MEIJER, INC. has sponsored the creation of one or more 401k plans.
Additional information about MEIJER, INC.
Measure | Date | Value |
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2022: MEIJER EXECUTIVE HEALTH PLAN 2022 401k membership |
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Total participants, beginning-of-year | 2022-01-30 | 89 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-01-30 | 57 |
Number of retired or separated participants receiving benefits | 2022-01-30 | 37 |
Total of all active and inactive participants | 2022-01-30 | 94 |
2021: MEIJER EXECUTIVE HEALTH PLAN 2021 401k membership |
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Total participants, beginning-of-year | 2021-01-31 | 88 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-01-31 | 59 |
Number of retired or separated participants receiving benefits | 2021-01-31 | 30 |
Number of other retired or separated participants entitled to future benefits | 2021-01-31 | 0 |
Total of all active and inactive participants | 2021-01-31 | 89 |
2020: MEIJER EXECUTIVE HEALTH PLAN 2020 401k membership |
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Total participants, beginning-of-year | 2020-02-02 | 88 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-02-02 | 59 |
Number of retired or separated participants receiving benefits | 2020-02-02 | 29 |
Total of all active and inactive participants | 2020-02-02 | 88 |
2019: MEIJER EXECUTIVE HEALTH PLAN 2019 401k membership |
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Total participants, beginning-of-year | 2019-02-02 | 92 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-02-02 | 58 |
Number of retired or separated participants receiving benefits | 2019-02-02 | 30 |
Total of all active and inactive participants | 2019-02-02 | 88 |
2018: MEIJER EXECUTIVE HEALTH PLAN 2018 401k membership |
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Total participants, beginning-of-year | 2018-02-01 | 92 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-02-01 | 56 |
Number of retired or separated participants receiving benefits | 2018-02-01 | 36 |
Total of all active and inactive participants | 2018-02-01 | 92 |
2017: MEIJER EXECUTIVE HEALTH PLAN 2017 401k membership |
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Total participants, beginning-of-year | 2017-02-01 | 94 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-02-01 | 63 |
Number of retired or separated participants receiving benefits | 2017-02-01 | 29 |
Total of all active and inactive participants | 2017-02-01 | 92 |
2016: MEIJER EXECUTIVE HEALTH PLAN 2016 401k membership |
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Total participants, beginning-of-year | 2016-02-01 | 92 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-02-01 | 68 |
Number of retired or separated participants receiving benefits | 2016-02-01 | 26 |
Total of all active and inactive participants | 2016-02-01 | 94 |
2015: MEIJER EXECUTIVE HEALTH PLAN 2015 401k membership |
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Total participants, beginning-of-year | 2015-02-01 | 68 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-02-01 | 72 |
Number of retired or separated participants receiving benefits | 2015-02-01 | 20 |
Total of all active and inactive participants | 2015-02-01 | 92 |
2014: MEIJER EXECUTIVE HEALTH PLAN 2014 401k membership |
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Total participants, beginning-of-year | 2014-02-01 | 66 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-02-01 | 66 |
Number of retired or separated participants receiving benefits | 2014-02-01 | 2 |
Total of all active and inactive participants | 2014-02-01 | 68 |
2013: MEIJER EXECUTIVE HEALTH PLAN 2013 401k membership |
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Total participants, beginning-of-year | 2013-02-01 | 68 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-02-01 | 59 |
Number of retired or separated participants receiving benefits | 2013-02-01 | 7 |
Total of all active and inactive participants | 2013-02-01 | 66 |
2012: MEIJER EXECUTIVE HEALTH PLAN 2012 401k membership |
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Total participants, beginning-of-year | 2012-02-01 | 64 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-02-01 | 64 |
Number of retired or separated participants receiving benefits | 2012-02-01 | 4 |
Total of all active and inactive participants | 2012-02-01 | 68 |
2011: MEIJER EXECUTIVE HEALTH PLAN 2011 401k membership |
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Total participants, beginning-of-year | 2011-02-01 | 65 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-02-01 | 59 |
Number of retired or separated participants receiving benefits | 2011-02-01 | 5 |
Total of all active and inactive participants | 2011-02-01 | 64 |
2010: MEIJER EXECUTIVE HEALTH PLAN 2010 401k membership |
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Total participants, beginning-of-year | 2010-02-01 | 87 |
