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THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN 401k Plan overview

Plan NameTHE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN
Plan identification number 503

THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

UNITED WHOLESALE MORTGAGE, LLC has sponsored the creation of one or more 401k plans.

Company Name:UNITED WHOLESALE MORTGAGE, LLC
Employer identification number (EIN):382750395
NAIC Classification:522292
NAIC Description:Real Estate Credit

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032022-01-01
5032021-01-01
5032020-01-01
5032019-01-01
5032018-01-01DEANA MATHEWS2019-07-29
5032017-01-01
5032016-01-01
5032015-01-01ERIN ENGLAND ERIN ENGLAND2016-07-12
5032014-01-01IRENE KELLY-BOWER
5032013-01-01JEFFREY A. ISHBIA
5032012-08-01JEFFREY A. ISHBIA
5032011-08-01JEFFREY A. ISHBIA
5032010-08-01JEFFREY A. ISHBIA
5032009-08-01JEFFREY A. ISHBIA

Plan Statistics for THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN

401k plan membership statisitcs for THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN

Measure Date Value
2022: THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-017,935
Total number of active participants reported on line 7a of the Form 55002022-01-015,922
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-015,922
2021: THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-016,493
Total number of active participants reported on line 7a of the Form 55002021-01-017,935
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-017,935
2020: THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-014,856
Total number of active participants reported on line 7a of the Form 55002020-01-016,493
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-016,493
2019: THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-012,632
Total number of active participants reported on line 7a of the Form 55002019-01-014,856
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-014,856
2018: THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,680
Total number of active participants reported on line 7a of the Form 55002018-01-012,632
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-012,632
Number of employers contributing to the scheme2018-01-010
2017: THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,482
Total number of active participants reported on line 7a of the Form 55002017-01-011,680
Number of retired or separated participants receiving benefits2017-01-0142
Number of other retired or separated participants entitled to future benefits2017-01-01152
Total of all active and inactive participants2017-01-011,874
2016: THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,354
Total number of active participants reported on line 7a of the Form 55002016-01-011,402
Number of retired or separated participants receiving benefits2016-01-017
Number of other retired or separated participants entitled to future benefits2016-01-0173
Total of all active and inactive participants2016-01-011,482
2015: THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01948
Total number of active participants reported on line 7a of the Form 55002015-01-011,311
Number of retired or separated participants receiving benefits2015-01-0143
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-011,354
2014: THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01967
Total number of active participants reported on line 7a of the Form 55002014-01-01804
Number of retired or separated participants receiving benefits2014-01-01144
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01948
2013: THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01928
Total number of active participants reported on line 7a of the Form 55002013-01-012,780
Total of all active and inactive participants2013-01-012,780
2012: THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-08-01705
Total number of active participants reported on line 7a of the Form 55002012-08-01928
Total of all active and inactive participants2012-08-01928
2011: THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-08-01369
Total number of active participants reported on line 7a of the Form 55002011-08-01705
Total of all active and inactive participants2011-08-01705
2010: THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN 2010 401k membership
Total participants, beginning-of-year2010-08-01298
Total number of active participants reported on line 7a of the Form 55002010-08-01369
Total of all active and inactive participants2010-08-01369
2009: THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-08-01287
Total number of active participants reported on line 7a of the Form 55002009-08-01298
Total of all active and inactive participants2009-08-01298

