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FLAGLER SYSTEM HEALTH BENEFIT TRUST 401k Plan overview

Plan NameFLAGLER SYSTEM HEALTH BENEFIT TRUST
Plan identification number 701

FLAGLER SYSTEM HEALTH BENEFIT TRUST Benefits

401k Plan TypeWelfare 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

THE BREAKERS PALM BEACH, INC. has sponsored the creation of one or more 401k plans.

Company Name:THE BREAKERS PALM BEACH, INC.
Employer identification number (EIN):590246320
NAIC Classification:721110
NAIC Description:Hotels (except Casino Hotels) and Motels

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FLAGLER SYSTEM HEALTH BENEFIT TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
7012023-09-01PAUL N. LEONE
7012022-09-01
7012022-09-01PAUL N. LEONE
7012021-09-01
7012021-09-01PAUL N. LEONE
7012020-09-01
7012019-09-01
7012016-09-01PAUL N. LEONE ALEX GILMURRAY2018-06-15
7012016-07-01PAUL N. LEONE ALEX GILMURRAY2017-06-15
7012016-07-01PAUL N. LEONE ALEX GILMURRAY2018-06-14
7012015-07-01PAUL N. LEONE ALEX GILMURRAY2017-01-03
7012014-07-01PAUL N. LEONE ALEX GILMURRAY2016-03-23
7012013-07-01PAUL N. LEONE ALEX GILMURRAY2015-03-26
7012012-07-01PAUL N. LEONE ALEX GILMURRAY2014-01-23
7012011-07-01PAUL N. LEONE ALEX GILMURRAY2013-01-31
7012010-07-01PAUL N. LEONE ALEX GILMURRAY2012-01-16
7012009-07-01PAUL N. LEONE ALEX GILMURRAY2011-01-18

Plan Statistics for FLAGLER SYSTEM HEALTH BENEFIT TRUST

401k plan membership statisitcs for FLAGLER SYSTEM HEALTH BENEFIT TRUST

Measure Date Value
2022: FLAGLER SYSTEM HEALTH BENEFIT TRUST 2022 401k membership
Total participants, beginning-of-year2022-09-011,002
Total number of active participants reported on line 7a of the Form 55002022-09-011,057
Total of all active and inactive participants2022-09-011,057
2021: FLAGLER SYSTEM HEALTH BENEFIT TRUST 2021 401k membership
Total participants, beginning-of-year2021-09-01961
Total number of active participants reported on line 7a of the Form 55002021-09-011,002
Total of all active and inactive participants2021-09-011,002
2020: FLAGLER SYSTEM HEALTH BENEFIT TRUST 2020 401k membership
Total participants, beginning-of-year2020-09-011,099
Total number of active participants reported on line 7a of the Form 55002020-09-01961
Total of all active and inactive participants2020-09-01961
2019: FLAGLER SYSTEM HEALTH BENEFIT TRUST 2019 401k membership
Total participants, beginning-of-year2019-09-011,115
Total number of active participants reported on line 7a of the Form 55002019-09-011,099
Total of all active and inactive participants2019-09-011,099
2016: FLAGLER SYSTEM HEALTH BENEFIT TRUST 2016 401k membership
Total participants, beginning-of-year2016-09-011,072
Total number of active participants reported on line 7a of the Form 55002016-09-011,099
Total of all active and inactive participants2016-09-011,099
Total participants, beginning-of-year2016-07-011,075
Total number of active participants reported on line 7a of the Form 55002016-07-011,072
Total of all active and inactive participants2016-07-011,072
2015: FLAGLER SYSTEM HEALTH BENEFIT TRUST 2015 401k membership
Total participants, beginning-of-year2015-07-01990
Total number of active participants reported on line 7a of the Form 55002015-07-011,075
Total of all active and inactive participants2015-07-011,075
2014: FLAGLER SYSTEM HEALTH BENEFIT TRUST 2014 401k membership
Total participants, beginning-of-year2014-07-011,007
Total number of active participants reported on line 7a of the Form 55002014-07-01990
Total of all active and inactive participants2014-07-01990
2013: FLAGLER SYSTEM HEALTH BENEFIT TRUST 2013 401k membership
Total participants, beginning-of-year2013-07-011,043
Total number of active participants reported on line 7a of the Form 55002013-07-011,007
Total of all active and inactive participants2013-07-011,007
2012: FLAGLER SYSTEM HEALTH BENEFIT TRUST 2012 401k membership
Total participants, beginning-of-year2012-07-011,047
Total number of active participants reported on line 7a of the Form 55002012-07-011,043
Total of all active and inactive participants2012-07-011,043
2011: FLAGLER SYSTEM HEALTH BENEFIT TRUST 2011 401k membership
Total participants, beginning-of-year2011-07-011,074
Total number of active participants reported on line 7a of the Form 55002011-07-011,045
Number of retired or separated participants receiving benefits2011-07-012
Number of other retired or separated participants entitled to future benefits2011-07-010
Total of all active and inactive participants2011-07-011,047
2010: FLAGLER SYSTEM HEALTH BENEFIT TRUST 2010 401k membership
Total participants, beginning-of-year2010-07-011,158
Total number of active participants reported on line 7a of the Form 55002010-07-011,288
Number of retired or separated participants receiving benefits2010-07-012
Number of other retired or separated participants entitled to future benefits2010-07-010
Total of all active and inactive participants2010-07-011,290
2009: FLAGLER SYSTEM HEALTH BENEFIT TRUST 2009 401k membership
Total participants, beginning-of-year2009-07-011,180
Total number of active participants reported on line 7a of the Form 55002009-07-011,140
Number of retired or separated participants receiving benefits2009-07-0118
Total of all active and inactive participants2009-07-011,158

