 |
| ILLINOIS-CHICAGO |
BOOK NO. 21 |
BILLINGSLY CONTAINER CORP.
1265 S. Foster Ave. Chicago, IL 60624-1079
County: Cook (773)999-9999
Ms. Judy Hart, Director of Human Resources Mr. Dave Bly, CFO
Plan Name: Employee Health and Welfare Benefit Plan
Benefits: Health, Life, Disability |
| Bus. Code |
322200 |
 |
Plan Year End |
5/31/2006 |
| Funding |
Insured |
 |
Eff Date |
6/1/1984 |
| |
| Active Participants |
179 |
 |
Ret-Sep Future Bens |
0 |
| Ret-Sep Receiving Bens |
1 |
 |
Deceased |
0 |
| Approx. Employees |
273 |
 |
Total Participants |
180 |
 |
| Insurance Carrier |
Metropolitan Life |
 |
Carrier Code |
65978 |
| Benefits |
Life Insurance |
 |
|
|
| Participants |
187 |
 |
Policy Year End |
5/31/06 |
| Non-experience Rated Premiums |
$15,287 |
| Agent-Broker |
Westin Insurance Consultants 1400 N. Clark St., Chicago, IL 60610-4700 |
| Commission |
$1,198 |
 |
|
|
 |
| Insurance Carrier |
Unicare Health Plans |
 |
Carrier Code |
95505 |
| Benefits |
Health, Prescription Drug, HMO Contract, PPO Contract |
| Participants |
178 |
 |
Policy Year End |
6/30/06 |
| Non-experience Rated Premiums |
$848,034 |
| Agent-Broker |
Westin Insurance Consultants 1400 N. Clark St., Chicago, IL 60610-4700 |
| Commission |
$33,890 |
 |
|
|
 |
| Insurance Carrier |
Prudential Health Care |
 |
Carrier Code |
95040 |
| Benefits |
Health, Prescription Drug, PPO Contract |
| Participants |
2 |
 |
Policy Year End |
12/31/05 |
| Non-experience Rated Premiums |
$6,624 |
| Agent-Broker |
Westin Insurance Consultants 1400 N. Clark St., Chicago, IL 60610-4700 |
| Commission |
$265 |
 |
|
|
 |
| Insurance Carrier |
Sun Life of Canada |
 |
Carrier Code |
79065 |
| Benefits |
Long-term disability |
| Participants |
49 |
 |
Policy Year End |
5/31/06 |
| Non-experience Rated Premiums |
$12,596 |
| Agent-Broker |
Westin Insurance Consultants 1400 N. Clark St., Chicago, IL 60610-4700 |
| Commission |
$1,868 |
 |
|
|
| Provider(s) |
|
|
|
Fees |
| Delta Dental Plan of Illinois |
|
Contract Administrator |
|
$5,864 |
| |
NOTE:- Voluntary benefits are offered
- Current primary health
carrier (2006) is Unicare Health Plans
|
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| OHIO-NORTHERN |
BOOK NO. 59 |
ADVANCE TECHNO GROUP
1800 Buford Avenue Toledo, OH 43624-1428
County: Lucas (419)999-9999
Mr. Ted Larkin, VP, Human Resources Mr. Thomas Dunn, CFO Ms. Joy Matthews, Benefits Manager
Plan Name: Group Insurance Trust
Benefits: Health, Life, Dental |
| Bus. Code |
921100 |
 |
Plan Year End |
12/31/2005 |
| Funding |
Insurance, Trust, Spon. assets |
 |
Eff Date |
1/1/1982 |
| |
| Active Participants |
985 |
 |
Ret-Sep Future Bens |
0 |
| Ret-Sep Receiving Bens |
0 |
 |
Deceased |
0 |
| Approx. Employees |
958 |
 |
Total Participants |
985 |
| |
| Contributors |
|
 |
Benefits Paid |
|
| Employer Contribs |
$3,383,544 |
 |
Direct to Participants |
0 |
| Participant Contribs |
0 |
 |
To Insurance Carriers |
$3,287,735 |
| Other Contribs |
0 |
 |
Other |
$24,180 |
| Non-Cash Contribs |
0 |
 |
Total Benefits |
$3,311,915 |
| Total Contribs |
$3,383,544 |
 |
|
|
| |
| Total Income |
$3,392,262 |
 |
Total Adm. Expenses |
$80,122 |
| Total Expense |
$3,392,037 |
 |
Total Assets |
$188,193 |
| Net Income |
$225 |
 |
|
|
 |
| Insurance Carrier |
Medical Life |
 |
Carrier Code |
86991 |
| Benefits |
Life Insurance |
 |
|
|
| Participants |
985 |
 |
Policy Year End |
12/31/05 |
| Non-experience Rated Premiums |
$53,307 |
 |
| Insurance Carrier |
Medical Mutual Insurance |
 |
Carrier Code |
29076 |
| Benefits |
Dental |
 |
|
|
| Participants |
861 |
 |
Policy Year End |
12/31/05 |
| Non-experience Rated Premiums |
$352,769 |
 |
| Insurance Carrier |
Paramount Health Care |
 |
Carrier Code |
95189 |
| Benefits |
Health |
 |
|
|
| Participants |
674 |
 |
Policy Year End |
12/31/05 |
| Non-experience Rated Premiums |
$2,473,672 |
 |
| Insurance Carrier |
Family Health Insurance |
 |
Carrier Code |
96865 |
| Benefits |
Health |
 |
|
|
| Participants |
139 |
 |
Policy Year End |
12/31/05 |
| Non-experience Rated Premiums |
$407,855 |
| |
| Provider(s) |
|
|
|
Fees |
| S.A.S.I. |
|
Contract Administrator |
|
$50,982 |
| Brooks Insurance |
|
Consulting |
|
$18,000 |
| |
NOTE:- Current primary health
carrier (2005) is United Healthcare
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