R&D SYSTEMS, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN
401k plan membership statisitcs for R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN
Measure | Date | Value |
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2022: R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN 2022 401k membership |
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Total participants, beginning-of-year | 2022-07-01 | 1,816 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-07-01 | 1,909 |
Number of retired or separated participants receiving benefits | 2022-07-01 | 15 |
Total of all active and inactive participants | 2022-07-01 | 1,924 |
Total participants | 2022-07-01 | 1,924 |
2021: R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN 2021 401k membership |
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Total participants, beginning-of-year | 2021-07-01 | 1,633 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-07-01 | 1,793 |
Number of retired or separated participants receiving benefits | 2021-07-01 | 23 |
Total of all active and inactive participants | 2021-07-01 | 1,816 |
Total participants | 2021-07-01 | 1,816 |
2020: R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN 2020 401k membership |
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Total participants, beginning-of-year | 2020-07-01 | 1,546 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-07-01 | 1,618 |
Number of retired or separated participants receiving benefits | 2020-07-01 | 15 |
Total of all active and inactive participants | 2020-07-01 | 1,633 |
Total participants | 2020-07-01 | 1,633 |
2019: R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN 2019 401k membership |
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Total participants, beginning-of-year | 2019-07-01 | 1,495 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-07-01 | 1,539 |
Number of retired or separated participants receiving benefits | 2019-07-01 | 7 |
Total of all active and inactive participants | 2019-07-01 | 1,546 |
Total participants | 2019-07-01 | 1,546 |
2018: R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN 2018 401k membership |
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Total participants, beginning-of-year | 2018-07-01 | 1,207 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-07-01 | 1,428 |
Number of retired or separated participants receiving benefits | 2018-07-01 | 5 |
Number of other retired or separated participants entitled to future benefits | 2018-07-01 | 62 |
Total of all active and inactive participants | 2018-07-01 | 1,495 |
Total participants | 2018-07-01 | 1,495 |
2017: R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN 2017 401k membership |
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Total participants, beginning-of-year | 2017-07-01 | 1,074 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-07-01 | 1,178 |
Number of retired or separated participants receiving benefits | 2017-07-01 | 5 |
Number of other retired or separated participants entitled to future benefits | 2017-07-01 | 24 |
Total of all active and inactive participants | 2017-07-01 | 1,207 |
Total participants | 2017-07-01 | 1,207 |
2016: R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN 2016 401k membership |
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Total participants, beginning-of-year | 2016-07-01 | 995 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-07-01 | 1,079 |
Number of retired or separated participants receiving benefits | 2016-07-01 | 4 |
Number of other retired or separated participants entitled to future benefits | 2016-07-01 | 31 |
Total of all active and inactive participants | 2016-07-01 | 1,114 |
Total participants | 2016-07-01 | 1,114 |
2015: R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN 2015 401k membership |
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Total participants, beginning-of-year | 2015-07-01 | 781 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-07-01 | 918 |
Number of retired or separated participants receiving benefits | 2015-07-01 | 8 |
Number of other retired or separated participants entitled to future benefits | 2015-07-01 | 21 |
Total of all active and inactive participants | 2015-07-01 | 947 |
Total participants | 2015-07-01 | 0 |
2014: R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN 2014 401k membership |
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Total participants, beginning-of-year | 2014-07-01 | 648 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-07-01 | 648 |
Number of retired or separated participants receiving benefits | 2014-07-01 | 3 |
Number of other retired or separated participants entitled to future benefits | 2014-07-01 | 8 |
Total of all active and inactive participants | 2014-07-01 | 659 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2014-07-01 | 0 |
Total participants | 2014-07-01 | 659 |
2013: R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN 2013 401k membership |
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Total participants, beginning-of-year | 2013-07-01 | 646 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-07-01 | 640 |
Number of retired or separated participants receiving benefits | 2013-07-01 | 2 |
Number of other retired or separated participants entitled to future benefits | 2013-07-01 | 4 |
Total of all active and inactive participants | 2013-07-01 | 646 |
Total participants | 2013-07-01 | 646 |
2012: R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN 2012 401k membership |
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Total participants, beginning-of-year | 2012-07-01 | 642 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-07-01 | 646 |
Number of retired or separated participants receiving benefits | 2012-07-01 | 3 |
Number of other retired or separated participants entitled to future benefits | 2012-07-01 | 6 |
Total of all active and inactive participants | 2012-07-01 | 655 |
Total participants | 2012-07-01 | 655 |
2011: R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN 2011 401k membership |
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Total participants, beginning-of-year | 2011-07-01 | 627 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-07-01 | 650 |