Financial Data on FLAGLER SYSTEM HEALTH BENEFIT TRUST

Measure Date Value
2017 : FLAGLER SYSTEM HEALTH BENEFIT TRUST 2017 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-08-31$656,896
Total income from all sources (including contributions)2017-08-31$1,596,693
Total of all expenses incurred2017-08-31$1,596,693
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-08-31$1,467,752
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-08-31$1,596,693
Value of total assets at end of year2017-08-31$0
Value of total assets at beginning of year2017-08-31$656,896
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-08-31$128,941
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-08-31No
Administrative expenses professional fees incurred2017-08-31$48,937
Was this plan covered by a fidelity bond2017-08-31No
If this is an individual account plan, was there a blackout period2017-08-31No
Were there any nonexempt tranactions with any party-in-interest2017-08-31No
Contributions received from participants2017-08-31$536,515
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-08-31$324,841
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-08-31$34,896
Administrative expenses (other) incurred2017-08-31$11,025
Total non interest bearing cash at end of year2017-08-31$0
Total non interest bearing cash at beginning of year2017-08-31$332,055
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-08-31No
Value of net income/loss2017-08-31$0
Value of net assets at end of year (total assets less liabilities)2017-08-31$0
Value of net assets at beginning of year (total assets less liabilities)2017-08-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-08-31No
Were any leases to which the plan was party in default or uncollectible2017-08-31No
Expenses. Payments to insurance carriers foe the provision of benefits2017-08-31$248,719
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-08-31No
Was there a failure to transmit to the plan any participant contributions2017-08-31No
Has the plan failed to provide any benefit when due under the plan2017-08-31No
Contributions received in cash from employer2017-08-31$1,060,178
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-08-31$1,219,033
Contract administrator fees2017-08-31$68,979
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-08-31No
Liabilities. Value of benefit claims payable at beginning of year2017-08-31$622,000
Did the plan have assets held for investment2017-08-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-08-31No
Opinion of an independent qualified public accountant for this plan2017-08-31Unqualified
Accountancy firm name2017-08-31TEMPLETON & COMPANY, LLP
Accountancy firm EIN2017-08-31141918990
2016 : FLAGLER SYSTEM HEALTH BENEFIT TRUST 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-08-31$423,291
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-08-31$39,152
Total income from all sources (including contributions)2016-08-31$3,202,549
Total of all expenses incurred2016-08-31$3,202,549
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-08-31$2,921,892
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-08-31$3,202,392
Value of total assets at end of year2016-08-31$1,045,291
Value of total assets at beginning of year2016-08-31$661,152
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-08-31$280,657
Total interest from all sources2016-08-31$157
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-08-31No
Administrative expenses professional fees incurred2016-08-31$104,717
Was this plan covered by a fidelity bond2016-08-31Yes
Value of fidelity bond cover2016-08-31$1,000,000
If this is an individual account plan, was there a blackout period2016-08-31No
Were there any nonexempt tranactions with any party-in-interest2016-08-31No
Contributions received from participants2016-08-31$1,171,251
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-08-31$1,045,291
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-08-31$157,033
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-08-31$423,291
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-08-31$39,152
Administrative expenses (other) incurred2016-08-31$23,475
Total non interest bearing cash at end of year2016-08-31$0
Total non interest bearing cash at beginning of year2016-08-31$504,119
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-08-31No
Value of net income/loss2016-08-31$0
Value of net assets at end of year (total assets less liabilities)2016-08-31$622,000
Value of net assets at beginning of year (total assets less liabilities)2016-08-31$622,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-08-31No
Were any leases to which the plan was party in default or uncollectible2016-08-31No
Income. Interest from US Government securities2016-08-31$157
Expenses. Payments to insurance carriers foe the provision of benefits2016-08-31$483,502
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-08-31No
Was there a failure to transmit to the plan any participant contributions2016-08-31No
Has the plan failed to provide any benefit when due under the plan2016-08-31No
Contributions received in cash from employer2016-08-31$2,031,141
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-08-31$2,438,390
Contract administrator fees2016-08-31$152,465
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-08-31No
Liabilities. Value of benefit claims payable at end of year2016-08-31$622,000
Liabilities. Value of benefit claims payable at beginning of year2016-08-31$622,000
Did the plan have assets held for investment2016-08-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-08-31No
Opinion of an independent qualified public accountant for this plan2016-08-31Unqualified
Accountancy firm name2016-08-31TEMPLETON & COMPANY, LLP
Accountancy firm EIN2016-08-31141918990
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$39,152
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$305,485
Total income from all sources (including contributions)2016-06-30$9,115,201
Total of all expenses incurred2016-06-30$9,066,201
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$8,180,484
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$9,114,809
Value of total assets at end of year2016-06-30$661,152
Value of total assets at beginning of year2016-06-30$878,485
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$885,717
Total interest from all sources2016-06-30$392
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Administrative expenses professional fees incurred2016-06-30$284,349
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$1,000,000
If this is an individual account plan, was there a blackout period2016-06-30No
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$3,410,914
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-06-30$157,033
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-06-30$135,438
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-06-30$39,152
