401k Plan data: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 plan

DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 401k Plan overview

Plan Name	DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125
Plan identification number	504

DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 Benefits

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

401k Sponsoring company profile

UNIVERSITY OF MARYLAND CAPITAL REGION HEALTH has sponsored the creation of one or more 401k plans.

Company Name: UNIVERSITY OF MARYLAND CAPITAL REGION HEALTH

Employer identification number (EIN): 521289729

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2021-01-01 GEORGE SAMUEL 2022-03-10
504 2020-01-01 GEORGE SAMUEL 2021-06-02
504 2019-01-01 GEORGE SAMUEL 2020-07-19
504 2018-01-01 GEORGE SAMUEL 2019-09-16
504 2017-01-01 GEORGE SAMUEL GEORGE SAMUEL 2018-07-18
504 2016-01-01 GEORGE SAMUEL
504 2015-01-01 GEORGE SAMUEL GEORGE SAMUEL 2016-09-19
504 2014-01-01 GEORGE SAMUEL
504 2013-01-01 GEORGE SAMUEL GEORGE SAMUEL 2014-10-07
504 2012-01-01 MICHAEL DUNCAN MICHAEL DUNCAN 2013-10-15
504 2011-01-01 MARIE DANIELY
504 2009-01-01 PETER CLOSE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
504	2021-01-01	GEORGE SAMUEL	2022-03-10
504	2020-01-01	GEORGE SAMUEL	2021-06-02
504	2019-01-01	GEORGE SAMUEL	2020-07-19
504	2018-01-01	GEORGE SAMUEL	2019-09-16
504	2017-01-01	GEORGE SAMUEL		GEORGE SAMUEL	2018-07-18
504	2016-01-01	GEORGE SAMUEL
504	2015-01-01	GEORGE SAMUEL		GEORGE SAMUEL	2016-09-19
504	2014-01-01	GEORGE SAMUEL
504	2013-01-01	GEORGE SAMUEL		GEORGE SAMUEL	2014-10-07
504	2012-01-01	MICHAEL DUNCAN		MICHAEL DUNCAN	2013-10-15
504	2011-01-01	MARIE DANIELY
504	2009-01-01	PETER CLOSE

Plan Statistics for DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125

401k plan membership statisitcs for DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125

Measure Date Value
2021: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 2021 401k membership
Total participants, beginning-of-year 2021-01-01 1,729
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 0
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 0
2020: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 2020 401k membership
Total participants, beginning-of-year 2020-01-01 2,664
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 1,720
Number of retired or separated participants receiving benefits 2020-01-01 9
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 1,729
2019: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 2019 401k membership
Total participants, beginning-of-year 2019-01-01 2,669
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 2,650
Number of retired or separated participants receiving benefits 2019-01-01 14
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 2,664
2018: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 2018 401k membership
Total participants, beginning-of-year 2018-01-01 3,938
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 2,650
Number of retired or separated participants receiving benefits 2018-01-01 19
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 2,669
2017: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 2017 401k membership
Total participants, beginning-of-year 2017-01-01 2,650
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 2,564
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 1,374
Total of all active and inactive participants 2017-01-01 3,938
2016: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 2016 401k membership
Total participants, beginning-of-year 2016-01-01 2,725
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 2,650
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 2,650
2015: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 2015 401k membership
Total participants, beginning-of-year 2015-01-01 2,769
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 2,641
Number of retired or separated participants receiving benefits 2015-01-01 84
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 2,725
2014: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 2014 401k membership
Total participants, beginning-of-year 2014-01-01 2,850
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 2,641
Number of retired or separated participants receiving benefits 2014-01-01 128
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 2,769
2013: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 2013 401k membership
Total participants, beginning-of-year 2013-01-01 2,775
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 2,688
Number of retired or separated participants receiving benefits 2013-01-01 162
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 2,850
2012: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2,196
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,953
Number of retired or separated participants receiving benefits 2012-01-01 173
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 2,126
2011: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 2011 401k membership
Total participants, beginning-of-year 2011-01-01 2,081
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,955
Number of retired or separated participants receiving benefits 2011-01-01 154
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 2,109
2009: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2,298
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 2,974
Number of retired or separated participants receiving benefits 2009-01-01 39
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 3,013

