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SUPERVALU GROUP HEALTH PLAN 401k Plan overview

Plan NameSUPERVALU GROUP HEALTH PLAN
Plan identification number 501

SUPERVALU GROUP HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover

401k Sponsoring company profile

SUPERVALU INC. has sponsored the creation of one or more 401k plans.

Company Name:SUPERVALU INC.
Employer identification number (EIN):410617000
NAIC Classification:424400

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SUPERVALU GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-01-01
5012017-01-01
5012016-01-01
5012015-01-01JON BORN JON BORN2016-10-17
5012014-01-01JON BORN JON BORN2015-10-15
5012013-01-01JON BORN JON BORN2014-10-15
5012012-01-01JON R BORN JON R BORN2013-10-10
5012011-01-01JON R BORN
5012009-01-01JON R BORN

Plan Statistics for SUPERVALU GROUP HEALTH PLAN

401k plan membership statisitcs for SUPERVALU GROUP HEALTH PLAN

Measure Date Value
2019: SUPERVALU GROUP HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-017,452
Total number of active participants reported on line 7a of the Form 55002019-01-010
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 participants2019-01-010
2017: SUPERVALU GROUP HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-017,503
Total number of active participants reported on line 7a of the Form 55002017-01-017,589
Number of retired or separated participants receiving benefits2017-01-01126
Total of all active and inactive participants2017-01-017,715
2016: SUPERVALU GROUP HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0111,265
Total number of active participants reported on line 7a of the Form 55002016-01-017,503
Number of retired or separated participants receiving benefits2016-01-01178
Total of all active and inactive participants2016-01-017,681
2015: SUPERVALU GROUP HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0111,937
Total number of active participants reported on line 7a of the Form 55002015-01-0110,893
Number of retired or separated participants receiving benefits2015-01-01372
Total of all active and inactive participants2015-01-0111,265
2014: SUPERVALU GROUP HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0112,766
Total number of active participants reported on line 7a of the Form 55002014-01-0111,691
Number of retired or separated participants receiving benefits2014-01-01246
Total of all active and inactive participants2014-01-0111,937
2013: SUPERVALU GROUP HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0142,995
Total number of active participants reported on line 7a of the Form 55002013-01-0112,007
Number of retired or separated participants receiving benefits2013-01-01759
Total of all active and inactive participants2013-01-0112,766
2012: SUPERVALU GROUP HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0147,016
Total number of active participants reported on line 7a of the Form 55002012-01-0142,407
Number of retired or separated participants receiving benefits2012-01-01588
Total of all active and inactive participants2012-01-0142,995
2011: SUPERVALU GROUP HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0148,174
Total number of active participants reported on line 7a of the Form 55002011-01-0146,518
Number of retired or separated participants receiving benefits2011-01-01498
Total of all active and inactive participants2011-01-0147,016
2009: SUPERVALU GROUP HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0159,964
Total number of active participants reported on line 7a of the Form 55002009-01-0154,128
Number of retired or separated participants receiving benefits2009-01-011,152
Total of all active and inactive participants2009-01-0155,280

