AUTO CLUB INSURANCE ASSOCIATION has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan THE AUTO CLUB GROUP MEDICAL CARE PLAN
| Measure | Date | Value |
|---|
| 2022: THE AUTO CLUB GROUP MEDICAL CARE PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 7,670 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 7,287 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 42 |
| Total of all active and inactive participants | 2022-01-01 | 7,329 |
| Total participants | 2022-01-01 | 7,329 |
| 2021: THE AUTO CLUB GROUP MEDICAL CARE PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 7,792 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 7,385 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 285 |
| Total of all active and inactive participants | 2021-01-01 | 7,670 |
| Total participants | 2021-01-01 | 7,670 |
| 2020: THE AUTO CLUB GROUP MEDICAL CARE PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 7,986 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 7,615 |
| Number of retired or separated participants receiving benefits | 2020-01-01 | 177 |
| Total of all active and inactive participants | 2020-01-01 | 7,792 |
| Total participants | 2020-01-01 | 7,792 |
| 2019: THE AUTO CLUB GROUP MEDICAL CARE PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 6,230 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 7,866 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 120 |
| Total of all active and inactive participants | 2019-01-01 | 7,986 |
| Total participants | 2019-01-01 | 7,986 |
| 2018: THE AUTO CLUB GROUP MEDICAL CARE PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 6,333 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 6,141 |
| Number of retired or separated participants receiving benefits | 2018-01-01 | 89 |
| Total of all active and inactive participants | 2018-01-01 | 6,230 |
| Total participants | 2018-01-01 | 6,230 |
| 2017: THE AUTO CLUB GROUP MEDICAL CARE PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 6,270 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 6,230 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 103 |
| Total of all active and inactive participants | 2017-01-01 | 6,333 |
| Total participants | 2017-01-01 | 6,333 |
| 2016: THE AUTO CLUB GROUP MEDICAL CARE PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 5,956 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 6,225 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 45 |
| Total of all active and inactive participants | 2016-01-01 | 6,270 |
| Total participants | 2016-01-01 | 6,270 |
| 2015: THE AUTO CLUB GROUP MEDICAL CARE PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 5,792 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 5,914 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 42 |
| Total of all active and inactive participants | 2015-01-01 | 5,956 |
| Total participants | 2015-01-01 | 5,956 |
| 2014: THE AUTO CLUB GROUP MEDICAL CARE PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 6,222 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 5,630 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 162 |
| Total of all active and inactive participants | 2014-01-01 | 5,792 |
| Total participants | 2014-01-01 | 5,792 |
| 2013: THE AUTO CLUB GROUP MEDICAL CARE PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 5,268 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 6,072 |
| Number of retired or separated participants receiving benefits | 2013-01-01 | 150 |
| Total of all active and inactive participants | 2013-01-01 | 6,222 |
| Total participants | 2013-01-01 | 6,222 |
| 2012: THE AUTO CLUB GROUP MEDICAL CARE PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 5,204 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 3,812 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 1,456 |
| Total of all active and inactive participants | 2012-01-01 | 5,268 |
| Total participants | 2012-01-01 | 5,268 |
| 2011: THE AUTO CLUB GROUP MEDICAL CARE PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 5,362 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 3,691 |
| Number of retired or separated participants receiving benefits | 2011-01-01 | 1,513 |
| Total of all active and inactive participants | 2011-01-01 | 5,204 |
| Total participants | 2011-01-01 | 5,204 |
| 2009: THE AUTO CLUB GROUP MEDICAL CARE PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 5,777 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 3,712 |
| Number of retired or separated participants receiving benefits | 2009-01-01 | 1,808 |
| Total of all active and inactive participants | 2009-01-01 | 5,520 |
| Total participants | 2009-01-01 | 5,520 |
| 2008: THE AUTO CLUB GROUP MEDICAL CARE PLAN 2008 401k membership |
|---|
| Total participants, beginning-of-year | 2008-01-01 | 5,938 |
| Total number of active participants reported on line 7a of the Form 5500 | 2008-01-01 | 4,092 |
| Number of retired or separated participants receiving benefits | 2008-01-01 | 1,685 |
| Total of all active and inactive participants | 2008-01-01 | 5,777 |
| Total participants | 2008-01-01 | 5,777 |
| Measure | Date | Value |
|---|
| 2012 : THE AUTO CLUB GROUP MEDICAL CARE PLAN 2012 401k financial data |
|---|
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $14,955 |
| Total income from all sources (including contributions) | 2012-12-31 | $33,048,709 |
| Total of all expenses incurred | 2012-12-31 | $35,402,983 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-12-31 | $34,042,103 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-12-31 | $33,048,351 |
| Value of total assets at beginning of year | 2012-12-31 | $2,369,229 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-12-31 | $1,360,880 |
| Total interest from all sources | 2012-12-31 | $358 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-12-31 | No |
| Was this plan covered by a fidelity bond | 2012-12-31 | Yes |
| Value of fidelity bond cover | 2012-12-31 | $10,000,000 |