Number of retired or separated participants receiving benefits | 2011-07-01 | 5 |
Number of other retired or separated participants entitled to future benefits | 2011-07-01 | 4 |
Total of all active and inactive participants | 2011-07-01 | 659 |
Total participants | 2011-07-01 | 659 |
2010: R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN 2010 401k membership |
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Total participants, beginning-of-year | 2010-07-01 | 615 |
Total number of active participants reported on line 7a of the Form 5500 | 2010-07-01 | 619 |
Number of retired or separated participants receiving benefits | 2010-07-01 | 1 |
Number of other retired or separated participants entitled to future benefits | 2010-07-01 | 7 |
Total of all active and inactive participants | 2010-07-01 | 627 |
Total participants | 2010-07-01 | 627 |
2009: R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN 2009 401k membership |
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Total participants, beginning-of-year | 2009-07-01 | 607 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-07-01 | 612 |
Number of retired or separated participants receiving benefits | 2009-07-01 | 3 |
Total of all active and inactive participants | 2009-07-01 | 615 |
Total participants | 2009-07-01 | 615 |
2022: R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN 2022 form 5500 responses |
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2022-07-01 | Type of plan entity | Single employer plan |
2022-07-01 | Plan funding arrangement – Insurance | Yes |
2022-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2022-07-01 | Plan benefit arrangement – Insurance | Yes |
2022-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2021: R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN 2021 form 5500 responses |
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2021-07-01 | Type of plan entity | Single employer plan |
2021-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2021-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2020: R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN 2020 form 5500 responses |
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2020-07-01 | Type of plan entity | Single employer plan |
2020-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2020-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2019: R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN 2019 form 5500 responses |
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2019-07-01 | Type of plan entity | Single employer plan |
2019-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2019-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2018: R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN 2018 form 5500 responses |
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2018-07-01 | Type of plan entity | Single employer plan |
2018-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2018-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2017: R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN 2017 form 5500 responses |
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2017-07-01 | Type of plan entity | Single employer plan |
2017-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2017-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2016: R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN 2016 form 5500 responses |
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2016-07-01 | Type of plan entity | Single employer plan |
2016-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2016-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2015: R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN 2015 form 5500 responses |
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2015-07-01 | Type of plan entity | Single employer plan |
2015-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2015-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2014: R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN 2014 form 5500 responses |
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2014-07-01 | Type of plan entity | Single employer plan |
2014-07-01 | Submission has been amended | No |
2014-07-01 | This submission is the final filing | No |
2014-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2014-07-01 | Plan is a collectively bargained plan | No |
2014-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2014-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2013: R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN 2013 form 5500 responses |
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2013-07-01 | Type of plan entity | Single employer plan |
2013-07-01 | Submission has been amended | No |
2013-07-01 | This submission is the final filing | No |
2013-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2013-07-01 | Plan is a collectively bargained plan | No |
2013-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2013-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2012: R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN 2012 form 5500 responses |
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2012-07-01 | Type of plan entity | Single employer plan |
2012-07-01 | Submission has been amended | No |
2012-07-01 | This submission is the final filing | No |
2012-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2012-07-01 | Plan is a collectively bargained plan | No |
2012-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2012-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2011: R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN 2011 form 5500 responses |
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2011-07-01 | Type of plan entity | Single employer plan |
2011-07-01 | Submission has been amended | No |
2011-07-01 | This submission is the final filing | No |
2011-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2011-07-01 | Plan is a collectively bargained plan | No |
2011-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2011-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2010: R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN 2010 form 5500 responses |
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2010-07-01 | Type of plan entity | Single employer plan |
