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THE AUTO CLUB GROUP RETIREE HEALTH PLAN 401k Plan overview

Plan NameTHE AUTO CLUB GROUP RETIREE HEALTH PLAN
Plan identification number 520

THE AUTO CLUB GROUP RETIREE HEALTH PLAN Benefits

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

401k Sponsoring company profile

AUTO CLUB INSURANCE ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name:AUTO CLUB INSURANCE ASSOCIATION
Employer identification number (EIN):380477270
NAIC Classification:524150

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE AUTO CLUB GROUP RETIREE HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5202022-01-01CARMEN MABE2023-10-02
5202021-01-01CARMEN MABE2022-10-03
5202020-01-01CARMEN MABE2021-10-06
5202019-01-01JOHN BRUNO2020-09-18
5202019-01-01JOHN BRUNO2020-10-02
5202018-01-01JOHN BRUNO2019-10-04
5202017-01-01
5202016-01-01
5202015-01-01
5202014-01-01
5202013-01-01
5202012-01-01ANN F. FEDERICI
5202011-01-01ANN F. FEDERICI

Plan Statistics for THE AUTO CLUB GROUP RETIREE HEALTH PLAN

401k plan membership statisitcs for THE AUTO CLUB GROUP RETIREE HEALTH PLAN

Measure Date Value
2022: THE AUTO CLUB GROUP RETIREE HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-012,306
Total number of active participants reported on line 7a of the Form 55002022-01-010
Number of retired or separated participants receiving benefits2022-01-012,239
Total of all active and inactive participants2022-01-012,239
Total participants2022-01-012,239
2021: THE AUTO CLUB GROUP RETIREE HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-012,159
Total number of active participants reported on line 7a of the Form 55002021-01-010
Number of retired or separated participants receiving benefits2021-01-012,306
Total of all active and inactive participants2021-01-012,306
Total participants2021-01-012,306
2020: THE AUTO CLUB GROUP RETIREE HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-012,162
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-012,159
Total of all active and inactive participants2020-01-012,159
Total participants2020-01-012,159
2019: THE AUTO CLUB GROUP RETIREE HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-012,151
Number of retired or separated participants receiving benefits2019-01-012,162
Total of all active and inactive participants2019-01-012,162
Total participants2019-01-012,162
2018: THE AUTO CLUB GROUP RETIREE HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-012,149
Number of retired or separated participants receiving benefits2018-01-012,151
Total of all active and inactive participants2018-01-012,151
Total participants2018-01-012,151
2017: THE AUTO CLUB GROUP RETIREE HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-012,159
Number of retired or separated participants receiving benefits2017-01-012,149
Total of all active and inactive participants2017-01-012,149
Total participants2017-01-012,149
2016: THE AUTO CLUB GROUP RETIREE HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-012,166
Number of retired or separated participants receiving benefits2016-01-012,159
Total of all active and inactive participants2016-01-012,159
Total participants2016-01-012,159
2015: THE AUTO CLUB GROUP RETIREE HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-012,199
Number of retired or separated participants receiving benefits2015-01-012,166
Total of all active and inactive participants2015-01-012,166
Total participants2015-01-012,166
2014: THE AUTO CLUB GROUP RETIREE HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,994
Number of retired or separated participants receiving benefits2014-01-012,199
Total of all active and inactive participants2014-01-012,199
Total participants2014-01-012,199
2013: THE AUTO CLUB GROUP RETIREE HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-011,402
Number of retired or separated participants receiving benefits2013-01-011,994
Total of all active and inactive participants2013-01-011,994
Total participants2013-01-011,994
2012: THE AUTO CLUB GROUP RETIREE HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,414
Number of retired or separated participants receiving benefits2012-01-011,402
Total of all active and inactive participants2012-01-011,402
Total participants2012-01-011,402
2011: THE AUTO CLUB GROUP RETIREE HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-010
Total number of active participants reported on line 7a of the Form 55002011-01-010
Number of retired or separated participants receiving benefits2011-01-011,414
Total of all active and inactive participants2011-01-011,414
Total participants2011-01-011,414

