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COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN 401k Plan overview

Plan NameCOADVANTAGE RESOURCES INC GROUP BENEFITS PLAN
Plan identification number 501

COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Supplemental unemployment
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Prepaid legal
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

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

Company Name:COADVANTAGE RESOURCES INC
Employer identification number (EIN):593434670
NAIC Classification:561300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-10-01KRISTEN APPLEMAN
5012022-10-01
5012022-10-01LORI MARTIN
5012021-10-01
5012021-10-01LORI MARTIN
5012020-10-01
5012019-10-01
5012019-10-01
5012018-10-01
5012017-10-01
5012016-10-01PETER GRABOWSKI
5012015-10-01MIKE MASEDA
5012014-10-01JEFFREY MARSHALL
5012013-10-01JEFFREY SJOBECK
5012012-10-01JEFFREY SJOBECK JEFFREY SJOBECK2014-10-06
5012011-10-01JEFFREY J SJOBACK
5012009-10-01JEFFREY J SJOBECK
5012009-10-01MARK LOWREY
5012009-07-01JEFFREY J SJOBECK
5012009-07-01MARK LOWREY

Plan Statistics for COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN

401k plan membership statisitcs for COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN

Measure Date Value
2022: COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-10-0147,296
Total number of active participants reported on line 7a of the Form 55002022-10-0146,428
Total of all active and inactive participants2022-10-0146,428
Total participants2022-10-0146,428
2021: COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-0146,294
Total number of active participants reported on line 7a of the Form 55002021-10-0147,296
Total of all active and inactive participants2021-10-0147,296
Total participants2021-10-0147,296
2020: COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-0143,633
Total number of active participants reported on line 7a of the Form 55002020-10-0146,294
Total of all active and inactive participants2020-10-0146,294
Total participants2020-10-0146,294
2019: COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-0140,656
Total number of active participants reported on line 7a of the Form 55002019-10-0143,145
Total of all active and inactive participants2019-10-0143,145
Total participants2019-10-0143,145
2016: COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-0124,640
Total number of active participants reported on line 7a of the Form 55002016-10-0126,975
Number of retired or separated participants receiving benefits2016-10-01335
Number of other retired or separated participants entitled to future benefits2016-10-010
Total of all active and inactive participants2016-10-0127,310
2015: COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-0118,312
Total number of active participants reported on line 7a of the Form 55002015-10-0124,582
Number of retired or separated participants receiving benefits2015-10-01176
Number of other retired or separated participants entitled to future benefits2015-10-010
Total of all active and inactive participants2015-10-0124,758
2014: COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-0119,713
Total number of active participants reported on line 7a of the Form 55002014-10-0118,103
Number of retired or separated participants receiving benefits2014-10-01209
Total of all active and inactive participants2014-10-0118,312
Total participants2014-10-0118,312
2013: COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-0110,130
Total number of active participants reported on line 7a of the Form 55002013-10-0119,602
Number of retired or separated participants receiving benefits2013-10-01111
Total of all active and inactive participants2013-10-0119,713
Total participants2013-10-0119,713
2012: COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-016,957
Total number of active participants reported on line 7a of the Form 55002012-10-0110,011
Number of retired or separated participants receiving benefits2012-10-01119
Total of all active and inactive participants2012-10-0110,130
Total participants2012-10-0110,130
2011: COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-016,275
Total number of active participants reported on line 7a of the Form 55002011-10-016,957
Number of retired or separated participants receiving benefits2011-10-010
Number of other retired or separated participants entitled to future benefits2011-10-010
Total of all active and inactive participants2011-10-016,957
2009: COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-017,897
Total number of active participants reported on line 7a of the Form 55002009-10-017,012
Number of retired or separated participants receiving benefits2009-10-01160
Number of other retired or separated participants entitled to future benefits2009-10-010
Total of all active and inactive participants2009-10-017,172
Total participants, beginning-of-year2009-07-012,078
Total number of active participants reported on line 7a of the Form 55002009-07-017,897
Number of retired or separated participants receiving benefits2009-07-010
Number of other retired or separated participants entitled to future benefits2009-07-010
Total of all active and inactive participants2009-07-017,897

