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GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 401k Plan overview

Plan NameGROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS
Plan identification number 513

GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS Benefits

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

401k Sponsoring company profile

UBE, INC. has sponsored the creation of one or more 401k plans.

Company Name:UBE, INC.
Employer identification number (EIN):061663169
NAIC Classification:721110
NAIC Description:Hotels (except Casino Hotels) and Motels

Additional information about UBE, INC.

Jurisdiction of Incorporation: Michigan Secretary of State
Incorporation Date: 0000-00-00
Company Identification Number: 43016C
Legal Registered Office Address: 8000 E JEFFERSON DETROIT


United States of America (USA)
48214

More information about UBE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5132022-01-01MARGARET MOCK2023-07-28
5132021-01-01FRANK STUGLIN2022-08-04
5132020-01-01FRANK STUGLIN2021-07-12
5132019-01-01RAY CURRY2020-07-15
5132018-01-01GARY JONES
5132017-01-01GARY JONES
5132016-01-01GARY CASTEEL
5132015-01-01GARY CASTEEL
5132014-01-01GARY CASTEEL
5132013-01-01GARY CASTEEL
5132012-01-01ROBERT KING ROBERT KING2013-05-01
5132011-01-01ROBERT KING
5132010-01-01ROBERT KING
5132009-01-01ROBERT KING

Plan Statistics for GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS

401k plan membership statisitcs for GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS

Measure Date Value
2022: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2022 401k membership
Total participants, beginning-of-year2022-01-01210
Total number of active participants reported on line 7a of the Form 55002022-01-0142
Number of retired or separated participants receiving benefits2022-01-01163
Total of all active and inactive participants2022-01-01205
2021: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2021 401k membership
Total participants, beginning-of-year2021-01-01196
Total number of active participants reported on line 7a of the Form 55002021-01-0143
Number of retired or separated participants receiving benefits2021-01-01167
Total of all active and inactive participants2021-01-01210
2020: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2020 401k membership
Total participants, beginning-of-year2020-01-01228
Total number of active participants reported on line 7a of the Form 55002020-01-0143
Number of retired or separated participants receiving benefits2020-01-01153
Total of all active and inactive participants2020-01-01196
2019: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2019 401k membership
Total participants, beginning-of-year2019-01-01233
Total number of active participants reported on line 7a of the Form 55002019-01-0143
Number of retired or separated participants receiving benefits2019-01-01185
Total of all active and inactive participants2019-01-01228
2018: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2018 401k membership
Total participants, beginning-of-year2018-01-01212
Total number of active participants reported on line 7a of the Form 55002018-01-0145
Number of retired or separated participants receiving benefits2018-01-01188
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01233
2017: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2017 401k membership
Total participants, beginning-of-year2017-01-01204
Total number of active participants reported on line 7a of the Form 55002017-01-0147
Number of retired or separated participants receiving benefits2017-01-01165
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01212
2016: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2016 401k membership
Total participants, beginning-of-year2016-01-01229
Total number of active participants reported on line 7a of the Form 55002016-01-0141
Number of retired or separated participants receiving benefits2016-01-01163
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01204
Total participants2016-01-01204
2015: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2015 401k membership
Total participants, beginning-of-year2015-01-01169
Total number of active participants reported on line 7a of the Form 55002015-01-0139
Number of retired or separated participants receiving benefits2015-01-01190
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01229
Total participants2015-01-01229
2014: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2014 401k membership
Total participants, beginning-of-year2014-01-01170
Total number of active participants reported on line 7a of the Form 55002014-01-0125
Number of retired or separated participants receiving benefits2014-01-01144
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01169
2013: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2013 401k membership
Total participants, beginning-of-year2013-01-01167
Total number of active participants reported on line 7a of the Form 55002013-01-0124
Number of retired or separated participants receiving benefits2013-01-01146
Total of all active and inactive participants2013-01-01170
2012: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2012 401k membership
Total participants, beginning-of-year2012-01-01171
Total number of active participants reported on line 7a of the Form 55002012-01-0121
Number of retired or separated participants receiving benefits2012-01-01146
Total of all active and inactive participants2012-01-01167
Total participants2012-01-01167
2011: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2011 401k membership
Total participants, beginning-of-year2011-01-01170
Total number of active participants reported on line 7a of the Form 55002011-01-0122
Number of retired or separated participants receiving benefits2011-01-01149
Total of all active and inactive participants2011-01-01171
Total participants2011-01-01171
2010: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2010 401k membership
Total participants, beginning-of-year2010-01-01170
Total number of active participants reported on line 7a of the Form 55002010-01-0167
Number of retired or separated participants receiving benefits2010-01-01104
Total of all active and inactive participants2010-01-01171
Total participants2010-01-01171
2009: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2009 401k membership
Total participants, beginning-of-year2009-01-01174
Total number of active participants reported on line 7a of the Form 55002009-01-0174
Number of retired or separated participants receiving benefits2009-01-0196
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01170
Total participants2009-01-01170