| If this is an individual account plan, was there a blackout period | 2012-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-12-31 | No |
| Contributions received from participants | 2012-12-31 | $10,185,506 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-12-31 | $120,229 |
| Liabilities. Value of operating payables at beginning of year | 2012-12-31 | $14,955 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Value of net income/loss | 2012-12-31 | $-2,354,274 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-12-31 | $2,354,274 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-12-31 | No |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-12-31 | $2,249,000 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-12-31 | $2,249,000 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-12-31 | $358 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-12-31 | $7,412,083 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2012-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-12-31 | No |
| Contributions received in cash from employer | 2012-12-31 | $22,862,845 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-12-31 | $26,630,020 |
| Contract administrator fees | 2012-12-31 | $1,360,880 |
| Did the plan have assets held for investment | 2012-12-31 | Yes |
| 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 | 2012-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-12-31 | Unqualified |
| Accountancy firm name | 2012-12-31 | GEORGE JOHNSON & COMPANY |
| Accountancy firm EIN | 2012-12-31 | 382029668 |
| 2011 : THE AUTO CLUB GROUP MEDICAL CARE PLAN 2011 401k financial data |
|---|
| Total transfer of assets to this plan | 2011-12-31 | $1,595 |
| Total transfer of assets from this plan | 2011-12-31 | $468,000 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $14,955 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $399,834 |
| Total income from all sources (including contributions) | 2011-12-31 | $35,650,538 |
| Total of all expenses incurred | 2011-12-31 | $34,994,123 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-12-31 | $33,043,025 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-12-31 | $35,650,119 |
| Value of total assets at end of year | 2011-12-31 | $2,369,229 |
| Value of total assets at beginning of year | 2011-12-31 | $2,564,098 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-12-31 | $1,951,098 |
| Total interest from all sources | 2011-12-31 | $419 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-12-31 | No |
| Was this plan covered by a fidelity bond | 2011-12-31 | Yes |
| Value of fidelity bond cover | 2011-12-31 | $10,000,000 |
| If this is an individual account plan, was there a blackout period | 2011-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2011-12-31 | No |
| Contributions received from participants | 2011-12-31 | $9,940,000 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-12-31 | $120,229 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-12-31 | $98 |
| Liabilities. Value of operating payables at end of year | 2011-12-31 | $14,955 |
| Liabilities. Value of operating payables at beginning of year | 2011-12-31 | $399,834 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Value of net income/loss | 2011-12-31 | $656,415 |
| Value of net assets at end of year (total assets less liabilities) | 2011-12-31 | $2,354,274 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-12-31 | $2,164,264 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-12-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-12-31 | $2,249,000 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-12-31 | $2,564,000 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-12-31 | $2,564,000 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-12-31 | $419 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-12-31 | $7,174,169 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2011-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-12-31 | No |
| Contributions received in cash from employer | 2011-12-31 | $25,710,119 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-12-31 | $25,868,856 |
| Contract administrator fees | 2011-12-31 | $1,951,098 |
| Did the plan have assets held for investment | 2011-12-31 | Yes |
| 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 | 2011-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-12-31 | Unqualified |
| Accountancy firm name | 2011-12-31 | GEORGE JOHNSON & COMPANY |
| Accountancy firm EIN | 2011-12-31 | 382029668 |
| 2010 : THE AUTO CLUB GROUP MEDICAL CARE PLAN 2010 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $399,834 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $16,203 |
| Total income from all sources (including contributions) | 2010-12-31 | $41,943,644 |
| Total of all expenses incurred | 2010-12-31 | $43,182,304 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $40,714,916 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-12-31 | $41,942,985 |
| Value of total assets at end of year | 2010-12-31 | $2,564,098 |
| Value of total assets at beginning of year | 2010-12-31 | $3,419,127 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-12-31 | $2,467,388 |
| Total interest from all sources | 2010-12-31 | $659 |
| 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 | Yes |
| Value of fidelity bond cover | 2010-12-31 | $10,000,000 |
| If this is an individual account plan, was there a blackout period | 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 | $11,538,251 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2010-12-31 | $98 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2010-12-31 | $144,127 |
| Liabilities. Value of operating payables at end of year | 2010-12-31 | $399,834 |
| Liabilities. Value of operating payables at beginning of year | 2010-12-31 | $16,203 |
| 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 | $-1,238,660 |
| Value of net assets at end of year (total assets less liabilities) | 2010-12-31 | $2,164,264 |
