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MEIJER HEALTH BENEFITS PLAN 401k Plan overview

Plan NameMEIJER HEALTH BENEFITS PLAN
Plan identification number 501

MEIJER HEALTH BENEFITS PLAN Benefits

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

401k Sponsoring company profile

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

Company Name:MEIJER, INC.
Employer identification number (EIN):381274536

Additional information about MEIJER, INC.

Jurisdiction of Incorporation: Michigan Secretary of State
Incorporation Date: 0000-00-00
Company Identification Number: 060239
Legal Registered Office Address: TELEGRAPH ROAD STE 2345 BINGHAM FARMS 48025


United States of America (USA)
30600

More information about MEIJER, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEIJER HEALTH BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-30BRADLEY J. FREIBURGER2023-10-18 JAMIE L. LARSON2023-10-18
5012021-01-31BRADLEY J. FREIBURGER2022-11-02 JAMIE L. LARSON2022-11-02
5012020-02-02BRADLEY J. FREIBURGER2021-11-03 JAMIE L. LARSON2021-11-03
5012019-02-02DANIEL E. WEBB2020-11-11 JAMIE L. LARSON2020-11-11
5012018-02-03DANIEL E. WEBB2019-11-07 JAMIE L. LARSON2019-11-07
5012017-01-29
5012016-01-31
5012015-02-01
5012014-02-02
5012013-02-03
5012012-01-29DANIEL E. WEBB
5012011-01-30DANIEL E. WEBB
5012010-02-01DANIEL E. WEBB
5012009-02-01DANIEL WEBB MICHAEL R JULIEN2010-11-10

Plan Statistics for MEIJER HEALTH BENEFITS PLAN

401k plan membership statisitcs for MEIJER HEALTH BENEFITS PLAN

Measure Date Value
2022: MEIJER HEALTH BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-3031,546
Total number of active participants reported on line 7a of the Form 55002022-01-3030,229
Number of retired or separated participants receiving benefits2022-01-30256
Total of all active and inactive participants2022-01-3030,485
2021: MEIJER HEALTH BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-3131,780
Total number of active participants reported on line 7a of the Form 55002021-01-3131,278
Number of retired or separated participants receiving benefits2021-01-31268
Total of all active and inactive participants2021-01-3131,546
2020: MEIJER HEALTH BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-02-0230,711
Total number of active participants reported on line 7a of the Form 55002020-02-0231,497
Number of retired or separated participants receiving benefits2020-02-02283
Total of all active and inactive participants2020-02-0231,780
2019: MEIJER HEALTH BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-02-0231,753
Total number of active participants reported on line 7a of the Form 55002019-02-0230,453
Number of retired or separated participants receiving benefits2019-02-02258
Total of all active and inactive participants2019-02-0230,711
2018: MEIJER HEALTH BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year2018-02-0331,413
Total number of active participants reported on line 7a of the Form 55002018-02-0331,450
Number of retired or separated participants receiving benefits2018-02-03303
Total of all active and inactive participants2018-02-0331,753
2017: MEIJER HEALTH BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-2930,859
Total number of active participants reported on line 7a of the Form 55002017-01-2930,995
Number of retired or separated participants receiving benefits2017-01-29418
Total of all active and inactive participants2017-01-2931,413
2016: MEIJER HEALTH BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-3129,186
Total number of active participants reported on line 7a of the Form 55002016-01-3130,607
Number of retired or separated participants receiving benefits2016-01-31252
Total of all active and inactive participants2016-01-3130,859
2015: MEIJER HEALTH BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-02-0126,505
Total number of active participants reported on line 7a of the Form 55002015-02-0128,919
Number of retired or separated participants receiving benefits2015-02-01267
Total of all active and inactive participants2015-02-0129,186
2014: MEIJER HEALTH BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-02-0227,399
Total number of active participants reported on line 7a of the Form 55002014-02-0226,230
Number of retired or separated participants receiving benefits2014-02-02275
Total of all active and inactive participants2014-02-0226,505
2013: MEIJER HEALTH BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year2013-02-0329,494
Total number of active participants reported on line 7a of the Form 55002013-02-0327,052
Number of retired or separated participants receiving benefits2013-02-03347
Total of all active and inactive participants2013-02-0327,399
2012: MEIJER HEALTH BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-2929,569
Total number of active participants reported on line 7a of the Form 55002012-01-2929,181
Number of retired or separated participants receiving benefits2012-01-29313
Total of all active and inactive participants2012-01-2929,494
2011: MEIJER HEALTH BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-3030,002
Total number of active participants reported on line 7a of the Form 55002011-01-3029,229
Number of retired or separated participants receiving benefits2011-01-30340
Total of all active and inactive participants2011-01-3029,569
2010: MEIJER HEALTH BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year2010-02-0130,543
Total number of active participants reported on line 7a of the Form 55002010-02-0129,570
Number of retired or separated participants receiving benefits2010-02-01432
Total of all active and inactive participants2010-02-0130,002
2009: MEIJER HEALTH BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year2009-02-0128,210
Total number of active participants reported on line 7a of the Form 55002009-02-0130,164
Number of retired or separated participants receiving benefits2009-02-01379
Total of all active and inactive participants2009-02-0130,543
Total participants2009-02-0130,543