Measure	Date	Value
2021: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 2021 401k membership
Total participants, beginning-of-year	2021-01-01	1,729
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	0
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	0
2020: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 2020 401k membership
Total participants, beginning-of-year	2020-01-01	2,664
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	1,720
Number of retired or separated participants receiving benefits	2020-01-01	9
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	1,729
2019: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 2019 401k membership
Total participants, beginning-of-year	2019-01-01	2,669
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	2,650
Number of retired or separated participants receiving benefits	2019-01-01	14
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	2,664
2018: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 2018 401k membership
Total participants, beginning-of-year	2018-01-01	3,938
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	2,650
Number of retired or separated participants receiving benefits	2018-01-01	19
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	2,669
2017: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 2017 401k membership
Total participants, beginning-of-year	2017-01-01	2,650
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	2,564
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	1,374
Total of all active and inactive participants	2017-01-01	3,938
2016: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 2016 401k membership
Total participants, beginning-of-year	2016-01-01	2,725
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	2,650
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	2,650
2015: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 2015 401k membership
Total participants, beginning-of-year	2015-01-01	2,769
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	2,641
Number of retired or separated participants receiving benefits	2015-01-01	84
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	2,725
2014: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 2014 401k membership
Total participants, beginning-of-year	2014-01-01	2,850
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	2,641
Number of retired or separated participants receiving benefits	2014-01-01	128
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	2,769
2013: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 2013 401k membership
Total participants, beginning-of-year	2013-01-01	2,775
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	2,688
Number of retired or separated participants receiving benefits	2013-01-01	162
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	2,850
2012: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2,196
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,953
Number of retired or separated participants receiving benefits	2012-01-01	173
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	2,126
2011: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2,081
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,955
Number of retired or separated participants receiving benefits	2011-01-01	154
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	2,109
2009: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2,298
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	2,974
Number of retired or separated participants receiving benefits	2009-01-01	39
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	3,013

Form 5500 Responses for DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125