Financial Data on COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN

Measure Date Value
2016 : COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$0
Total income from all sources (including contributions)2016-09-30$98,653,584
Total loss/gain on sale of assets2016-09-30$0
Total of all expenses incurred2016-09-30$92,837,274
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-09-30$91,630,394
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-09-30$96,417,910
Value of total assets at end of year2016-09-30$10,132,505
Value of total assets at beginning of year2016-09-30$4,316,195
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-09-30$1,206,880
Total interest from all sources2016-09-30$5,655
Total dividends received (eg from common stock, registered investment company shares)2016-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-09-30No
Administrative expenses professional fees incurred2016-09-30$1,206,880
Was this plan covered by a fidelity bond2016-09-30Yes
Value of fidelity bond cover2016-09-30$1,000,000
If this is an individual account plan, was there a blackout period2016-09-30No
Were there any nonexempt tranactions with any party-in-interest2016-09-30No
Contributions received from participants2016-09-30$38,693,787
Participant contributions at end of year2016-09-30$5,562,851
Participant contributions at beginning of year2016-09-30$1,016,332
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-09-30$2,871,494
Other income not declared elsewhere2016-09-30$2,230,019
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Value of net income/loss2016-09-30$5,816,310
Value of net assets at end of year (total assets less liabilities)2016-09-30$10,132,505
Value of net assets at beginning of year (total assets less liabilities)2016-09-30$4,316,195
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-09-30No
Were any leases to which the plan was party in default or uncollectible2016-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-09-30$4,352,358
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-09-30$1,896,357
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-09-30$1,896,357
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-09-30$5,655
Expenses. Payments to insurance carriers foe the provision of benefits2016-09-30$88,758,900
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-09-30No
Was there a failure to transmit to the plan any participant contributions2016-09-30No
Has the plan failed to provide any benefit when due under the plan2016-09-30No
Contributions received in cash from employer2016-09-30$57,724,123
Employer contributions (assets) at end of year2016-09-30$217,296
Employer contributions (assets) at beginning of year2016-09-30$1,403,506
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-09-30No
Did the plan have assets held for investment2016-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-09-30No
Opinion of an independent qualified public accountant for this plan2016-09-30Unqualified
Accountancy firm name2016-09-30CLIFTON LARSON ALLEN
Accountancy firm EIN2016-09-30410746749
2015 : COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$0
Total income from all sources (including contributions)2015-09-30$70,141,621
Total loss/gain on sale of assets2015-09-30$0
Total of all expenses incurred2015-09-30$72,911,874
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-09-30$70,920,491
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-09-30$69,536,264
Value of total assets at end of year2015-09-30$4,316,195
Value of total assets at beginning of year2015-09-30$7,086,448
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-09-30$1,991,383
Total interest from all sources2015-09-30$5,823
Total dividends received (eg from common stock, registered investment company shares)2015-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-09-30No
Was this plan covered by a fidelity bond2015-09-30Yes
Value of fidelity bond cover2015-09-30$1,000,000
If this is an individual account plan, was there a blackout period2015-09-30No
Were there any nonexempt tranactions with any party-in-interest2015-09-30No
Contributions received from participants2015-09-30$29,073,943
Participant contributions at end of year2015-09-30$1,016,332
Participant contributions at beginning of year2015-09-30$655,076
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-09-30$2,544,770
Other income not declared elsewhere2015-09-30$599,534
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Value of net income/loss2015-09-30$-2,770,253
Value of net assets at end of year (total assets less liabilities)2015-09-30$4,316,195
Value of net assets at beginning of year (total assets less liabilities)2015-09-30$7,086,448
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-09-30No
Were any leases to which the plan was party in default or uncollectible2015-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-09-30$1,896,357
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-09-30$5,526,743
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-09-30$5,526,743
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-09-30$5,823
Expenses. Payments to insurance carriers foe the provision of benefits2015-09-30$68,375,721
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-09-30No
Was there a failure to transmit to the plan any participant contributions2015-09-30No
Has the plan failed to provide any benefit when due under the plan2015-09-30No
Contributions received in cash from employer2015-09-30$40,462,321
Employer contributions (assets) at end of year2015-09-30$1,403,506
Employer contributions (assets) at beginning of year2015-09-30$904,629
Contract administrator fees2015-09-30$1,991,383
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-09-30No
Did the plan have assets held for investment2015-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-09-30No
Opinion of an independent qualified public accountant for this plan2015-09-30Unqualified
Accountancy firm name2015-09-30CLIFTON LARSON ALLEN
Accountancy firm EIN2015-09-30410746749
2014 : COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-09-30$0
Total transfer of assets to this plan2014-09-30$5,621,629
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$0
Total income from all sources (including contributions)2014-09-30$59,633,795
Total loss/gain on sale of assets2014-09-30$0
Total of all expenses incurred2014-09-30$58,168,976
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-09-30$57,981,467
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-09-30$59,327,682
Value of total assets at end of year2014-09-30$7,086,448
Value of total assets at beginning of year2014-09-30$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-09-30$187,509
Total interest from all sources2014-09-30$6,705
Total dividends received (eg from common stock, registered investment company shares)2014-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-09-30No
Was this plan covered by a fidelity bond2014-09-30Yes
Value of fidelity bond cover2014-09-30$1,000,000
If this is an individual account plan, was there a blackout period2014-09-30Yes
Were there any nonexempt tranactions with any party-in-interest2014-09-30No
Contributions received from participants2014-09-30$25,456,766
Participant contributions at end of year2014-09-30$655,076
Other income not declared elsewhere2014-09-30$299,408
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Value of net income/loss2014-09-30$1,464,819
Value of net assets at end of year (total assets less liabilities)2014-09-30$7,086,448
Value of net assets at beginning of year (total assets less liabilities)2014-09-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-09-30No
Were any leases to which the plan was party in default or uncollectible2014-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-09-30$5,526,743
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-09-30$6,705
Expenses. Payments to insurance carriers foe the provision of benefits2014-09-30$57,981,467
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-09-30No
Was there a failure to transmit to the plan any participant contributions2014-09-30No
Has the plan failed to provide any benefit when due under the plan2014-09-30No
Contributions received in cash from employer2014-09-30$33,870,916
Employer contributions (assets) at end of year2014-09-30$904,629
Contract administrator fees2014-09-30$187,509
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-09-30No
Did the plan have assets held for investment2014-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-09-30Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-09-30No
Opinion of an independent qualified public accountant for this plan2014-09-30Unqualified
Accountancy firm name2014-09-30CLIFTONLARSONALLEN
Accountancy firm EIN2014-09-30410746749

