ACCIDENT FUND HOLDINGS, INC. ACTIVE MEDICAL, DENTAL, AND VISION BENEFIT PLANS 401k Plan overview
| Plan Name | ACCIDENT FUND HOLDINGS, INC. ACTIVE MEDICAL, DENTAL, AND VISION BENEFIT PLANS |
| Plan identification number | 505 |
ACCIDENT FUND HOLDINGS, INC. ACTIVE MEDICAL, DENTAL, AND VISION BENEFIT PLANS Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | - Health (other than dental or vision)
- Dental
- Vision
|
401k Sponsoring company profile
ACCIDENT FUND HOLDINGS, INC. has sponsored the creation of one or more 401k plans.
Form 5500 Filing Information
Submission information for form 5500 for 401k plan ACCIDENT FUND HOLDINGS, INC. ACTIVE MEDICAL, DENTAL, AND VISION BENEFIT PLANS
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 505 | 2018-01-01 | | | | |
| 505 | 2017-01-01 | | | | |
| 505 | 2016-01-01 | | | | |
Plan Statistics for ACCIDENT FUND HOLDINGS, INC. ACTIVE MEDICAL, DENTAL, AND VISION BENEFIT PLANS
401k plan membership statisitcs for ACCIDENT FUND HOLDINGS, INC. ACTIVE MEDICAL, DENTAL, AND VISION BENEFIT PLANS
| Measure | Date | Value |
|---|
| 2018: ACCIDENT FUND HOLDINGS, INC. ACTIVE MEDICAL, DENTAL, AND VISION BENEFIT PLANS 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 1,021 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 2,194 |
| Total of all active and inactive participants | 2018-01-01 | 2,194 |
| 2017: ACCIDENT FUND HOLDINGS, INC. ACTIVE MEDICAL, DENTAL, AND VISION BENEFIT PLANS 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 999 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 1,021 |
| Total of all active and inactive participants | 2017-01-01 | 1,021 |
| 2016: ACCIDENT FUND HOLDINGS, INC. ACTIVE MEDICAL, DENTAL, AND VISION BENEFIT PLANS 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 899 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 999 |
| Total of all active and inactive participants | 2016-01-01 | 999 |
Form 5500 Responses for ACCIDENT FUND HOLDINGS, INC. ACTIVE MEDICAL, DENTAL, AND VISION BENEFIT PLANS
| 2018: ACCIDENT FUND HOLDINGS, INC. ACTIVE MEDICAL, DENTAL, AND VISION BENEFIT PLANS 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan is a collectively bargained plan | Yes |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: ACCIDENT FUND HOLDINGS, INC. ACTIVE MEDICAL, DENTAL, AND VISION BENEFIT PLANS 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Plan is a collectively bargained plan | Yes |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2016: ACCIDENT FUND HOLDINGS, INC. ACTIVE MEDICAL, DENTAL, AND VISION BENEFIT PLANS 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | First time form 5500 has been submitted | Yes |
| 2016-01-01 | Plan is a collectively bargained plan | Yes |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
Insurance Providers Used on plan
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) |
| Policy contract number | GRP 00100007 |
| Policy instance | 1 |
| Insurance contract or identification number | GRP 00100007 | | Number of Individuals Covered | 1442 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | 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 | | Welfare Benefit Premiums Paid to Carrier | USD $5,059,985 | | 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 number | GRP 00100007 |
| Policy instance | 1 |
| Insurance contract or identification number | GRP 00100007 | | Number of Individuals Covered | 2868 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | 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 | | Welfare Benefit Premiums Paid to Carrier | USD $17,099,354 | | 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 number | GRP 00100007 |
| Policy instance | 1 |
| Insurance contract or identification number | GRP 00100007 | | Number of Individuals Covered | 3855 | | Insurance policy start date | 2016-01-01 | | Insurance policy end date | 2016-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | 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 | | Welfare Benefit Premiums Paid to Carrier | USD $16,161,426 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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