Financial Data on MEIJER HEALTH BENEFITS PLAN

Measure Date Value
2023 : MEIJER HEALTH BENEFITS PLAN 2023 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2023-01-28$-278,565
Total unrealized appreciation/depreciation of assets2023-01-28$-278,565
Total income from all sources (including contributions)2023-01-28$287,375,410
Total loss/gain on sale of assets2023-01-28$-21,906
Total of all expenses incurred2023-01-28$291,701,063
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-28$267,487,863
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-28$287,858,404
Value of total assets at end of year2023-01-28$18,727,946
Value of total assets at beginning of year2023-01-28$23,053,599
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-28$24,213,200
Total interest from all sources2023-01-28$310,054
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-28No
Was this plan covered by a fidelity bond2023-01-28Yes
Value of fidelity bond cover2023-01-28$500,000
If this is an individual account plan, was there a blackout period2023-01-28No
Were there any nonexempt tranactions with any party-in-interest2023-01-28No
Contributions received from participants2023-01-28$76,464,264
Assets. Other investments not covered elsewhere at end of year2023-01-28$951,672
Assets. Other investments not covered elsewhere at beginning of year2023-01-28$890,428
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-01-28$59,291
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-01-28$21,203
Administrative expenses (other) incurred2023-01-28$8,300,885
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-28No
Value of net income/loss2023-01-28$-4,325,653
Value of net assets at end of year (total assets less liabilities)2023-01-28$18,727,946
Value of net assets at beginning of year (total assets less liabilities)2023-01-28$23,053,599
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-28No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-28No
Were any leases to which the plan was party in default or uncollectible2023-01-28No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-01-28$7,437,852
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-01-28$7,592,429
Interest earned on other investments2023-01-28$51,768
Income. Interest from US Government securities2023-01-28$8,857
Income. Interest from corporate debt instruments2023-01-28$51,214
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-01-28$7,177,630
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-01-28$10,910,407
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-01-28$10,910,407
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-01-28$198,215
Asset value of US Government securities at end of year2023-01-28$1,190,938
Asset value of US Government securities at beginning of year2023-01-28$1,577,102
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-01-28$-492,577
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-28Yes
Was there a failure to transmit to the plan any participant contributions2023-01-28No
Has the plan failed to provide any benefit when due under the plan2023-01-28No
Contributions received in cash from employer2023-01-28$211,394,140
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-01-28$267,487,863
Asset. Corporate debt instrument debt (other) at end of year2023-01-28$1,910,563
Asset. Corporate debt instrument debt (other) at beginning of year2023-01-28$2,062,030
Contract administrator fees2023-01-28$15,912,315
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32023-01-28No
Did the plan have assets held for investment2023-01-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-28No
Aggregate proceeds on sale of assets2023-01-28$13,561,135
Aggregate carrying amount (costs) on sale of assets2023-01-28$13,583,041
Opinion of an independent qualified public accountant for this plan2023-01-28Unqualified
Accountancy firm name2023-01-28HUNGERFORD NICHOLS
Accountancy firm EIN2023-01-28382184825
2022 : MEIJER HEALTH BENEFITS PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-01-29$-204,412
Total unrealized appreciation/depreciation of assets2022-01-29$-204,412
Total income from all sources (including contributions)2022-01-29$277,337,976
Total loss/gain on sale of assets2022-01-29$-12,188
Total of all expenses incurred2022-01-29$285,710,756
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-29$262,497,179
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-29$276,537,762
Value of total assets at end of year2022-01-29$23,053,599
Value of total assets at beginning of year2022-01-29$31,426,379
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-29$23,213,577
Total interest from all sources2022-01-29$113,696
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-29No
Administrative expenses professional fees incurred2022-01-29$3,795
Was this plan covered by a fidelity bond2022-01-29Yes
Value of fidelity bond cover2022-01-29$500,000
If this is an individual account plan, was there a blackout period2022-01-29No
Were there any nonexempt tranactions with any party-in-interest2022-01-29No
Contributions received from participants2022-01-29$78,041,887
Assets. Other investments not covered elsewhere at end of year2022-01-29$890,428
Assets. Other investments not covered elsewhere at beginning of year2022-01-29$1,046,677
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-01-29$21,203
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-01-29$18,188
Administrative expenses (other) incurred2022-01-29$5,354,194
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-29No
Value of net income/loss2022-01-29$-8,372,780
Value of net assets at end of year (total assets less liabilities)2022-01-29$23,053,599
Value of net assets at beginning of year (total assets less liabilities)2022-01-29$31,426,379
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-29No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-29No
Were any leases to which the plan was party in default or uncollectible2022-01-29No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-01-29$7,592,429
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-01-29$7,349,285
Interest earned on other investments2022-01-29$48,308
Income. Interest from US Government securities2022-01-29$13,849
Income. Interest from corporate debt instruments2022-01-29$48,882
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-01-29$10,910,407
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-01-29$20,006,526
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-01-29$20,006,526
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-01-29$2,657
Asset value of US Government securities at end of year2022-01-29$1,577,102
Asset value of US Government securities at beginning of year2022-01-29$1,318,185
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-01-29$903,118
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-29Yes
Was there a failure to transmit to the plan any participant contributions2022-01-29No
Has the plan failed to provide any benefit when due under the plan2022-01-29No
Contributions received in cash from employer2022-01-29$198,495,875
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-29$262,497,179
Asset. Corporate debt instrument debt (other) at end of year2022-01-29$2,062,030
Asset. Corporate debt instrument debt (other) at beginning of year2022-01-29$1,687,518
Contract administrator fees2022-01-29$17,855,588
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-01-29No
Did the plan have assets held for investment2022-01-29Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-29No
Aggregate proceeds on sale of assets2022-01-29$25,493,945
Aggregate carrying amount (costs) on sale of assets2022-01-29$25,506,133
Opinion of an independent qualified public accountant for this plan2022-01-29Unqualified
Accountancy firm name2022-01-29HUNGERFORD NICHOLS
Accountancy firm EIN2022-01-29382184825
2021 : MEIJER HEALTH BENEFITS PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-01-30$75,305
Total unrealized appreciation/depreciation of assets2021-01-30$75,305
Total income from all sources (including contributions)2021-01-30$258,148,574
Total loss/gain on sale of assets2021-01-30$5,555
Total of all expenses incurred2021-01-30$255,979,787
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-01-30$234,236,051
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-01-30$256,923,338
Value of total assets at end of year2021-01-30$31,426,379
Value of total assets at beginning of year2021-01-30$29,257,592
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-01-30$21,743,736
Total interest from all sources2021-01-30$129,079
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-01-30No
Administrative expenses professional fees incurred2021-01-30$1,605
Was this plan covered by a fidelity bond2021-01-30Yes
Value of fidelity bond cover2021-01-30$500,000
If this is an individual account plan, was there a blackout period2021-01-30No
Were there any nonexempt tranactions with any party-in-interest2021-01-30No
Contributions received from participants2021-01-30$76,388,371
Assets. Other investments not covered elsewhere at end of year2021-01-30$1,046,677
