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MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL 401k Plan overview

Plan NameMEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL
Plan identification number 501

MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

COLUMBIA GRAMMAR AND PREPARATORY SCHOOL has sponsored the creation of one or more 401k plans.

Company Name:COLUMBIA GRAMMAR AND PREPARATORY SCHOOL
Employer identification number (EIN):130590970
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01SHARONAH VOLKOWITZ2023-10-10 SHARONAH VOLKOWITZ2023-10-10
5012021-01-01SHARONAH VOLKOWITZ2022-10-16 SHARONAH VOLKOWITZ2022-10-16
5012020-01-01SHARONAH VOLKOWITZ2022-10-16 SHARONAH VOLKOWITZ2022-10-16
5012019-12-01SHARONAH VOLKOWITZ2020-07-15 SHARONAH VOLKOWITZ2020-07-15
5012018-12-01SHARONAH VOLKOWITZ2020-07-15 SHARONAH VOLKOWITZ2020-07-15
5012017-12-01SHARONAH VOLKOWITZ2019-08-06
5012016-12-01
5012016-12-01WILLIAM DONOHUE2020-03-12
5012015-12-01
5012014-12-01
5012013-12-01
5012012-12-01SHARONAH VOLKOWITZ
5012011-12-01SHARONAH VOLKOWITZ
5012009-12-01SHARONAH VOLKOWITZ

Plan Statistics for MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL

401k plan membership statisitcs for MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL

Measure Date Value
2022: MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL 2022 401k membership
Total participants, beginning-of-year2022-01-01527
Total number of active participants reported on line 7a of the Form 55002022-01-01510
Total of all active and inactive participants2022-01-01510
Total participants2022-01-01510
2021: MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL 2021 401k membership
Total participants, beginning-of-year2021-01-01551
Total number of active participants reported on line 7a of the Form 55002021-01-01527
Total of all active and inactive participants2021-01-01527
Total participants2021-01-01527
2020: MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL 2020 401k membership
Total participants, beginning-of-year2020-01-01537
Total number of active participants reported on line 7a of the Form 55002020-01-01551
Total of all active and inactive participants2020-01-01551
Total participants2020-01-01551
2019: MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL 2019 401k membership
Total participants, beginning-of-year2019-12-01533
Total number of active participants reported on line 7a of the Form 55002019-12-01537
Total of all active and inactive participants2019-12-01537
Total participants2019-12-01537
2018: MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL 2018 401k membership
Total participants, beginning-of-year2018-12-01553
Total number of active participants reported on line 7a of the Form 55002018-12-01533
Total of all active and inactive participants2018-12-01533
Total participants2018-12-01533
2017: MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL 2017 401k membership
Total participants, beginning-of-year2017-12-01538
Total number of active participants reported on line 7a of the Form 55002017-12-01553
Total of all active and inactive participants2017-12-01553
Total participants2017-12-01553
2016: MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL 2016 401k membership
Total participants, beginning-of-year2016-12-01538
Number of retired or separated participants receiving benefits2016-12-01538
Total of all active and inactive participants2016-12-01538
Total number of active participants reported on line 7a of the Form 55002016-12-01538
Total participants2016-12-01538
2015: MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL 2015 401k membership
Total participants, beginning-of-year2015-12-01521
Total number of active participants reported on line 7a of the Form 55002015-12-01538
Total of all active and inactive participants2015-12-01538
2014: MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL 2014 401k membership
Total participants, beginning-of-year2014-12-01531
Total number of active participants reported on line 7a of the Form 55002014-12-01521
Total of all active and inactive participants2014-12-01521
2013: MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL 2013 401k membership
Total participants, beginning-of-year2013-12-01505
Total number of active participants reported on line 7a of the Form 55002013-12-01531
Total of all active and inactive participants2013-12-01531
2012: MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL 2012 401k membership
Total participants, beginning-of-year2012-12-01483
Total number of active participants reported on line 7a of the Form 55002012-12-01504
Number of retired or separated participants receiving benefits2012-12-011
Total of all active and inactive participants2012-12-01505
2011: MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL 2011 401k membership
Total participants, beginning-of-year2011-12-01446
Total number of active participants reported on line 7a of the Form 55002011-12-01482
Number of retired or separated participants receiving benefits2011-12-011
Total of all active and inactive participants2011-12-01483
2009: MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL 2009 401k membership
Total participants, beginning-of-year2009-12-01391
Total number of active participants reported on line 7a of the Form 55002009-12-01420
Number of retired or separated participants receiving benefits2009-12-011
Total of all active and inactive participants2009-12-01421

Form 5500 Responses for MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL

2022: MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – InsuranceYes
2018: MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan benefit arrangement – InsuranceYes
2017: MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan benefit arrangement – InsuranceYes
2016: MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01Submission has been amendedYes
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan benefit arrangement – InsuranceYes
2015: MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL 2015 form 5500 responses
2015-12-01Type of plan entitySingle employer plan
2015-12-01Plan funding arrangement – InsuranceYes
2015-12-01Plan benefit arrangement – InsuranceYes
2014: MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL 2014 form 5500 responses
2014-12-01Type of plan entitySingle employer plan
2014-12-01Plan funding arrangement – InsuranceYes
2014-12-01Plan benefit arrangement – InsuranceYes
2013: MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL 2013 form 5500 responses
2013-12-01Type of plan entitySingle employer plan
2013-12-01Plan funding arrangement – InsuranceYes
2013-12-01Plan benefit arrangement – InsuranceYes
2012: MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL 2012 form 5500 responses
2012-12-01Type of plan entitySingle employer plan
2012-12-01Plan funding arrangement – InsuranceYes
2012-12-01Plan benefit arrangement – InsuranceYes
2011: MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL 2011 form 5500 responses
2011-12-01Type of plan entitySingle employer plan
2011-12-01Plan funding arrangement – InsuranceYes
2011-12-01Plan benefit arrangement – InsuranceYes
2009: MEDICAL PLAN OF COLUMBIA GRAMMAR & PREPARATORY SCHOOL 2009 form 5500 responses
2009-12-01Type of plan entitySingle employer plan
2009-12-01This submission is the final filingNo
2009-12-01Plan funding arrangement – InsuranceYes
2009-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number753313
Policy instance 2
Insurance contract or identification number753313
Number of Individuals Covered494
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $7,493
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $202,211
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,493
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0242125
Policy instance 1
Insurance contract or identification number0242125
Number of Individuals Covered510
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $231,944
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,650,502
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $231,944
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number753313
Policy instance 2
Insurance contract or identification number753313
Number of Individuals Covered507
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $7,351
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $208,501
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,351
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0242125
Policy instance 1
Insurance contract or identification number0242125
Number of Individuals Covered527
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $233,723
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,236,056
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $233,723
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0753313
Policy instance 2
Insurance contract or identification number0753313
Number of Individuals Covered509
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $7,210
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $148,500
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,210
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0242125
Policy instance 1
Insurance contract or identification number0242125
Number of Individuals Covered551
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $212,052
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,489,307
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $212,052
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0753313
Policy instance 2
Insurance contract or identification number0753313
Number of Individuals Covered382
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $7,105
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $149,815
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,105
Insurance broker organization code?3
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberCG1148
Policy instance 1
Insurance contract or identification numberCG1148
Number of Individuals Covered537
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $246,805
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,059,106
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $246,805
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number753313
Policy instance 2
Insurance contract or identification number753313
Number of Individuals Covered508
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $6,557
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $129,174
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberCG1148
Policy instance 1
Insurance contract or identification numberCG1148
Number of Individuals Covered553
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $214,126
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,523,350
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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