Form 5500 Responses for GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS

2022: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: GROUP HOSPITAL MEDICA-SURGICAL PRESCRIPTION DRUGS VISION & HEARING BENEFITS 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number275496
Policy instance 2
Insurance contract or identification number275496
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $12,999
Total amount of fees paid to insurance companyUSD $418
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,999
Insurance broker organization code?3
Amount paid for insurance broker fees418
Additional information about fees paid to insurance brokerFEES AND OTHER COMMISSIONS PAID
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number275496
Policy instance 1
Insurance contract or identification number275496
Number of Individuals Covered117
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $23,363
Total amount of fees paid to insurance companyUSD $386
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,363
Insurance broker organization code?3
Amount paid for insurance broker fees386
Additional information about fees paid to insurance brokerFEES AND OTHER COMMISSIONS PAID
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number275496
Policy instance 2
Insurance contract or identification number275496
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $14,686
Total amount of fees paid to insurance companyUSD $205
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,686
Insurance broker organization code?3
Amount paid for insurance broker fees205
Additional information about fees paid to insurance brokerFEES AND OTHER COMMISSIONS PAID
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number275496
Policy instance 1
Insurance contract or identification number275496
Number of Individuals Covered131
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $25,818
Total amount of fees paid to insurance companyUSD $188
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,818
Insurance broker organization code?3
Amount paid for insurance broker fees188
Additional information about fees paid to insurance brokerFEES AND OTHER COMMISIONS PAID
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number275496
Policy instance 2
Insurance contract or identification number275496
Number of Individuals Covered0
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $13,449
Total amount of fees paid to insurance companyUSD $196
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,449
Insurance broker organization code?3
Amount paid for insurance broker fees196
Additional information about fees paid to insurance brokerFEES AND OTHER COMMISSIONS PAID
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number275496
Policy instance 1
Insurance contract or identification number275496
Number of Individuals Covered148
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $37,469
Total amount of fees paid to insurance companyUSD $210
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $37,469
Insurance broker organization code?3
Amount paid for insurance broker fees210
Additional information about fees paid to insurance brokerFEES AND OTHER COMMISSIONS PAID
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number275496
Policy instance 2
Insurance contract or identification number275496
Number of Individuals Covered0
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $13,150
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
Commission paid to Insurance BrokerUSD $13,150
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number275496
Policy instance 1
Insurance contract or identification number275496
Number of Individuals Covered155
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $51,790
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $51,790
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number275496
Policy instance 1
Insurance contract or identification number275496
Number of Individuals Covered184
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $52,476
Total amount of fees paid to insurance companyUSD $1,358
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $52,476
Insurance broker organization code?3
Amount paid for insurance broker fees1358
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number275496
Policy instance 1
Insurance contract or identification number275496
Number of Individuals Covered204
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $54,359
Total amount of fees paid to insurance companyUSD $1,345
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid as a credit?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $54,359
Insurance broker organization code?3
Amount paid for insurance broker fees1345
Insurance broker nameSTERLING GROUP

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