Financial Data on THE AUTO CLUB GROUP RETIREE HEALTH PLAN

Measure Date Value
2012 : THE AUTO CLUB GROUP RETIREE HEALTH PLAN 2012 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$21,252
Total income from all sources (including contributions)2012-12-31$8,671,172
Total of all expenses incurred2012-12-31$9,168,925
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$7,729,509
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$8,671,083
Value of total assets at beginning of year2012-12-31$519,005
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,439,416
Total interest from all sources2012-12-31$89
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$10,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$2,303,377
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$5
Liabilities. Value of operating payables at beginning of year2012-12-31$21,252
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-497,753
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$497,753
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$519,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$519,000
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$89
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$6,367,706
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$7,729,509
Contract administrator fees2012-12-31$1,439,416
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31GEORGE JOHNSON & COMPANY
Accountancy firm EIN2012-12-31382029668
2011 : THE AUTO CLUB GROUP RETIREE HEALTH PLAN 2011 401k financial data
Total transfer of assets to this plan2011-12-31$468,000
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$21,252
Total income from all sources (including contributions)2011-12-31$7,706,400
Total of all expenses incurred2011-12-31$7,676,647
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$6,993,320
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$7,706,304
Value of total assets at end of year2011-12-31$519,005
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$683,327
Total interest from all sources2011-12-31$96
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$10,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$2,342,767
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$5
Liabilities. Value of operating payables at end of year2011-12-31$21,252
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$29,753
Value of net assets at end of year (total assets less liabilities)2011-12-31$497,753
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$519,000
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$96
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$5,363,537
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$6,993,320
Contract administrator fees2011-12-31$683,327
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31GEORGE JOHNSON & COMPANY
Accountancy firm EIN2011-12-31382029668

Form 5500 Responses for THE AUTO CLUB GROUP RETIREE HEALTH PLAN

2022: THE AUTO CLUB GROUP RETIREE HEALTH PLAN 2022 form 5500 responses
2022-01-01Type of plan entityMulitple employer plan
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: THE AUTO CLUB GROUP RETIREE HEALTH PLAN 2021 form 5500 responses
2021-01-01Type of plan entityMulitple employer plan
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: THE AUTO CLUB GROUP RETIREE HEALTH PLAN 2020 form 5500 responses
2020-01-01Type of plan entityMulitple employer plan
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: THE AUTO CLUB GROUP RETIREE HEALTH PLAN 2019 form 5500 responses
2019-01-01Type of plan entityMulitple employer plan
2019-01-01Submission has been amendedYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: THE AUTO CLUB GROUP RETIREE HEALTH PLAN 2018 form 5500 responses
2018-01-01Type of plan entityMulitple employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: THE AUTO CLUB GROUP RETIREE HEALTH PLAN 2017 form 5500 responses
2017-01-01Type of plan entityMulitple employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: THE AUTO CLUB GROUP RETIREE HEALTH PLAN 2016 form 5500 responses
2016-01-01Type of plan entityMulitple employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: THE AUTO CLUB GROUP RETIREE HEALTH PLAN 2015 form 5500 responses
2015-01-01Type of plan entityMulitple employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: THE AUTO CLUB GROUP RETIREE HEALTH PLAN 2014 form 5500 responses
2014-01-01Type of plan entityMulitple employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: THE AUTO CLUB GROUP RETIREE HEALTH PLAN 2013 form 5500 responses
2013-01-01Type of plan entityMulitple employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: THE AUTO CLUB GROUP RETIREE HEALTH PLAN 2012 form 5500 responses
2012-01-01Type of plan entityMulitple employer plan
2012-01-01Submission has been amendedYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: THE AUTO CLUB GROUP RETIREE HEALTH PLAN 2011 form 5500 responses
2011-01-01Type of plan entityMulitple employer plan
2011-01-01First time form 5500 has been submittedYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number26419-600,601
Policy instance 1
Insurance contract or identification number26419-600,601
Number of Individuals Covered1318
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract numberCLUSTER 0285
Policy instance 2
Insurance contract or identification numberCLUSTER 0285
Number of Individuals Covered96
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number26419-600,601
Policy instance 1
Insurance contract or identification number26419-600,601
Number of Individuals Covered1700
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract numberCLUSTER 0285
Policy instance 2
Insurance contract or identification numberCLUSTER 0285
Number of Individuals Covered214
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number26419-600,601
Policy instance 1
Insurance contract or identification number26419-600,601
Number of Individuals Covered1747
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract numberCLUSTER 0285
Policy instance 2
Insurance contract or identification numberCLUSTER 0285
Number of Individuals Covered311
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract numberCLUSTER 0285
Policy instance 1
Insurance contract or identification numberCLUSTER 0285
Number of Individuals Covered346
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $54,314
Health 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 $54,314
Insurance broker organization code?3
Insurance broker nameKATHRYN L VALENTINE
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number26419-600,601,6
Policy instance 2
Insurance contract or identification number26419-600,601,6
Number of Individuals Covered1747
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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