Form 5500 Responses for COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN

2022: COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN 2022 form 5500 responses
2022-10-01Type of plan entitySingle employer plan
2022-10-01Submission has been amendedNo
2022-10-01This submission is the final filingNo
2022-10-01This return/report is a short plan year return/report (less than 12 months)No
2022-10-01Plan is a collectively bargained planNo
2022-10-01Plan funding arrangement – InsuranceYes
2022-10-01Plan benefit arrangement – InsuranceYes
2021: COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Submission has been amendedNo
2021-10-01This submission is the final filingNo
2021-10-01This return/report is a short plan year return/report (less than 12 months)No
2021-10-01Plan is a collectively bargained planNo
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – InsuranceYes
2020: COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Submission has been amendedNo
2020-10-01This submission is the final filingNo
2020-10-01This return/report is a short plan year return/report (less than 12 months)No
2020-10-01Plan is a collectively bargained planNo
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – InsuranceYes
2019: COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Submission has been amendedNo
2019-10-01This submission is the final filingNo
2019-10-01This return/report is a short plan year return/report (less than 12 months)No
2019-10-01Plan is a collectively bargained planNo
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes
2016: COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan funding arrangement – General assets of the sponsorYes
2016-10-01Plan benefit arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – General assets of the sponsorYes
2015: COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – TrustYes
2015-10-01Plan benefit arrangement – InsuranceYes
2015-10-01Plan benefit arrangement - TrustYes
2014: COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan benefit arrangement – InsuranceYes
2014-10-01Plan benefit arrangement - TrustYes
2013: COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan funding arrangement – TrustYes
2013-10-01Plan benefit arrangement – InsuranceYes
2013-10-01Plan benefit arrangement - TrustYes
2012: COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedYes
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan funding arrangement – General assets of the sponsorYes
2012-10-01Plan benefit arrangement – InsuranceYes
2012-10-01Plan benefit arrangement – General assets of the sponsorYes
2011: COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN 2011 form 5500 responses
2011-10-01Type of plan entityMulitple employer plan
2011-10-01Submission has been amendedYes
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan funding arrangement – General assets of the sponsorYes
2011-10-01Plan benefit arrangement – InsuranceYes
2011-10-01Plan benefit arrangement – General assets of the sponsorYes
2009: COADVANTAGE RESOURCES INC GROUP BENEFITS PLAN 2009 form 5500 responses
2009-10-01Type of plan entityMulitple employer plan
2009-10-01Submission has been amendedYes
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan funding arrangement – General assets of the sponsorYes
2009-10-01Plan benefit arrangement – InsuranceYes
2009-10-01Plan benefit arrangement – General assets of the sponsorYes
2009-07-01Type of plan entityMulitple employer plan
2009-07-01Submission has been amendedYes
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)Yes
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – General assets of the sponsorYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberR23218
Policy instance 6
UNIVERSITY HEALTH ALLIANCE (National Association of Insurance Commissioners NAIC id number: 47953 )
Policy contract number7236
Policy instance 16
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number68899
Policy instance 1
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract number68899
Policy instance 2
TEXAS HEALTH AND AETNA HEALTH (National Association of Insurance Commissioners NAIC id number: 16121 )
Policy contract number0727530TH
Policy instance 3
AETNA HEALTH INC (National Association of Insurance Commissioners NAIC id number: 95088 )
Policy contract number0727530HNO
Policy instance 4
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0727530
Policy instance 5
BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 )
Policy contract numberL00733
Policy instance 7
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number603670
Policy instance 8
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number231110
Policy instance 9
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0234440
Policy instance 15
HYATT LEGAL PLANS OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number92600099
Policy instance 14
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0215132
Policy instance 13
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0165405
Policy instance 12
KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 )
Policy contract number35999
Policy instance 11
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC. (National Association of Insurance Commissioners NAIC id number: 96237 )
Policy contract number10470
Policy instance 10
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberR23218
Policy instance 6
BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. (National Association of Insurance Commissioners NAIC id number: 96962 )
Policy contract numberL00733
Policy instance 7
TEXAS HEALTH AND AETNA HEALTH (National Association of Insurance Commissioners NAIC id number: 16121 )
Policy contract number0727530TH
Policy instance 5
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0727530
Policy instance 4
AETNA HEALTH INC (National Association of Insurance Commissioners NAIC id number: 95088 )
Policy contract number0727530HNO
Policy instance 3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract number68899
Policy instance 2
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number68899