Assets. Other investments not covered elsewhere at beginning of year2021-01-30$1,057,050
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-01-30$18,188
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-01-30$31,121
Administrative expenses (other) incurred2021-01-30$5,502,650
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-01-30No
Value of net income/loss2021-01-30$2,168,787
Value of net assets at end of year (total assets less liabilities)2021-01-30$31,426,379
Value of net assets at beginning of year (total assets less liabilities)2021-01-30$29,257,592
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-01-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-01-30No
Were any leases to which the plan was party in default or uncollectible2021-01-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-01-30$7,349,285
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-01-30$6,599,070
Interest earned on other investments2021-01-30$48,814
Income. Interest from US Government securities2021-01-30$10,020
Income. Interest from corporate debt instruments2021-01-30$41,665
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-01-30$20,006,526
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-01-30$18,933,422
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-01-30$18,933,422
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-01-30$28,580
Asset value of US Government securities at end of year2021-01-30$1,318,185
Asset value of US Government securities at beginning of year2021-01-30$1,161,796
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-01-30$1,015,297
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-01-30Yes
Was there a failure to transmit to the plan any participant contributions2021-01-30No
Has the plan failed to provide any benefit when due under the plan2021-01-30No
Contributions received in cash from employer2021-01-30$180,534,967
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-01-30$234,236,051
Asset. Corporate debt instrument debt (other) at end of year2021-01-30$1,687,518
Asset. Corporate debt instrument debt (other) at beginning of year2021-01-30$1,475,133
Contract administrator fees2021-01-30$16,239,481
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-01-30No
Did the plan have assets held for investment2021-01-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-01-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-01-30No
Aggregate proceeds on sale of assets2021-01-30$23,595,729
Aggregate carrying amount (costs) on sale of assets2021-01-30$23,590,174
Opinion of an independent qualified public accountant for this plan2021-01-30Unqualified
Accountancy firm name2021-01-30HUNGERFORD NICHOLS
Accountancy firm EIN2021-01-30382184825
2020 : MEIJER HEALTH BENEFITS PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-02-01$66,582
Unrealized appreciation/depreciation of other (non real estate) assets2020-02-01$66,582
Total unrealized appreciation/depreciation of assets2020-02-01$66,582
Total unrealized appreciation/depreciation of assets2020-02-01$66,582
Total income from all sources (including contributions)2020-02-01$272,205,127
Total loss/gain on sale of assets2020-02-01$-1,471
Total loss/gain on sale of assets2020-02-01$-1,471
Total of all expenses incurred2020-02-01$272,507,155
Total of all expenses incurred2020-02-01$272,507,155
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-02-01$246,870,374
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-02-01$246,870,374
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-02-01$270,750,353
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-02-01$270,750,353
Value of total assets at end of year2020-02-01$29,257,592
Value of total assets at end of year2020-02-01$29,257,592
Value of total assets at beginning of year2020-02-01$29,559,620
Value of total assets at beginning of year2020-02-01$29,559,620
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-02-01$25,636,781
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-02-01$25,636,781
Total interest from all sources2020-02-01$282,404
Total interest from all sources2020-02-01$282,404
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-02-01No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-02-01No
Administrative expenses professional fees incurred2020-02-01$36,738
Administrative expenses professional fees incurred2020-02-01$36,738
Was this plan covered by a fidelity bond2020-02-01Yes
Was this plan covered by a fidelity bond2020-02-01Yes
Value of fidelity bond cover2020-02-01$500,000
Value of fidelity bond cover2020-02-01$500,000
If this is an individual account plan, was there a blackout period2020-02-01No
If this is an individual account plan, was there a blackout period2020-02-01No
Were there any nonexempt tranactions with any party-in-interest2020-02-01No
Were there any nonexempt tranactions with any party-in-interest2020-02-01No
Contributions received from participants2020-02-01$70,837,885
Contributions received from participants2020-02-01$70,837,885
Assets. Other investments not covered elsewhere at end of year2020-02-01$1,057,050
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-02-01$31,121
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-02-01$31,121
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-02-01$12,328
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-02-01$12,328
Administrative expenses (other) incurred2020-02-01$6,744,657
Administrative expenses (other) incurred2020-02-01$6,744,657
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-02-01No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-02-01No
Value of net income/loss2020-02-01$-302,028
Value of net income/loss2020-02-01$-302,028
Value of net assets at end of year (total assets less liabilities)2020-02-01$29,257,592
Value of net assets at end of year (total assets less liabilities)2020-02-01$29,257,592
Value of net assets at beginning of year (total assets less liabilities)2020-02-01$29,559,620
Value of net assets at beginning of year (total assets less liabilities)2020-02-01$29,559,620
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-02-01No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-02-01No
Were any loans by the plan or fixed income obligations due to the plan in default2020-02-01No
Were any loans by the plan or fixed income obligations due to the plan in default2020-02-01No
Were any leases to which the plan was party in default or uncollectible2020-02-01No
Were any leases to which the plan was party in default or uncollectible2020-02-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-02-01$6,599,070
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-02-01$6,599,070
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-02-01$9,028,136
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-02-01$9,028,136
Interest earned on other investments2020-02-01$25,297
Interest earned on other investments2020-02-01$25,297
Income. Interest from US Government securities2020-02-01$10,094
Income. Interest from US Government securities2020-02-01$10,094
Income. Interest from corporate debt instruments2020-02-01$25,346
Income. Interest from corporate debt instruments2020-02-01$25,346
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-02-01$18,933,422
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-02-01$18,933,422
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-02-01$20,519,156
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-02-01$20,519,156
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-02-01$20,519,156
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-02-01$20,519,156
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-02-01$221,667
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-02-01$221,667
Asset value of US Government securities at end of year2020-02-01$1,161,796
Asset value of US Government securities at end of year2020-02-01$1,161,796
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-02-01$1,107,259
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-02-01$1,107,259
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-02-01Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-02-01Yes
Was there a failure to transmit to the plan any participant contributions2020-02-01No
Was there a failure to transmit to the plan any participant contributions2020-02-01No
Has the plan failed to provide any benefit when due under the plan2020-02-01No
Has the plan failed to provide any benefit when due under the plan2020-02-01No
Contributions received in cash from employer2020-02-01$199,912,468
Contributions received in cash from employer2020-02-01$199,912,468
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-02-01$246,870,374
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-02-01$246,870,374
Asset. Corporate debt instrument debt (other) at end of year2020-02-01$1,475,133
Asset. Corporate debt instrument debt (other) at end of year2020-02-01$1,475,133
Contract administrator fees2020-02-01$18,855,386
Contract administrator fees2020-02-01$18,855,386
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-02-01No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-02-01No
