HUGHES GENERAL CONTRACTORS has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan HUGHES GENERAL CONTRACTORS MEDICAL PLAN
| Measure | Date | Value |
|---|
| 2020: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-08-01 | 556 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-08-01 | 0 |
| Number of retired or separated participants receiving benefits | 2020-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-08-01 | 0 |
| Total of all active and inactive participants | 2020-08-01 | 0 |
| Number of employers contributing to the scheme | 2020-08-01 | 0 |
| 2018: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-08-01 | 451 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-08-01 | 511 |
| Number of retired or separated participants receiving benefits | 2018-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-08-01 | 0 |
| Total of all active and inactive participants | 2018-08-01 | 511 |
| Number of employers contributing to the scheme | 2018-08-01 | 0 |
| 2017: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-08-01 | 451 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-08-01 | 451 |
| Number of retired or separated participants receiving benefits | 2017-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-08-01 | 0 |
| Total of all active and inactive participants | 2017-08-01 | 451 |
| Number of employers contributing to the scheme | 2017-08-01 | 0 |
| 2016: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-08-01 | 311 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-08-01 | 451 |
| Number of retired or separated participants receiving benefits | 2016-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-08-01 | 0 |
| Total of all active and inactive participants | 2016-08-01 | 451 |
| Number of employers contributing to the scheme | 2016-08-01 | 0 |
| 2015: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-08-01 | 401 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-08-01 | 311 |
| Number of retired or separated participants receiving benefits | 2015-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-08-01 | 0 |
| Total of all active and inactive participants | 2015-08-01 | 311 |
| Number of employers contributing to the scheme | 2015-08-01 | 0 |
| 2014: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-08-01 | 358 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-08-01 | 401 |
| 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 | 401 |
| Number of employers contributing to the scheme | 2014-08-01 | 0 |
| 2013: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-08-01 | 337 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-08-01 | 358 |
| 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 | 358 |
| Number of employers contributing to the scheme | 2013-08-01 | 0 |
| 2012: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-08-01 | 295 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-08-01 | 337 |
| Number of retired or separated participants receiving benefits | 2012-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-08-01 | 0 |
| Total of all active and inactive participants | 2012-08-01 | 337 |
| Number of employers contributing to the scheme | 2012-08-01 | 0 |
| 2011: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-08-01 | 289 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-08-01 | 295 |
| Number of retired or separated participants receiving benefits | 2011-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-08-01 | 0 |
| Total of all active and inactive participants | 2011-08-01 | 295 |
| Number of employers contributing to the scheme | 2011-08-01 | 0 |
| 2010: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-08-01 | 334 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-08-01 | 289 |
| Number of retired or separated participants receiving benefits | 2010-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2010-08-01 | 0 |
| Total of all active and inactive participants | 2010-08-01 | 289 |
| Number of employers contributing to the scheme | 2010-08-01 | 0 |
| 2009: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-08-01 | 362 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-08-01 | 334 |
| Number of retired or separated participants receiving benefits | 2009-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-08-01 | 0 |
| Total of all active and inactive participants | 2009-08-01 | 334 |
| Number of employers contributing to the scheme | 2009-08-01 | 0 |
| 2008: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2008 401k membership |
|---|
| Total participants, beginning-of-year | 2008-08-01 | 314 |
| Total number of active participants reported on line 7a of the Form 5500 | 2008-08-01 | 362 |
| Number of retired or separated participants receiving benefits | 2008-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2008-08-01 | 0 |
| Total of all active and inactive participants | 2008-08-01 | 362 |
| Number of employers contributing to the scheme | 2008-08-01 | 0 |
| 2007: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2007 401k membership |
|---|
| Total participants, beginning-of-year | 2007-08-01 | 300 |
| Total number of active participants reported on line 7a of the Form 5500 | 2007-08-01 | 314 |
| Number of retired or separated participants receiving benefits | 2007-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2007-08-01 | 0 |
| Total of all active and inactive participants | 2007-08-01 | 314 |
| Number of employers contributing to the scheme | 2007-08-01 | 0 |
| 2006: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2006 401k membership |
|---|
| Total participants, beginning-of-year | 2006-08-01 | 248 |
| Total number of active participants reported on line 7a of the Form 5500 | 2006-08-01 | 300 |
| Number of retired or separated participants receiving benefits | 2006-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2006-08-01 | 0 |
| Total of all active and inactive participants | 2006-08-01 | 300 |