Financial Data on SUPERVALU GROUP HEALTH PLAN

Measure Date Value
2019 : SUPERVALU GROUP HEALTH PLAN 2019 401k financial data
Total transfer of assets from this plan2019-12-31$-5,212,744
Total transfer of assets from this plan2019-12-31$-5,212,744
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$9,470,637
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$9,470,637
Total income from all sources (including contributions)2019-12-31$67,542,068
Total income from all sources (including contributions)2019-12-31$67,542,068
Total of all expenses incurred2019-12-31$66,228,444
Total of all expenses incurred2019-12-31$66,228,444
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$60,647,024
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$60,647,024
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$67,511,451
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$67,511,451
Value of total assets at end of year2019-12-31$0
Value of total assets at end of year2019-12-31$0
Value of total assets at beginning of year2019-12-31$2,944,269
Value of total assets at beginning of year2019-12-31$2,944,269
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$5,581,420
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$5,581,420
Total interest from all sources2019-12-31$30,617
Total interest from all sources2019-12-31$30,617
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$25,000,000
Value of fidelity bond cover2019-12-31$25,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$20,471,398
Contributions received from participants2019-12-31$20,471,398
Participant contributions at end of year2019-12-31$0
Participant contributions at end of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$406,264
Participant contributions at beginning of year2019-12-31$406,264
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$2,167,878
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$2,167,878
Liabilities. Value of operating payables at end of year2019-12-31$0
Liabilities. Value of operating payables at end of year2019-12-31$0
Liabilities. Value of operating payables at beginning of year2019-12-31$342,012
Liabilities. Value of operating payables at beginning of year2019-12-31$342,012
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,313,624
Value of net income/loss2019-12-31$1,313,624
Value of net assets at end of year (total assets less liabilities)2019-12-31$0
Value of net assets at end of year (total assets less liabilities)2019-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$-6,526,368
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$-6,526,368
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Interest earned on other investments2019-12-31$30,617
Interest earned on other investments2019-12-31$30,617
Value of interest in master investment trust accounts at end of year2019-12-31$0
Value of interest in master investment trust accounts at end of year2019-12-31$0
Value of interest in master investment trust accounts at beginning of year2019-12-31$370,127
Value of interest in master investment trust accounts at beginning of year2019-12-31$370,127
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$11,091,432
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$11,091,432
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$47,040,053
Contributions received in cash from employer2019-12-31$47,040,053
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$49,555,592
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$49,555,592
Contract administrator fees2019-12-31$5,581,420
Contract administrator fees2019-12-31$5,581,420
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Liabilities. Value of benefit claims payable at end of year2019-12-31$0
Liabilities. Value of benefit claims payable at end of year2019-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$9,128,625
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$9,128,625
Did the plan have assets held for investment2019-12-31No
Did the plan have assets held for investment2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31EIDE BAILLY LLP
Accountancy firm name2019-12-31EIDE BAILLY LLP
Accountancy firm EIN2019-12-31450250958
Accountancy firm EIN2019-12-31450250958
2018 : SUPERVALU GROUP HEALTH PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$9,470,637
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$8,270,743
Total income from all sources (including contributions)2018-12-31$85,366,071
Total of all expenses incurred2018-12-31$86,385,304
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$80,366,029
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$85,355,288
Value of total assets at end of year2018-12-31$2,944,269
Value of total assets at beginning of year2018-12-31$2,763,608
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$6,019,275
Total interest from all sources2018-12-31$10,783
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$25,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$23,814,271
Participant contributions at end of year2018-12-31$406,264
Participant contributions at beginning of year2018-12-31$414,106
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$2,167,878
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$1,950,766
Liabilities. Value of operating payables at end of year2018-12-31$342,012
Liabilities. Value of operating payables at beginning of year2018-12-31$642,844
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-1,019,233
Value of net assets at end of year (total assets less liabilities)2018-12-31$-6,526,368
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$-5,507,135
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Interest earned on other investments2018-12-31$10,783
Value of interest in master investment trust accounts at end of year2018-12-31$370,127
Value of interest in master investment trust accounts at beginning of year2018-12-31$398,736
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$9,079,967
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$61,541,017
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$71,286,062