2021: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 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	Yes
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 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 funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 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 funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 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 funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 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 funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 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 funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 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 funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 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 funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: DIMENSIONS HEALTHCARE SYSTEM FLEXIBLE COMPENSATION PLAN CAFETERIA SECTION 125 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	Yes
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	PD383051015901
Policy instance	6
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number	68044-3
Policy instance	13
BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
Policy contract number	48963
Policy instance	1
GHMSI (National Association of Insurance Commissioners NAIC id number: 53007 )
Policy contract number	0QBQ
Policy instance	2
CURALINC HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract number	EAP
Policy instance	3
DOMINIONNATIONAL DENTAL (National Association of Insurance Commissioners NAIC id number: 95657 )
Policy contract number	178600
Policy instance	4
EXPRESS SCRIPTS, INC. (National Association of Insurance Commissioners NAIC id number: 60025 )
Policy contract number	6300
Policy instance	5
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	GF383051015901
Policy instance	7
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	R0032086
Policy instance	12
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	GD383051015901
Policy instance	8
HYATT LEGAL PLANS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	6090292
Policy instance	9
MONUMENTAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract number	MZ0926172H0000A
Policy instance	10
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number	0007719836
Policy instance	11
CURALINC HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract number	EAP
Policy instance	3
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number	GF383051015901
Policy instance	7
BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
Policy contract number	48963
Policy instance	1
GHMSI (National Association of Insurance Commissioners NAIC id number: 53007 )
Policy contract number	0QBQ
Policy instance	2
DOMINIONNATIONAL DENTAL (National Association of Insurance Commissioners NAIC id number: 95657 )
Policy contract number	178600
Policy instance	4
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number	PD383051015901
Policy instance	6
EXPRESS SCRIPTS, INC. (National Association of Insurance Commissioners NAIC id number: 60025 )
Policy contract number	6300
Policy instance	5
HYATT LEGAL PLANS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	6090292
Policy instance	9
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number	GD383051015901
Policy instance	8
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number	0007719836
Policy instance	11
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number	68044-3
Policy instance	13
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	R0032086
Policy instance	12
MONUMENTAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract number	MZ0926172H0000A
Policy instance	10
BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
Policy contract number	48963
Policy instance	1
CURALINC HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract number	EAP
Policy instance	3
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number	SA383051015901
Policy instance	7
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number	0007719836
Policy instance	12
EXPRESS SCRIPTS, INC. (National Association of Insurance Commissioners NAIC id number: 60025 )
Policy contract number	6300
Policy instance	5
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number	PD383051015901
Policy instance	6
MONUMENTAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract number	MZ0926172H0000A
Policy instance	11
HYATT LEGAL PLANS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	6090292
Policy instance	10
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number	GD383051015901
Policy instance	9
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number	GF383051015901
Policy instance	8
DOMINIONNATIONAL DENTAL (National Association of Insurance Commissioners NAIC id number: 95657 )
Policy contract number	178600
Policy instance	4
GHMSI (National Association of Insurance Commissioners NAIC id number: 53007 )
Policy contract number	0QBQ
Policy instance	2
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	R0032086
Policy instance	13
BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
Policy contract number	48963
Policy instance	6
HYATT LEGAL PLANS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	6090292
Policy instance	1
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number	7719836
Policy instance	2
CURALINC HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract number	EAP
Policy instance	3
STONEBRIDGE LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 65021 )
Policy contract number	S9579015
Policy instance	4
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	R0032086
Policy instance	5
GHMSI (National Association of Insurance Commissioners NAIC id number: 53007 )
Policy contract number	0QBQ
Policy instance	7
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number	GF383051015901
Policy instance	8
MONUMENTAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract number	MZ0926172H00*
Policy instance	9
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number	SA383051015901
Policy instance	10
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number	GD383051015901
Policy instance	12
DOMINIONNATIONAL DENTAL (National Association of Insurance Commissioners NAIC id number: 95657 )
Policy contract number	178600
Policy instance	11
MONUMENTAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract number	MZ0926172H00*
Policy instance	9
BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
Policy contract number	48963
Policy instance	10
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number	SA383051015901
Policy instance	3
STONEBRIDGE LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 65021 )
Policy contract number	S9579015
Policy instance	8
INOVA EMPLOYEE ASSISTANCE (National Association of Insurance Commissioners NAIC id number: 54199 )
Policy contract number	EAP
Policy instance	7
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number	7719836
Policy instance	6
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number	GF383051015901
Policy instance	1
DENTAQUEST MID-ATLANTIC, INC. (National Association of Insurance Commissioners NAIC id number: 52040 )
Policy contract number	021456
Policy instance	5
GHMSI (National Association of Insurance Commissioners NAIC id number: 53007 )
Policy contract number	0QBQ
Policy instance	2
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number	GD383051015901
Policy instance	4
BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
Policy contract number	48963
Policy instance	9
STONEBRIDGE LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 65021 )
Policy contract number	S9579015
Policy instance	4
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number	7719836
Policy instance	8
INOVA EMPLOYEE ASSISTANCE (National Association of Insurance Commissioners NAIC id number: 54199 )
Policy contract number	EAP
Policy instance	7
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	674853G
Policy instance	6
MONUMENTAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract number	MZ0926172H00*
Policy instance	5
GHMSI (National Association of Insurance Commissioners NAIC id number: 53007 )
Policy contract number	0QBQ
Policy instance	1
DENTAQUEST MID-ATLANTIC, INC. (National Association of Insurance Commissioners NAIC id number: 52040 )
Policy contract number	021456
Policy instance	2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	0121395
Policy instance	3
STONEBRIDGE LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 65021 )
Policy contract number	S9579015
Policy instance	3
GHMSI (National Association of Insurance Commissioners NAIC id number: 53007 )
Policy contract number	0QBQ
Policy instance	1
MONUMENTAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract number	MZ0926172H00*
Policy instance	2
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number	0007719836
Policy instance	9
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	0121395
Policy instance	8
INOVA EMPLOYEE ASSISTANCE (National Association of Insurance Commissioners NAIC id number: 54199 )
Policy contract number	EAP
Policy instance	7
DENTAQUEST MID-ATLANTIC, INC. (National Association of Insurance Commissioners NAIC id number: 52040 )
Policy contract number	0214560001
Policy instance	5
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	674853G
Policy instance	6
BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
Policy contract number	48963
Policy instance	4
MONUMENTAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract number	MZ0926172H0000A
Policy instance	1
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number	0007719836
Policy instance	9
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	0121395
Policy instance	8
INOVA EMPLOYEE ASSISTANCE (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	EAP
Policy instance	7
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	674853G
Policy instance	6
DENTAQUEST MID-ATLANTIC, INC. (National Association of Insurance Commissioners NAIC id number: 52040 )
Policy contract number	021456*
Policy instance	5
STONEBRIDGE LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 65021 )
Policy contract number	S9579015
Policy instance	2
BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
Policy contract number	48963 48984
Policy instance	3
GHMSI (National Association of Insurance Commissioners NAIC id number: 53007 )
Policy contract number	0QBQ
Policy instance	4
BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
Policy contract number	48963 48984
Policy instance	1
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number	D2492
Policy instance	9
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number	0007719836
Policy instance	8
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	0121395
Policy instance	7
INOVA EMPLOYEE ASSISTANCE (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	EAP
Policy instance	6
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	674853G
Policy instance	5
DENTAQUEST MID-ATLANTIC, INC. (National Association of Insurance Commissioners NAIC id number: 52040 )
Policy contract number	021456*
Policy instance	3
GHMSI (National Association of Insurance Commissioners NAIC id number: 53007 )
Policy contract number	0QBQ
Policy instance	2
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	AGP 003755
Policy instance	4
BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
Policy contract number	48984 48963
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number	12156432
Policy instance	10
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	715360
Policy instance	9
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number	D2492
Policy instance	8
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number	0007719836
Policy instance	7
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	0121395
Policy instance	6
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	674853G
Policy instance	5
DENTAQUEST MID-ATLANTIC, INC. (National Association of Insurance Commissioners NAIC id number: 52040 )
Policy contract number	021456*
Policy instance	3
GHMSI (National Association of Insurance Commissioners NAIC id number: 53007 )
Policy contract number	0QBQ
Policy instance	2
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	AGP003755
Policy instance	4

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Company Name:	UNIVERSITY OF MARYLAND CAPITAL REGION HEALTH
Employer identification number (EIN):	521289729
NAIC Classification:	622000
NAIC Description:	Hospitals