NORTHWEST MICHIGAN COMMUNITY ACTION AGENCY has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan GROUP AGREEMENT HEALTH CARE COVERAGE
| Measure | Date | Value |
|---|
| 2022: GROUP AGREEMENT HEALTH CARE COVERAGE 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-08-01 | 197 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-08-01 | 0 |
| Total of all active and inactive participants | 2022-08-01 | 0 |
| 2021: GROUP AGREEMENT HEALTH CARE COVERAGE 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-08-01 | 198 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-08-01 | 197 |
| Number of retired or separated participants receiving benefits | 2021-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-08-01 | 0 |
| Total of all active and inactive participants | 2021-08-01 | 197 |
| 2019: GROUP AGREEMENT HEALTH CARE COVERAGE 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-08-01 | 112 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-08-01 | 125 |
| Number of retired or separated participants receiving benefits | 2019-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-08-01 | 0 |
| Total of all active and inactive participants | 2019-08-01 | 125 |
| Total participants | 2019-08-01 | 125 |
| 2018: GROUP AGREEMENT HEALTH CARE COVERAGE 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-08-01 | 112 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-08-01 | 112 |
| Total of all active and inactive participants | 2018-08-01 | 112 |
| Total participants | 2018-08-01 | 112 |
| 2017: GROUP AGREEMENT HEALTH CARE COVERAGE 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-08-01 | 98 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-08-01 | 112 |
| Total of all active and inactive participants | 2017-08-01 | 112 |
| Total participants | 2017-08-01 | 112 |
| 2014: GROUP AGREEMENT HEALTH CARE COVERAGE 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-08-01 | 99 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-08-01 | 99 |
| Number of retired or separated participants receiving benefits | 2014-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-08-01 | 0 |
| Total of all active and inactive participants | 2014-08-01 | 99 |
| Total participants | 2014-08-01 | 99 |
| 2013: GROUP AGREEMENT HEALTH CARE COVERAGE 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-08-01 | 84 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-08-01 | 99 |
| Number of retired or separated participants receiving benefits | 2013-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2013-08-01 | 0 |
| Total of all active and inactive participants | 2013-08-01 | 99 |
| Total participants | 2013-08-01 | 99 |
| Measure | Date | Value |
|---|
| 2020 : GROUP AGREEMENT HEALTH CARE COVERAGE 2020 401k financial data |
|---|
| Transfers to/from the plan | 2020-07-31 | $0 |
| Total plan liabilities at end of year | 2020-07-31 | $0 |
| Total plan liabilities at beginning of year | 2020-07-31 | $0 |
| Total income from all sources | 2020-07-31 | $829,430 |
| Expenses. Total of all expenses incurred | 2020-07-31 | $829,430 |
| Benefits paid (including direct rollovers) | 2020-07-31 | $829,430 |
| Total plan assets at end of year | 2020-07-31 | $0 |
| Total plan assets at beginning of year | 2020-07-31 | $0 |
| Total contributions received or receivable from participants | 2020-07-31 | $167,595 |
| Net income (gross income less expenses) | 2020-07-31 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2020-07-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-07-31 | $0 |
| Total contributions received or receivable from employer(s) | 2020-07-31 | $661,835 |
| 2019 : GROUP AGREEMENT HEALTH CARE COVERAGE 2019 401k financial data |
|---|
| Transfers to/from the plan | 2019-07-31 | $0 |
| Total plan liabilities at end of year | 2019-07-31 | $0 |
| Total plan liabilities at beginning of year | 2019-07-31 | $0 |
| Total income from all sources | 2019-07-31 | $744,202 |
| Expenses. Total of all expenses incurred | 2019-07-31 | $744,202 |
| Benefits paid (including direct rollovers) | 2019-07-31 | $744,202 |
| Total plan assets at end of year | 2019-07-31 | $0 |
| Total plan assets at beginning of year | 2019-07-31 | $0 |
| Total contributions received or receivable from participants | 2019-07-31 | $155,621 |
