401k Plan data: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN plan

COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 401k Plan overview

Plan Name	COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN
Plan identification number	501

COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

COLUMBIA COLLEGE has sponsored the creation of one or more 401k plans.

Company Name: COLUMBIA COLLEGE

Employer identification number (EIN): 570324915

NAIC Classification: 611000

Additional information about COLUMBIA COLLEGE

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2014-09-12

Company Identification Number: 0802062362

Legal Registered Office Address: 1564 HEADQUARTERS AVE NAS FORT WORTH JRB

FORT WORTH
United States of America (USA)
76127

More information about COLUMBIA COLLEGE

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2021-01-01 WILLIAM T. BOGART 2022-10-14
501 2020-01-01 WILMA N. ALLEN 2021-10-15
501 2019-01-01 WILMA N. ALLEN 2020-10-14
501 2018-01-01 WILMA N. ALLEN 2019-10-15
501 2017-01-01
501 2016-01-01
501 2015-01-01
501 2014-01-01
501 2013-01-01 JOHN E SIRCY
501 2012-01-01 ELIZABETH G WESTBURY
501 2011-01-01 JOHN D JONES
501 2010-01-01 JOHN D JONES
501 2009-01-01 JOHN D JONES

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2021-01-01	WILLIAM T. BOGART	2022-10-14
501	2020-01-01	WILMA N. ALLEN	2021-10-15
501	2019-01-01	WILMA N. ALLEN	2020-10-14
501	2018-01-01	WILMA N. ALLEN	2019-10-15
501	2017-01-01
501	2016-01-01
501	2015-01-01
501	2014-01-01
501	2013-01-01	JOHN E SIRCY
501	2012-01-01	ELIZABETH G WESTBURY
501	2011-01-01	JOHN D JONES
501	2010-01-01	JOHN D JONES
501	2009-01-01	JOHN D JONES

Plan Statistics for COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN

401k plan membership statisitcs for COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN

Measure Date Value
2021: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 114
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 113
Total of all active and inactive participants 2021-01-01 113
2020: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 115
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 114
Total of all active and inactive participants 2020-01-01 114
2019: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 112
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 115
Total of all active and inactive participants 2019-01-01 115
2018: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 129
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 112
Total of all active and inactive participants 2018-01-01 112
2017: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 171
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 129
Total of all active and inactive participants 2017-01-01 129
2016: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 189
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 171
Total of all active and inactive participants 2016-01-01 171
2015: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 187
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 189
Total of all active and inactive participants 2015-01-01 189
2014: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 207
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 187
Total of all active and inactive participants 2014-01-01 187
2013: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 193
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 207
Total of all active and inactive participants 2013-01-01 207
Total participants 2013-01-01 0
2012: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 185
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 193
Total of all active and inactive participants 2012-01-01 193
Total participants 2012-01-01 0
2011: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 205
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 185
Total of all active and inactive participants 2011-01-01 185
Total participants 2011-01-01 185
2010: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 209
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 205
Total of all active and inactive participants 2010-01-01 205
Total participants 2010-01-01 205
2009: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 231
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 209
Total of all active and inactive participants 2009-01-01 209
Total participants 2009-01-01 209

Measure	Date	Value
2021: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	114
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	113
Total of all active and inactive participants	2021-01-01	113
2020: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	115
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	114
Total of all active and inactive participants	2020-01-01	114
2019: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	112
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	115
Total of all active and inactive participants	2019-01-01	115
2018: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	129
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	112
Total of all active and inactive participants	2018-01-01	112
2017: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	171
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	129
Total of all active and inactive participants	2017-01-01	129
2016: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	189
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	171
Total of all active and inactive participants	2016-01-01	171
2015: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	187
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	189
Total of all active and inactive participants	2015-01-01	189
2014: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	207
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	187
Total of all active and inactive participants	2014-01-01	187
2013: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	193
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	207
Total of all active and inactive participants	2013-01-01	207
Total participants	2013-01-01	0
2012: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	185
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	193
Total of all active and inactive participants	2012-01-01	193
Total participants	2012-01-01	0
2011: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	205
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	185
Total of all active and inactive participants	2011-01-01	185
Total participants	2011-01-01	185
2010: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	209
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	205
Total of all active and inactive participants	2010-01-01	205
Total participants	2010-01-01	205
2009: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	231
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	209
Total of all active and inactive participants	2009-01-01	209
Total participants	2009-01-01	209