Policy instance 1
KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 )
Policy contract number35999
Policy instance 8
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number603670
Policy instance 9
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0165405
Policy instance 12
UNIVERSITY HEALTH ALLIANCE (National Association of Insurance Commissioners NAIC id number: 47953 )
Policy contract number7236
Policy instance 16
HYATT LEGAL PLANS OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number9260099
Policy instance 15
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0234440
Policy instance 14
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0215132
Policy instance 13
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC. (National Association of Insurance Commissioners NAIC id number: 96237 )
Policy contract number10470
Policy instance 11
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number231110
Policy instance 10
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number800886
Policy instance 15
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number800884
Policy instance 16
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number800885
Policy instance 17
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number955431
Policy instance 18
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number955435
Policy instance 19
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number955436
Policy instance 20
UNIVERSITY HEALTH ALLIANCE (National Association of Insurance Commissioners NAIC id number: 47953 )
Policy contract number7236
Policy instance 21
HYATT LEGAL PLANS OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number9260099
Policy instance 22
AETNA HEALTH INC (National Association of Insurance Commissioners NAIC id number: 95088 )
Policy contract number0727530-HNO
Policy instance 3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number800896
Policy instance 14
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0215132
Policy instance 13
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0165405
Policy instance 12
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number68899
Policy instance 1
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract number68899
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0727530-MEDICAL
Policy instance 4
TEXAS HEALTH AND AETNA HEALTH (National Association of Insurance Commissioners NAIC id number: 16121 )
Policy contract number0727530-TH
Policy instance 5
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberR23218
Policy instance 6
BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 )
Policy contract numberL00733
Policy instance 7
KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 )
Policy contract number35999
Policy instance 8
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number603670
Policy instance 9
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number231110
Policy instance 10
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC. (National Association of Insurance Commissioners NAIC id number: 96237 )
Policy contract number10470
Policy instance 11
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0165405
Policy instance 10
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0215132
Policy instance 11
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number800896
Policy instance 12
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number800886
Policy instance 13
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number800884
Policy instance 14
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC. (National Association of Insurance Commissioners NAIC id number: 96237 )
Policy contract number10470
Policy instance 9
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number231110
Policy instance 8
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number603670
Policy instance 7
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberR23218
Policy instance 5
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0727530-MEDICAL
Policy instance 4
AETNA HEALTH INC (National Association of Insurance Commissioners NAIC id number: 95088 )
Policy contract number0727530-HNO
Policy instance 3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract number68899
Policy instance 2
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number68899
Policy instance 1
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number800885
Policy instance 15
HYATT LEGAL PLANS OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number9260099
Policy instance 17
KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 )
Policy contract number35999
Policy instance 6
UNIVERSITY HEALTH ALLIANCE (National Association of Insurance Commissioners NAIC id number: 47953 )
Policy contract number7236
Policy instance 16
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract number68899
Policy instance 19
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract number98376
Policy instance 18
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number800896
Policy instance 23
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number800886
Policy instance 22
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0165405
Policy instance 16
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number800884
Policy instance 20
UNIVERSITY HEALTH ALLIANCE (National Association of Insurance Commissioners NAIC id number: 47953 )
Policy contract number7236
Policy instance 19
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 78026 )
Policy contract numberCS34414
Policy instance 18
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTS05343611
Policy instance 17
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number603670
Policy instance 15
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number231110
Policy instance 14
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract number68899
Policy instance 13
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number800885
Policy instance 21

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