Did the plan have assets held for investment2020-02-01Yes
Did the plan have assets held for investment2020-02-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-02-01No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-02-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-02-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-02-01No
Aggregate proceeds on sale of assets2020-02-01$30,984,745
Aggregate proceeds on sale of assets2020-02-01$30,984,745
Aggregate carrying amount (costs) on sale of assets2020-02-01$30,986,216
Aggregate carrying amount (costs) on sale of assets2020-02-01$30,986,216
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-02-01Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-02-01Yes
Opinion of an independent qualified public accountant for this plan2020-02-01Disclaimer
Opinion of an independent qualified public accountant for this plan2020-02-01Disclaimer
Accountancy firm name2020-02-01HUNGERFORD NICHOLS
Accountancy firm name2020-02-01HUNGERFORD NICHOLS
Accountancy firm EIN2020-02-01382184825
Accountancy firm EIN2020-02-01382184825
2018 : MEIJER HEALTH BENEFITS PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-02-03$251,102,576
Total of all expenses incurred2018-02-03$238,357,108
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-02-03$217,409,574
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-02-03$249,641,469
Value of total assets at end of year2018-02-03$31,665,170
Value of total assets at beginning of year2018-02-03$18,919,702
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-02-03$20,947,534
Total dividends received (eg from common stock, registered investment company shares)2018-02-03$328,044
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-02-03No
Total dividends received from registered investment company shares (eg mutual funds)2018-02-03$328,044
Administrative expenses professional fees incurred2018-02-03$65,896
Was this plan covered by a fidelity bond2018-02-03Yes
Value of fidelity bond cover2018-02-03$500,000
If this is an individual account plan, was there a blackout period2018-02-03No
Were there any nonexempt tranactions with any party-in-interest2018-02-03No
Contributions received from participants2018-02-03$68,956,971
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-02-03$9,164
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-02-03$2,419
Administrative expenses (other) incurred2018-02-03$3,040,147
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-02-03No
Value of net income/loss2018-02-03$12,745,468
Value of net assets at end of year (total assets less liabilities)2018-02-03$31,665,170
Value of net assets at beginning of year (total assets less liabilities)2018-02-03$18,919,702
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-02-03No
Were any loans by the plan or fixed income obligations due to the plan in default2018-02-03No
Were any leases to which the plan was party in default or uncollectible2018-02-03No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-02-03$9,588,502
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-02-03$8,216,550
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-02-03$22,067,504
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-02-03$10,700,733
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-02-03$10,700,733
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-02-03$1,133,063
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-02-03Yes
Was there a failure to transmit to the plan any participant contributions2018-02-03No
Has the plan failed to provide any benefit when due under the plan2018-02-03No
Contributions received in cash from employer2018-02-03$180,684,498
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-02-03$217,409,574
Contract administrator fees2018-02-03$17,841,491
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-02-03No
Did the plan have assets held for investment2018-02-03Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-02-03No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-02-03No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-02-03Yes
Opinion of an independent qualified public accountant for this plan2018-02-03Disclaimer
Accountancy firm name2018-02-03HUNGERFORD NICHOLS
Accountancy firm EIN2018-02-03382184825
2017 : MEIJER HEALTH BENEFITS PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-01-28$225,872,588
Total of all expenses incurred2017-01-28$222,496,825
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-01-28$200,627,180
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-01-28$224,870,396
Value of total assets at end of year2017-01-28$18,919,702
Value of total assets at beginning of year2017-01-28$15,543,939
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-01-28$21,869,645
Total dividends received (eg from common stock, registered investment company shares)2017-01-28$265,819
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-01-28No
Total dividends received from registered investment company shares (eg mutual funds)2017-01-28$265,819
Administrative expenses professional fees incurred2017-01-28$174,324
Was this plan covered by a fidelity bond2017-01-28Yes
Value of fidelity bond cover2017-01-28$500,000
If this is an individual account plan, was there a blackout period2017-01-28No
Were there any nonexempt tranactions with any party-in-interest2017-01-28No
Contributions received from participants2017-01-28$69,055,875
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-01-28$2,419
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-01-28$1,515
Administrative expenses (other) incurred2017-01-28$4,718,173
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-01-28No
Value of net income/loss2017-01-28$3,375,763
Value of net assets at end of year (total assets less liabilities)2017-01-28$18,919,702
Value of net assets at beginning of year (total assets less liabilities)2017-01-28$15,543,939
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-01-28No
Were any loans by the plan or fixed income obligations due to the plan in default2017-01-28No
Were any leases to which the plan was party in default or uncollectible2017-01-28No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-01-28$8,216,550
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-01-28$7,205,797
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-01-28$10,700,733
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-01-28$8,336,627
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-01-28$8,336,627
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-01-28$736,373
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-01-28Yes
Was there a failure to transmit to the plan any participant contributions2017-01-28No
Has the plan failed to provide any benefit when due under the plan2017-01-28No
Contributions received in cash from employer2017-01-28$155,814,521
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-01-28$200,627,180
Contract administrator fees2017-01-28$16,977,148
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-01-28No
Did the plan have assets held for investment2017-01-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-01-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-01-28No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-01-28Yes
Opinion of an independent qualified public accountant for this plan2017-01-28Disclaimer
Accountancy firm name2017-01-28HUNGERFORD NICHOLS
Accountancy firm EIN2017-01-28382184825
2016 : MEIJER HEALTH BENEFITS PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-01-30$207,193,880
Total of all expenses incurred2016-01-30$206,944,170
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-01-30$184,985,434
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-01-30$207,485,207
Value of total assets at end of year2016-01-30$15,543,939
Value of total assets at beginning of year2016-01-30$15,294,229
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-01-30$21,958,736
Total dividends received (eg from common stock, registered investment company shares)2016-01-30$386,881
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-01-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-01-30$386,881
Administrative expenses professional fees incurred2016-01-30$119,309
Was this plan covered by a fidelity bond2016-01-30Yes
Value of fidelity bond cover2016-01-30$500,000
If this is an individual account plan, was there a blackout period2016-01-30No
Were there any nonexempt tranactions with any party-in-interest2016-01-30No
Contributions received from participants2016-01-30$70,511,320
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-01-30$1,515
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-01-30$184
Administrative expenses (other) incurred2016-01-30$5,680,918
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-01-30No
Value of net income/loss2016-01-30$249,710
Value of net assets at end of year (total assets less liabilities)2016-01-30$15,543,939
Value of net assets at beginning of year (total assets less liabilities)2016-01-30$15,294,229