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-06-30$305,485
Administrative expenses (other) incurred2016-06-30$61,387
Total non interest bearing cash at end of year2016-06-30$504,119
Total non interest bearing cash at beginning of year2016-06-30$743,047
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$49,000
Value of net assets at end of year (total assets less liabilities)2016-06-30$622,000
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$573,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Income. Interest from US Government securities2016-06-30$392
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$1,329,953
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$5,703,895
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$6,850,531
Contract administrator fees2016-06-30$539,981
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-06-30No
Did the plan have assets held for investment2016-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30No
Opinion of an independent qualified public accountant for this plan2016-06-30Unqualified
Accountancy firm name2016-06-30TEMPLETON & COMPANY, LLP
Accountancy firm EIN2016-06-30141918990
2015 : FLAGLER SYSTEM HEALTH BENEFIT TRUST 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$305,485
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$865,474
Total income from all sources (including contributions)2015-06-30$8,442,624
Total of all expenses incurred2015-06-30$8,442,624
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$7,516,922
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$8,442,479
Value of total assets at end of year2015-06-30$878,485
Value of total assets at beginning of year2015-06-30$1,438,474
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$925,702
Total interest from all sources2015-06-30$145
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Administrative expenses professional fees incurred2015-06-30$276,166
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$1,000,000
If this is an individual account plan, was there a blackout period2015-06-30No
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$3,050,927
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-06-30$135,438
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-06-30$980,776
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-06-30$305,485
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-06-30$865,474
Administrative expenses (other) incurred2015-06-30$136,469
Total non interest bearing cash at end of year2015-06-30$743,047
Total non interest bearing cash at beginning of year2015-06-30$457,698
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$0
Value of net assets at end of year (total assets less liabilities)2015-06-30$573,000
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$573,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Income. Interest from US Government securities2015-06-30$145
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$966,891
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$5,391,552
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$6,550,031
Contract administrator fees2015-06-30$513,067
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-06-30No
Did the plan have assets held for investment2015-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30No
Opinion of an independent qualified public accountant for this plan2015-06-30Unqualified
Accountancy firm name2015-06-30TEMPLETON & COMPANY, LLP
Accountancy firm EIN2015-06-30141918990
2014 : FLAGLER SYSTEM HEALTH BENEFIT TRUST 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$865,474
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$36,532
Total income from all sources (including contributions)2014-06-30$8,149,665
Total of all expenses incurred2014-06-30$8,149,665
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$7,255,489
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$8,149,435
Value of total assets at end of year2014-06-30$1,438,474
Value of total assets at beginning of year2014-06-30$609,532
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$894,176
Total interest from all sources2014-06-30$230
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Administrative expenses professional fees incurred2014-06-30$276,889
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$1,000,000
If this is an individual account plan, was there a blackout period2014-06-30No
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$2,956,121
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-06-30$980,776
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-06-30$5,545
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-06-30$865,474
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-06-30$36,532
Administrative expenses (other) incurred2014-06-30$104,216
Total non interest bearing cash at end of year2014-06-30$457,698
Total non interest bearing cash at beginning of year2014-06-30$463,524
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$0
Value of net assets at end of year (total assets less liabilities)2014-06-30$573,000
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$573,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Income. Interest from US Government securities2014-06-30$230
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$949,125
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$5,193,314
Employer contributions (assets) at beginning of year2014-06-30$140,463
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$6,306,364
Contract administrator fees2014-06-30$513,071
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-06-30No
Did the plan have assets held for investment2014-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30No
Opinion of an independent qualified public accountant for this plan2014-06-30Unqualified
Accountancy firm name2014-06-30TEMPLETON & COMPANY, LLP
Accountancy firm EIN2014-06-30141918990
2013 : FLAGLER SYSTEM HEALTH BENEFIT TRUST 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$36,532
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$39,361
Total income from all sources (including contributions)2013-06-30$7,245,714
Total of all expenses incurred2013-06-30$7,245,714
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$6,432,677
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$7,245,199
Value of total assets at end of year2013-06-30$609,532
Value of total assets at beginning of year2013-06-30$612,361
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$813,037
Total interest from all sources2013-06-30$515
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Administrative expenses professional fees incurred2013-06-30$268,456
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$1,000,000
If this is an individual account plan, was there a blackout period2013-06-30No