| Number of employers contributing to the scheme | 2006-08-01 | 0 |
| 2005: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2005 401k membership |
|---|
| Total participants, beginning-of-year | 2005-08-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2005-08-01 | 248 |
| Number of retired or separated participants receiving benefits | 2005-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2005-08-01 | 0 |
| Total of all active and inactive participants | 2005-08-01 | 248 |
| Number of employers contributing to the scheme | 2005-08-01 | 0 |
| 2004: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2004 401k membership |
|---|
| Total participants, beginning-of-year | 2004-08-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2004-08-01 | 100 |
| Number of retired or separated participants receiving benefits | 2004-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2004-08-01 | 0 |
| Total of all active and inactive participants | 2004-08-01 | 100 |
| Number of employers contributing to the scheme | 2004-08-01 | 0 |
| 2003: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2003 401k membership |
|---|
| Total participants, beginning-of-year | 2003-08-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2003-08-01 | 100 |
| Number of retired or separated participants receiving benefits | 2003-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2003-08-01 | 0 |
| Total of all active and inactive participants | 2003-08-01 | 100 |
| Number of employers contributing to the scheme | 2003-08-01 | 0 |
| 2020: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2020 form 5500 responses |
|---|
| 2020-08-01 | Type of plan entity | Single employer plan |
| 2020-08-01 | Submission has been amended | Yes |
| 2020-08-01 | This submission is the final filing | Yes |
| 2020-08-01 | Plan funding arrangement – Insurance | Yes |
| 2020-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2018 form 5500 responses |
|---|
| 2018-08-01 | Type of plan entity | Single employer plan |
| 2018-08-01 | Plan funding arrangement – Insurance | Yes |
| 2018-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2017 form 5500 responses |
|---|
| 2017-08-01 | Type of plan entity | Single employer plan |
| 2017-08-01 | Plan funding arrangement – Insurance | Yes |
| 2017-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2016 form 5500 responses |
|---|
| 2016-08-01 | Type of plan entity | Single employer plan |
| 2016-08-01 | Plan funding arrangement – Insurance | Yes |
| 2016-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2015 form 5500 responses |
|---|
| 2015-08-01 | Type of plan entity | Single employer plan |
| 2015-08-01 | Plan funding arrangement – Insurance | Yes |
| 2015-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2014 form 5500 responses |
|---|
| 2014-08-01 | Type of plan entity | Single employer plan |
| 2014-08-01 | Plan funding arrangement – Insurance | Yes |
| 2014-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2013 form 5500 responses |
|---|
| 2013-08-01 | Type of plan entity | Single employer plan |
| 2013-08-01 | Plan funding arrangement – Insurance | Yes |
| 2013-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2012 form 5500 responses |
|---|
| 2012-08-01 | Type of plan entity | Single employer plan |
| 2012-08-01 | Plan funding arrangement – Insurance | Yes |
| 2012-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2011 form 5500 responses |
|---|
| 2011-08-01 | Type of plan entity | Single employer plan |
| 2011-08-01 | Plan funding arrangement – Insurance | Yes |
| 2011-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2010 form 5500 responses |
|---|
| 2010-08-01 | Type of plan entity | Single employer plan |
| 2010-08-01 | Plan funding arrangement – Insurance | Yes |
| 2010-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2009 form 5500 responses |
|---|
| 2009-08-01 | Type of plan entity | Single employer plan |
| 2009-08-01 | Plan funding arrangement – Insurance | Yes |
| 2009-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2008: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2008 form 5500 responses |
|---|
| 2008-08-01 | Type of plan entity | Single employer plan |
| 2008-08-01 | Plan funding arrangement – Insurance | Yes |
| 2008-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2007: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2007 form 5500 responses |
|---|
| 2007-08-01 | Type of plan entity | Single employer plan |
| 2007-08-01 | Plan funding arrangement – Insurance | Yes |
| 2007-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2006: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2006 form 5500 responses |
|---|
| 2006-08-01 | Type of plan entity | Single employer plan |
| 2006-08-01 | Plan funding arrangement – Insurance | Yes |
| 2006-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2005: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2005 form 5500 responses |
|---|
| 2005-08-01 | Type of plan entity | Single employer plan |
| 2005-08-01 | Plan funding arrangement – Insurance | Yes |
| 2005-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2004: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2004 form 5500 responses |
|---|
| 2004-08-01 | Type of plan entity | Single employer plan |
| 2004-08-01 | Plan funding arrangement – Insurance | Yes |
| 2004-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2003: HUGHES GENERAL CONTRACTORS MEDICAL PLAN 2003 form 5500 responses |
|---|
| 2003-08-01 | Type of plan entity | Single employer plan |
| 2003-08-01 | First time form 5500 has been submitted | Yes |
| 2003-08-01 | Plan funding arrangement – Insurance | Yes |
| 2003-08-01 | Plan benefit arrangement – Insurance | Yes |
| UNIVERSITY OF UTAH INSURANCE PLANS (National Association of Insurance Commissioners NAIC id number: 15648 ) |
| Policy contract number | 1641810082 |
| Policy instance | 1 |