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-01-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-01-30No
Were any leases to which the plan was party in default or uncollectible2016-01-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-01-30$7,205,797
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-01-30$7,472,229
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-01-30$8,336,627
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-01-30$7,821,816
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-01-30$7,821,816
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-01-30$-678,208
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-01-30Yes
Was there a failure to transmit to the plan any participant contributions2016-01-30No
Has the plan failed to provide any benefit when due under the plan2016-01-30No
Contributions received in cash from employer2016-01-30$136,973,887
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-01-30$184,985,434
Contract administrator fees2016-01-30$16,158,509
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-01-30No
Did the plan have assets held for investment2016-01-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-01-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-01-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-01-30Yes
Opinion of an independent qualified public accountant for this plan2016-01-30Disclaimer
Accountancy firm name2016-01-30HUNGERFORD NICHOLS
Accountancy firm EIN2016-01-30382184825
2015 : MEIJER HEALTH BENEFITS PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-01-31$190,678,566
Total of all expenses incurred2015-01-31$190,483,969
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-01-31$169,487,363
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-01-31$190,194,949
Value of total assets at end of year2015-01-31$15,294,229
Value of total assets at beginning of year2015-01-31$15,099,632
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-01-31$20,996,606
Total dividends received (eg from common stock, registered investment company shares)2015-01-31$360,869
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-01-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-01-31$360,869
Administrative expenses professional fees incurred2015-01-31$2,726,593
Was this plan covered by a fidelity bond2015-01-31Yes
Value of fidelity bond cover2015-01-31$500,000
If this is an individual account plan, was there a blackout period2015-01-31No
Were there any nonexempt tranactions with any party-in-interest2015-01-31No
Contributions received from participants2015-01-31$70,701,949
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-01-31$184
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-01-31$76
Administrative expenses (other) incurred2015-01-31$18,270,013
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-01-31No
Value of net income/loss2015-01-31$194,597
Value of net assets at end of year (total assets less liabilities)2015-01-31$15,294,229
Value of net assets at beginning of year (total assets less liabilities)2015-01-31$15,099,632
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-01-31No
Were any leases to which the plan was party in default or uncollectible2015-01-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-01-31$7,472,229
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-01-31$7,174,717
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-01-31$7,821,816
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-01-31$7,924,839
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-01-31$7,924,839
Expenses. Payments to insurance carriers foe the provision of benefits2015-01-31$6,448,230
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-01-31$122,748
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-01-31Yes
Was there a failure to transmit to the plan any participant contributions2015-01-31No
Has the plan failed to provide any benefit when due under the plan2015-01-31No
Contributions received in cash from employer2015-01-31$119,493,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-01-31$163,039,133
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-01-31No
Did the plan have assets held for investment2015-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-01-31Yes
Opinion of an independent qualified public accountant for this plan2015-01-31Disclaimer
Accountancy firm name2015-01-31HUNGERFORD NICHOLS
Accountancy firm EIN2015-01-31382184825
2014 : MEIJER HEALTH BENEFITS PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-02-01$199,661,971
Total of all expenses incurred2014-02-01$197,818,611
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-02-01$177,944,219
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-02-01$198,790,062
Value of total assets at end of year2014-02-01$15,099,632
Value of total assets at beginning of year2014-02-01$13,256,272
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-02-01$19,874,392
Total dividends received (eg from common stock, registered investment company shares)2014-02-01$327,409
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-02-01No
Total dividends received from registered investment company shares (eg mutual funds)2014-02-01$327,409
Administrative expenses professional fees incurred2014-02-01$2,239,568
Was this plan covered by a fidelity bond2014-02-01Yes
Value of fidelity bond cover2014-02-01$500,000
If this is an individual account plan, was there a blackout period2014-02-01No
Were there any nonexempt tranactions with any party-in-interest2014-02-01No
Contributions received from participants2014-02-01$69,611,594
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-02-01$76
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-02-01$394
Administrative expenses (other) incurred2014-02-01$17,634,824
Total non interest bearing cash at end of year2014-02-01$0
Total non interest bearing cash at beginning of year2014-02-01$1,335,815
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-02-01No
Value of net income/loss2014-02-01$1,843,360
Value of net assets at end of year (total assets less liabilities)2014-02-01$15,099,632
Value of net assets at beginning of year (total assets less liabilities)2014-02-01$13,256,272
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-02-01No
Were any loans by the plan or fixed income obligations due to the plan in default2014-02-01No
Were any leases to which the plan was party in default or uncollectible2014-02-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-02-01$7,174,717
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-02-01$6,405,140
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-02-01$7,924,839
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-02-01$5,514,923
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-02-01$5,514,923
Expenses. Payments to insurance carriers foe the provision of benefits2014-02-01$7,123,763
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-02-01$544,500
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-02-01Yes
Was there a failure to transmit to the plan any participant contributions2014-02-01No
Has the plan failed to provide any benefit when due under the plan2014-02-01No
Contributions received in cash from employer2014-02-01$129,178,468
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-02-01$170,820,456
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-02-01No
Did the plan have assets held for investment2014-02-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-02-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-02-01No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-02-01Yes
Opinion of an independent qualified public accountant for this plan2014-02-01Disclaimer
Accountancy firm name2014-02-01HUNGERFORD NICHOLS
Accountancy firm EIN2014-02-01382184825
2013 : MEIJER HEALTH BENEFITS PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-02-02$-15,760
Total unrealized appreciation/depreciation of assets2013-02-02$-15,760
Total income from all sources (including contributions)2013-02-02$189,004,720
Total loss/gain on sale of assets2013-02-02$623
Total of all expenses incurred2013-02-02$183,343,574
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-02-02$166,007,650
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-02-02$188,258,003
Value of total assets at end of year2013-02-02$13,256,272
Value of total assets at beginning of year2013-02-02$7,595,126
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-02-02$17,335,924
Total dividends received (eg from common stock, registered investment company shares)2013-02-02$217,639
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-02-02No
Total dividends received from registered investment company shares (eg mutual funds)2013-02-02$217,639
Administrative expenses professional fees incurred2013-02-02$1,242,909
Was this plan covered by a fidelity bond2013-02-02Yes
Value of fidelity bond cover2013-02-02$500,000
If this is an individual account plan, was there a blackout period2013-02-02No
Were there any nonexempt tranactions with any party-in-interest2013-02-02No
Contributions received from participants2013-02-02$70,159,643
