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GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 401k Plan overview

Plan NameGROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS
Plan identification number 513

GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

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

Company Name:UBE, INC.
Employer identification number (EIN):061663169
NAIC Classification:721110
NAIC Description:Hotels (except Casino Hotels) and Motels

Additional information about UBE, INC.

Jurisdiction of Incorporation: Michigan Secretary of State
Incorporation Date: 0000-00-00
Company Identification Number: 43016C
Legal Registered Office Address: 8000 E JEFFERSON DETROIT


United States of America (USA)
48214

More information about UBE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5132023-01-01SHAWN P. FAIN2024-10-03
5132022-01-01MARGARET MOCK2023-07-28
5132021-01-01FRANK STUGLIN2022-08-04
5132020-01-01FRANK STUGLIN2021-07-12
5132019-01-01RAY CURRY2020-07-15
5132018-01-01GARY JONES
5132017-01-01GARY JONES
5132016-01-01GARY CASTEEL
5132015-01-01GARY CASTEEL
5132014-01-01GARY CASTEEL
5132013-01-01GARY CASTEEL
5132012-01-01ROBERT KING ROBERT KING2013-05-01
5132011-01-01ROBERT KING
5132010-01-01ROBERT KING
5132009-01-01ROBERT KING

Plan Statistics for GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS

401k plan membership statisitcs for GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS

Measure Date Value
2023: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2023 401k membership
Total participants, beginning-of-year2023-01-01205
Total number of active participants reported on line 7a of the Form 55002023-01-0144
Number of retired or separated participants receiving benefits2023-01-01144
Total of all active and inactive participants2023-01-01188
2022: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2022 401k membership
Total participants, beginning-of-year2022-01-01210
Total number of active participants reported on line 7a of the Form 55002022-01-0142
Number of retired or separated participants receiving benefits2022-01-01163
Total of all active and inactive participants2022-01-01205
2021: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2021 401k membership
Total participants, beginning-of-year2021-01-01196
Total number of active participants reported on line 7a of the Form 55002021-01-0143
Number of retired or separated participants receiving benefits2021-01-01167
Total of all active and inactive participants2021-01-01210
2020: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2020 401k membership
Total participants, beginning-of-year2020-01-01228
Total number of active participants reported on line 7a of the Form 55002020-01-0143
Number of retired or separated participants receiving benefits2020-01-01153
Total of all active and inactive participants2020-01-01196
2019: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2019 401k membership
Total participants, beginning-of-year2019-01-01233
Total number of active participants reported on line 7a of the Form 55002019-01-0143
Number of retired or separated participants receiving benefits2019-01-01185
Total of all active and inactive participants2019-01-01228
2018: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2018 401k membership
Total participants, beginning-of-year2018-01-01212
Total number of active participants reported on line 7a of the Form 55002018-01-0145
Number of retired or separated participants receiving benefits2018-01-01188
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01233
2017: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2017 401k membership
Total participants, beginning-of-year2017-01-01204
Total number of active participants reported on line 7a of the Form 55002017-01-0147
Number of retired or separated participants receiving benefits2017-01-01165
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01212
2016: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2016 401k membership
Total participants, beginning-of-year2016-01-01229
Total number of active participants reported on line 7a of the Form 55002016-01-0141
Number of retired or separated participants receiving benefits2016-01-01163
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01204
Total participants2016-01-01204
2015: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2015 401k membership
Total participants, beginning-of-year2015-01-01169
Total number of active participants reported on line 7a of the Form 55002015-01-0139
Number of retired or separated participants receiving benefits2015-01-01190
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01229
Total participants2015-01-01229
2014: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2014 401k membership
Total participants, beginning-of-year2014-01-01170
Total number of active participants reported on line 7a of the Form 55002014-01-0125
Number of retired or separated participants receiving benefits2014-01-01144
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01169
2013: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2013 401k membership
Total participants, beginning-of-year2013-01-01167
Total number of active participants reported on line 7a of the Form 55002013-01-0124
Number of retired or separated participants receiving benefits2013-01-01146
Total of all active and inactive participants2013-01-01170
2012: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2012 401k membership
Total participants, beginning-of-year2012-01-01171
Total number of active participants reported on line 7a of the Form 55002012-01-0121
Number of retired or separated participants receiving benefits2012-01-01146
Total of all active and inactive participants2012-01-01167
Total participants2012-01-01167
2011: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2011 401k membership
Total participants, beginning-of-year2011-01-01170
Total number of active participants reported on line 7a of the Form 55002011-01-0122
Number of retired or separated participants receiving benefits2011-01-01149
Total of all active and inactive participants2011-01-01171
Total participants2011-01-01171
2010: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2010 401k membership
Total participants, beginning-of-year2010-01-01170
Total number of active participants reported on line 7a of the Form 55002010-01-0167
Number of retired or separated participants receiving benefits2010-01-01104
Total of all active and inactive participants2010-01-01171
Total participants2010-01-01171
2009: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2009 401k membership
Total participants, beginning-of-year2009-01-01174
Total number of active participants reported on line 7a of the Form 55002009-01-0174
Number of retired or separated participants receiving benefits2009-01-0196
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01170
Total participants2009-01-01170

Form 5500 Responses for GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS

2023: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan is a collectively bargained planYes
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00275496/0001
Policy instance 4
Insurance contract or identification number00275496/0001
Number of Individuals Covered129
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $725,429
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number67367/600
Policy instance 3
Insurance contract or identification number67367/600
Number of Individuals Covered10
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $1,033
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number275496
Policy instance 2
Insurance contract or identification number275496
Number of Individuals Covered128
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $10,541
Total amount of fees paid to insurance companyUSD $412
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number275496
Policy instance 1
Insurance contract or identification number275496
Number of Individuals Covered113
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $25,502
Total amount of fees paid to insurance companyUSD $466
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number275496
Policy instance 2
Insurance contract or identification number275496
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $12,999
Total amount of fees paid to insurance companyUSD $418
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number275496
Policy instance 1
Insurance contract or identification number275496
Number of Individuals Covered117
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $23,363
Total amount of fees paid to insurance companyUSD $386
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number275496
Policy instance 2
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number275496
Policy instance 1
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number275496
Policy instance 2
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number275496
Policy instance 1
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number275496
Policy instance 2
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number275496
Policy instance 1
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number275496
Policy instance 1
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number275496
Policy instance 1

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