Contract administrator fees2018-12-31$6,019,275
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Liabilities. Value of benefit claims payable at end of year2018-12-31$9,128,625
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$7,627,899
Did the plan have assets held for investment2018-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31EIDE BAILLY LLP
Accountancy firm EIN2018-12-31450250958
2017 : SUPERVALU GROUP HEALTH PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$8,270,743
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$8,639,859
Total income from all sources (including contributions)2017-12-31$80,779,296
Total of all expenses incurred2017-12-31$81,336,424
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$74,351,677
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$80,774,064
Value of total assets at end of year2017-12-31$2,763,608
Value of total assets at beginning of year2017-12-31$3,689,852
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$6,984,747
Total interest from all sources2017-12-31$5,232
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$25,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$22,073,158
Participant contributions at end of year2017-12-31$414,106
Participant contributions at beginning of year2017-12-31$437,208
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$1,950,766
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$2,674,545
Liabilities. Value of operating payables at end of year2017-12-31$642,844
Liabilities. Value of operating payables at beginning of year2017-12-31$755,076
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-557,128
Value of net assets at end of year (total assets less liabilities)2017-12-31$-5,507,135
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$-4,950,007
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Interest earned on other investments2017-12-31$5,232
Value of interest in master investment trust accounts at end of year2017-12-31$398,736
Value of interest in master investment trust accounts at beginning of year2017-12-31$578,099
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$5,297,324
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$58,700,906
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$69,054,353
Contract administrator fees2017-12-31$6,984,747
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Liabilities. Value of benefit claims payable at end of year2017-12-31$7,627,899
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$7,884,783
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31EIDE BAILLY LLP
Accountancy firm EIN2017-12-31450250958
2016 : SUPERVALU GROUP HEALTH PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$8,639,859
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$11,767,775
Total income from all sources (including contributions)2016-12-31$111,496,457
Total of all expenses incurred2016-12-31$108,115,829
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$100,631,683
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$111,495,227
Value of total assets at end of year2016-12-31$3,689,852
Value of total assets at beginning of year2016-12-31$3,437,140
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$7,484,146
Total interest from all sources2016-12-31$1,230
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31No
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$33,284,530
Participant contributions at end of year2016-12-31$437,208
Participant contributions at beginning of year2016-12-31$480,239
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$2,674,545
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$2,342,635
Liabilities. Value of operating payables at end of year2016-12-31$755,076
Liabilities. Value of operating payables at beginning of year2016-12-31$416,301
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$3,380,628
Value of net assets at end of year (total assets less liabilities)2016-12-31$-4,950,007
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$-8,330,635
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Interest earned on other investments2016-12-31$1,230
Value of interest in master investment trust accounts at end of year2016-12-31$578,099
Value of interest in master investment trust accounts at beginning of year2016-12-31$614,266
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$5,429,608
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$78,210,697
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$95,202,075
Contract administrator fees2016-12-31$7,484,146
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Liabilities. Value of benefit claims payable at end of year2016-12-31$7,884,783
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$11,351,474
Did the plan have assets held for investment2016-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31EIDE BAILLY LLP
Accountancy firm EIN2016-12-31450250958
2015 : SUPERVALU GROUP HEALTH PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$11,767,775
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$21,998,151
Total income from all sources (including contributions)2015-12-31$116,561,249
Total of all expenses incurred2015-12-31$113,158,746
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$105,474,834
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$116,561,130
Value of total assets at end of year2015-12-31$3,437,140
Value of total assets at beginning of year2015-12-31$10,265,013
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$7,683,912
Total interest from all sources2015-12-31$119
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$25,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$34,252,075
Participant contributions at end of year2015-12-31$480,239
Participant contributions at beginning of year2015-12-31$1,079,772
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$2,342,635
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$3,973,390
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$10,879,980
Liabilities. Value of operating payables at end of year2015-12-31$416,301