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-02-02$394
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-02-02$570
Administrative expenses (other) incurred2013-02-02$16,093,015
Total non interest bearing cash at end of year2013-02-02$1,335,815
Total non interest bearing cash at beginning of year2013-02-02$1,598,912
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-02-02No
Value of net income/loss2013-02-02$5,661,146
Value of net assets at end of year (total assets less liabilities)2013-02-02$13,256,272
Value of net assets at beginning of year (total assets less liabilities)2013-02-02$7,595,126
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-02-02No
Were any loans by the plan or fixed income obligations due to the plan in default2013-02-02No
Were any leases to which the plan was party in default or uncollectible2013-02-02No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-02-02$6,405,140
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-02-02$5,503,632
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-02-02$5,514,923
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-02-02$306,245
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-02-02$306,245
Expenses. Payments to insurance carriers foe the provision of benefits2013-02-02$11,956,387
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-02-02$544,215
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-02-02No
Was there a failure to transmit to the plan any participant contributions2013-02-02No
Has the plan failed to provide any benefit when due under the plan2013-02-02No
Contributions received in cash from employer2013-02-02$118,098,360
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-02-02$154,051,263
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-02-02No
Assets. Corporate common stocks other than exployer securities at end of year2013-02-02$0
Assets. Corporate common stocks other than exployer securities at beginning of year2013-02-02$185,767
Did the plan have assets held for investment2013-02-02Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-02-02No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-02-02No
Aggregate proceeds on sale of assets2013-02-02$186,390
Aggregate carrying amount (costs) on sale of assets2013-02-02$185,767
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-02-02Yes
Opinion of an independent qualified public accountant for this plan2013-02-02Disclaimer
Accountancy firm name2013-02-02HUNGERFORD NICHOLS
Accountancy firm EIN2013-02-02382184825
2012 : MEIJER HEALTH BENEFITS PLAN 2012 401k financial data
Total income from all sources (including contributions)2012-01-29$171,712,657
Total of all expenses incurred2012-01-29$173,461,319
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-01-29$158,890,541
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-01-29$171,588,900
Value of total assets at end of year2012-01-29$7,595,126
Value of total assets at beginning of year2012-01-29$9,343,788
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-01-29$14,570,778
Total dividends received (eg from common stock, registered investment company shares)2012-01-29$171,224
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-01-29No
Total dividends received from registered investment company shares (eg mutual funds)2012-01-29$171,224
Administrative expenses professional fees incurred2012-01-29$254,631
Was this plan covered by a fidelity bond2012-01-29Yes
Value of fidelity bond cover2012-01-29$500,000
If this is an individual account plan, was there a blackout period2012-01-29No
Were there any nonexempt tranactions with any party-in-interest2012-01-29No
Contributions received from participants2012-01-29$70,662,894
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-01-29$570
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-01-29$1,098
Administrative expenses (other) incurred2012-01-29$14,316,147
Total non interest bearing cash at end of year2012-01-29$1,598,912
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-01-29No
Value of net income/loss2012-01-29$-1,748,662
Value of net assets at end of year (total assets less liabilities)2012-01-29$7,595,126
Value of net assets at beginning of year (total assets less liabilities)2012-01-29$9,343,788
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-01-29No
Were any loans by the plan or fixed income obligations due to the plan in default2012-01-29No
Were any leases to which the plan was party in default or uncollectible2012-01-29No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-01-29$5,503,632
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-01-29$5,643,042
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-01-29$306,245
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-01-29$3,699,648
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-01-29$3,699,648
Expenses. Payments to insurance carriers foe the provision of benefits2012-01-29$22,668,486
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-01-29$-47,467
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-01-29No
Was there a failure to transmit to the plan any participant contributions2012-01-29No
Has the plan failed to provide any benefit when due under the plan2012-01-29No
Contributions received in cash from employer2012-01-29$100,926,006
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-01-29$136,222,055
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-01-29No
Assets. Corporate common stocks other than exployer securities at end of year2012-01-29$185,767
Did the plan have assets held for investment2012-01-29Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-01-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-01-29No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-01-29Yes
Opinion of an independent qualified public accountant for this plan2012-01-29Disclaimer
Accountancy firm name2012-01-29HUNGERFORD ALDRIN NICHOLS & CARTER
Accountancy firm EIN2012-01-29382184825
2011 : MEIJER HEALTH BENEFITS PLAN 2011 401k financial data
Total income from all sources (including contributions)2011-01-31$165,845,975
Total of all expenses incurred2011-01-31$164,057,296
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-01-31$149,668,712
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-01-31$165,142,572
Value of total assets at end of year2011-01-31$9,343,788
Value of total assets at beginning of year2011-01-31$8,108,450
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-01-31$14,388,584
Total interest from all sources2011-01-31$9,247
Total dividends received (eg from common stock, registered investment company shares)2011-01-31$172,637
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-01-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-01-31$172,637
Administrative expenses professional fees incurred2011-01-31$364,050
Was this plan covered by a fidelity bond2011-01-31Yes
Value of fidelity bond cover2011-01-31$500,000
If this is an individual account plan, was there a blackout period2011-01-31No
Were there any nonexempt tranactions with any party-in-interest2011-01-31No
Contributions received from participants2011-01-31$66,243,701
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-01-31$1,098
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-01-31$242
Administrative expenses (other) incurred2011-01-31$14,024,534
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-01-31No
Value of net income/loss2011-01-31$1,788,679
Value of net assets at end of year (total assets less liabilities)2011-01-31$9,343,788
Value of net assets at beginning of year (total assets less liabilities)2011-01-31$8,108,450
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-01-31No
Were any leases to which the plan was party in default or uncollectible2011-01-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-01-31$5,643,042
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-01-31$4,764,811
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-01-31$3,699,648
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-01-31$3,343,397
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-01-31$3,343,397
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-01-31$9,247
Expenses. Payments to insurance carriers foe the provision of benefits2011-01-31$29,697,260
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-01-31$521,519
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-01-31No
Was there a failure to transmit to the plan any participant contributions2011-01-31No
Has the plan failed to provide any benefit when due under the plan2011-01-31No
Contributions received in cash from employer2011-01-31$98,898,871
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-01-31$119,971,452
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-01-31No
Did the plan have assets held for investment2011-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-01-31Yes
Opinion of an independent qualified public accountant for this plan2011-01-31Disclaimer
Accountancy firm name2011-01-31HUNGERFORD ALDRIN NICHOLS & CARTER
Accountancy firm EIN2011-01-31382184825