| Net income (gross income less expenses) | 2019-07-31 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2019-07-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-07-31 | $0 |
| Total contributions received or receivable from employer(s) | 2019-07-31 | $588,581 |
| 2018 : GROUP AGREEMENT HEALTH CARE COVERAGE 2018 401k financial data |
|---|
| Transfers to/from the plan | 2018-07-31 | $0 |
| Total plan liabilities at end of year | 2018-07-31 | $0 |
| Total plan liabilities at beginning of year | 2018-07-31 | $0 |
| Total income from all sources | 2018-07-31 | $740,627 |
| Expenses. Total of all expenses incurred | 2018-07-31 | $740,627 |
| Benefits paid (including direct rollovers) | 2018-07-31 | $740,627 |
| Total plan assets at end of year | 2018-07-31 | $0 |
| Total plan assets at beginning of year | 2018-07-31 | $0 |
| Total contributions received or receivable from participants | 2018-07-31 | $163,917 |
| Net income (gross income less expenses) | 2018-07-31 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2018-07-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-07-31 | $0 |
| Total contributions received or receivable from employer(s) | 2018-07-31 | $576,710 |
| 2015 : GROUP AGREEMENT HEALTH CARE COVERAGE 2015 401k financial data |
|---|
| Total plan liabilities at end of year | 2015-07-31 | $0 |
| Total plan liabilities at beginning of year | 2015-07-31 | $0 |
| Total income from all sources | 2015-07-31 | $654,886 |
| Expenses. Total of all expenses incurred | 2015-07-31 | $654,886 |
| Benefits paid (including direct rollovers) | 2015-07-31 | $654,886 |
| Total plan assets at end of year | 2015-07-31 | $0 |
| Total plan assets at beginning of year | 2015-07-31 | $0 |
| Total contributions received or receivable from participants | 2015-07-31 | $138,380 |
| Net income (gross income less expenses) | 2015-07-31 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2015-07-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-07-31 | $0 |
| Total contributions received or receivable from employer(s) | 2015-07-31 | $516,506 |
| 2014 : GROUP AGREEMENT HEALTH CARE COVERAGE 2014 401k financial data |
|---|
| Total plan liabilities at end of year | 2014-07-31 | $0 |
| Total plan liabilities at beginning of year | 2014-07-31 | $0 |
| Total income from all sources | 2014-07-31 | $626,674 |
| Expenses. Total of all expenses incurred | 2014-07-31 | $626,674 |
| Benefits paid (including direct rollovers) | 2014-07-31 | $626,674 |
| Total plan assets at end of year | 2014-07-31 | $0 |
| Total plan assets at beginning of year | 2014-07-31 | $0 |
| Total contributions received or receivable from participants | 2014-07-31 | $123,249 |
| Net income (gross income less expenses) | 2014-07-31 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2014-07-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-07-31 | $0 |
| Total contributions received or receivable from employer(s) | 2014-07-31 | $503,425 |
| 2022: GROUP AGREEMENT HEALTH CARE COVERAGE 2022 form 5500 responses |
|---|
| 2022-08-01 | Type of plan entity | Single employer plan |
| 2022-08-01 | Submission has been amended | No |
| 2022-08-01 | This submission is the final filing | Yes |
| 2022-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-08-01 | Plan is a collectively bargained plan | No |
| 2022-08-01 | Plan funding arrangement – Insurance | Yes |
| 2022-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: GROUP AGREEMENT HEALTH CARE COVERAGE 2021 form 5500 responses |
|---|
| 2021-08-01 | Type of plan entity | Single employer plan |
| 2021-08-01 | Submission has been amended | No |
| 2021-08-01 | This submission is the final filing | No |
| 2021-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-08-01 | Plan is a collectively bargained plan | No |
| 2021-08-01 | Plan funding arrangement – Insurance | Yes |
| 2021-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: GROUP AGREEMENT HEALTH CARE COVERAGE 2019 form 5500 responses |
|---|
| 2019-08-01 | Type of plan entity | Single employer plan |
| 2019-08-01 | Submission has been amended | No |
| 2019-08-01 | This submission is the final filing | No |
| 2019-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-08-01 | Plan is a collectively bargained plan | No |
| 2019-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: GROUP AGREEMENT HEALTH CARE COVERAGE 2018 form 5500 responses |
|---|