| Insurance contract or identification number | 1641810082 | | Number of Individuals Covered | 514 | | Insurance policy start date | 2020-08-01 | | Insurance policy end date | 2021-07-31 | | Total amount of commissions paid to insurance broker | USD $59,425 | | 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? | Yes | | Commission paid to Insurance Broker | USD $59,425 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| UNIVERSITY OF UTAH INSURANCE PLANS (National Association of Insurance Commissioners NAIC id number: 15648 ) |
| Policy contract number | 1641810082 |
| Policy instance | 1 |
| Insurance contract or identification number | 1641810082 | | Number of Individuals Covered | 511 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $51,425 | | 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? | Yes | | Commission paid to Insurance Broker | USD $51,425 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| UNIVERSITY OF UTAH INSURANCE PLANS (National Association of Insurance Commissioners NAIC id number: 15648 ) |
| Policy contract number | 1641810082 |
| Policy instance | 1 |
| Insurance contract or identification number | 1641810082 | | Number of Individuals Covered | 451 | | Insurance policy start date | 2017-08-01 | | Insurance policy end date | 2018-07-31 | | Total amount of commissions paid to insurance broker | USD $49,025 | | 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? | Yes | | Commission paid to Insurance Broker | USD $49,025 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| UNIVERSITY OF UTAH INSURANCE PLANS (National Association of Insurance Commissioners NAIC id number: 15648 ) |
| Policy contract number | 1641810082 |
| Policy instance | 2 |
| Insurance contract or identification number | 1641810082 | | Number of Individuals Covered | 451 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-07-31 | | Total amount of commissions paid to insurance broker | USD $22,749 | | Total amount of fees paid to insurance company | USD $7,583 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $527,270 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $22,749 | | Amount paid for insurance broker fees | 7583 | | Additional information about fees paid to insurance broker | OVERRIDE | | Insurance broker organization code? | 3 |
|
| UNIVERSITY OF UTAH INSURANCE PLANS (National Association of Insurance Commissioners NAIC id number: 15648 ) |
| Policy contract number | 1641810082 |
| Policy instance | 1 |
| Insurance contract or identification number | 1641810082 | | Number of Individuals Covered | 454 | | Insurance policy start date | 2016-08-01 | | Insurance policy end date | 2016-12-31 | | Total amount of commissions paid to insurance broker | USD $15,818 | | Total amount of fees paid to insurance company | USD $5,273 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $527,270 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $15,818 | | Amount paid for insurance broker fees | 5273 | | Additional information about fees paid to insurance broker | OVERRIDE | | Insurance broker organization code? | 3 |
|
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 0847246HNO |
| Policy instance | 2 |
| Insurance contract or identification number | 0847246HNO | | Number of Individuals Covered | 240 | | Insurance policy start date | 2015-08-01 | | Insurance policy end date | 2016-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $29,029 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $905,888 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 29029 | | Additional information about fees paid to insurance broker | DIRECT COMPENSATION | | Insurance broker organization code? | 3 |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 0847246 |
| Policy instance | 1 |
| Insurance contract or identification number | 0847246 | | Number of Individuals Covered | 71 | | Insurance policy start date | 2015-08-01 | | Insurance policy end date | 2016-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $9,181 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $288,937 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 9181 | | Additional information about fees paid to insurance broker | DIRECT COMPENSATION | | Insurance broker organization code? | 3 |
|
| ALTIUS HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95407 ) |
| Policy contract number | 68041 |
| Policy instance | 1 |
| Insurance contract or identification number | 68041 | | Number of Individuals Covered | 401 | | Insurance policy start date | 2014-08-01 | | Insurance policy end date | 2015-07-31 | | Total amount of commissions paid to insurance broker | USD $33,340 | | Total amount of fees paid to insurance company | USD $16,681 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,111,337 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $33,340 | | Amount paid for insurance broker fees | 16681 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 |
|
| ALTIUS HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95407 ) |
| Policy contract number | 68041 |
| Policy instance | 1 |
| Insurance contract or identification number | 68041 | | Number of Individuals Covered | 358 | | Insurance policy start date | 2013-08-01 | | Insurance policy end date | 2014-07-31 | | Total amount of commissions paid to insurance broker | USD $29,077 | | Total amount of fees paid to insurance company | USD $14,539 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $969,238 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $29,077 | | Amount paid for insurance broker fees | 14539 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 |
|
| ALTIUS HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95407 ) |
| Policy contract number | 68041 |
| Policy instance | 1 |