Form 5500 Responses for MEIJER HEALTH BENEFITS PLAN

2022: MEIJER HEALTH BENEFITS PLAN 2022 form 5500 responses
2022-01-30Type of plan entitySingle employer plan
2022-01-30This return/report is a short plan year return/report (less than 12 months)Yes
2022-01-30Plan funding arrangement – InsuranceYes
2022-01-30Plan funding arrangement – TrustYes
2022-01-30Plan benefit arrangement – InsuranceYes
2022-01-30Plan benefit arrangement - TrustYes
2021: MEIJER HEALTH BENEFITS PLAN 2021 form 5500 responses
2021-01-31Type of plan entitySingle employer plan
2021-01-31This return/report is a short plan year return/report (less than 12 months)Yes
2021-01-31Plan funding arrangement – InsuranceYes
2021-01-31Plan funding arrangement – TrustYes
2021-01-31Plan benefit arrangement – InsuranceYes
2021-01-31Plan benefit arrangement - TrustYes
2020: MEIJER HEALTH BENEFITS PLAN 2020 form 5500 responses
2020-02-02Type of plan entitySingle employer plan
2020-02-02This return/report is a short plan year return/report (less than 12 months)Yes
2020-02-02Plan funding arrangement – InsuranceYes
2020-02-02Plan funding arrangement – TrustYes
2020-02-02Plan benefit arrangement – InsuranceYes
2020-02-02Plan benefit arrangement - TrustYes
2019: MEIJER HEALTH BENEFITS PLAN 2019 form 5500 responses
2019-02-02Type of plan entitySingle employer plan
2019-02-02Plan funding arrangement – InsuranceYes
2019-02-02Plan funding arrangement – TrustYes
2019-02-02Plan benefit arrangement – InsuranceYes
2019-02-02Plan benefit arrangement - TrustYes
2018: MEIJER HEALTH BENEFITS PLAN 2018 form 5500 responses
2018-02-03Type of plan entitySingle employer plan
2018-02-03Plan funding arrangement – InsuranceYes
2018-02-03Plan funding arrangement – TrustYes
2018-02-03Plan benefit arrangement – InsuranceYes
2018-02-03Plan benefit arrangement - TrustYes
2017: MEIJER HEALTH BENEFITS PLAN 2017 form 5500 responses
2017-01-29Type of plan entitySingle employer plan
2017-01-29Plan funding arrangement – InsuranceYes
2017-01-29Plan funding arrangement – TrustYes
2017-01-29Plan benefit arrangement – InsuranceYes
2017-01-29Plan benefit arrangement - TrustYes
2016: MEIJER HEALTH BENEFITS PLAN 2016 form 5500 responses
2016-01-31Type of plan entitySingle employer plan
2016-01-31This return/report is a short plan year return/report (less than 12 months)Yes
2016-01-31Plan funding arrangement – InsuranceYes
2016-01-31Plan funding arrangement – TrustYes
2016-01-31Plan benefit arrangement – InsuranceYes
2016-01-31Plan benefit arrangement - TrustYes
2015: MEIJER HEALTH BENEFITS PLAN 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan funding arrangement – TrustYes
2015-02-01Plan benefit arrangement – InsuranceYes
2015-02-01Plan benefit arrangement - TrustYes
2014: MEIJER HEALTH BENEFITS PLAN 2014 form 5500 responses
2014-02-02Type of plan entitySingle employer plan
2014-02-02This return/report is a short plan year return/report (less than 12 months)Yes
2014-02-02Plan funding arrangement – InsuranceYes
2014-02-02Plan funding arrangement – TrustYes
2014-02-02Plan benefit arrangement – InsuranceYes
2014-02-02Plan benefit arrangement - TrustYes
2013: MEIJER HEALTH BENEFITS PLAN 2013 form 5500 responses
2013-02-03Type of plan entitySingle employer plan
2013-02-03This return/report is a short plan year return/report (less than 12 months)Yes
2013-02-03Plan funding arrangement – InsuranceYes
2013-02-03Plan funding arrangement – TrustYes
2013-02-03Plan benefit arrangement – InsuranceYes
2013-02-03Plan benefit arrangement - TrustYes
2012: MEIJER HEALTH BENEFITS PLAN 2012 form 5500 responses
2012-01-29Type of plan entitySingle employer plan
2012-01-29Plan funding arrangement – InsuranceYes
2012-01-29Plan funding arrangement – TrustYes
2012-01-29Plan benefit arrangement – InsuranceYes
2012-01-29Plan benefit arrangement - TrustYes
2011: MEIJER HEALTH BENEFITS PLAN 2011 form 5500 responses
2011-01-30Type of plan entitySingle employer plan
2011-01-30Plan funding arrangement – InsuranceYes
2011-01-30Plan funding arrangement – TrustYes
2011-01-30Plan benefit arrangement – InsuranceYes
2011-01-30Plan benefit arrangement - TrustYes
2010: MEIJER HEALTH BENEFITS PLAN 2010 form 5500 responses
2010-02-01Type of plan entitySingle employer plan
2010-02-01Plan funding arrangement – InsuranceYes
2010-02-01Plan funding arrangement – TrustYes
2010-02-01Plan funding arrangement – General assets of the sponsorYes
2010-02-01Plan benefit arrangement – InsuranceYes
2010-02-01Plan benefit arrangement - TrustYes
2010-02-01Plan benefit arrangement – General assets of the sponsorYes
2009: MEIJER HEALTH BENEFITS PLAN 2009 form 5500 responses
2009-02-01Type of plan entitySingle employer plan
2009-02-01Submission has been amendedNo
2009-02-01This submission is the final filingNo
2009-02-01This return/report is a short plan year return/report (less than 12 months)No
2009-02-01Plan is a collectively bargained planNo
2009-02-01Plan funding arrangement – InsuranceYes
2009-02-01Plan funding arrangement – TrustYes
2009-02-01Plan benefit arrangement – InsuranceYes
2009-02-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number0005696
Policy instance 2
Insurance contract or identification number0005696
Number of Individuals Covered3806
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,193
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1193
Additional information about fees paid to insurance brokerNEW BUSINESS BONUS, RETENTION BONUS
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number98598361001
Policy instance 1
Insurance contract or identification number98598361001
Number of Individuals Covered3665
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $839
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $145,779
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $839
Insurance broker organization code?3
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number0005696
Policy instance 2
Insurance contract or identification number0005696
Number of Individuals Covered3659
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number98598361001
Policy instance 1
Insurance contract or identification number98598361001
Number of Individuals Covered3580
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $576
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $141,938
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $576
Insurance broker organization code?3
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number0005696
Policy instance 2
Insurance contract or identification number0005696
Number of Individuals Covered3829
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number98598361001
Policy instance 1
Insurance contract or identification number98598361001
Number of Individuals Covered3889
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $326
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $139,165
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $326
Insurance broker organization code?3
PARAMOUNT HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95189 )
Policy contract numberS2H001, 2, 3
Policy instance 1
Insurance contract or identification numberS2H001, 2, 3
Number of Individuals Covered804
Insurance policy start date2017-01-01
Insurance policy end date2017-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $257,852
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number98598361001
Policy instance 2
Insurance contract or identification number98598361001
Number of Individuals Covered3768
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $883
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $145,354
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $883
Insurance broker organization code?3
Insurance broker nameTOPBENEFITS LLC
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number0005696
Policy instance 3
Insurance contract or identification number0005696
Number of Individuals Covered3707
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number9701442
Policy instance 1
Insurance contract or identification number9701442
Number of Individuals Covered36983
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $6,129
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 $6,129
Insurance broker organization code?3
Insurance broker nameTOPBENEFITS LLC
PARAMOUNT HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95189 )
Policy contract numberS2H001, 2, 3
Policy instance 2
Insurance contract or identification numberS2H001, 2, 3
Number of Individuals Covered738
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $222,513
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number9859836
Policy instance 3
Insurance contract or identification number9859836
Number of Individuals Covered6975
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,597
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $250,529
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,597
Insurance broker organization code?3
Insurance broker nameTOPBENEFITS LLC
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number0005695
Policy instance 4
Insurance contract or identification number0005695
Number of Individuals Covered36877
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number0005696
Policy instance 5
Insurance contract or identification number0005696
Number of Individuals Covered6705
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number200100 S003
Policy instance 4
Insurance contract or identification number200100 S003
Number of Individuals Covered58
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $443,506
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number200100 S001
Policy instance 2
Insurance contract or identification number200100 S001
Number of Individuals Covered55
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $376,969
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number200100 S002
Policy instance 3
Insurance contract or identification number200100 S002
Number of Individuals Covered124
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $919,889
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number200100 S004
Policy instance 5
Insurance contract or identification number200100 S004
Number of Individuals Covered15
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $128,170
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 )
Policy contract number3342000001
Policy instance 7
Insurance contract or identification number3342000001
Number of Individuals Covered325
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $1,988,370
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GRAND VALLEY HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95453 )
Policy contract number000056
Policy instance 8
Insurance contract or identification number000056
Number of Individuals Covered461
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,948,066
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PARAMOUNT HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95189 )
Policy contract numberS2H001, 2, 3
Policy instance 9
Insurance contract or identification numberS2H001, 2, 3
Number of Individuals Covered855
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $250,721
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number0005695
Policy instance 11
Insurance contract or identification number0005695
Number of Individuals Covered37248
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $615,065
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number9859836
Policy instance 10
Insurance contract or identification number9859836
Number of Individuals Covered7165
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,461
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $248,301
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,461
Insurance broker organization code?3
Insurance broker nameTOPBENEFITS LLC
HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 )
Policy contract number3342000000
Policy instance 6
Insurance contract or identification number3342000000
Number of Individuals Covered222
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $1,184,677
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number9701442
Policy instance 1
Insurance contract or identification number9701442
Number of Individuals Covered37438
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $4,166
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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 $4,166
Insurance broker organization code?3
Insurance broker nameTOPBENEFITS LLC
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number9859836
Policy instance 10
Insurance contract or identification number9859836
Number of Individuals Covered7472
Insurance policy start date2013-02-01
Insurance policy end date2014-02-01
Total amount of commissions paid to insurance brokerUSD $1,609
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $237,718
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,609
Insurance broker organization code?3
Insurance broker nameTOPBENEFITS LLC
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number9701442
Policy instance 1
Insurance contract or identification number9701442
Number of Individuals Covered39078
Insurance policy start date2013-02-01
Insurance policy end date2014-02-01
Total amount of commissions paid to insurance brokerUSD $4,888
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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 $4,888
Insurance broker organization code?3
Insurance broker nameTOPBENEFITS LLC
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number200100 S001
Policy instance 2
Insurance contract or identification number200100 S001
Number of Individuals Covered60
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $407,984
