ASSOCIATED COMMUNITY SERVICES has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE
401k plan membership statisitcs for ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE
| Measure | Date | Value |
|---|
| 2016: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 314 |
| Total of all active and inactive participants | 2016-01-01 | 0 |
| Total participants | 2016-01-01 | 0 |
| 2015: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 314 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 314 |
| Total of all active and inactive participants | 2015-01-01 | 314 |
| Total participants | 2015-01-01 | 314 |
| 2014: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 529 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 389 |
| Total of all active and inactive participants | 2014-01-01 | 389 |
| 2013: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 504 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 529 |
| Total of all active and inactive participants | 2013-01-01 | 529 |
| 2012: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 491 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 504 |
| Total of all active and inactive participants | 2012-01-01 | 504 |
| 2011: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 567 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 491 |
| Total of all active and inactive participants | 2011-01-01 | 491 |
| 2010: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-01-01 | 456 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 567 |
| Total of all active and inactive participants | 2010-01-01 | 567 |
| 2009: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 377 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 456 |
| Total of all active and inactive participants | 2009-01-01 | 456 |
| 2008: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2008 401k membership |
|---|
| Total participants, beginning-of-year | 2008-01-01 | 302 |
| Total number of active participants reported on line 7a of the Form 5500 | 2008-01-01 | 377 |
| Total of all active and inactive participants | 2008-01-01 | 377 |
| 2016: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 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 |
| 2015: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2010 form 5500 responses |
|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2008: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2008 form 5500 responses |
|---|
| 2008-01-01 | Type of plan entity | Single employer plan |
| 2008-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2008-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2007: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2007 form 5500 responses |
|---|
| 2007-01-01 | Type of plan entity | Single employer plan |
| 2007-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2007-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2003: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2003 form 5500 responses |
|---|
| 2003-01-01 | Type of plan entity | Single employer plan |
| 2003-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2003-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2001: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2001 form 5500 responses |
|---|
| 2001-01-01 | Type of plan entity | Single employer plan |
| 2001-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2001-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2000: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2000 form 5500 responses |
|---|
| 2000-01-01 | Type of plan entity | Single employer plan |
| 2000-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2000-01-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
| Policy contract number | 42843-713 |
| Policy instance | 4 |
| Insurance contract or identification number | 42843-713 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 0405864 |
| Policy instance | 3 |
| Insurance contract or identification number | 0405864 | | Number of Individuals Covered | 350 | | Insurance policy start date | 2015-08-01 | | Insurance policy end date | 2016-07-31 | | Total amount of commissions paid to insurance broker | USD $8,228 | | Commission paid to Insurance Broker | USD $4,270 | | Insurance broker organization code? | 4 | | Insurance broker name | BROWN & BROWN OF DETROIT |
|
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) |
| Policy contract number | 00271930-0001 |
| Policy instance | 2 |
| Insurance contract or identification number | 00271930-0001 | | Number of Individuals Covered | 95 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | Total amount of commissions paid to insurance broker | USD $16,357 | | Commission paid to Insurance Broker | USD $16,357 | | Insurance broker organization code? | 4 | | Insurance broker name | PROFESSIONAL BENEFIT PLANNERS |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00405864 |
| Policy instance | 1 |
| Insurance contract or identification number | 00405864 | | Number of Individuals Covered | 314 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | Total amount of commissions paid to insurance broker | USD $7,898 | | Commission paid to Insurance Broker | USD $5,260 | | Insurance broker organization code? | 2 | | Insurance broker name | AXION RMS LTD |
|
| TOTAL HEALTH CARE USA INC (National Association of Insurance Commissioners NAIC id number: 12326 ) |
| Policy contract number | M60395 |
| Policy instance | 4 |
| Insurance contract or identification number | M60395 | | Number of Individuals Covered | 267 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $21,015 | | 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 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $640,273 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $21,015 | | Insurance broker name | PROFESSIONAL BENEFIT PLANNERS |
