated participants receiving benefits	2021-08-01	3
Number of other retired or separated participants entitled to future benefits	2021-08-01	0
Total of all active and inactive participants	2021-08-01	222
2020: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-08-01	227
Total number of active participants reported on line 7a of the Form 5500	2020-08-01	237
Number of retired or separated participants receiving benefits	2020-08-01	2
Number of other retired or separated participants entitled to future benefits	2020-08-01	0
Total of all active and inactive participants	2020-08-01	239
2019: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-08-01	273
Total number of active participants reported on line 7a of the Form 5500	2019-08-01	225
Number of retired or separated participants receiving benefits	2019-08-01	2
Number of other retired or separated participants entitled to future benefits	2019-08-01	0
Total of all active and inactive participants	2019-08-01	227
2016: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-08-01	352
Total number of active participants reported on line 7a of the Form 5500	2016-08-01	345
Number of retired or separated participants receiving benefits	2016-08-01	2
Number of other retired or separated participants entitled to future benefits	2016-08-01	0
Total of all active and inactive participants	2016-08-01	347
2015: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-08-01	273
Total number of active participants reported on line 7a of the Form 5500	2015-08-01	278
Number of retired or separated participants receiving benefits	2015-08-01	2
Number of other retired or separated participants entitled to future benefits	2015-08-01	0
Total of all active and inactive participants	2015-08-01	280
2014: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-08-01	275
Total number of active participants reported on line 7a of the Form 5500	2014-08-01	268
Number of retired or separated participants receiving benefits	2014-08-01	5
Number of other retired or separated participants entitled to future benefits	2014-08-01	0
Total of all active and inactive participants	2014-08-01	273
2013: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-08-01	199
Total number of active participants reported on line 7a of the Form 5500	2013-08-01	201
Number of retired or separated participants receiving benefits	2013-08-01	2
Number of other retired or separated participants entitled to future benefits	2013-08-01	0
Total of all active and inactive participants	2013-08-01	203
2012: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-08-01	196
Total number of active participants reported on line 7a of the Form 5500	2012-08-01	199
Total of all active and inactive participants	2012-08-01	199
2011: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-08-01	212
Total number of active participants reported on line 7a of the Form 5500	2011-08-01	194
Number of retired or separated participants receiving benefits	2011-08-01	2
Total of all active and inactive participants	2011-08-01	196
2009: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-08-01	208
Total number of active participants reported on line 7a of the Form 5500	2009-08-01	200
Number of retired or separated participants receiving benefits	2009-08-01	3
Number of other retired or separated participants entitled to future benefits	2009-08-01	0
Total of all active and inactive participants	2009-08-01	203
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-08-01	0
Total participants	2009-08-01	203

