ADRIAN COLLEGE has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE
401k plan membership statisitcs for HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE
| Measure | Date | Value |
|---|
| 2022: HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-07-01 | 232 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-07-01 | 226 |
| Total of all active and inactive participants | 2022-07-01 | 226 |
| Total participants | 2022-07-01 | 226 |
| 2021: HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-07-01 | 220 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-07-01 | 232 |
| Total of all active and inactive participants | 2021-07-01 | 232 |
| Total participants | 2021-07-01 | 232 |
| 2020: HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-07-01 | 236 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-07-01 | 220 |
| Total of all active and inactive participants | 2020-07-01 | 220 |
| Total participants | 2020-07-01 | 220 |
| 2019: HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-07-01 | 240 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-07-01 | 236 |
| Total of all active and inactive participants | 2019-07-01 | 236 |
| Total participants | 2019-07-01 | 236 |
| 2018: HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-07-01 | 246 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-07-01 | 240 |
| Total of all active and inactive participants | 2018-07-01 | 240 |
| Total participants | 2018-07-01 | 240 |
| 2017: HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-07-01 | 255 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-07-01 | 246 |
| Total of all active and inactive participants | 2017-07-01 | 246 |
| Total participants | 2017-07-01 | 246 |
| 2016: HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-07-01 | 244 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-07-01 | 255 |
| Total of all active and inactive participants | 2016-07-01 | 255 |
| Total participants | 2016-07-01 | 255 |
| 2015: HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-07-01 | 242 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-07-01 | 244 |
| Total of all active and inactive participants | 2015-07-01 | 244 |
| Total participants | 2015-07-01 | 244 |
| 2014: HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-07-01 | 244 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-07-01 | 242 |
| Total of all active and inactive participants | 2014-07-01 | 242 |
| Total participants | 2014-07-01 | 242 |
| 2013: HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-07-01 | 244 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-07-01 | 244 |
| Total of all active and inactive participants | 2013-07-01 | 244 |
| Total participants | 2013-07-01 | 244 |
| 2012: HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-07-01 | 235 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-07-01 | 244 |
| Total of all active and inactive participants | 2012-07-01 | 244 |
| Total participants | 2012-07-01 | 244 |
| 2011: HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-07-01 | 240 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-07-01 | 235 |
| Total of all active and inactive participants | 2011-07-01 | 235 |
| Total participants | 2011-07-01 | 235 |
| 2010: HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-07-01 | 233 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-07-01 | 240 |
| Total of all active and inactive participants | 2010-07-01 | 240 |
| Total participants | 2010-07-01 | 240 |
| 2009: HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-07-01 | 221 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-07-01 | 233 |
| Total of all active and inactive participants | 2009-07-01 | 233 |
| Total participants | 2009-07-01 | 233 |
| 2022: HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE 2022 form 5500 responses |
|---|
| 2022-07-01 | Type of plan entity | Single employer plan |
| 2022-07-01 | Submission has been amended | No |
| 2022-07-01 | This submission is the final filing | No |
| 2022-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-07-01 | Plan is a collectively bargained plan | Yes |
| 2022-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2021: HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE 2021 form 5500 responses |
|---|
| 2021-07-01 | Type of plan entity | Single employer plan |
| 2021-07-01 | Submission has been amended | No |
| 2021-07-01 | This submission is the final filing | No |
| 2021-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-07-01 | Plan is a collectively bargained plan | Yes |
| 2021-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2020: HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE 2020 form 5500 responses |
|---|
| 2020-07-01 | Type of plan entity | Single employer plan |
| 2020-07-01 | Submission has been amended | No |
| 2020-07-01 | This submission is the final filing | No |
| 2020-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-07-01 | Plan is a collectively bargained plan | Yes |
| 2020-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2020-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2019: HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE 2019 form 5500 responses |
|---|
| 2019-07-01 | Type of plan entity | Single employer plan |
| 2019-07-01 | Submission has been amended | No |
| 2019-07-01 | This submission is the final filing | No |
| 2019-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-07-01 | Plan is a collectively bargained plan | Yes |
| 2019-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2018: HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE 2018 form 5500 responses |
|---|
| 2018-07-01 | Type of plan entity | Single employer plan |
| 2018-07-01 | Submission has been amended | No |
| 2018-07-01 | This submission is the final filing | No |
| 2018-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-07-01 | Plan is a collectively bargained plan | Yes |
| 2018-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE 2017 form 5500 responses |
|---|
| 2017-07-01 | Type of plan entity | Single employer plan |
| 2017-07-01 | Submission has been amended | No |
| 2017-07-01 | This submission is the final filing | No |
| 2017-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-07-01 | Plan is a collectively bargained plan | Yes |
| 2017-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2016: HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE 2016 form 5500 responses |
|---|
| 2016-07-01 | Type of plan entity | Single employer plan |
| 2016-07-01 | Submission has been amended | No |