|
| ADMIN RESOURCES INTERACTIVE (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 1517 |
| Policy instance | 3 |
| Insurance contract or identification number | 1517 | | Number of Individuals Covered | 212 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | 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 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $34,195 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker name | PROFESSIONAL BENEFIT PLANNERS |
|
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) |
| Policy contract number | 00271930/0001 |
| Policy instance | 2 |
| Insurance contract or identification number | 00271930/0001 | | Number of Individuals Covered | 72 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Total amount of commissions paid to insurance broker | USD $17,748 | | 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 | | Welfare Benefit Premiums Paid to Carrier | USD $325,595 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $17,748 | | Insurance broker name | BLUE CARE NETWORK OF MICHIGAN |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00405864 |
| Policy instance | 1 |
| Insurance contract or identification number | 00405864 | | Number of Individuals Covered | 389 | | Insurance policy start date | 2013-08-01 | | Insurance policy end date | 2014-07-31 | | Total amount of commissions paid to insurance broker | USD $10,746 | | Total amount of fees paid to insurance company | USD $7,691 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $142,720 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,860 | | Amount paid for insurance broker fees | 7691 | | Insurance broker name | AFFILIATED AGENCIES LLC |
|
| BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
| Policy contract number | 42843-713 |
| Policy instance | 5 |
| Insurance contract or identification number | 42843-713 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Total amount of commissions paid to insurance broker | USD $3,671 | | 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 | | Welfare Benefit Premiums Paid to Carrier | USD $82,080 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,671 | | Insurance broker name | AFFILIATED AGENCIES LLC |
|
| TOTAL HEALTH CARE USA INC (National Association of Insurance Commissioners NAIC id number: 12326 ) |
| Policy contract number | M60395LOW |
| Policy instance | 4 |
| Insurance contract or identification number | M60395LOW | | Number of Individuals Covered | 59 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $7,364 | | 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 | | Welfare Benefit Premiums Paid to Carrier | USD $228,043 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,364 | | Insurance broker name | PROFESSIONAL BENEFIT PLANNERS |
|
| TOTAL HEALTH CARE USA INC (National Association of Insurance Commissioners NAIC id number: 12326 ) |
| Policy contract number | M60395T523 |
| Policy instance | 5 |
| Insurance contract or identification number | M60395T523 | | Number of Individuals Covered | 349 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $33,507 | | 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 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,112,251 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $33,507 | | Insurance broker name | PROFESSIONAL BENEFIT PLANNERS |
|
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) |
| Policy contract number | 00271930/0001 |
| Policy instance | 2 |
| Insurance contract or identification number | 00271930/0001 | | Number of Individuals Covered | 55 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $21,643 | | 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 | | Welfare Benefit Premiums Paid to Carrier | USD $458,914 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $21,643 | | Insurance broker name | BLUE CARE NETWORK OF MICHIGAN |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00405864 |
| Policy instance | 1 |
| Insurance contract or identification number | 00405864 | | Number of Individuals Covered | 529 | | Insurance policy start date | 2012-08-01 | | Insurance policy end date | 2013-07-31 | | Total amount of commissions paid to insurance broker | USD $12,295 | | Total amount of fees paid to insurance company | USD $6,656 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $159,937 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,633 | | Amount paid for insurance broker fees | 6656 | | Insurance broker name | LUCIDO MORRIS ASSOCIATES LLC |
|
| ADMIN RESOURCES INTERACTIVE (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 1517 |
| Policy instance | 3 |
| Insurance contract or identification number | 1517 | | Number of Individuals Covered | 338 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $2,970 | | 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 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $42,434 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,970 | | Insurance broker name | PROFESSIONAL BENEFIT PLANNERS |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00405864 |
| Policy instance | 1 |
| Insurance contract or identification number | 00405864 | | Number of Individuals Covered | 504 | | Insurance policy start date | 2011-08-01 | | Insurance policy end date | 2012-07-31 | | Total amount of commissions paid to insurance broker | USD $8,927 | | Total amount of fees paid to insurance company | USD $6,421 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $124,082 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,564 | | Amount paid for insurance broker fees | 6421 | | Insurance broker name | LUCIDO MORRIS ASSOCIATES LLC |
|
