401k Plan data: UNITED SERVICES, INC. MEDICAL PLAN plan

UNITED SERVICES, INC. MEDICAL PLAN 401k Plan overview

Plan Name	UNITED SERVICES, INC. MEDICAL PLAN
Plan identification number	505

UNITED SERVICES, INC. MEDICAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

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

Company Name: UNITED SERVICES, INC.

Employer identification number (EIN): 060804423

NAIC Classification: 621420
NAIC Description: Outpatient Mental Health and Substance Abuse Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UNITED SERVICES, INC. MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2011-01-01 ROBERT DEVERNA
505 2010-01-01 ROBERT DEVERNA
505 2009-01-01 ROBERT DEVERNA
505 2008-01-01 ROBERT DEVERNA
505 2007-01-01 ROBERT DEVERNA
505 2006-01-01 ROBERT DEVERNA
505 2005-01-01 ROBERT DEVERNA
505 2004-01-01 ROBERT DEVERNA

Plan id#	Filing Submission Date	Name of Administrator
505	2011-01-01	ROBERT DEVERNA
505	2010-01-01	ROBERT DEVERNA
505	2009-01-01	ROBERT DEVERNA
505	2008-01-01	ROBERT DEVERNA
505	2007-01-01	ROBERT DEVERNA
505	2006-01-01	ROBERT DEVERNA
505	2005-01-01	ROBERT DEVERNA
505	2004-01-01	ROBERT DEVERNA

Plan Statistics for UNITED SERVICES, INC. MEDICAL PLAN

401k plan membership statisitcs for UNITED SERVICES, INC. MEDICAL PLAN

Measure Date Value
2011: UNITED SERVICES, INC. MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 169
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 167
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 167
2010: UNITED SERVICES, INC. MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 167
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 169
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 169
2009: UNITED SERVICES, INC. MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 159
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 167
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 167
2008: UNITED SERVICES, INC. MEDICAL PLAN 2008 401k membership
Total participants, beginning-of-year 2008-01-01 154
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 159
Number of retired or separated participants receiving benefits 2008-01-01 0
Number of other retired or separated participants entitled to future benefits 2008-01-01 0
Total of all active and inactive participants 2008-01-01 159
2007: UNITED SERVICES, INC. MEDICAL PLAN 2007 401k membership
Total participants, beginning-of-year 2007-01-01 154
Total number of active participants reported on line 7a of the Form 5500 2007-01-01 154
Number of retired or separated participants receiving benefits 2007-01-01 0
Number of other retired or separated participants entitled to future benefits 2007-01-01 0
Total of all active and inactive participants 2007-01-01 154
2006: UNITED SERVICES, INC. MEDICAL PLAN 2006 401k membership
Total participants, beginning-of-year 2006-01-01 155
Total number of active participants reported on line 7a of the Form 5500 2006-01-01 154
Number of retired or separated participants receiving benefits 2006-01-01 0
Number of other retired or separated participants entitled to future benefits 2006-01-01 0
Total of all active and inactive participants 2006-01-01 154
2005: UNITED SERVICES, INC. MEDICAL PLAN 2005 401k membership
Total participants, beginning-of-year 2005-01-01 152
Total number of active participants reported on line 7a of the Form 5500 2005-01-01 155
Number of retired or separated participants receiving benefits 2005-01-01 0
Number of other retired or separated participants entitled to future benefits 2005-01-01 0
Total of all active and inactive participants 2005-01-01 155
2004: UNITED SERVICES, INC. MEDICAL PLAN 2004 401k membership
Total participants, beginning-of-year 2004-01-01 152
Total number of active participants reported on line 7a of the Form 5500 2004-01-01 152
Number of retired or separated participants receiving benefits 2004-01-01 0
Number of other retired or separated participants entitled to future benefits 2004-01-01 0
Total of all active and inactive participants 2004-01-01 152