Form 5500 Responses for PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN

2022: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-08-01	Type of plan entity	Single employer plan
2022-08-01	Submission has been amended	No
2022-08-01	This submission is the final filing	No
2022-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-08-01	Plan is a collectively bargained plan	No
2022-08-01	Plan funding arrangement – Insurance	Yes
2022-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-08-01	Plan benefit arrangement – Insurance	Yes
2022-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-08-01	Type of plan entity	Single employer plan
2021-08-01	Submission has been amended	No
2021-08-01	This submission is the final filing	No
2021-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-08-01	Plan is a collectively bargained plan	No
2021-08-01	Plan funding arrangement – Insurance	Yes
2021-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-08-01	Plan benefit arrangement – Insurance	Yes
2021-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-08-01	Type of plan entity	Single employer plan
2020-08-01	Submission has been amended	No
2020-08-01	This submission is the final filing	No
2020-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-08-01	Plan is a collectively bargained plan	No
2020-08-01	Plan funding arrangement – Insurance	Yes
2020-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-08-01	Plan benefit arrangement – Insurance	Yes
2020-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-08-01	Type of plan entity	Single employer plan
2019-08-01	Submission has been amended	No
2019-08-01	This submission is the final filing	No
2019-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-08-01	Plan is a collectively bargained plan	No
2019-08-01	Plan funding arrangement – Insurance	Yes
2019-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-08-01	Plan benefit arrangement – Insurance	Yes
2019-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-08-01	Type of plan entity	Single employer plan
2016-08-01	Submission has been amended	No
2016-08-01	This submission is the final filing	No
2016-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-08-01	Plan is a collectively bargained plan	No
2016-08-01	Plan funding arrangement – Insurance	Yes
2016-08-01	Plan benefit arrangement – Insurance	Yes
2015: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-08-01	Type of plan entity	Single employer plan
2015-08-01	Submission has been amended	No
2015-08-01	This submission is the final filing	No
2015-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-08-01	Plan is a collectively bargained plan	No
2015-08-01	Plan funding arrangement – Insurance	Yes
2015-08-01	Plan benefit arrangement – Insurance	Yes
2014: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-08-01	Type of plan entity	Single employer plan
2014-08-01	Submission has been amended	No
2014-08-01	This submission is the final filing	No
2014-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-08-01	Plan is a collectively bargained plan	No
2014-08-01	Plan funding arrangement – Insurance	Yes
2014-08-01	Plan benefit arrangement – Insurance	Yes
2013: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-08-01	Type of plan entity	Single employer plan
2013-08-01	Submission has been amended	No
2013-08-01	This submission is the final filing	No
2013-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-08-01	Plan is a collectively bargained plan	No
2013-08-01	Plan funding arrangement – Insurance	Yes
2013-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-08-01	Plan benefit arrangement – Insurance	Yes
2013-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-08-01	Type of plan entity	Single employer plan
2012-08-01	Submission has been amended	No
2012-08-01	This submission is the final filing	No
2012-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-08-01	Plan is a collectively bargained plan	No
2012-08-01	Plan funding arrangement – Insurance	Yes
2012-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-08-01	Plan benefit arrangement – Insurance	Yes
2012-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-08-01	Type of plan entity	Single employer plan
2011-08-01	Submission has been amended	No
2011-08-01	This submission is the final filing	No
2011-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-08-01	Plan is a collectively bargained plan	No
2011-08-01	Plan funding arrangement – Insurance	Yes
2011-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-08-01	Plan benefit arrangement – Insurance	Yes
2011-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: PROFESSIONAL THERAPY SERVICES, INC. WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-08-01	Type of plan entity	Single employer plan
2009-08-01	First time form 5500 has been submitted	Yes
2009-08-01	Submission has been amended	Yes
2009-08-01	This submission is the final filing	No
2009-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-08-01	Plan is a collectively bargained plan	No
2009-08-01	Plan funding arrangement – Insurance	Yes
2009-08-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number	30041463
Policy instance	4
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number	01-018277-00
Policy instance	3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number	249826
Policy instance	2
DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )
Policy contract number	10955
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number	30041463
Policy instance	4
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number	01-018277-00
Policy instance	3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number	PI1585
Policy instance	2
DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )
Policy contract number	10955
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number	30041463
Policy instance	4
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number	01-018277-00
Policy instance	3
DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )
Policy contract number	10955
Policy instance	1
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number	PI1585
Policy instance	2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number	30041463
Policy instance	4
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	869511G
Policy instance	3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number	249826
Policy instance	2
DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )
Policy contract number	10955
Policy instance	1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	905694
Policy instance	2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number	30041463
Policy instance	4
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	869511G
Policy instance	3
DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )
Policy contract number	10955
Policy instance	1
DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )
Policy contract number	10955
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number	30041463
Policy instance	4
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number	P15242,P58425
Policy instance	2
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	869511G
Policy instance	3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number	P15242,P58425
Policy instance	2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number	30041463
Policy instance	4
DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )
Policy contract number	10955
Policy instance	1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	869511G
Policy instance	3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number	P15242
Policy instance	2
DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )
Policy contract number	10955
Policy instance	1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	869511G
Policy instance	3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	869511G
Policy instance	3
DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )
Policy contract number	10955
Policy instance	1
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number	P15242
Policy instance	2
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	869511G
Policy instance	3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number	P15242
Policy instance	1
DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )
Policy contract number	10955
Policy instance	4
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	0105696
Policy instance	2

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Company Name:	PROFESSIONAL THERAPY SERVICES, INC.
Employer identification number (EIN):	371087415
NAIC Classification:	621340
NAIC Description:	Offices of Physical, Occupational and Speech Therapists, and Audiologists