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CALIFORNIA STATE AUTOMOBILE ASSN & CSAA INTER-INSURANCE BUREAU MEDICAL PLAN 401k Plan overview

Plan NameCALIFORNIA STATE AUTOMOBILE ASSN & CSAA INTER-INSURANCE BUREAU MEDICAL PLAN
Plan identification number 504

CALIFORNIA STATE AUTOMOBILE ASSN & CSAA INTER-INSURANCE BUREAU MEDICAL PLAN Benefits

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

401k Sponsoring company profile

AAA NORTHERN CALIFORNIA, NEVADA & UTAH has sponsored the creation of one or more 401k plans.

Company Name:AAA NORTHERN CALIFORNIA, NEVADA & UTAH
Employer identification number (EIN):940361645
NAIC Classification:524210
NAIC Description:Insurance Agencies and Brokerages

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CALIFORNIA STATE AUTOMOBILE ASSN & CSAA INTER-INSURANCE BUREAU MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042001-01-01RACHEL RADU2024-12-03

Plan Statistics for CALIFORNIA STATE AUTOMOBILE ASSN & CSAA INTER-INSURANCE BUREAU MEDICAL PLAN

401k plan membership statisitcs for CALIFORNIA STATE AUTOMOBILE ASSN & CSAA INTER-INSURANCE BUREAU MEDICAL PLAN

Measure Date Value
2001: CALIFORNIA STATE AUTOMOBILE ASSN & CSAA INTER-INSURANCE BUREAU MEDICAL PLAN 2001 401k membership
Total participants, beginning-of-year2001-01-017,657
Total number of active participants reported on line 7a of the Form 55002001-01-010
Number of retired or separated participants receiving benefits2001-01-010
Number of other retired or separated participants entitled to future benefits2001-01-010
Total of all active and inactive participants2001-01-010
Number of employers contributing to the scheme2001-01-010

Form 5500 Responses for CALIFORNIA STATE AUTOMOBILE ASSN & CSAA INTER-INSURANCE BUREAU MEDICAL PLAN

2001: CALIFORNIA STATE AUTOMOBILE ASSN & CSAA INTER-INSURANCE BUREAU MEDICAL PLAN 2001 form 5500 responses
2001-01-01Type of plan entityMulitple employer plan
2001-01-01Submission has been amendedYes
2001-01-01This submission is the final filingYes
2001-01-01Plan funding arrangement – InsuranceYes
2001-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 95484 )
Policy contract number218768
Policy instance 1
Insurance contract or identification number218768
Number of Individuals Covered425
Insurance policy start date2001-01-01
Insurance policy end date2001-12-31
Total amount of commissions paid to insurance brokerUSD $28,294
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $757,507
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberC19402
Policy instance 2
Insurance contract or identification numberC19402
Number of Individuals Covered1598
Insurance policy start date2001-01-01
Insurance policy end date2001-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $620,505
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 95567 )
Policy contract number70000
Policy instance 3
Insurance contract or identification number70000
Number of Individuals Covered1658
Insurance policy start date2001-01-01
Insurance policy end date2001-12-31
Total amount of commissions paid to insurance brokerUSD $26,651
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,366,545
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHWISE (National Association of Insurance Commissioners NAIC id number: 95303 )
Policy contract numberCLF
Policy instance 4
Insurance contract or identification numberCLF
Number of Individuals Covered66
Insurance policy start date2001-01-01
Insurance policy end date2001-12-31
Total amount of commissions paid to insurance brokerUSD $0
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
UNITEDHEALTHCARE OF NEVADA (National Association of Insurance Commissioners NAIC id number: 95685 )
Policy contract number647-01,02,03
Policy instance 5
Insurance contract or identification number647-01,02,03
Number of Individuals Covered66
Insurance policy start date2001-01-01
Insurance policy end date2001-12-31
Total amount of commissions paid to insurance brokerUSD $1,768
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $291,932
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12054101
Policy instance 6
Insurance contract or identification number12054101
Number of Individuals Covered65181
Insurance policy start date2001-01-01
Insurance policy end date2001-12-31
Total amount of commissions paid to insurance brokerUSD $25,850
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH PLAN OF THE REDWOODS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0013130000
Policy instance 7
Insurance contract or identification number0013130000
Number of Individuals Covered125
Insurance policy start date2001-01-01
Insurance policy end date2001-12-31
Total amount of commissions paid to insurance brokerUSD $13,740
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Welfare Benefit Premiums Paid to CarrierUSD $480,125
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number8586-0000
Policy instance 8
Insurance contract or identification number8586-0000
Number of Individuals Covered2507
Insurance policy start date2001-01-01
Insurance policy end date2001-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Welfare Benefit Premiums Paid to CarrierUSD $8,961,857
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number141636
Policy instance 9
Insurance contract or identification number141636
Number of Individuals Covered1059
Insurance policy start date2001-01-01
Insurance policy end date2001-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Welfare Benefit Premiums Paid to CarrierUSD $3,408,854
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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