Liabilities. Value of operating payables at beginning of year2015-12-31$627,303
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$3,402,503
Value of net assets at end of year (total assets less liabilities)2015-12-31$-8,330,635
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$-11,733,138
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Interest earned on other investments2015-12-31$119
Value of interest in master investment trust accounts at end of year2015-12-31$614,266
Value of interest in master investment trust accounts at beginning of year2015-12-31$5,211,851
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$4,834,769
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$82,309,055
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$100,640,065
Contract administrator fees2015-12-31$7,683,912
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Liabilities. Value of benefit claims payable at end of year2015-12-31$11,351,474
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$10,490,868
Did the plan have assets held for investment2015-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31EIDE BAILLY, LLP
Accountancy firm EIN2015-12-31450250958
2014 : SUPERVALU GROUP HEALTH PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$21,998,151
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$22,808,279
Total income from all sources (including contributions)2014-12-31$122,017,888
Total of all expenses incurred2014-12-31$115,314,010
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$106,754,164
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$122,016,735
Value of total assets at end of year2014-12-31$10,265,013
Value of total assets at beginning of year2014-12-31$4,371,263
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$8,559,846
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$25,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$34,630,708
Participant contributions at end of year2014-12-31$1,079,772
Participant contributions at beginning of year2014-12-31$1,037,512
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$3,973,390
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$3,333,751
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$10,879,980
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$11,645,049
Liabilities. Value of operating payables at end of year2014-12-31$627,303
Liabilities. Value of operating payables at beginning of year2014-12-31$615,152
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$6,703,878
Value of net assets at end of year (total assets less liabilities)2014-12-31$-11,733,138
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$-18,437,016
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$599,737
Value of interest in master investment trust accounts at end of year2014-12-31$5,211,851
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$5,068,601
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$87,386,027
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$101,685,563
Contract administrator fees2014-12-31$7,960,109
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Liabilities. Value of benefit claims payable at end of year2014-12-31$10,490,868
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$10,548,078
Did the plan have assets held for investment2014-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31EIDE BAILLY LLP
Accountancy firm EIN2014-12-31450250958
2013 : SUPERVALU GROUP HEALTH PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$22,808,279
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$49,371,961
Total income from all sources (including contributions)2013-12-31$198,312,892
Total of all expenses incurred2013-12-31$174,813,665
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$162,056,626
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$198,312,892
Value of total assets at end of year2013-12-31$4,371,263
Value of total assets at beginning of year2013-12-31$7,435,718
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$12,757,039
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31No
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$49,586,142
Participant contributions at end of year2013-12-31$1,037,512
Participant contributions at beginning of year2013-12-31$1,918,048
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$3,333,751
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$5,517,670
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$11,645,049
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$8,689,587
Liabilities. Value of operating payables at end of year2013-12-31$615,152
Liabilities. Value of operating payables at beginning of year2013-12-31$1,237,100
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$23,499,227
Value of net assets at end of year (total assets less liabilities)2013-12-31$-18,437,016
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$-41,936,243
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$619,313
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$10,810,774
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$148,726,750
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$151,245,852
Contract administrator fees2013-12-31$12,137,726
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Liabilities. Value of benefit claims payable at end of year2013-12-31$10,548,078
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$39,445,274
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31EIDE BAILLY LLP
Accountancy firm EIN2013-12-31450250958
2012 : SUPERVALU GROUP HEALTH PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$49,371,961
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$47,898,299
Total income from all sources (including contributions)2012-12-31$377,476,491
Total of all expenses incurred2012-12-31$380,314,056
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$354,235,034
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$377,476,491
Value of total assets at end of year2012-12-31$7,435,718
Value of total assets at beginning of year2012-12-31$8,799,621