Measure	Date	Value
2011: UNITED SERVICES, INC. MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	169
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	167
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	167
2010: UNITED SERVICES, INC. MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	167
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	169
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	169
2009: UNITED SERVICES, INC. MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	159
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	167
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	167
2008: UNITED SERVICES, INC. MEDICAL PLAN 2008 401k membership
Total participants, beginning-of-year	2008-01-01	154
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	159
Number of retired or separated participants receiving benefits	2008-01-01	0
Number of other retired or separated participants entitled to future benefits	2008-01-01	0
Total of all active and inactive participants	2008-01-01	159
2007: UNITED SERVICES, INC. MEDICAL PLAN 2007 401k membership
Total participants, beginning-of-year	2007-01-01	154
Total number of active participants reported on line 7a of the Form 5500	2007-01-01	154
Number of retired or separated participants receiving benefits	2007-01-01	0
Number of other retired or separated participants entitled to future benefits	2007-01-01	0
Total of all active and inactive participants	2007-01-01	154
2006: UNITED SERVICES, INC. MEDICAL PLAN 2006 401k membership
Total participants, beginning-of-year	2006-01-01	155
Total number of active participants reported on line 7a of the Form 5500	2006-01-01	154
Number of retired or separated participants receiving benefits	2006-01-01	0
Number of other retired or separated participants entitled to future benefits	2006-01-01	0
Total of all active and inactive participants	2006-01-01	154
2005: UNITED SERVICES, INC. MEDICAL PLAN 2005 401k membership
Total participants, beginning-of-year	2005-01-01	152
Total number of active participants reported on line 7a of the Form 5500	2005-01-01	155
Number of retired or separated participants receiving benefits	2005-01-01	0
Number of other retired or separated participants entitled to future benefits	2005-01-01	0
Total of all active and inactive participants	2005-01-01	155
2004: UNITED SERVICES, INC. MEDICAL PLAN 2004 401k membership
Total participants, beginning-of-year	2004-01-01	152
Total number of active participants reported on line 7a of the Form 5500	2004-01-01	152
Number of retired or separated participants receiving benefits	2004-01-01	0
Number of other retired or separated participants entitled to future benefits	2004-01-01	0
Total of all active and inactive participants	2004-01-01	152

Form 5500 Responses for UNITED SERVICES, INC. MEDICAL PLAN

2011: UNITED SERVICES, INC. MEDICAL PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	Yes
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: UNITED SERVICES, INC. MEDICAL PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	Yes
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: UNITED SERVICES, INC. MEDICAL PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	Yes
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2008: UNITED SERVICES, INC. MEDICAL PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	No
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	Yes
2008-01-01	Plan funding arrangement – Insurance	Yes
2008-01-01	Plan benefit arrangement – Insurance	Yes
2007: UNITED SERVICES, INC. MEDICAL PLAN 2007 form 5500 responses
2007-01-01	Type of plan entity	Single employer plan
2007-01-01	Submission has been amended	No
2007-01-01	This submission is the final filing	No
2007-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-01-01	Plan is a collectively bargained plan	Yes
2007-01-01	Plan funding arrangement – Insurance	Yes
2007-01-01	Plan benefit arrangement – Insurance	Yes
2006: UNITED SERVICES, INC. MEDICAL PLAN 2006 form 5500 responses
2006-01-01	Type of plan entity	Single employer plan
2006-01-01	Submission has been amended	No
2006-01-01	This submission is the final filing	No
2006-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2006-01-01	Plan is a collectively bargained plan	Yes
2006-01-01	Plan funding arrangement – Insurance	Yes
2006-01-01	Plan benefit arrangement – Insurance	Yes
2005: UNITED SERVICES, INC. MEDICAL PLAN 2005 form 5500 responses
2005-01-01	Type of plan entity	Single employer plan
2005-01-01	Submission has been amended	No
2005-01-01	This submission is the final filing	No
2005-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2005-01-01	Plan is a collectively bargained plan	Yes
2005-01-01	Plan funding arrangement – Insurance	Yes
2005-01-01	Plan benefit arrangement – Insurance	Yes
2004: UNITED SERVICES, INC. MEDICAL PLAN 2004 form 5500 responses
2004-01-01	Type of plan entity	Single employer plan
2004-01-01	First time form 5500 has been submitted	Yes
2004-01-01	Submission has been amended	No
2004-01-01	This submission is the final filing	No
2004-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2004-01-01	Plan is a collectively bargained plan	Yes
2004-01-01	Plan funding arrangement – Insurance	Yes
2004-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	300352
Policy instance	1
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	300352
Policy instance	1
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	085968
Policy instance	1
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	085968
Policy instance	1
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	354-9110-00
Policy instance	2
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	085968
Policy instance	1
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	354-9110-00
Policy instance	2
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	354-9110-00
Policy instance	2
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	085968
Policy instance	1
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	085968
Policy instance	1
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	354-9110-00
Policy instance	2
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number	085968
Policy instance	1

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Company Name:	UNITED SERVICES, INC.
Employer identification number (EIN):	060804423
NAIC Classification:	621420
NAIC Description:	Outpatient Mental Health and Substance Abuse Centers