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$2,914,346
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-06-30$5,545
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-06-30$10,099
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-06-30$36,532
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-06-30$39,361
Administrative expenses (other) incurred2013-06-30$35,216
Total non interest bearing cash at end of year2013-06-30$463,524
Total non interest bearing cash at beginning of year2013-06-30$457,927
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$0
Value of net assets at end of year (total assets less liabilities)2013-06-30$573,000
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$573,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Income. Interest from US Government securities2013-06-30$515
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$908,772
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30No
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$4,330,853
Employer contributions (assets) at end of year2013-06-30$140,463
Employer contributions (assets) at beginning of year2013-06-30$144,335
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$5,523,905
Contract administrator fees2013-06-30$509,365
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-06-30No
Did the plan have assets held for investment2013-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30No
Opinion of an independent qualified public accountant for this plan2013-06-30Unqualified
Accountancy firm name2013-06-30TEMPLETON & COMPANY, LLP
Accountancy firm EIN2013-06-30141918990
2012 : FLAGLER SYSTEM HEALTH BENEFIT TRUST 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$39,361
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$59,383
Total income from all sources (including contributions)2012-06-30$7,126,120
Total of all expenses incurred2012-06-30$7,126,120
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$6,361,373
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$7,125,888
Value of total assets at end of year2012-06-30$612,361
Value of total assets at beginning of year2012-06-30$632,383
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$764,747
Total interest from all sources2012-06-30$232
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Administrative expenses professional fees incurred2012-06-30$240,283
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$1,000,000
If this is an individual account plan, was there a blackout period2012-06-30No
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$2,768,009
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-06-30$10,099
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-06-30$22,238
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-06-30$39,361
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-06-30$59,383
Administrative expenses (other) incurred2012-06-30$34,290
Total non interest bearing cash at end of year2012-06-30$457,927
Total non interest bearing cash at beginning of year2012-06-30$4,963
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$0
Value of net assets at end of year (total assets less liabilities)2012-06-30$573,000
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$573,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Income. Interest from US Government securities2012-06-30$232
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$906,749
Asset value of US Government securities at beginning of year2012-06-30$452,972
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30No
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$4,357,879
Employer contributions (assets) at end of year2012-06-30$144,335
Employer contributions (assets) at beginning of year2012-06-30$152,210
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$5,454,624
Contract administrator fees2012-06-30$490,174
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-06-30No
Did the plan have assets held for investment2012-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30No
Opinion of an independent qualified public accountant for this plan2012-06-30Unqualified
Accountancy firm name2012-06-30TEMPLETON & COMPANY, LLP
Accountancy firm EIN2012-06-30141918990
2011 : FLAGLER SYSTEM HEALTH BENEFIT TRUST 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$59,383
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$44,950
Total income from all sources (including contributions)2011-06-30$7,605,535
Total of all expenses incurred2011-06-30$7,605,535
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$6,891,923
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$7,605,045
Value of total assets at end of year2011-06-30$632,383
Value of total assets at beginning of year2011-06-30$906,950
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$713,612
Total interest from all sources2011-06-30$490
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Administrative expenses professional fees incurred2011-06-30$153,382
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$1,000,000
If this is an individual account plan, was there a blackout period2011-06-30No
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$2,805,742
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-06-30$22,238
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-06-30$51,333
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-06-30$59,383
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-06-30$44,950
Administrative expenses (other) incurred2011-06-30$50,146
Total non interest bearing cash at end of year2011-06-30$4,963
Total non interest bearing cash at beginning of year2011-06-30$99,962
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$0
Value of net assets at end of year (total assets less liabilities)2011-06-30$573,000
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$862,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Income. Interest from US Government securities2011-06-30$490
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$968,410
Asset value of US Government securities at end of year2011-06-30$452,972
Asset value of US Government securities at beginning of year2011-06-30$452,862
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30No
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$4,799,303
Employer contributions (assets) at end of year2011-06-30$152,210
Employer contributions (assets) at beginning of year2011-06-30$302,793
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$5,923,513
Contract administrator fees2011-06-30$510,084
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-06-30No
Did the plan have assets held for investment2011-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30No
Opinion of an independent qualified public accountant for this plan2011-06-30Unqualified
Accountancy firm name2011-06-30TEMPLETON & COMPANY, LLP
Accountancy firm EIN2011-06-30141918990