Total number of active participants reported on line 7a of the Form 5500 | 2010-02-01 | 59 |
Number of retired or separated participants receiving benefits | 2010-02-01 | 6 |
Total of all active and inactive participants | 2010-02-01 | 65 |
2009: MEIJER EXECUTIVE HEALTH PLAN 2009 401k membership |
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Total participants, beginning-of-year | 2009-02-01 | 92 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-02-01 | 62 |
Number of retired or separated participants receiving benefits | 2009-02-01 | 25 |
Total of all active and inactive participants | 2009-02-01 | 87 |
Total participants | 2009-02-01 | 87 |
Measure | Date | Value |
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2023 : MEIJER EXECUTIVE HEALTH PLAN 2023 401k financial data |
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Total income from all sources | 2023-01-28 | $2,169,729 |
Expenses. Total of all expenses incurred | 2023-01-28 | $2,169,729 |
Benefits paid (including direct rollovers) | 2023-01-28 | $2,169,729 |
Value of fidelity bond covering the plan | 2023-01-28 | $500,000 |
Total contributions received or receivable from participants | 2023-01-28 | $563,869 |
Net income (gross income less expenses) | 2023-01-28 | $0 |
Total contributions received or receivable from employer(s) | 2023-01-28 | $1,605,860 |
2022 : MEIJER EXECUTIVE HEALTH PLAN 2022 401k financial data |
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Total income from all sources | 2022-01-29 | $2,056,588 |
Expenses. Total of all expenses incurred | 2022-01-29 | $2,056,588 |
Benefits paid (including direct rollovers) | 2022-01-29 | $2,056,588 |
Value of fidelity bond covering the plan | 2022-01-29 | $500,000 |
Total contributions received or receivable from participants | 2022-01-29 | $552,463 |
Net income (gross income less expenses) | 2022-01-29 | $0 |
Total contributions received or receivable from employer(s) | 2022-01-29 | $1,504,125 |
2021 : MEIJER EXECUTIVE HEALTH PLAN 2021 401k financial data |
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Total income from all sources | 2021-01-30 | $1,988,878 |
Expenses. Total of all expenses incurred | 2021-01-30 | $1,988,878 |
Benefits paid (including direct rollovers) | 2021-01-30 | $1,988,878 |
Value of fidelity bond covering the plan | 2021-01-30 | $500,000 |
Total contributions received or receivable from participants | 2021-01-30 | $523,845 |
Net income (gross income less expenses) | 2021-01-30 | $0 |
Total contributions received or receivable from employer(s) | 2021-01-30 | $1,465,033 |
2020 : MEIJER EXECUTIVE HEALTH PLAN 2020 401k financial data |
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Total income from all sources | 2020-02-01 | $1,882,533 |
Expenses. Total of all expenses incurred | 2020-02-01 | $1,882,533 |
Benefits paid (including direct rollovers) | 2020-02-01 | $1,882,533 |
Value of fidelity bond covering the plan | 2020-02-01 | $500,000 |
Total contributions received or receivable from participants | 2020-02-01 | $795,001 |
Net income (gross income less expenses) | 2020-02-01 | $0 |
Total contributions received or receivable from employer(s) | 2020-02-01 | $1,087,532 |
2018 : MEIJER EXECUTIVE HEALTH PLAN 2018 401k financial data |
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Total income from all sources | 2018-01-31 | $2,109,273 |
Expenses. Total of all expenses incurred | 2018-01-31 | $2,109,273 |
Benefits paid (including direct rollovers) | 2018-01-31 | $2,109,273 |
Value of fidelity bond covering the plan | 2018-01-31 | $500,000 |
Total contributions received or receivable from participants | 2018-01-31 | $572,808 |
Net income (gross income less expenses) | 2018-01-31 | $0 |
Total contributions received or receivable from employer(s) | 2018-01-31 | $1,536,465 |
2017 : MEIJER EXECUTIVE HEALTH PLAN 2017 401k financial data |
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Total income from all sources | 2017-01-31 | $2,091,548 |
Expenses. Total of all expenses incurred | 2017-01-31 | $2,091,548 |
Benefits paid (including direct rollovers) | 2017-01-31 | $2,091,548 |
Total contributions received or receivable from participants | 2017-01-31 | $586,993 |
Net income (gross income less expenses) | 2017-01-31 | $0 |
Total contributions received or receivable from employer(s) | 2017-01-31 | $1,504,555 |
2016 : MEIJER EXECUTIVE HEALTH PLAN 2016 401k financial data |
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Total income from all sources | 2016-01-31 | $2,333,064 |
Expenses. Total of all expenses incurred | 2016-01-31 | $2,333,064 |
Benefits paid (including direct rollovers) | 2016-01-31 | $2,333,064 |
Total contributions received or receivable from participants | 2016-01-31 | $594,042 |
Net income (gross income less expenses) | 2016-01-31 | $0 |
Total contributions received or receivable from employer(s) | 2016-01-31 | $1,739,022 |
2015 : MEIJER EXECUTIVE HEALTH PLAN 2015 401k financial data |
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Total income from all sources | 2015-01-31 | $2,070,472 |