| Insurance contract or identification number | 68041 | | Number of Individuals Covered | 337 | | Insurance policy start date | 2012-08-01 | | Insurance policy end date | 2013-07-31 | | Total amount of commissions paid to insurance broker | USD $25,622 | | Total amount of fees paid to insurance company | USD $50,369 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $854,477 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $25,622 | | Amount paid for insurance broker fees | 50369 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 |
|
| ALTIUS HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95407 ) |
| Policy contract number | 68041 |
| Policy instance | 1 |
| Insurance contract or identification number | 68041 | | Number of Individuals Covered | 295 | | Insurance policy start date | 2011-08-01 | | Insurance policy end date | 2012-07-31 | | Total amount of commissions paid to insurance broker | USD $30,242 | | Total amount of fees paid to insurance company | USD $13,320 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $888,016 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $30,242 | | Amount paid for insurance broker fees | 13320 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 |
|
| ALTIUS HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95407 ) |
| Policy contract number | 68041 |
| Policy instance | 1 |
| Insurance contract or identification number | 68041 | | Number of Individuals Covered | 289 | | Insurance policy start date | 2010-08-01 | | Insurance policy end date | 2011-07-31 | | Total amount of commissions paid to insurance broker | USD $26,358 | | Total amount of fees paid to insurance company | USD $13,179 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $878,588 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $26,358 | | Amount paid for insurance broker fees | 13179 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 |
|
| ALTIUS HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95407 ) |
| Policy contract number | 68041 |
| Policy instance | 1 |
| Insurance contract or identification number | 68041 | | Number of Individuals Covered | 334 | | Insurance policy start date | 2009-08-01 | | Insurance policy end date | 2010-07-31 | | Total amount of commissions paid to insurance broker | USD $30,333 | | Total amount of fees paid to insurance company | USD $13,847 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,011,099 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $30,333 | | Amount paid for insurance broker fees | 13847 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 |
|
| ALTIUS HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95407 ) |
| Policy contract number | 68041 |
| Policy instance | 1 |
| Insurance contract or identification number | 68041 | | Number of Individuals Covered | 362 | | Insurance policy start date | 2008-08-01 | | Insurance policy end date | 2009-07-31 | | Total amount of commissions paid to insurance broker | USD $28,459 | | Total amount of fees paid to insurance company | USD $14,230 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $948,648 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $28,459 | | Amount paid for insurance broker fees | 14230 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 |
|
| ALTIUS HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95407 ) |
| Policy contract number | 68041 |
| Policy instance | 1 |
| Insurance contract or identification number | 68041 | | Number of Individuals Covered | 314 | | Insurance policy start date | 2007-08-01 | | Insurance policy end date | 2007-12-31 | | Total amount of commissions paid to insurance broker | USD $22,525 | | Total amount of fees paid to insurance company | USD $11,263 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $750,839 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $22,525 | | Amount paid for insurance broker fees | 11263 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 |
|
| ALTIUS HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95407 ) |
| Policy contract number | 68041 |
| Policy instance | 1 |
| Insurance contract or identification number | 68041 | | Number of Individuals Covered | 300 | | Insurance policy start date | 2006-08-01 | | Insurance policy end date | 2007-07-31 | | Total amount of commissions paid to insurance broker | USD $19,853 | | Total amount of fees paid to insurance company | USD $9,926 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $661,764 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $19,853 | | Amount paid for insurance broker fees | 9926 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 |
|
| ALTIUS HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95407 ) |
| Policy contract number | 68041 |
| Policy instance | 1 |
| Insurance contract or identification number | 68041 | | Number of Individuals Covered | 248 | | Insurance policy start date | 2005-08-01 | | Insurance policy end date | 2006-07-31 | | Total amount of commissions paid to insurance broker | USD $17,666 | | Total amount of fees paid to insurance company | USD $2,178 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $588,863 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $17,666 | | Amount paid for insurance broker fees | 2178 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 |
|
| ALTIUS HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95407 ) |
| Policy contract number | 68041 |
| Policy instance | 1 |
| Insurance contract or identification number | 68041 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2004-08-01 | | Insurance policy end date | 2005-07-31 | | 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? | Yes |
|
| ALTIUS HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95407 ) |
| Policy contract number | 68041 |
| Policy instance | 1 |
| Insurance contract or identification number | 68041 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2003-08-01 | | Insurance policy end date | 2004-07-31 | | 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? | Yes |
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