Form 5500 Responses for FLAGLER SYSTEM HEALTH BENEFIT TRUST

2022: FLAGLER SYSTEM HEALTH BENEFIT TRUST 2022 form 5500 responses
2022-09-01Type of plan entitySingle employer plan
2022-09-01Plan funding arrangement – InsuranceYes
2022-09-01Plan funding arrangement – General assets of the sponsorYes
2022-09-01Plan benefit arrangement – InsuranceYes
2022-09-01Plan benefit arrangement – General assets of the sponsorYes
2021: FLAGLER SYSTEM HEALTH BENEFIT TRUST 2021 form 5500 responses
2021-09-01Type of plan entitySingle employer plan
2021-09-01Plan funding arrangement – InsuranceYes
2021-09-01Plan funding arrangement – General assets of the sponsorYes
2021-09-01Plan benefit arrangement – InsuranceYes
2021-09-01Plan benefit arrangement – General assets of the sponsorYes
2020: FLAGLER SYSTEM HEALTH BENEFIT TRUST 2020 form 5500 responses
2020-09-01Type of plan entitySingle employer plan
2020-09-01Plan funding arrangement – InsuranceYes
2020-09-01Plan funding arrangement – General assets of the sponsorYes
2020-09-01Plan benefit arrangement – InsuranceYes
2020-09-01Plan benefit arrangement – General assets of the sponsorYes
2019: FLAGLER SYSTEM HEALTH BENEFIT TRUST 2019 form 5500 responses
2019-09-01Type of plan entitySingle employer plan
2019-09-01Plan funding arrangement – InsuranceYes
2019-09-01Plan funding arrangement – General assets of the sponsorYes
2019-09-01Plan benefit arrangement – InsuranceYes
2019-09-01Plan benefit arrangement – General assets of the sponsorYes
2016: FLAGLER SYSTEM HEALTH BENEFIT TRUST 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan funding arrangement – TrustYes
2016-09-01Plan funding arrangement – General assets of the sponsorYes
2016-09-01Plan benefit arrangement – InsuranceYes
2016-09-01Plan benefit arrangement - TrustYes
2016-09-01Plan benefit arrangement – General assets of the sponsorYes
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedYes
2016-07-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan funding arrangement – General assets of the sponsorYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2016-07-01Plan benefit arrangement – General assets of the sponsorYes
2015: FLAGLER SYSTEM HEALTH BENEFIT TRUST 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: FLAGLER SYSTEM HEALTH BENEFIT TRUST 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: FLAGLER SYSTEM HEALTH BENEFIT TRUST 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: FLAGLER SYSTEM HEALTH BENEFIT TRUST 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: FLAGLER SYSTEM HEALTH BENEFIT TRUST 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2010: FLAGLER SYSTEM HEALTH BENEFIT TRUST 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan funding arrangement – TrustYes
2010-07-01Plan benefit arrangement – InsuranceYes
2010-07-01Plan benefit arrangement - TrustYes
2009: FLAGLER SYSTEM HEALTH BENEFIT TRUST 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01This submission is the final filingNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