Expenses. Total of all expenses incurred | 2015-01-31 | $2,070,472 |
Benefits paid (including direct rollovers) | 2015-01-31 | $2,070,472 |
Total contributions received or receivable from participants | 2015-01-31 | $563,472 |
Net income (gross income less expenses) | 2015-01-31 | $0 |
Total contributions received or receivable from employer(s) | 2015-01-31 | $1,507,000 |
2014 : MEIJER EXECUTIVE HEALTH PLAN 2014 401k financial data |
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Total income from all sources | 2014-01-31 | $1,955,892 |
Expenses. Total of all expenses incurred | 2014-01-31 | $1,955,892 |
Benefits paid (including direct rollovers) | 2014-01-31 | $1,955,892 |
Total contributions received or receivable from participants | 2014-01-31 | $534,360 |
Net income (gross income less expenses) | 2014-01-31 | $0 |
Total contributions received or receivable from employer(s) | 2014-01-31 | $1,421,532 |
2013 : MEIJER EXECUTIVE HEALTH PLAN 2013 401k financial data |
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Total income from all sources | 2013-01-31 | $1,889,043 |
Expenses. Total of all expenses incurred | 2013-01-31 | $1,889,043 |
Benefits paid (including direct rollovers) | 2013-01-31 | $1,889,043 |
Total contributions received or receivable from participants | 2013-01-31 | $487,403 |
Net income (gross income less expenses) | 2013-01-31 | $0 |
Total contributions received or receivable from employer(s) | 2013-01-31 | $1,401,640 |
2012 : MEIJER EXECUTIVE HEALTH PLAN 2012 401k financial data |
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Total income from all sources | 2012-01-31 | $1,719,526 |
Expenses. Total of all expenses incurred | 2012-01-31 | $1,719,526 |
Benefits paid (including direct rollovers) | 2012-01-31 | $1,719,526 |
Total contributions received or receivable from participants | 2012-01-31 | $445,530 |
Net income (gross income less expenses) | 2012-01-31 | $0 |
Net plan assets at end of year (total assets less liabilities) | 2012-01-31 | $0 |
Net plan assets at beginning of year (total assets less liabilities) | 2012-01-31 | $0 |
Total contributions received or receivable from employer(s) | 2012-01-31 | $1,273,996 |
2011 : MEIJER EXECUTIVE HEALTH PLAN 2011 401k financial data |
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Total income from all sources | 2011-01-31 | $1,995,345 |
Expenses. Total of all expenses incurred | 2011-01-31 | $1,995,345 |
Benefits paid (including direct rollovers) | 2011-01-31 | $1,995,345 |
Total plan assets at end of year | 2011-01-31 | $0 |
Total plan assets at beginning of year | 2011-01-31 | $0 |
Total contributions received or receivable from participants | 2011-01-31 | $394,216 |
Net income (gross income less expenses) | 2011-01-31 | $0 |
Net plan assets at end of year (total assets less liabilities) | 2011-01-31 | $0 |
Net plan assets at beginning of year (total assets less liabilities) | 2011-01-31 | $0 |
Total contributions received or receivable from employer(s) | 2011-01-31 | $1,601,129 |
2022: MEIJER EXECUTIVE HEALTH PLAN 2022 form 5500 responses |
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2022-01-30 | Type of plan entity | Single employer plan |
2022-01-30 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2022-01-30 | Plan funding arrangement – Insurance | Yes |
2022-01-30 | Plan funding arrangement – Trust | Yes |
2022-01-30 | Plan benefit arrangement – Insurance | Yes |
2022-01-30 | Plan benefit arrangement - Trust | Yes |
2021: MEIJER EXECUTIVE HEALTH PLAN 2021 form 5500 responses |
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2021-01-31 | Type of plan entity | Single employer plan |
2021-01-31 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2021-01-31 | Plan funding arrangement – Insurance | Yes |
2021-01-31 | Plan funding arrangement – Trust | Yes |
2021-01-31 | Plan benefit arrangement – Insurance | Yes |
2021-01-31 | Plan benefit arrangement - Trust | Yes |
2020: MEIJER EXECUTIVE HEALTH PLAN 2020 form 5500 responses |
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2020-02-02 | Type of plan entity | Single employer plan |
2020-02-02 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2020-02-02 | Plan funding arrangement – Insurance | Yes |
2020-02-02 | Plan funding arrangement – Trust | Yes |
2020-02-02 | Plan benefit arrangement – Insurance | Yes |
2020-02-02 | Plan benefit arrangement - Trust | Yes |
2019: MEIJER EXECUTIVE HEALTH PLAN 2019 form 5500 responses |
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2019-02-02 | Type of plan entity | Single employer plan |
2019-02-02 | Plan funding arrangement – Insurance | Yes |
2019-02-02 | Plan funding arrangement – Trust | Yes |
2019-02-02 | Plan benefit arrangement – Insurance | Yes |
2019-02-02 | Plan benefit arrangement - Trust | Yes |
2018: MEIJER EXECUTIVE HEALTH PLAN 2018 form 5500 responses |
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2018-02-01 | Type of plan entity | Single employer plan |