2010-07-01 | Submission has been amended | No |
2010-07-01 | This submission is the final filing | No |
2010-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2010-07-01 | Plan is a collectively bargained plan | No |
2010-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2010-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2009: R&D SYSTEMS, INC. GROUP FAMILY MEDICAL PLAN 2009 form 5500 responses |
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2009-07-01 | Type of plan entity | Single employer plan |
2009-07-01 | Submission has been amended | No |
2009-07-01 | This submission is the final filing | No |
2009-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2009-07-01 | Plan is a collectively bargained plan | No |
2009-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2009-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
Policy contract number | 255899 |
Policy instance | 2 |
Insurance contract or identification number | 255899 | Number of Individuals Covered | 1649 | Total amount of commissions paid to insurance broker | USD $60,177 | Total amount of fees paid to insurance company | USD $50,700 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $2,183,023 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $60,177 | Amount paid for insurance broker fees | 50700 | Additional information about fees paid to insurance broker | BROKER INCENTIVE PAYMENTS | Insurance broker organization code? | 3 |
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KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
Policy contract number | 603471 |
Policy instance | 1 |
Insurance contract or identification number | 603471 | Number of Individuals Covered | 260 | Total amount of commissions paid to insurance broker | USD $71,644 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $2,296,705 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $71,644 | Insurance broker organization code? | 3 |
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KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
Policy contract number | 234860 |
Policy instance | 3 |
Insurance contract or identification number | 234860 | Number of Individuals Covered | 38 | Total amount of commissions paid to insurance broker | USD $10,327 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $207,062 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $10,327 | Insurance broker organization code? | 3 |
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BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
Policy contract number | 255899 |
Policy instance | 2 |
Insurance contract or identification number | 255899 | Number of Individuals Covered | 1512 | Total amount of commissions paid to insurance broker | USD $52,587 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,781,401 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $52,587 | Additional information about fees paid to insurance broker | BROKER INCENTIVE PAYMENTS | Insurance broker organization code? | 3 |
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KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
Policy contract number | 603471 |
Policy instance | 1 |
Insurance contract or identification number | 603471 | Number of Individuals Covered | 243 | Total amount of commissions paid to insurance broker | USD $91,032 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,841,674 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $91,032 | Insurance broker organization code? | 3 |
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BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
Policy contract number | 255899 |
Policy instance | 2 |
Insurance contract or identification number | 255899 | Number of Individuals Covered | 1393 | Total amount of commissions paid to insurance broker | USD $48,861 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,703,892 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $48,861 | Additional information about fees paid to insurance broker | BROKER INCENTIVE PAYMENTS | Insurance broker organization code? | 3 |
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KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
Policy contract number | 603471 |
Policy instance | 1 |
Insurance contract or identification number | 603471 | Number of Individuals Covered | 225 | Total amount of commissions paid to insurance broker | USD $74,835 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,492,981 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $74,835 | Insurance broker organization code? | 3 |
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BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
Policy contract number | 255899 |
Policy instance | 2 |
Insurance contract or identification number | 255899 | Number of Individuals Covered | 1329 | Total amount of commissions paid to insurance broker | USD $47,457 | Total amount of fees paid to insurance company | USD $67,305 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,412,905 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $47,457 | Amount paid for insurance broker fees | 67305 | Additional information about fees paid to insurance broker | BROKER INCENTIVE PAYMENTS | Insurance broker organization code? | 3 |
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KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
Policy contract number | 603471 |
Policy instance | 1 |
Insurance contract or identification number | 603471 | Number of Individuals Covered | 210 | Total amount of commissions paid to insurance broker | USD $77,143 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,543,519 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $77,143 | Insurance broker organization code? | 3 |
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KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
Policy contract number | 603471 |
Policy instance | 1 |
Insurance contract or identification number | 603471 | Number of Individuals Covered | 175 | Total amount of commissions paid to insurance broker | USD $60,999 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,206,304 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $60,999 | Insurance broker organization code? | 3 |
