CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS
401k plan membership statisitcs for ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS
| Measure | Date | Value |
|---|
| 2022: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 4,432 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 4,519 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 36 |
| Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
| Total of all active and inactive participants | 2022-01-01 | 4,555 |
| 2021: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 4,446 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 4,372 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 57 |
| Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
| Total of all active and inactive participants | 2021-01-01 | 4,429 |
| 2020: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 4,582 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 4,321 |
| Number of retired or separated participants receiving benefits | 2020-01-01 | 125 |
| Number of other retired or separated participants entitled to future benefits | 2020-01-01 | 0 |
| Total of all active and inactive participants | 2020-01-01 | 4,446 |
| 2019: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 3,886 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 4,219 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 36 |
| Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 0 |
| Total of all active and inactive participants | 2019-01-01 | 4,255 |
| 2018: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 3,516 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 3,369 |
| Total of all active and inactive participants | 2018-01-01 | 3,369 |
| 2017: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 3,233 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 3,516 |
| Total of all active and inactive participants | 2017-01-01 | 3,516 |
| 2016: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 3,181 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 3,233 |
| Total of all active and inactive participants | 2016-01-01 | 3,233 |
| 2015: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 3,233 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 3,181 |
| Total of all active and inactive participants | 2015-01-01 | 3,181 |
| 2014: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 3,210 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 3,233 |
| Total of all active and inactive participants | 2014-01-01 | 3,233 |
| 2013: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 3,092 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 3,210 |
| Total of all active and inactive participants | 2013-01-01 | 3,210 |
| 2012: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 3,032 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 3,092 |
| Total of all active and inactive participants | 2012-01-01 | 3,092 |
| 2011: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 2,575 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 3,032 |
| Total of all active and inactive participants | 2011-01-01 | 3,032 |
| 2009: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 1,953 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 1,975 |
| Number of retired or separated participants receiving benefits | 2009-01-01 | 51 |
| Number of other retired or separated participants entitled to future benefits | 2009-01-01 | 0 |
| Total of all active and inactive participants | 2009-01-01 | 2,026 |
| Measure | Date | Value |
|---|
| 2010 : ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2010 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $1,722,523 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $2,124,608 |
| Total income from all sources (including contributions) | 2010-12-31 | $18,619,623 |
| Total of all expenses incurred | 2010-12-31 | $18,946,867 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $17,812,599 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-12-31 | $18,619,623 |
| Value of total assets at end of year | 2010-12-31 | $134,000 |
| Value of total assets at beginning of year | 2010-12-31 | $863,329 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-12-31 | $1,134,268 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2010-12-31 | No |
| Was this plan covered by a fidelity bond | 2010-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2010-12-31 | No |
| Contributions received from participants | 2010-12-31 | $3,654,569 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2010-12-31 | $327,244 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2010-12-31 | $134,000 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2010-12-31 | $134,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2010-12-31 | $0 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2010-12-31 | $729,329 |
| Administrative expenses (other) incurred | 2010-12-31 | $339,572 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Value of net income/loss | 2010-12-31 | $-327,244 |
| Value of net assets at end of year (total assets less liabilities) | 2010-12-31 | $-1,588,523 |
| Value of net assets at beginning of year (total assets less liabilities) | 2010-12-31 | $-1,261,279 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2010-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2010-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2010-12-31 | No |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2010-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2010-12-31 | No |
| Contributions received in cash from employer | 2010-12-31 | $14,965,054 |
| Employer contributions (assets) at end of year | 2010-12-31 | $0 |
| Employer contributions (assets) at beginning of year | 2010-12-31 | $729,329 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2010-12-31 | $17,485,355 |
| Contract administrator fees | 2010-12-31 | $794,696 |
| Liabilities. Value of benefit claims payable at end of year | 2010-12-31 | $1,722,523 |
| Liabilities. Value of benefit claims payable at beginning of year | 2010-12-31 | $1,395,279 |
| Did the plan have assets held for investment | 2010-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2010-12-31 | Yes |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2010-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2010-12-31 | Unqualified |