CIGNA DENTAL HEALTH OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 47041 )
Policy contract number3339965
Policy instance 7
PREFERRED LEGAL (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0151
Policy instance 1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number30049249
Policy instance 2
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3339965
Policy instance 3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberXB649586
Policy instance 4
CIGNA DENTAL HEALTH OF FLORIDA, INC. (National Association of Insurance Commissioners NAIC id number: 52021 )
Policy contract number3339965
Policy instance 5
CIGNA DENTAL HEALTH OF NORTH CAROLINA, INC. (National Association of Insurance Commissioners NAIC id number: 95179 )
Policy contract number3339965
Policy instance 6
CIGNA DENTAL HEALTH OF KENTUCKY, INC. (National Association of Insurance Commissioners NAIC id number: 52108 )
Policy contract number3339965
Policy instance 14
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract numberBCFL1080
Policy instance 13
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number649586
Policy instance 12
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number649586
Policy instance 11
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number649586
Policy instance 10
CIGNA DENTAL HEALTH OF VIRGINIA, INC. (National Association of Insurance Commissioners NAIC id number: 52617 )
Policy contract number3339965
Policy instance 9
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number681990G
Policy instance 8
CIGNA DENTAL HEALTH OF NORTH CAROLINA, INC. (National Association of Insurance Commissioners NAIC id number: 95179 )
Policy contract number3339965
Policy instance 7
CIGNA DENTAL HEALTH OF NEW JERSEY, INC. (National Association of Insurance Commissioners NAIC id number: 11167 )
Policy contract number3339965
Policy instance 6
CIGNA DENTAL HEALTH OF FLORIDA, INC. (National Association of Insurance Commissioners NAIC id number: 52021 )
Policy contract number3339965
Policy instance 5
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberXB649586
Policy instance 4
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3339965
Policy instance 3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number30049249
Policy instance 2
CIGNA DENTAL HEALTH OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 47041 )
Policy contract number3339965
Policy instance 8
CIGNA HEALTHCARE OF CONNECTICUT, INC. (National Association of Insurance Commissioners NAIC id number: 95660 )
Policy contract number3339965
Policy instance 9
PREFERRED LEGAL (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0151
Policy instance 1
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number71-60933
Policy instance 15
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number649586
Policy instance 14
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number649586
Policy instance 13
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number649586
Policy instance 12
CIGNA DENTAL HEALTH OF VIRGINIA, INC. (National Association of Insurance Commissioners NAIC id number: 52617 )
Policy contract number3339965
Policy instance 11
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number681990G
Policy instance 10
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberXB649586
Policy instance 8
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract numberE4577847
Policy instance 7
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3339965
Policy instance 6
BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
Policy contract number52950
Policy instance 5
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number30049249
Policy instance 4
TRUSTMARK INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61425 )
Policy contract number0293500000
Policy instance 3
PREFERRED LEGAL (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0151
Policy instance 2
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10193111
Policy instance 1
TRUSTMARK INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61425 )
Policy contract number0293500000
Policy instance 23
TRUSTMARK INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61425 )
Policy contract number0293500000
Policy instance 22
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number400193112
Policy instance 9
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10192799
Policy instance 10
CIGNA DENTAL HEALTH OF FLORIDA, INC. (National Association of Insurance Commissioners NAIC id number: 52021 )
Policy contract number3339965
Policy instance 11
TRUSTMARK INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61425 )
Policy contract number0293500000
Policy instance 21
CIGNA HEALTHCARE OF CONNECTICUT, INC. (National Association of Insurance Commissioners NAIC id number: 95660 )
Policy contract number3339965
Policy instance 20
CIGNA DENTAL HEALTH OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 47041 )
Policy contract number3339965
Policy instance 19
CIGNA DENTAL HEALTH OF NORTH CAROLINA, INC. (National Association of Insurance Commissioners NAIC id number: 95179 )
Policy contract number3339965
Policy instance 18
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number71-60933
Policy instance 17
BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
Policy contract number52951
Policy instance 16
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0221995
Policy instance 15
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10192800
Policy instance 14
CIGNA DENTAL HEALTH OF MISSOURI, INC. (National Association of Insurance Commissioners NAIC id number: 11160 )
Policy contract number3339965
Policy instance 13
CIGNA DENTAL HEALTH OF NEW JERSEY, INC. (National Association of Insurance Commissioners NAIC id number: 11167 )
Policy contract number3339965
Policy instance 12
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10193111
Policy instance 1
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number71-60933
Policy instance 19
BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
Policy contract number52951
Policy instance 18
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0221995
Policy instance 17
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10192800
Policy instance 16
CIGNA DENTAL HEALTH OF MISSOURI, INC. (National Association of Insurance Commissioners NAIC id number: 11160 )
Policy contract number3339965
Policy instance 15
PREFERRED LEGAL (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0151
Policy instance 2
TRUSTMARK INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61425 )
Policy contract number0293500000
Policy instance 3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number30049249
Policy instance 4
BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
Policy contract number52950
Policy instance 5
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3339965
Policy instance 6
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract numberE4577847
Policy instance 7
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number80425
Policy instance 8
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberXB649586
Policy instance 9
CIGNA DENTAL HEALTH OF NEW JERSEY, INC. (National Association of Insurance Commissioners NAIC id number: 11167 )
Policy contract number3339965
Policy instance 14
CIGNA DENTAL HEALTH OF FLORIDA, INC. (National Association of Insurance Commissioners NAIC id number: 52021 )
Policy contract number3339965
Policy instance 13
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number71-60933
Policy instance 12
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10192799
Policy instance 11
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number400193112
Policy instance 10
TRUSTMARK INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61425 )
Policy contract number0293500000
Policy instance 4
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0666240
Policy instance 5
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number30049249
Policy instance 6
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10193111
Policy instance 2
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number88760
Policy instance 1
PREFERRED LEGAL (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0151
Policy instance 3
TRUSTMARK INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61425 )
Policy contract number0293500000
Policy instance 5
PREFERRED LEGAL (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0151
Policy instance 4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10193111
Policy instance 3
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number88760
Policy instance 2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number30049249
Policy instance 7
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberMSL3702469
Policy instance 1
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0666240
Policy instance 6
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberMSL3702469
Policy instance 2
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number88760
Policy instance 3
PREFERRED LEGAL (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0151
Policy instance 5
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0142115
Policy instance 6
TRUSTMARK INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61425 )
Policy contract number0293500000
Policy instance 7
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number39170
Policy instance 4
SAFEGUARD HEALTH PLANS, INC., A FLORIDA CORPORATION (National Association of Insurance Commissioners NAIC id number: 52009 )
Policy contract number142115
Policy instance 1
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberMSL3702469
Policy instance 2
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number88760
Policy instance 3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number39170
Policy instance 4
PREFERRED LEGAL (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0151
Policy instance 5
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0142115
Policy instance 6
TRUSTMARK INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61425 )
Policy contract number0293500000
Policy instance 7
SAFEGUARD HEALTH PLANS, INC., A FLORIDA CORPORATION (National Association of Insurance Commissioners NAIC id number: 52009 )
Policy contract number142115
Policy instance 1
SAFEGUARD HEALTH PLANS, INC., A FLORIDA CORPORATION (National Association of Insurance Commissioners NAIC id number: 52009 )
Policy contract number142115
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number39170
Policy instance 4
TRUSTMARK INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61425 )
Policy contract number0293500000
Policy instance 7
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0142115
Policy instance 6
PREFERRED LEGAL (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0151
Policy instance 5
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number88760
Policy instance 3
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberMSL3702469
Policy instance 2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0142115
Policy instance 7
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberMSL3702469
Policy instance 2
TRUSTMARK INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61425 )
Policy contract number0293500000
Policy instance 8
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number88760
Policy instance 3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number39170
Policy instance 4
HORIZON BEHAVIORAL SERVICES, LLC (National Association of Insurance Commissioners NAIC id number: 62221 )
Policy contract number6589
Policy instance 5
PREFERRED LEGAL (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0151
Policy instance 6
SAFEGUARD HEALTH PLANS, INC., A FLORIDA CORPORATION (National Association of Insurance Commissioners NAIC id number: 52009 )
Policy contract number142115
Policy instance 1

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