| TOTAL HEALTH CARE USA INC (National Association of Insurance Commissioners NAIC id number: 12326 ) |
| Policy contract number | M60395T523 |
| Policy instance | 5 |
| Insurance contract or identification number | M60395T523 | | Number of Individuals Covered | 334 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $27,833 | | 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 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $912,590 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $27,833 | | Insurance broker name | PROFESSIONAL BENEFIT PLANNERS |
|
| TOTAL HEALTH CARE USA INC (National Association of Insurance Commissioners NAIC id number: 12326 ) |
| Policy contract number | M60395 |
| Policy instance | 4 |
| Insurance contract or identification number | M60395 | | Number of Individuals Covered | 63 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $7,647 | | 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 | | Welfare Benefit Premiums Paid to Carrier | USD $232,028 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,647 | | Insurance broker name | PROFESSIONAL BENEFIT PLANNERS |
|
| ADMIN RESOURCES INTERACTIVE (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 1517 |
| Policy instance | 3 |
| Insurance contract or identification number | 1517 | | Number of Individuals Covered | 337 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $1,237 | | 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 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $41,231 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,237 | | Insurance broker name | ADMIN RESOURCES INTERACTIVE |
|
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) |
| Policy contract number | 00271930/0001 |
| Policy instance | 2 |
| Insurance contract or identification number | 00271930/0001 | | Number of Individuals Covered | 82 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $25,295 | | 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 | | Welfare Benefit Premiums Paid to Carrier | USD $510,090 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $25,295 | | Insurance broker name | BLUE CARE NETWORK OF MICHIGAN |
|
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) |
| Policy contract number | 00271930/0001 |
| Policy instance | 2 |
| Insurance contract or identification number | 00271930/0001 | | Number of Individuals Covered | 172 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $36,490 | | 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 | | Welfare Benefit Premiums Paid to Carrier | USD $1,273,267 | | 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 number | 00405864 |
| Policy instance | 1 |
| Insurance contract or identification number | 00405864 | | Number of Individuals Covered | 491 | | Insurance policy start date | 2010-08-01 | | Insurance policy end date | 2011-07-31 | | Total amount of commissions paid to insurance broker | USD $11,422 | | Total amount of fees paid to insurance company | USD $7,481 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $163,567 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ADMIN RESOURCES INTERACTIVE (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 1517 |
| Policy instance | 4 |
| Insurance contract or identification number | 1517 | | Number of Individuals Covered | 350 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $927 | | 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 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $40,171 | | 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 number | 00405864 |
| Policy instance | 1 |
| Insurance contract or identification number | 00405864 | | Number of Individuals Covered | 567 | | Insurance policy start date | 2009-08-01 | | Insurance policy end date | 2010-07-31 | | Total amount of commissions paid to insurance broker | USD $9,887 | | 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 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $141,046 | | 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 | 00271930/0001 |
| Policy instance | 2 |
| Insurance contract or identification number | 00271930/0001 | | Number of Individuals Covered | 164 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $34,752 | | 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 | | Welfare Benefit Premiums Paid to Carrier | USD $1,212,635 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ADMIN RESOURCES INTERACTIVE (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 1517 |
| Policy instance | 4 |
| Insurance contract or identification number | 1517 | | Number of Individuals Covered | 392 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $1,367 | | 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 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $45,563 | | 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 number | 00405864 |
| Policy instance | 1 |
| Insurance contract or identification number | 00405864 | | Number of Individuals Covered | 377 | | Insurance policy start date | 2007-08-01 | | Insurance policy end date | 2008-07-31 | | Total amount of commissions paid to insurance broker | USD $8,184 | | Total amount of fees paid to insurance company | USD $6,231 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $113,555 | | 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 | 00271930/0001 |
| Policy instance | 2 |
| Insurance contract or identification number | 00271930/0001 | | Number of Individuals Covered | 336 | | Insurance policy start date | 2008-01-01 | | Insurance policy end date | 2008-12-31 | | Total amount of commissions paid to insurance broker | USD $39,977 | | 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 | | Welfare Benefit Premiums Paid to Carrier | USD $1,128,821 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