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number200100 S002
Policy instance 3
Insurance contract or identification number200100 S002
Number of Individuals Covered144
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,023,066
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number200100 S003
Policy instance 4
Insurance contract or identification number200100 S003
Number of Individuals Covered65
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $541,539
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number200100 S004
Policy instance 5
Insurance contract or identification number200100 S004
Number of Individuals Covered16
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $131,770
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 )
Policy contract number3342000001
Policy instance 7
Insurance contract or identification number3342000001
Number of Individuals Covered351
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $2,162,598
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GRAND VALLEY HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95453 )
Policy contract number000056
Policy instance 8
Insurance contract or identification number000056
Number of Individuals Covered438
Insurance policy start date2013-02-01
Insurance policy end date2014-02-01
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,690,046
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PARAMOUNT HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95189 )
Policy contract numberS2H001, 2, 3
Policy instance 9
Insurance contract or identification numberS2H001, 2, 3
Number of Individuals Covered865
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $254,970
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 )
Policy contract number3342000000
Policy instance 6
Insurance contract or identification number3342000000
Number of Individuals Covered241
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $1,095,952
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberH90759
Policy instance 11
Insurance contract or identification numberH90759
Number of Individuals Covered41
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,403,961
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number9701442
Policy instance 1
Insurance contract or identification number9701442
Number of Individuals Covered38090
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,749
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,096,336
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,749
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INSURANCE - CHARLESTON,
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number200100 S004
Policy instance 6
Insurance contract or identification number200100 S004
Number of Individuals Covered23
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $214,294
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 )
Policy contract number3342000002
Policy instance 9
Insurance contract or identification number3342000002
Number of Individuals Covered0
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $322,455
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 )
Policy contract number3342000001
Policy instance 8
Insurance contract or identification number3342000001
Number of Individuals Covered442
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $1,844,377
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 )
Policy contract number3342000000
Policy instance 7
Insurance contract or identification number3342000000
Number of Individuals Covered263
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $851,597
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number200100 S003
Policy instance 5
Insurance contract or identification number200100 S003
Number of Individuals Covered119
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $598,131
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number200100 S002
Policy instance 4
Insurance contract or identification number200100 S002
Number of Individuals Covered208
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,000,100
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number200100 S001
Policy instance 3
Insurance contract or identification number200100 S001
Number of Individuals Covered83
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $974,755
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 number00100564
Policy instance 2
Insurance contract or identification number00100564
Number of Individuals Covered239
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,771,693
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 )
Policy contract number3342000003
Policy instance 10
Insurance contract or identification number3342000003
Number of Individuals Covered0
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $589,709
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PARAMOUNT HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95189 )
Policy contract numberS2H001
Policy instance 15
Insurance contract or identification numberS2H001
Number of Individuals Covered692
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $180,531
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GRAND VALLEY HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95453 )
Policy contract number000056
Policy instance 14
Insurance contract or identification number000056
Number of Individuals Covered437
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,881,266
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract numberM5742
Policy instance 13
Insurance contract or identification numberM5742
Number of Individuals Covered28
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $244,511
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract numberM5741
Policy instance 12
Insurance contract or identification numberM5741
Number of Individuals Covered64
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $483,785
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number200100 S004
Policy instance 6
Insurance contract or identification number200100 S004
Number of Individuals Covered37
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $185,044
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 number921XXX
Policy instance 7
Insurance contract or identification number921XXX
Number of Individuals Covered2448
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $10,279,172
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 )
Policy contract number3342000001
Policy instance 9
Insurance contract or identification number3342000001
Number of Individuals Covered322
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $1,445,963
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 )
Policy contract number3342000002
Policy instance 10
Insurance contract or identification number3342000002
Number of Individuals Covered141
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $537,060
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 )
Policy contract number3342000003
Policy instance 11
Insurance contract or identification number3342000003
Number of Individuals Covered203
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $911,725
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberH90759
Policy instance 12
Insurance contract or identification numberH90759
Number of Individuals Covered302
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,570,813
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number200100 S003
Policy instance 5
Insurance contract or identification number200100 S003
Number of Individuals Covered92
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $461,067
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract numberM5742
Policy instance 14
Insurance contract or identification numberM5742
Number of Individuals Covered30
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $252,533
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PARAMOUNT HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95189 )
Policy contract numberS2H001
Policy instance 16
Insurance contract or identification numberS2H001
Number of Individuals Covered371
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $90,168
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract numberM5741
Policy instance 13
Insurance contract or identification numberM5741
Number of Individuals Covered70
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $476,266
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number200100 S002
Policy instance 4
Insurance contract or identification number200100 S002
Number of Individuals Covered245
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,283,587
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GRAND VALLEY HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95453 )
Policy contract number000056
Policy instance 15
Insurance contract or identification number000056
Number of Individuals Covered469
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,856,626
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 )
Policy contract number3342000000
Policy instance 8
Insurance contract or identification number3342000000
Number of Individuals Covered163
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $620,360
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number9701442
Policy instance 1
Insurance contract or identification number9701442
Number of Individuals Covered37879
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,051,122
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 number00100564
Policy instance 2
Insurance contract or identification number00100564
Number of Individuals Covered367
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,456,743
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number200100 S001
Policy instance 3
Insurance contract or identification number200100 S001
Number of Individuals Covered255
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,267,381
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract numberM5741
Policy instance 13
Insurance contract or identification numberM5741
Number of Individuals Covered95
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $686,323
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 number00100564
Policy instance 2
Insurance contract or identification number00100564
Number of Individuals Covered611
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,699,942
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number200100 S001
Policy instance 3
Insurance contract or identification number200100 S001
Number of Individuals Covered422
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,953,530
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number200100 S002
Policy instance 4
Insurance contract or identification number200100 S002
Number of Individuals Covered416
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,243,307
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number200100 S003
Policy instance 5
Insurance contract or identification number200100 S003
Number of Individuals Covered145
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,062,369
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number9701442
Policy instance 1
Insurance contract or identification number9701442
Number of Individuals Covered37589
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,825,264
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number200100 S004
Policy instance 6
Insurance contract or identification number200100 S004
Number of Individuals Covered58
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $489,225
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 number921XXX
Policy instance 7
Insurance contract or identification number921XXX
Number of Individuals Covered2706
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $10,939,053
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 )
Policy contract number3342000000
Policy instance 8
Insurance contract or identification number3342000000
Number of Individuals Covered233
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $857,387
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 )
Policy contract number3342000001
Policy instance 9
Insurance contract or identification number3342000001
Number of Individuals Covered430
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $1,798,777
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 )
Policy contract number3342000003
Policy instance 11
Insurance contract or identification number3342000003
Number of Individuals Covered284
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $1,193,031
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberH90759
Policy instance 12
Insurance contract or identification numberH90759
Number of Individuals Covered489
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,781,244
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract numberM5742
Policy instance 14
Insurance contract or identification numberM5742
Number of Individuals Covered35
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $295,430
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GRAND VALLEY HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95453 )
Policy contract number000056
Policy instance 15
Insurance contract or identification number000056
Number of Individuals Covered601
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,251,968
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 )
Policy contract number3342000002
Policy instance 10
Insurance contract or identification number3342000002
Number of Individuals Covered193
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $674,506
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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