Form 5500 Responses for THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN

2022: THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN 2012 form 5500 responses
2012-08-01Type of plan entitySingle employer plan
2012-08-01This return/report is a short plan year return/report (less than 12 months)Yes
2012-08-01Plan funding arrangement – InsuranceYes
2012-08-01Plan benefit arrangement – InsuranceYes
2011: THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN 2011 form 5500 responses
2011-08-01Type of plan entitySingle employer plan
2011-08-01Plan funding arrangement – InsuranceYes
2011-08-01Plan benefit arrangement – InsuranceYes
2010: THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN 2010 form 5500 responses
2010-08-01Type of plan entitySingle employer plan
2010-08-01Plan funding arrangement – InsuranceYes
2010-08-01Plan benefit arrangement – InsuranceYes
2009: THE UNITED WHOLESALE MORTGAGE, LLC HEALTH CARE PLAN 2009 form 5500 responses
2009-08-01Type of plan entitySingle employer plan
2009-08-01Plan funding arrangement – InsuranceYes
2009-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PRE-PAID LEGAL SERVICES DBA LEGAL SHIELD (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number302535
Policy instance 4
Insurance contract or identification number302535
Number of Individuals Covered720
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $16,492
Other welfare benefits providedLEGAL SERVICES PLAN MEMBERSHIPS
Welfare Benefit Premiums Paid to CarrierUSD $72,033
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,546
Insurance broker organization code?4
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number425884
Policy instance 3
Insurance contract or identification number425884
Number of Individuals Covered5922
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $278,212
Total amount of fees paid to insurance companyUSD $25,293
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,529,194
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $101,168
Insurance broker organization code?3
Amount paid for insurance broker fees16363
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
PAUL REVERE VARIABLE ANNUITY INS. CO. (National Association of Insurance Commissioners NAIC id number: 67601 )
Policy contract number474282
Policy instance 2
Insurance contract or identification number474282
Number of Individuals Covered1602
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $65,298
Total amount of fees paid to insurance companyUSD $3,265
Other welfare benefits providedCRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $326,487
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,649
Amount paid for insurance broker fees3265
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0797027
Policy instance 1
Insurance contract or identification numberR0797027
Number of Individuals Covered4847
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $163,014
Total amount of fees paid to insurance companyUSD $13,824
Other welfare benefits providedGRP HSP, GRP ACC
Welfare Benefit Premiums Paid to CarrierUSD $868,835
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $60,995
Amount paid for insurance broker fees8533
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0797027
Policy instance 1
Insurance contract or identification numberR0797027
Number of Individuals Covered1211
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $192,779
Total amount of fees paid to insurance companyUSD $15,591
Other welfare benefits providedGRP HSP, GRP ACC
Welfare Benefit Premiums Paid to CarrierUSD $834,736
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $81,012
Amount paid for insurance broker fees14239
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number0228
Policy instance 2
Insurance contract or identification number0228
Number of Individuals Covered1716
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $59,128
Total amount of fees paid to insurance companyUSD $6,349
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $59,128
Amount paid for insurance broker fees6349
Additional information about fees paid to insurance brokerFEES AND OTHER COMMISSIONS
Insurance broker organization code?3
Insurance broker nameAON CONSULTING, INC.
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00155248/0001
Policy instance 1
Insurance contract or identification number00155248/0001
Number of Individuals Covered1122
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $55,975
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $3,900,686
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $55,975
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameAON CONSULTING INC.
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number155248, CL.0228
Policy instance 1
Insurance contract or identification number155248, CL.0228
Number of Individuals Covered1677
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $60,950
Total amount of fees paid to insurance companyUSD $2,074
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $60,950
Insurance broker organization code?3
Amount paid for insurance broker fees2074
Insurance broker nameROBERT B CAMPBELL
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00155248/0001
Policy instance 2
Insurance contract or identification number00155248/0001
Number of Individuals Covered1103
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $48,292
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,143,089
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $48,292
Insurance broker organization code?3
Insurance broker nameAON CONSULTING INC.
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number155248, CL.0228
Policy instance 1
Insurance contract or identification number155248, CL.0228
Number of Individuals Covered317
Insurance policy start date2012-08-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $29,804
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,804
Insurance broker organization code?3
Insurance broker nameKATHRYN L VALENTINE
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00155248/0001
Policy instance 2
Insurance contract or identification number00155248/0001
Number of Individuals Covered611
Insurance policy start date2012-08-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $45,372
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $915,059
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $45,372
Insurance broker organization code?3
Insurance broker nameAON CONSULTING INC.
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number2H317, 36681
Policy instance 3
Insurance contract or identification number2H317, 36681
Number of Individuals Covered551
Insurance policy start date2012-08-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $11,362
Dental Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $132,807
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,352
Insurance broker organization code?3
Insurance broker nameAON CONSULTING INC.
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number155248 CL0228
Policy instance 1
Insurance contract or identification number155248 CL0228
Number of Individuals Covered256
Insurance policy start date2011-08-01
Insurance policy end date2012-07-31
Total amount of commissions paid to insurance brokerUSD $33,848
Total amount of fees paid to insurance companyUSD $2,671
Health Insurance Welfare BenefitYes
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 number001552480001
Policy instance 2
Insurance contract or identification number001552480001
Number of Individuals Covered438
Insurance policy start date2011-08-01
Insurance policy end date2012-07-31
Total amount of commissions paid to insurance brokerUSD $56,214
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $968,806
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract numberSEE GENL FTNT
Policy instance 3
Insurance contract or identification numberSEE GENL FTNT
Number of Individuals Covered412
Insurance policy start date2011-08-01
Insurance policy end date2012-07-31
Total amount of commissions paid to insurance brokerUSD $17,314
Dental Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $204,951
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 number001552480003
Policy instance 4
Insurance contract or identification number001552480003
Number of Individuals Covered11
Insurance policy start date2011-08-01
Insurance policy end date2012-07-31
Total amount of commissions paid to insurance brokerUSD $4,105
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $70,750
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number2H606 S9336
Policy instance 3
Insurance contract or identification number2H606 S9336
Number of Individuals Covered269
Insurance policy start date2010-08-01
Insurance policy end date2011-07-31
Total amount of commissions paid to insurance brokerUSD $10,695
Total amount of fees paid to insurance companyUSD $2,543
Dental Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $126,968
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 number155248 CL0228
Policy instance 1
Insurance contract or identification number155248 CL0228
Number of Individuals Covered269
Insurance policy start date2010-08-01
Insurance policy end date2011-07-31
Total amount of commissions paid to insurance brokerUSD $33,204
Health Insurance Welfare BenefitYes
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 number001552480001
Policy instance 2
Insurance contract or identification number001552480001
Number of Individuals Covered78
Insurance policy start date2010-08-01
Insurance policy end date2011-07-31
Total amount of commissions paid to insurance brokerUSD $20,777
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $306,040
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 number001552480003
Policy instance 4
Insurance contract or identification number001552480003
Number of Individuals Covered22
Insurance policy start date2010-08-01
Insurance policy end date2011-07-31
Total amount of commissions paid to insurance brokerUSD $3,229
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $47,564
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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