| 2016-07-01 | This submission is the final filing | No |
| 2016-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-07-01 | Plan is a collectively bargained plan | Yes |
| 2016-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE 2015 form 5500 responses |
|---|
| 2015-07-01 | Type of plan entity | Single employer plan |
| 2015-07-01 | Submission has been amended | No |
| 2015-07-01 | This submission is the final filing | No |
| 2015-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-07-01 | Plan is a collectively bargained plan | Yes |
| 2015-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE 2014 form 5500 responses |
|---|
| 2014-07-01 | Type of plan entity | Single employer plan |
| 2014-07-01 | Submission has been amended | No |
| 2014-07-01 | This submission is the final filing | No |
| 2014-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-07-01 | Plan is a collectively bargained plan | Yes |
| 2014-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE 2013 form 5500 responses |
|---|
| 2013-07-01 | Type of plan entity | Single employer plan |
| 2013-07-01 | Submission has been amended | No |
| 2013-07-01 | This submission is the final filing | No |
| 2013-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-07-01 | Plan is a collectively bargained plan | Yes |
| 2013-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2012: HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE 2012 form 5500 responses |
|---|
| 2012-07-01 | Type of plan entity | Single employer plan |
| 2012-07-01 | Submission has been amended | No |
| 2012-07-01 | This submission is the final filing | No |
| 2012-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-07-01 | Plan is a collectively bargained plan | Yes |
| 2012-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE 2011 form 5500 responses |
|---|
| 2011-07-01 | Type of plan entity | Single employer plan |
| 2011-07-01 | Submission has been amended | No |
| 2011-07-01 | This submission is the final filing | No |
| 2011-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-07-01 | Plan is a collectively bargained plan | Yes |
| 2011-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2010: HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE 2010 form 5500 responses |
|---|
| 2010-07-01 | Type of plan entity | Single employer plan |
| 2010-07-01 | Submission has been amended | No |
| 2010-07-01 | This submission is the final filing | No |
| 2010-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-07-01 | Plan is a collectively bargained plan | Yes |
| 2010-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2010-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: HOSPITAL MEDICAL SURGICAL & MASTER MEDICAL INSURANCE FOR EMPLOYEES OF ADRIAN COLLEGE 2009 form 5500 responses |
|---|
| 2009-07-01 | Type of plan entity | Single employer plan |
| 2009-07-01 | Submission has been amended | No |
| 2009-07-01 | This submission is the final filing | No |
| 2009-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-07-01 | Plan is a collectively bargained plan | Yes |
| 2009-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-07-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
| Policy contract number | 00690 |
| Policy instance | 1 |
| Insurance contract or identification number | 00690 | | Number of Individuals Covered | 246 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $5,088 | | Total amount of fees paid to insurance company | USD $59,415 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
| Policy contract number | 00690 |
| Policy instance | 1 |
| Insurance contract or identification number | 00690 | | Number of Individuals Covered | 244 | | Insurance policy start date | 2015-07-01 | | Insurance policy end date | 2016-06-30 | | Total amount of commissions paid to insurance broker | USD $4,449 | | Total amount of fees paid to insurance company | USD $59,259 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,449 | | Amount paid for insurance broker fees | 54810 | | Insurance broker organization code? | 3 | | Insurance broker name | GURDJIAN & ASSOCIATES |
|
| BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
| Policy contract number | 00690 |
| Policy instance | 1 |
| Insurance contract or identification number | 00690 | | Number of Individuals Covered | 242 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Total amount of commissions paid to insurance broker | USD $3,762 | | Total amount of fees paid to insurance company | USD $54,214 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,762 | | Amount paid for insurance broker fees | 50452 | | Insurance broker organization code? | 3 | | Insurance broker name | GURDJIAN & ASSOCIATES |
|
| BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
| Policy contract number | 00690 |
| Policy instance | 1 |
| Insurance contract or identification number | 00690 | | Number of Individuals Covered | 244 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $3,110 | | Total amount of fees paid to insurance company | USD $54,115 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,110 | | Amount paid for insurance broker fees | 51005 | | Insurance broker organization code? | 3 | | Insurance broker name | GURDJIAN & ASSOCIATES |
|
| BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
| Policy contract number | 00690 |
| Policy instance | 1 |
| Insurance contract or identification number | 00690 | | Number of Individuals Covered | 244 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $53,101 | | Total amount of fees paid to insurance company | USD $4,756 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $53,101 | | Amount paid for insurance broker fees | 4756 | | Insurance broker organization code? | 3 | | Insurance broker name | GURDJIAN & ASSOCIATES |
|
| BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
| Policy contract number | 00690 |
| Policy instance | 1 |
| Insurance contract or identification number | 00690 | | Number of Individuals Covered | 235 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $51,607 | | Total amount of fees paid to insurance company | USD $1,664 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes |
|
| BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
| Policy contract number | 00690 |
| Policy instance | 1 |
| Insurance contract or identification number | 00690 | | Number of Individuals Covered | 240 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $83,160 | | Total amount of fees paid to insurance company | USD $1,640 | | 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 |
|