| 2018-08-01 | Type of plan entity | Single employer plan |
| 2018-08-01 | Submission has been amended | No |
| 2018-08-01 | This submission is the final filing | No |
| 2018-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-08-01 | Plan is a collectively bargained plan | No |
| 2018-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: GROUP AGREEMENT HEALTH CARE COVERAGE 2017 form 5500 responses |
|---|
| 2017-08-01 | Type of plan entity | Single employer plan |
| 2017-08-01 | Submission has been amended | No |
| 2017-08-01 | This submission is the final filing | No |
| 2017-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-08-01 | Plan is a collectively bargained plan | No |
| 2017-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: GROUP AGREEMENT HEALTH CARE COVERAGE 2014 form 5500 responses |
|---|
| 2014-08-01 | Type of plan entity | Single employer plan |
| 2014-08-01 | Submission has been amended | No |
| 2014-08-01 | This submission is the final filing | No |
| 2014-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-08-01 | Plan is a collectively bargained plan | No |
| 2014-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: GROUP AGREEMENT HEALTH CARE COVERAGE 2013 form 5500 responses |
|---|
| 2013-08-01 | Type of plan entity | Single employer plan |
| 2013-08-01 | First time form 5500 has been submitted | Yes |
| 2013-08-01 | Submission has been amended | No |
| 2013-08-01 | This submission is the final filing | No |
| 2013-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-08-01 | Plan is a collectively bargained plan | No |
| 2013-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-08-01 | Plan benefit arrangement – Insurance | Yes |
| PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
| Policy contract number | 796252 |
| Policy instance | 1 |
| Insurance contract or identification number | 796252 | | Insurance policy start date | 2022-08-01 | | Insurance policy end date | 2023-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
| Policy contract number | 796252 |
| Policy instance | 1 |
| Insurance contract or identification number | 796252 | | Number of Individuals Covered | 197 | | Insurance policy start date | 2021-08-01 | | Insurance policy end date | 2022-07-31 | | Total amount of commissions paid to insurance broker | USD $30,434 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $961,451 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $30,434 | | Insurance broker organization code? | 3 |
|
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) |
| Policy contract number | 174360 |
| Policy instance | 1 |
| Insurance contract or identification number | 174360 | | Number of Individuals Covered | 171 | | Insurance policy start date | 2019-08-01 | | Insurance policy end date | 2020-07-31 | | Total amount of commissions paid to insurance broker | USD $26,143 | | Total amount of fees paid to insurance company | USD $1,464 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $26,143 | | Amount paid for insurance broker fees | 1464 | | Additional information about fees paid to insurance broker | AGENT/BROKER COMMISSION AND INCENTIVE PAYMENTS | | Insurance broker organization code? | 3 |
|
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) |
| Policy contract number | 174360 |
| Policy instance | 1 |
| Insurance contract or identification number | 174360 | | Number of Individuals Covered | 146 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $23,616 | | Total amount of fees paid to insurance company | USD $1,380 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $23,616 | | Amount paid for insurance broker fees | 1380 | | Additional information about fees paid to insurance broker | AGENT/BROKER COMMISSION AND INCENTIVE PAYMENTS | | Insurance broker organization code? | 3 |
|
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) |
| Policy contract number | 174360 |
| Policy instance | 1 |
| Insurance contract or identification number | 174360 | | Number of Individuals Covered | 149 | | Insurance policy start date | 2017-08-01 | | Insurance policy end date | 2018-07-31 | | Total amount of commissions paid to insurance broker | USD $23,483 | | Total amount of fees paid to insurance company | USD $1,232 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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