| Accountancy firm name | 2010-12-31 | CROWE HORWATH |
| Accountancy firm EIN | 2010-12-31 | 350921680 |
| 2022: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Submission has been amended | No |
| 2022-01-01 | This submission is the final filing | No |
| 2022-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-01-01 | Plan is a collectively bargained plan | No |
| 2022-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2021: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Submission has been amended | No |
| 2021-01-01 | This submission is the final filing | No |
| 2021-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-01-01 | Plan is a collectively bargained plan | No |
| 2021-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2020: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Submission has been amended | No |
| 2020-01-01 | This submission is the final filing | No |
| 2020-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-01-01 | Plan is a collectively bargained plan | No |
| 2020-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2020-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2019: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Submission has been amended | No |
| 2019-01-01 | This submission is the final filing | No |
| 2019-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-01-01 | Plan is a collectively bargained plan | No |
| 2019-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2018: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2016: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2012: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2009: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Submission has been amended | No |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-01-01 | Plan is a collectively bargained plan | No |
| 2009-01-01 | Plan funding arrangement – Trust | Yes |
| 2009-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 ) |
| Policy contract number | 10126 |
| Policy instance | 2 |
| Insurance contract or identification number | 10126 | | Number of Individuals Covered | 3516 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $240,793 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 239781 |
| Policy instance | 1 |
| Insurance contract or identification number | 239781 | | Number of Individuals Covered | 3471 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $9,386 | | Total amount of fees paid to insurance company | USD $23,524 | | Welfare Benefit Premiums Paid to Carrier | USD $684,697 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,386 | | Amount paid for insurance broker fees | 23524 | | Additional information about fees paid to insurance broker | BONUS PAID | | Insurance broker organization code? | 3 | | Insurance broker name | MARSH/MCLENNAN AGNCY C/O TRION GRP |
|
| DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 ) |
| Policy contract number | 10126 |
| Policy instance | 2 |
| Insurance contract or identification number | 10126 | | Number of Individuals Covered | 2754 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $108,429 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 239781 |
| Policy instance | 1 |
| Insurance contract or identification number | 239781 | | Number of Individuals Covered | 3181 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $24,661 | | Welfare Benefit Premiums Paid to Carrier | USD $416,871 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 24661 | | Additional information about fees paid to insurance broker | BONUS PAID | | Insurance broker organization code? | 3 | | Insurance broker name | MARSH/MCLENNAN AGNCY C/O TRION GRP |
|
| DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 ) |
| Policy contract number | 10126 |
| Policy instance | 2 |
| Insurance contract or identification number | 10126 | | Number of Individuals Covered | 2785 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | 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 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $105,645 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 66907-5 |
| Policy instance | 1 |
| Insurance contract or identification number | 66907-5 | | Number of Individuals Covered | 3233 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | 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 | | Welfare Benefit Premiums Paid to Carrier | USD $350,823 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 ) |
| Policy contract number | 10126 |
| Policy instance | 2 |
| Insurance contract or identification number | 10126 | | Number of Individuals Covered | 2203 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | 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 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $82,407 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 66907-5 |
| Policy instance | 1 |
| Insurance contract or identification number | 66907-5 | | Number of Individuals Covered | 3210 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | 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 | | Welfare Benefit Premiums Paid to Carrier | USD $314,756 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 ) |
| Policy contract number | 10126 |
| Policy instance | 2 |
| Insurance contract or identification number | 10126 | | Number of Individuals Covered | 2701 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | 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 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $100,616 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 66907-5 |
| Policy instance | 1 |
| Insurance contract or identification number | 66907-5 | | Number of Individuals Covered | 3092 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | 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 | | Welfare Benefit Premiums Paid to Carrier | USD $262,910 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 66907-5 |
| Policy instance | 1 |
| Insurance contract or identification number | 66907-5 | | Number of Individuals Covered | 3070 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | 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 | | Welfare Benefit Premiums Paid to Carrier | USD $565,017 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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