401k Plan data: ONEBLOOD 403(B) RETIREMENT PLAN plan

ONEBLOOD 403(B) RETIREMENT PLAN 401k Plan overview

Plan Name	ONEBLOOD 403(B) RETIREMENT PLAN
Plan identification number	004

ONEBLOOD 403(B) RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

ONEBLOOD, INC. has sponsored the creation of one or more 401k plans.

Company Name: ONEBLOOD, INC.

Employer identification number (EIN): 593145469

NAIC Classification: 621900

Additional information about ONEBLOOD, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 1992-07-27

Company Identification Number: N50067

Legal Registered Office Address: ONE INDEPENDENT DR STE 1300

JACKSONVILLE

32202

More information about ONEBLOOD, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ONEBLOOD 403(B) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
004 2015-01-01 ANDREA LEVENSON
004 2013-01-01 ANDREA LEVENSON

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
004	2015-01-01	ANDREA LEVENSON
004	2013-01-01	ANDREA LEVENSON

Plan Statistics for ONEBLOOD 403(B) RETIREMENT PLAN

401k plan membership statisitcs for ONEBLOOD 403(B) RETIREMENT PLAN

Measure Date Value
2015: ONEBLOOD 403(B) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 2,741
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 2,156
Number of retired or separated participants receiving benefits 2015-01-01 6
Number of other retired or separated participants entitled to future benefits 2015-01-01 328
Total of all active and inactive participants 2015-01-01 2,490
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 2
Total participants 2015-01-01 2,492
Number of participants with account balances 2015-01-01 2,333
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 111
2013: ONEBLOOD 403(B) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,140
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 2,841
Number of retired or separated participants receiving benefits 2013-01-01 3
Number of other retired or separated participants entitled to future benefits 2013-01-01 312
Total of all active and inactive participants 2013-01-01 3,156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 1
Total participants 2013-01-01 3,157
Number of participants with account balances 2013-01-01 2,710
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 77

Measure	Date	Value
2015: ONEBLOOD 403(B) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	2,741
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	2,156
Number of retired or separated participants receiving benefits	2015-01-01	6
Number of other retired or separated participants entitled to future benefits	2015-01-01	328
Total of all active and inactive participants	2015-01-01	2,490
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	2
Total participants	2015-01-01	2,492
Number of participants with account balances	2015-01-01	2,333
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	111
2013: ONEBLOOD 403(B) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,140
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	2,841
Number of retired or separated participants receiving benefits	2013-01-01	3
Number of other retired or separated participants entitled to future benefits	2013-01-01	312
Total of all active and inactive participants	2013-01-01	3,156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	1
Total participants	2013-01-01	3,157
Number of participants with account balances	2013-01-01	2,710
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	77

Financial Data on ONEBLOOD 403(B) RETIREMENT PLAN

Measure	Date	Value
2015 : ONEBLOOD 403(B) RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total transfer of assets to this plan	2015-12-31	$7,284,773
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$9,168,513
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$5,643,127
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$5,552,848
Expenses. Certain deemed distributions of participant loans	2015-12-31	$16,336
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$9,585,386
Value of total assets at end of year	2015-12-31	$56,207,832
Value of total assets at beginning of year	2015-12-31	$45,397,673
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$73,943
Total interest from all sources	2015-12-31	$134,019
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$1,620,484
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$1,620,484
Administrative expenses professional fees incurred	2015-12-31	$36,623
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$4,472,466
Participant contributions at end of year	2015-12-31	$1,193,951
Participant contributions at beginning of year	2015-12-31	$1,046,562
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$175,286
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$7,284,773
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$0
Other income not declared elsewhere	2015-12-31	$60,062
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$3,525,386
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$56,207,832
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$45,397,673
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$35,961
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$40,803,959
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$37,308,261
Value of interest in pooled separate accounts at end of year	2015-12-31	$523,257
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$577,685
Interest on participant loans	2015-12-31	$20,859
Interest earned on other investments	2015-12-31	$113,160
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$6,401,892
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$6,465,165
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-2,220,463
Net investment gain/loss from pooled separate accounts	2015-12-31	$-10,975
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$4,937,634
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$5,552,848
Contract administrator fees	2015-12-31	$1,359
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2015-12-31	Yes
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	RSM US LLP
Accountancy firm EIN	2015-12-31	420714325
2013 : ONEBLOOD 403(B) RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total transfer of assets to this plan	2013-12-31	$8,576,660
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$11,642,948
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$4,900,637
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$4,882,664
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$7,069,001
Value of total assets at end of year	2013-12-31	$37,632,212
Value of total assets at beginning of year	2013-12-31	$22,313,241
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$17,973
Total interest from all sources	2013-12-31	$140,557
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$958,748
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$958,748
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$2,873,285
Participant contributions at end of year	2013-12-31	$992,046
Participant contributions at beginning of year	2013-12-31	$865,824
Participant contributions at end of year	2013-12-31	$177,907
Participant contributions at beginning of year	2013-12-31	$38,666
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$338,908
Other income not declared elsewhere	2013-12-31	$24,443
Administrative expenses (other) incurred	2013-12-31	$97
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$6,742,311
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$37,632,212
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$22,313,241
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$17,511
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$29,370,938
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$0
Value of interest in pooled separate accounts at end of year	2013-12-31	$558,783
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$16,115,828
Interest on participant loans	2013-12-31	$558
Interest earned on other investments	2013-12-31	$139,999
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$6,319,834
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$5,211,840
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$1,892,368
Net investment gain/loss from pooled separate accounts	2013-12-31	$1,557,831
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$3,856,808
Employer contributions (assets) at end of year	2013-12-31	$212,704
Employer contributions (assets) at beginning of year	2013-12-31	$81,083
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$4,882,664
Contract administrator fees	2013-12-31	$365
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-12-31	Yes
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	MCGLADREY LLP
Accountancy firm EIN	2013-12-31	420714325

Form 5500 Responses for ONEBLOOD 403(B) RETIREMENT PLAN

2015: ONEBLOOD 403(B) RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2013: ONEBLOOD 403(B) RETIREMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
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 – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VFB118

Policy instance

Insurance contract or identification number	VFB118
Number of Individuals Covered	267
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

735914-001

Policy instance

Insurance contract or identification number	735914-001
Number of Individuals Covered	63
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

893584-007

Policy instance

Insurance contract or identification number	893584-007
Number of Individuals Covered	352
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

735914-001

Policy instance

Insurance contract or identification number	735914-001
Number of Individuals Covered	69
Insurance policy start date	2013-07-01
Insurance policy end date	2013-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VFB118

Policy instance

Insurance contract or identification number	VFB118
Number of Individuals Covered	1016
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $34,054
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $34,048
Insurance broker organization code?	3
Insurance broker name	MARSH EXECUTIVE BENEFITS, INC.

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

893584-007

Policy instance

Insurance contract or identification number	893584-007
Number of Individuals Covered	369
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
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Company Name:	ONEBLOOD, INC.
Employer identification number (EIN):	593145469
NAIC Classification:	621900

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	1992-07-27
Company Identification Number:	N50067
Legal Registered Office Address:	ONE INDEPENDENT DR STE 1300 JACKSONVILLE 32202