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$26,079,022
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31No
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$94,063,256
Participant contributions at end of year2012-12-31$1,918,048
Participant contributions at beginning of year2012-12-31$3,860,214
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$5,517,670
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$4,939,407
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$8,689,587
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$8,346,102
Liabilities. Value of operating payables at end of year2012-12-31$1,237,100
Liabilities. Value of operating payables at beginning of year2012-12-31$1,063,838
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-2,837,565
Value of net assets at end of year (total assets less liabilities)2012-12-31$-41,936,243
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$-39,098,678
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$525,306
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$25,001,744
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$283,413,235
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$329,233,290
Contract administrator fees2012-12-31$25,553,716
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$39,445,274
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$38,488,359
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31EIDE BAILLY LLP
Accountancy firm EIN2012-12-31450250958
2011 : SUPERVALU GROUP HEALTH PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$47,898,299
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$52,168,313
Total income from all sources (including contributions)2011-12-31$382,887,197
Total of all expenses incurred2011-12-31$380,689,722
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$353,211,749
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$382,887,197
Value of total assets at end of year2011-12-31$8,799,621
Value of total assets at beginning of year2011-12-31$10,872,160
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$27,477,973
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31No
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Amount of non-exempt transactions with any party-in-interest2011-12-31$71,697
Contributions received from participants2011-12-31$92,928,485
Participant contributions at end of year2011-12-31$3,860,214
Participant contributions at beginning of year2011-12-31$3,792,502
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$4,939,407
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$7,079,658
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$8,346,102
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$6,815,583
Liabilities. Value of operating payables at end of year2011-12-31$1,063,838
Liabilities. Value of operating payables at beginning of year2011-12-31$907,581
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$2,197,475
Value of net assets at end of year (total assets less liabilities)2011-12-31$-39,098,678
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$-41,296,153
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$453,003
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$26,679,817
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$289,958,712
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$326,531,932
Contract administrator fees2011-12-31$27,024,970
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$38,488,359
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$44,445,149
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31EIDE BAILLY LLP
Accountancy firm EIN2011-12-31450250958
2010 : SUPERVALU GROUP HEALTH PLAN 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$52,168,313
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$48,263,736
Total income from all sources (including contributions)2010-12-31$430,593,610
Total of all expenses incurred2010-12-31$443,491,897
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$417,729,806
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$430,525,852
Value of total assets at end of year2010-12-31$10,872,160
Value of total assets at beginning of year2010-12-31$19,865,870
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$25,762,091
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$2,614,681
Was this plan covered by a fidelity bond2010-12-31No
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31Yes
Amount of non-exempt transactions with any party-in-interest2010-12-31$71,697
Contributions received from participants2010-12-31$95,707,590
Participant contributions at end of year2010-12-31$3,792,502
Participant contributions at beginning of year2010-12-31$1,435,753
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$7,079,658
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$6,625,117
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$6,815,583
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$10,136,756
Other income not declared elsewhere2010-12-31$67,758
Administrative expenses (other) incurred2010-12-31$508,482
Liabilities. Value of operating payables at end of year2010-12-31$907,581
Liabilities. Value of operating payables at beginning of year2010-12-31$668,518
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-12,898,287
Value of net assets at end of year (total assets less liabilities)2010-12-31$-41,296,153
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$-28,397,866
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in master investment trust accounts at beginning of year2010-12-31$11,805,000
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$26,915,829
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$334,818,262
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$390,813,977
Contract administrator fees2010-12-31$22,638,928
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$44,445,149
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$37,458,462
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31EIDE BAILLY
Accountancy firm EIN2010-12-31450250958