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BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
Policy contract number | 255899 |
Policy instance | 2 |
Insurance contract or identification number | 255899 | Number of Individuals Covered | 1253 | Total amount of commissions paid to insurance broker | USD $44,496 | Total amount of fees paid to insurance company | USD $67,305 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,139,217 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $44,496 | Amount paid for insurance broker fees | 67305 | Additional information about fees paid to insurance broker | BROKER INCENTIVE PAYMENTS | Insurance broker organization code? | 3 |
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KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
Policy contract number | 603471 |
Policy instance | 2 |
Insurance contract or identification number | 603471 | Number of Individuals Covered | 105 | Total amount of commissions paid to insurance broker | USD $67,164 | Total amount of fees paid to insurance company | USD $1,127 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $655,143 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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MEDICA (National Association of Insurance Commissioners NAIC id number: 1259 ) |
Policy contract number | MULTIPLE |
Policy instance | 1 |
Insurance contract or identification number | MULTIPLE | Number of Individuals Covered | 1073 | Total amount of commissions paid to insurance broker | USD $38,016 | Total amount of fees paid to insurance company | USD $29,784 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $885,969 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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MEDICA (National Association of Insurance Commissioners NAIC id number: 1259 ) |
Policy contract number | MULTIPLE |
Policy instance | 1 |
Insurance contract or identification number | MULTIPLE | Number of Individuals Covered | 918 | Total amount of commissions paid to insurance broker | USD $25,101 | Total amount of fees paid to insurance company | USD $4,162 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $471,315 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $25,101 | Amount paid for insurance broker fees | 3596 | Additional information about fees paid to insurance broker | BROKER INCENTIVE PROGRAM CALENDAR YEAR 2015 | Insurance broker organization code? | 3 | Insurance broker name | AIM HEALTHCARE SERVICES |
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MEDICA (National Association of Insurance Commissioners NAIC id number: 1259 ) |
Policy contract number | MULTIPLE |
Policy instance | 1 |
Insurance contract or identification number | MULTIPLE | Number of Individuals Covered | 1581 | Insurance policy start date | 2014-07-01 | Insurance policy end date | 2015-06-30 | Total amount of commissions paid to insurance broker | USD $26,033 | Total amount of fees paid to insurance company | USD $480,934 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $1,168,197 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $23,139 | Amount paid for insurance broker fees | 2894 | Additional information about fees paid to insurance broker | BROKER INCENTIVE PROGRAM CALENDAR YEAR 2014 | Insurance broker organization code? | 3 | Insurance broker name | CHRISTENSEN GROUP |
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MEDICA (National Association of Insurance Commissioners NAIC id number: 1259 ) |
Policy contract number | MULTIPLE |
Policy instance | 1 |
Insurance contract or identification number | MULTIPLE | Number of Individuals Covered | 1522 | Insurance policy start date | 2013-07-01 | Insurance policy end date | 2014-06-30 | Total amount of commissions paid to insurance broker | USD $26,177 | Total amount of fees paid to insurance company | USD $389,156 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $1,019,060 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $23,274 | Amount paid for insurance broker fees | 2903 | Additional information about fees paid to insurance broker | BROKER INCENTIVE PROGRAM | Insurance broker organization code? | 3 | Insurance broker name | DONALD B SCHREIFELS & ASSOCIATES |
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MEDICA (National Association of Insurance Commissioners NAIC id number: 1259 ) |
Policy contract number | MULTIPLE |
Policy instance | 1 |
Insurance contract or identification number | MULTIPLE | Number of Individuals Covered | 646 | Insurance policy start date | 2012-07-01 | Insurance policy end date | 2013-06-30 | Total amount of commissions paid to insurance broker | USD $26,082 | Total amount of fees paid to insurance company | USD $380,966 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $996,943 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $26,082 | Amount paid for insurance broker fees | 2889 | Additional information about fees paid to insurance broker | BROKER INCENTIVE PROGRAM | Insurance broker organization code? | 3 | Insurance broker name | DON SCHREIFELS & ASSOC. |
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MEDICA (National Association of Insurance Commissioners NAIC id number: 1259 ) |
Policy contract number | MULTIPLE |
Policy instance | 1 |
Insurance contract or identification number | MULTIPLE | Number of Individuals Covered | 650 | Insurance policy start date | 2011-07-01 | Insurance policy end date | 2012-06-30 | Total amount of commissions paid to insurance broker | USD $36,009 | Total amount of fees paid to insurance company | USD $326,538 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $893,912 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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MEDICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 142892 |
Policy instance | 1 |
Insurance contract or identification number | 142892 | Number of Individuals Covered | 620 | Insurance policy start date | 2010-07-01 | Insurance policy end date | 2011-06-30 | Total amount of commissions paid to insurance broker | USD $27,037 | Total amount of fees paid to insurance company | USD $280,099 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $760,507 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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