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PREMIER COOPERATIVE 401k Plan overview

Plan NamePREMIER COOPERATIVE
Plan identification number 501

PREMIER COOPERATIVE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

UNITY HEALTH PLANS INSURANCE CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:UNITY HEALTH PLANS INSURANCE CORPORATION
Employer identification number (EIN):391450766
NAIC Classification:524140

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PREMIER COOPERATIVE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012012-10-01SHAYLA DANZ
5012012-01-01SHAYLA DANZ
5012011-10-01SHAYLA DANZ

Plan Statistics for PREMIER COOPERATIVE

401k plan membership statisitcs for PREMIER COOPERATIVE

Measure Date Value
2012: PREMIER COOPERATIVE 2012 401k membership
Total participants, beginning-of-year2012-10-01173
Total number of active participants reported on line 7a of the Form 55002012-10-01168
Total of all active and inactive participants2012-10-01168
Total participants2012-10-01168
Number of employers contributing to the scheme2012-10-01168
Total participants, beginning-of-year2012-01-01173
Total number of active participants reported on line 7a of the Form 55002012-01-01168
Total of all active and inactive participants2012-01-01168
Total participants2012-01-01168
2011: PREMIER COOPERATIVE 2011 401k membership
Total participants, beginning-of-year2011-10-01134
Total number of active participants reported on line 7a of the Form 55002011-10-01173
Total of all active and inactive participants2011-10-01173
Total participants2011-10-01173
Number of employers contributing to the scheme2011-10-01173

Form 5500 Responses for PREMIER COOPERATIVE

2012: PREMIER COOPERATIVE 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01First time form 5500 has been submittedYes
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan benefit arrangement – InsuranceYes
2012-01-01Type of plan entitySingle employer plan
2012-01-01First time form 5500 has been submittedYes
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: PREMIER COOPERATIVE 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01First time form 5500 has been submittedYes
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITY HEALTH PLANS INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 95796 )
Policy contract number900467
Policy instance 1
Insurance contract or identification number900467
Number of Individuals Covered173
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $19,379
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

Potentially related plans

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