| Value of net assets at beginning of year (total assets less liabilities) | 2010-12-31 | $3,402,924 |
| 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 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2010-12-31 | $2,564,000 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2010-12-31 | $3,275,000 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2010-12-31 | $3,275,000 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2010-12-31 | $659 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2010-12-31 | $10,175,924 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-12-31 | Yes |
| 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 | $30,404,734 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2010-12-31 | $30,538,992 |
| Contract administrator fees | 2010-12-31 | $2,467,388 |
| Did the plan have assets held for investment | 2010-12-31 | Yes |
| 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 | No |
| 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 | GEORGE JOHNSON & COMPANY |
| Accountancy firm EIN | 2010-12-31 | 382029668 |
| 2022: THE AUTO CLUB GROUP MEDICAL CARE PLAN 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Mulitple employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2021: THE AUTO CLUB GROUP MEDICAL CARE PLAN 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Mulitple employer plan |
| 2021-01-01 | Submission has been amended | Yes |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2020: THE AUTO CLUB GROUP MEDICAL CARE PLAN 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Mulitple employer plan |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2019: THE AUTO CLUB GROUP MEDICAL CARE PLAN 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Mulitple employer plan |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: THE AUTO CLUB GROUP MEDICAL CARE PLAN 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Mulitple employer plan |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: THE AUTO CLUB GROUP MEDICAL CARE PLAN 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Mulitple employer plan |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: THE AUTO CLUB GROUP MEDICAL CARE PLAN 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Mulitple employer plan |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: THE AUTO CLUB GROUP MEDICAL CARE PLAN 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Mulitple employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: THE AUTO CLUB GROUP MEDICAL CARE PLAN 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Mulitple employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: THE AUTO CLUB GROUP MEDICAL CARE PLAN 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Mulitple employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: THE AUTO CLUB GROUP MEDICAL CARE PLAN 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Mulitple employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan funding arrangement – Trust | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement - Trust | Yes |
| 2011: THE AUTO CLUB GROUP MEDICAL CARE PLAN 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Mulitple employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan funding arrangement – Trust | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement - Trust | Yes |
| 2009: THE AUTO CLUB GROUP MEDICAL CARE PLAN 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Mulitple employer plan |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan funding arrangement – Trust | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement - Trust | Yes |
| 2008: THE AUTO CLUB GROUP MEDICAL CARE PLAN 2008 form 5500 responses |
|---|
| 2008-01-01 | Type of plan entity | Mulitple employer plan |
| 2008-01-01 | Submission has been amended | Yes |
| 2008-01-01 | This submission is the final filing | No |
| 2008-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2008-01-01 | Plan is a collectively bargained plan | No |
| 2008-01-01 | Plan funding arrangement – Insurance | Yes |
| 2008-01-01 | Plan funding arrangement – Trust | Yes |
| 2008-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2008-01-01 | Plan benefit arrangement - Trust | Yes |
| TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 ) |
| Policy contract number | SP0001040 |
| Policy instance | 1 |
| Insurance contract or identification number | SP0001040 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $2,251 | | Health Insurance Welfare Benefit | Yes | | 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 $2,251 |
|
| TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 ) |
| Policy contract number | SP0001040 |
| Policy instance | 1 |
| Insurance contract or identification number | SP0001040 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $2,040 | | Health Insurance Welfare Benefit | Yes | | 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 $2,040 |
|
| TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 ) |
| Policy contract number | SP0001040 |
| Policy instance | 1 |
| Insurance contract or identification number | SP0001040 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $2,069 | | Health Insurance Welfare Benefit | Yes | | 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 $2,069 |
|
| TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 ) |
| Policy contract number | SP0001040 |
| Policy instance | 1 |
| Insurance contract or identification number | SP0001040 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $1,954 | | Health Insurance Welfare Benefit | Yes | | 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 $1,954 |
|
| BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) |
| Policy contract number | B3830 |
| Policy instance | 1 |
| Insurance contract or identification number | B3830 | | Number of Individuals Covered | 110 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 ) |