Form 5500 Responses for COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN

2021: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2020: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: COLUMBIA COLLEGE GROUP MEDICAL CARE PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 )

Policy contract number

03-07689

Policy instance

Insurance contract or identification number	03-07689
Number of Individuals Covered	106
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $6,351
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,351
Insurance broker organization code?	3

BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 )

Policy contract number

02642

Policy instance

Insurance contract or identification number	02642
Number of Individuals Covered	113
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
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

PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )

Policy contract number

8706985

Policy instance

Insurance contract or identification number	8706985
Number of Individuals Covered	7
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $44
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,846
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $44
Insurance broker organization code?	3

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

661562

Policy instance

Insurance contract or identification number	661562
Number of Individuals Covered	139
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $4,618
Total amount of fees paid to insurance company	USD $761
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $38,035
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,477
Amount paid for insurance broker fees	761
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION
Insurance broker organization code?	3

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

661563

Policy instance

Insurance contract or identification number	661563
Number of Individuals Covered	59
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $2,614
Total amount of fees paid to insurance company	USD $290
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $14,520
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,178
Amount paid for insurance broker fees	290
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION
Insurance broker organization code?	3

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

661564

Policy instance

Insurance contract or identification number	661564
Number of Individuals Covered	59
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $2,621
Total amount of fees paid to insurance company	USD $291
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $14,561
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,184
Amount paid for insurance broker fees	291
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION
Insurance broker organization code?	3

STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 )

Policy contract number

661565

Policy instance

Insurance contract or identification number	661565
Number of Individuals Covered	69
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $1,090
Total amount of fees paid to insurance company	USD $182
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $9,083
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,090
Amount paid for insurance broker fees	182
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION
Insurance broker organization code?	3

BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 )

Policy contract number

02642

Policy instance

Insurance contract or identification number	02642
Number of Individuals Covered	114
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
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

PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )

Policy contract number

8706985

Policy instance

Insurance contract or identification number	8706985
Number of Individuals Covered	9
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $67
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $2,821
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $67
Insurance broker organization code?	3

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

661562

Policy instance

Insurance contract or identification number	661562
Number of Individuals Covered	131
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $4,796
Total amount of fees paid to insurance company	USD $719
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $35,966
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,717
Amount paid for insurance broker fees	719
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

661563

Policy instance

Insurance contract or identification number	661563
Number of Individuals Covered	54
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $2,066
Total amount of fees paid to insurance company	USD $207
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $10,364
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,755
Amount paid for insurance broker fees	207
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

661564

Policy instance

Insurance contract or identification number	661564
Number of Individuals Covered	50
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $1,836
Total amount of fees paid to insurance company	USD $182
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $9,085
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,563
Amount paid for insurance broker fees	182
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3

STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 )

Policy contract number

661565

Policy instance

Insurance contract or identification number	661565
Number of Individuals Covered	68
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $809
Total amount of fees paid to insurance company	USD $135
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $6,740
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $809
Amount paid for insurance broker fees	135
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1087392

Policy instance

Insurance contract or identification number	1087392
Number of Individuals Covered	223
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $13,330
Total amount of fees paid to insurance company	USD $19,250
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $120,536
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $13,330
Amount paid for insurance broker fees	15010
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3

BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 )

Policy contract number

02642

Policy instance

Insurance contract or identification number	02642
Number of Individuals Covered	115
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
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

BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 )

Policy contract number

BAA09

Policy instance

Insurance contract or identification number	BAA09
Number of Individuals Covered	112
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
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

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1087392

Policy instance

Insurance contract or identification number	1087392
Number of Individuals Covered	227
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $13,613
Total amount of fees paid to insurance company	USD $4,228
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $154,424
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $13,613
Insurance broker organization code?	3
Amount paid for insurance broker fees	4228
Additional information about fees paid to insurance broker	SERVICE FEE

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00533205

Policy instance

Insurance contract or identification number	00533205
Number of Individuals Covered	128
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $12,196
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $96,368
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,637
Insurance broker organization code?	3
Insurance broker name	THE BENEFIT COMPANY

BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 )

Policy contract number

BAA09

Policy instance

Insurance contract or identification number	BAA09
Number of Individuals Covered	129
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $33,203
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
Commission paid to Insurance Broker	USD $33,203
Insurance broker organization code?	3
Insurance broker name	BB&T INSURANCE SERVICES, INC.

BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 )

Policy contract number

BAA09

Policy instance

Insurance contract or identification number	BAA09
Number of Individuals Covered	189
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $35,472
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
Commission paid to Insurance Broker	USD $35,472
Insurance broker organization code?	3
Insurance broker name	BB&T INSURANCE SERVICES, INC.

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )

Policy contract number

5321504

Policy instance

Insurance contract or identification number	5321504
Number of Individuals Covered	174
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $5,874
Total amount of fees paid to insurance company	USD $5,333
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $117,480
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,874
Insurance broker organization code?	3
Amount paid for insurance broker fees	2983
Additional information about fees paid to insurance broker	PRODUCER BONUS PROGRAM
Insurance broker name	THE BENEFIT COMPANY

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )

Policy contract number

5321504

Policy instance

Insurance contract or identification number	5321504
Number of Individuals Covered	174
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $6,416
Total amount of fees paid to insurance company	USD $5,683
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $51,923
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,416
Insurance broker organization code?	3
Amount paid for insurance broker fees	3117
Additional information about fees paid to insurance broker	PRODUCER BONUS PROGRAM PAYMENT
Insurance broker name	THE BENEFIT COMPANY, INC.

BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 )

Policy contract number

25-18049-00

Policy instance

Insurance contract or identification number	25-18049-00
Number of Individuals Covered	187
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $39,464
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $28,544
Insurance broker organization code?	3
Insurance broker name	DAVID J. VANDEWATER

BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 )

Policy contract number

25-18049-00

Policy instance

Insurance contract or identification number	25-18049-00
Number of Individuals Covered	207
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $53,181
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $41,355
Insurance broker organization code?	3
Insurance broker name	DAVID J. VANDEWATER

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )

Policy contract number

5321504

Policy instance

Insurance contract or identification number	5321504
Number of Individuals Covered	222
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $6,759
Total amount of fees paid to insurance company	USD $7,706
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $135,188
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,759
Insurance broker organization code?	3
Amount paid for insurance broker fees	5002
Additional information about fees paid to insurance broker	PRODUCER BONUS PROGRAM PAYMENT
Insurance broker name	THE BENEFIT COMPANY, INC.

BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 )

Policy contract number

25-18049-00

Policy instance

Insurance contract or identification number	25-18049-00
Number of Individuals Covered	193
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $78,749
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $36,434
Insurance broker organization code?	3
Insurance broker name	BB&T INSURANCE SERVICES, INC.

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )

Policy contract number

5321504

Policy instance

Insurance contract or identification number	5321504
Number of Individuals Covered	204
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $6,226
Total amount of fees paid to insurance company	USD $5,582
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $124,516
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	2490
Additional information about fees paid to insurance broker	SERVICE FEE
Insurance broker organization code?	3
Commission paid to Insurance Broker	USD $6,226
Insurance broker name	BB&T - BOYLE VAUGHAN

BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 )

Policy contract number

25-18049-00

Policy instance

Insurance contract or identification number	25-18049-00
Number of Individuals Covered	185
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $64,557
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )

Policy contract number

5321504

Policy instance

Insurance contract or identification number	5321504
Number of Individuals Covered	207
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $5,885
Total amount of fees paid to insurance company	USD $4,946
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $128,233
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )

Policy contract number

5321504

Policy instance

Insurance contract or identification number	5321504
Number of Individuals Covered	205
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $5,984
Total amount of fees paid to insurance company	USD $3,317
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $119,683
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	390
Additional information about fees paid to insurance broker	SERVICE FEE
Insurance broker organization code?	3
Commission paid to Insurance Broker	USD $5,984
Insurance broker name	BB&T INSURANCE SERVICES, INC.

BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 )

Policy contract number

25-18049-00

Policy instance

Insurance contract or identification number	25-18049-00
Number of Individuals Covered	190
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of fees paid to insurance company	USD $54,534
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	54534
Insurance broker organization code?	3
Insurance broker name	BB&T INSURANCE SERVICES, INC.

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Company Name:	COLUMBIA COLLEGE
Employer identification number (EIN):	570324915
NAIC Classification:	611000

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2014-09-12
Company Identification Number:	0802062362
Legal Registered Office Address:	1564 HEADQUARTERS AVE NAS FORT WORTH JRB FORT WORTH United States of America (USA) 76127