2018-02-01 | Plan funding arrangement – Insurance | Yes |
2018-02-01 | Plan funding arrangement – Trust | Yes |
2018-02-01 | Plan benefit arrangement – Insurance | Yes |
2018-02-01 | Plan benefit arrangement - Trust | Yes |
2017: MEIJER EXECUTIVE HEALTH PLAN 2017 form 5500 responses |
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2017-02-01 | Type of plan entity | Single employer plan |
2017-02-01 | Plan funding arrangement – Insurance | Yes |
2017-02-01 | Plan funding arrangement – Trust | Yes |
2017-02-01 | Plan benefit arrangement – Insurance | Yes |
2017-02-01 | Plan benefit arrangement - Trust | Yes |
2016: MEIJER EXECUTIVE HEALTH PLAN 2016 form 5500 responses |
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2016-02-01 | Type of plan entity | Single employer plan |
2016-02-01 | Plan funding arrangement – Insurance | Yes |
2016-02-01 | Plan funding arrangement – Trust | Yes |
2016-02-01 | Plan benefit arrangement – Insurance | Yes |
2016-02-01 | Plan benefit arrangement - Trust | Yes |
2015: MEIJER EXECUTIVE HEALTH PLAN 2015 form 5500 responses |
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2015-02-01 | Type of plan entity | Single employer plan |
2015-02-01 | Plan funding arrangement – Insurance | Yes |
2015-02-01 | Plan funding arrangement – Trust | Yes |
2015-02-01 | Plan benefit arrangement – Insurance | Yes |
2015-02-01 | Plan benefit arrangement - Trust | Yes |
2014: MEIJER EXECUTIVE HEALTH PLAN 2014 form 5500 responses |
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2014-02-01 | Type of plan entity | Single employer plan |
2014-02-01 | Plan funding arrangement – Insurance | Yes |
2014-02-01 | Plan funding arrangement – Trust | Yes |
2014-02-01 | Plan benefit arrangement – Insurance | Yes |
2014-02-01 | Plan benefit arrangement - Trust | Yes |
2013: MEIJER EXECUTIVE HEALTH PLAN 2013 form 5500 responses |
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2013-02-01 | Type of plan entity | Single employer plan |
2013-02-01 | Plan funding arrangement – Insurance | Yes |
2013-02-01 | Plan funding arrangement – Trust | Yes |
2013-02-01 | Plan benefit arrangement – Insurance | Yes |
2013-02-01 | Plan benefit arrangement - Trust | Yes |
2012: MEIJER EXECUTIVE HEALTH PLAN 2012 form 5500 responses |
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2012-02-01 | Type of plan entity | Single employer plan |
2012-02-01 | Plan funding arrangement – Insurance | Yes |
2012-02-01 | Plan funding arrangement – Trust | Yes |
2012-02-01 | Plan benefit arrangement – Insurance | Yes |
2012-02-01 | Plan benefit arrangement - Trust | Yes |
2011: MEIJER EXECUTIVE HEALTH PLAN 2011 form 5500 responses |
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2011-02-01 | Type of plan entity | Single employer plan |
2011-02-01 | Plan funding arrangement – Insurance | Yes |
2011-02-01 | Plan funding arrangement – Trust | Yes |
2011-02-01 | Plan benefit arrangement – Insurance | Yes |
2011-02-01 | Plan benefit arrangement - Trust | Yes |
2010: MEIJER EXECUTIVE HEALTH PLAN 2010 form 5500 responses |
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2010-02-01 | Type of plan entity | Single employer plan |
2010-02-01 | Plan funding arrangement – Insurance | Yes |
2010-02-01 | Plan funding arrangement – Trust | Yes |
2010-02-01 | Plan benefit arrangement – Insurance | Yes |
2010-02-01 | Plan benefit arrangement - Trust | Yes |
2009: MEIJER EXECUTIVE HEALTH PLAN 2009 form 5500 responses |
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2009-02-01 | Type of plan entity | Single employer plan |
2009-02-01 | Submission has been amended | No |
2009-02-01 | This submission is the final filing | No |
2009-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2009-02-01 | Plan is a collectively bargained plan | No |
2009-02-01 | Plan funding arrangement – Insurance | Yes |
2009-02-01 | Plan funding arrangement – Trust | Yes |
2009-02-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2009-02-01 | Plan benefit arrangement – Insurance | Yes |
2009-02-01 | Plan benefit arrangement - Trust | Yes |
2009-02-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 100564 |
Policy instance | 1 |
Insurance contract or identification number | 100564 | Number of Individuals Covered | 263 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $111,720 | Total amount of fees paid to insurance company | USD $1,766 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $111,720 | Amount paid for insurance broker fees | 1766 | Additional information about fees paid to insurance broker | FEES | Insurance broker organization code? | 3 |
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BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 100564 |
Policy instance | 1 |
Insurance contract or identification number | 100564 | Number of Individuals Covered | 252 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $73,392 | Total amount of fees paid to insurance company | USD $192,556 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 192556 | Additional information about fees paid to insurance broker | FEES | Insurance broker organization code? | 3 | Commission paid to Insurance Broker | USD $73,392 |