| Policy contract number | SP0001040 |
| Policy instance | 2 |
| Insurance contract or identification number | SP0001040 | | Number of Individuals Covered | 7 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $2,293 | | Health Insurance Welfare Benefit | Yes | | 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 $2,293 |
|
| HEALTH ALLIANCE PLAN (National Association of Insurance Commissioners NAIC id number: 95844 ) |
| Policy contract number | 10002659 |
| Policy instance | 2 |
| Insurance contract or identification number | 10002659 | | Number of Individuals Covered | 799 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,555,479 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) |
| Policy contract number | B3830 |
| Policy instance | 1 |
| Insurance contract or identification number | B3830 | | Number of Individuals Covered | 90 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 ) |
| Policy contract number | SP0001040 |
| Policy instance | 3 |
| Insurance contract or identification number | SP0001040 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $2,124 | | Health Insurance Welfare Benefit | Yes | | 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 $2,124 | | Insurance broker name | AON RISK SERVICES OF PR |
|
| BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) |
| Policy contract number | B3830 |
| Policy instance | 1 |
| Insurance contract or identification number | B3830 | | Number of Individuals Covered | 108 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 ) |
| Policy contract number | SP0001040 |
| Policy instance | 3 |
| Insurance contract or identification number | SP0001040 | | Number of Individuals Covered | 7 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $2,157 | | Health Insurance Welfare Benefit | Yes | | 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 $2,157 | | Insurance broker name | AON RISK SERVICES OF PR |
|
| HEALTH ALLIANCE PLAN (National Association of Insurance Commissioners NAIC id number: 95844 ) |
| Policy contract number | 10002659 |
| Policy instance | 2 |
| Insurance contract or identification number | 10002659 | | Number of Individuals Covered | 982 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 ) |
| Policy contract number | SP0001040 |
| Policy instance | 3 |
| Insurance contract or identification number | SP0001040 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $2,016 | | Health Insurance Welfare Benefit | Yes | | 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 $2,016 | | Insurance broker name | AON RISK SERVICES OF PR |
|
| HEALTH ALLIANCE PLAN (National Association of Insurance Commissioners NAIC id number: 95844 ) |
| Policy contract number | 10002659 |
| Policy instance | 2 |
| Insurance contract or identification number | 10002659 | | Number of Individuals Covered | 1096 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) |
| Policy contract number | B3830 |
| Policy instance | 1 |
| Insurance contract or identification number | B3830 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) |
| Policy contract number | B3830 |
| Policy instance | 3 |
| Insurance contract or identification number | B3830 | | Number of Individuals Covered | 80 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH ALLIANCE PLAN (National Association of Insurance Commissioners NAIC id number: 95844 ) |
| Policy contract number | 10002659 |
| Policy instance | 2 |
| Insurance contract or identification number | 10002659 | | Number of Individuals Covered | 1315 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 ) |
| Policy contract number | SP0001040 |
| Policy instance | 1 |
| Insurance contract or identification number | SP0001040 | | Number of Individuals Covered | 8 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $2,418 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Life 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 $2,418 | | Insurance broker name | AON RISK SERVICES OF PR |
|
| HEALTH ALLIANCE PLAN (National Association of Insurance Commissioners NAIC id number: 95844 ) |
| Policy contract number | 100860A AC R RA |
| Policy instance | 2 |
| Insurance contract or identification number | 100860A AC R RA | | Number of Individuals Covered | 1226 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,761,121 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) |
| Policy contract number | 00100004/0001 |
| Policy instance | 1 |
| Insurance contract or identification number | 00100004/0001 | | Number of Individuals Covered | 624 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,531,310 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH ALLIANCE PLAN (National Association of Insurance Commissioners NAIC id number: 95844 ) |
| Policy contract number | 100860A AC R RA |
| Policy instance | 2 |
| Insurance contract or identification number | 100860A AC R RA | | Number of Individuals Covered | 1309 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,635,528 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) |
| Policy contract number | 00100004/0001 |
| Policy instance | 1 |
| Insurance contract or identification number | 00100004/0001 | | Number of Individuals Covered | 715 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,658,848 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) |
| Policy contract number | 00100004/0001 |
| Policy instance | 1 |
| Insurance contract or identification number | 00100004/0001 | | Number of Individuals Covered | 1114 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,694,182 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH ALLIANCE PLAN (National Association of Insurance Commissioners NAIC id number: 95844 ) |
| Policy contract number | 100860A AC R RA |
| Policy instance | 2 |
| Insurance contract or identification number | 100860A AC R RA | | Number of Individuals Covered | 1899 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,491,742 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
