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UNITEDHEALTHCARE MEDICAL PLAN 401k Plan overview

Plan NameUNITEDHEALTHCARE MEDICAL PLAN
Plan identification number 502

UNITEDHEALTHCARE MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

CORNERSTONE AUTISM CENTER has sponsored the creation of one or more 401k plans.

Company Name:CORNERSTONE AUTISM CENTER
Employer identification number (EIN):272279891
NAIC Classification:621498
NAIC Description:All Other Outpatient Care Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UNITEDHEALTHCARE MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-10-01LEAH ELMS2023-03-08
5022020-10-01LEAH ELMS2022-04-25
5022019-10-01LEAH ELMS2021-05-20
5022018-10-01LEAH ELMS2020-07-14
5022017-10-01LEAH ELMS2019-10-28

Plan Statistics for UNITEDHEALTHCARE MEDICAL PLAN

401k plan membership statisitcs for UNITEDHEALTHCARE MEDICAL PLAN

Measure Date Value
2021: UNITEDHEALTHCARE MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01101
Total number of active participants reported on line 7a of the Form 55002021-10-01127
Number of retired or separated participants receiving benefits2021-10-012
Number of other retired or separated participants entitled to future benefits2021-10-012
Total of all active and inactive participants2021-10-01131
Number of employers contributing to the scheme2021-10-010
2020: UNITEDHEALTHCARE MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-01183
Total number of active participants reported on line 7a of the Form 55002020-10-01200
Number of retired or separated participants receiving benefits2020-10-012
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-01202
Number of employers contributing to the scheme2020-10-010
2019: UNITEDHEALTHCARE MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01148
Total number of active participants reported on line 7a of the Form 55002019-10-01183
Number of retired or separated participants receiving benefits2019-10-014
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-01187
Number of employers contributing to the scheme2019-10-010
2018: UNITEDHEALTHCARE MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01148
Total number of active participants reported on line 7a of the Form 55002018-10-01100
Number of retired or separated participants receiving benefits2018-10-010
Number of other retired or separated participants entitled to future benefits2018-10-010
Total of all active and inactive participants2018-10-01100
Number of employers contributing to the scheme2018-10-010
2017: UNITEDHEALTHCARE MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01118
Total number of active participants reported on line 7a of the Form 55002017-10-01148
Number of retired or separated participants receiving benefits2017-10-010
Number of other retired or separated participants entitled to future benefits2017-10-010
Total of all active and inactive participants2017-10-01148
Number of employers contributing to the scheme2017-10-010

Form 5500 Responses for UNITEDHEALTHCARE MEDICAL PLAN

2021: UNITEDHEALTHCARE MEDICAL PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – InsuranceYes
2020: UNITEDHEALTHCARE MEDICAL PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – InsuranceYes
2019: UNITEDHEALTHCARE MEDICAL PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes
2018: UNITEDHEALTHCARE MEDICAL PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes
2017: UNITEDHEALTHCARE MEDICAL PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01First time form 5500 has been submittedYes
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number305841
Policy instance 1
Insurance contract or identification number305841
Number of Individuals Covered182
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $43,875
Total amount of fees paid to insurance companyUSD $690
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, ACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $729,223
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,882
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBONUS
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number909148
Policy instance 1
Insurance contract or identification number909148
Number of Individuals Covered372
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $46,137
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, ACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $1,014,360
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $46,137
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number909148
Policy instance 1
Insurance contract or identification number909148
Number of Individuals Covered261
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $59,565
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, ACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $981,046
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $59,565
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number909148
Policy instance 1
Insurance contract or identification number909148
Number of Individuals Covered235
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $47,913
Total amount of fees paid to insurance companyUSD $865
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $983,861
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $47,913
Amount paid for insurance broker fees865
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number909148
Policy instance 1
Insurance contract or identification number909148
Number of Individuals Covered148
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $36,207
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $903,174
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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