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BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 100564 |
Policy instance | 1 |
Insurance contract or identification number | 100564 | Number of Individuals Covered | 249 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $179,792 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $94,651 | Insurance broker organization code? | 3 |
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BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 100564 |
Policy instance | 1 |
Insurance contract or identification number | 100564 | Number of Individuals Covered | 248 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $59,364 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $59,364 | Insurance broker organization code? | 3 |
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BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 71432 |
Policy instance | 1 |
Insurance contract or identification number | 71432 | Number of Individuals Covered | 261 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $74,748 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $74,748 | Insurance broker organization code? | 3 |
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BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 71432 |
Policy instance | 1 |
Insurance contract or identification number | 71432 | Number of Individuals Covered | 269 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $73,498 | Total amount of fees paid to insurance company | USD $137 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $73,498 | Amount paid for insurance broker fees | 137 | Additional information about fees paid to insurance broker | SALES AND SERVICES | Insurance broker organization code? | 3 | Insurance broker name | PATRICK R. COLEMAN |
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BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 71432 |
Policy instance | 1 |
Insurance contract or identification number | 71432 | Number of Individuals Covered | 281 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $76,560 | Total amount of fees paid to insurance company | USD $1,403 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $2,558,502 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $76,560 | Amount paid for insurance broker fees | 1403 | Additional information about fees paid to insurance broker | SALES AND SERVICE | Insurance broker organization code? | 3 | Insurance broker name | PATRICK R. COLEMAN |
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BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 71432 |
Policy instance | 1 |
Insurance contract or identification number | 71432 | Number of Individuals Covered | 261 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $70,932 | Total amount of fees paid to insurance company | USD $10,750 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $2,392,688 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $70,932 | Amount paid for insurance broker fees | 10750 | Additional information about fees paid to insurance broker | SALES AND SERVICE | Insurance broker organization code? | 3 | Insurance broker name | PATRICK R. COLEMAN |
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BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 71432 |
Policy instance | 1 |
Insurance contract or identification number | 71432 | Number of Individuals Covered | 258 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $64,691 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $2,336,313 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $64,691 | Insurance broker organization code? | 3 | Insurance broker name | PATRICK R. COLEMAN |
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BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 71432 |
Policy instance | 1 |
Insurance contract or identification number | 71432 | Number of Individuals Covered | 261 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $53,148 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $2,329,607 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $53,148 | Insurance broker organization code? | 3 | Insurance broker name | PATRICK R. COLEMAN |
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BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 71432 |
Policy instance | 1 |
Insurance contract or identification number | 71432 | Number of Individuals Covered | 256 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $50,340 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $2,098,719 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 71432 |
Policy instance | 1 |
Insurance contract or identification number | 71432 | Number of Individuals Covered | 278 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $54,166 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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