Form 5500 Responses for SUPERVALU GROUP HEALTH PLAN

2019: SUPERVALU GROUP HEALTH PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01This submission is the final filingYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: SUPERVALU GROUP HEALTH PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: SUPERVALU GROUP HEALTH PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: SUPERVALU GROUP HEALTH PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: SUPERVALU GROUP HEALTH PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: SUPERVALU GROUP HEALTH PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: SUPERVALU GROUP HEALTH PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: SUPERVALU GROUP HEALTH PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: SUPERVALU GROUP HEALTH PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number1487101
Policy instance 4
HUMANA MEDICAL PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95270 )
Policy contract number553234
Policy instance 14
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3172320
Policy instance 1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12314418
Policy instance 3
DELTA DENTAL PLAN OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55034 )
Policy contract number051057
Policy instance 5
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number22231
Policy instance 6
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number101709
Policy instance 7
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number101709-0
Policy instance 8
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number22231-7000
Policy instance 13
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number22231-0
Policy instance 12
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12236423
Policy instance 2
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number101709-36
Policy instance 11
GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )
Policy contract number1461000
Policy instance 10
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1944
Policy instance 9
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12236423
Policy instance 2
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3172320
Policy instance 1
DELTA DENTAL PLAN OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55034 )
Policy contract number051057-ACTIVE
Policy instance 4
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number1487101
Policy instance 5
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12314418
Policy instance 3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12236423
Policy instance 2
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number1487101
Policy instance 5
DELTA DENTAL PLAN OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55034 )
Policy contract number051057-ACTIVE
Policy instance 4
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12314418
Policy instance 3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3172320
Policy instance 1
DELTA DENTAL PLAN OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55034 )
Policy contract number051057-ACTIVE
Policy instance 4
SELECTHEALTH (National Association of Insurance Commissioners NAIC id number: 95153 )
Policy contract numberG1006924 1001
Policy instance 5
SELECTHEALTH (National Association of Insurance Commissioners NAIC id number: 95153 )
Policy contract numberG1006924 1003
Policy instance 6
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number1487101
Policy instance 7
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12314418
Policy instance 3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12236423
Policy instance 2
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3172320
Policy instance 1
DELTA DENTAL OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55034 )
Policy contract number005389, 009610
Policy instance 7
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number01487101
Policy instance 11
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3172320
Policy instance 1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12236423
Policy instance 2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12314418
Policy instance 3
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number19217
Policy instance 12
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number602049
Policy instance 4
SELECTHEALTH (National Association of Insurance Commissioners NAIC id number: 95153 )
Policy contract numberG1006924 1003
Policy instance 9
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number10046
Policy instance 10
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberH00018
Policy instance 5
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number620397
Policy instance 6
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberH80008, H80009
Policy instance 13
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number231573
Policy instance 14
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number604096
Policy instance 15
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number228365
Policy instance 16
SELECTHEALTH (National Association of Insurance Commissioners NAIC id number: 95153 )
Policy contract numberG1006924 1001
Policy instance 8
SELECTHEALTH (National Association of Insurance Commissioners NAIC id number: 95153 )
Policy contract numberG1006924 1001
Policy instance 9
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number04181962
Policy instance 12
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number3172320
Policy instance 2
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number10046
Policy instance 11
SELECTHEALTH (National Association of Insurance Commissioners NAIC id number: 95153 )
Policy contract numberG1006924 1003
Policy instance 10
DELTA DENTAL OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55034 )
Policy contract number005389, 009610
Policy instance 8
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number620397
Policy instance 7
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberH80008
Policy instance 6
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number602049
Policy instance 5
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12314418
Policy instance 4
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12236423
Policy instance 3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number228365
Policy instance 1
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number10046
Policy instance 11
HEALTHAMERICA OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 95060 )
Policy contract number5923500000
Policy instance 12
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number04181962
Policy instance 13
SELECTHEALTH (National Association of Insurance Commissioners NAIC id number: 95153 )
Policy contract numberG1006924 1003
Policy instance 10
SELECTHEALTH (National Association of Insurance Commissioners NAIC id number: 95153 )
Policy contract numberG1006924 1001
Policy instance 9
DELTA DENTAL OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55034 )
Policy contract number005389, 009610
Policy instance 8
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number228365
Policy instance 1
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number3172320
Policy instance 2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12236423
Policy instance 3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12314418
Policy instance 4
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number602049
Policy instance 5
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number620397
Policy instance 7
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberH80008
Policy instance 6
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberH80008
Policy instance 6
HEALTHAMERICA OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 95060 )
Policy contract number5923500000
Policy instance 14
HEALTHAMERICA OF PENNSYLVANIA, INC. HMO (National Association of Insurance Commissioners NAIC id number: 95060 )
Policy contract number5850000000
Policy instance 13
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number10046
Policy instance 12
SELECTHEALTH (National Association of Insurance Commissioners NAIC id number: 95153 )
Policy contract numberG1006924 1003
Policy instance 11
SELECTHEALTH (National Association of Insurance Commissioners NAIC id number: 95153 )
Policy contract numberG1006924 1001
Policy instance 10
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number40789
Policy instance 9
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number04181962
Policy instance 15
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number40002 555
Policy instance 16
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number620397
Policy instance 7
DELTA DENTAL OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55034 )
Policy contract number005389, 009610
Policy instance 8
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number228365
Policy instance 1
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number3172320
Policy instance 2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12236423
Policy instance 3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12314418
Policy instance 4
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number602049
Policy instance 5

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