HEALTHCARE INNOVATIONS PRIVATE SERVICES has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan HEALTHCARE INNOVATIONS PRIVATE SERVICES INC. HEALTH INSURANCE PLAN
401k plan membership statisitcs for HEALTHCARE INNOVATIONS PRIVATE SERVICES INC. HEALTH INSURANCE PLAN
| Measure | Date | Value |
|---|
| 2012: HEALTHCARE INNOVATIONS PRIVATE SERVICES INC. HEALTH INSURANCE PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-06-01 | 296 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-06-01 | 299 |
| Number of retired or separated participants receiving benefits | 2012-06-01 | 5 |
| Total of all active and inactive participants | 2012-06-01 | 304 |
| Total participants | 2012-06-01 | 0 |
| 2011: HEALTHCARE INNOVATIONS PRIVATE SERVICES INC. HEALTH INSURANCE PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-06-01 | 244 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-06-01 | 290 |
| Number of retired or separated participants receiving benefits | 2011-06-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2011-06-01 | 4 |
| Total of all active and inactive participants | 2011-06-01 | 296 |
| Total participants | 2011-06-01 | 296 |
| 2010: HEALTHCARE INNOVATIONS PRIVATE SERVICES INC. HEALTH INSURANCE PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-06-01 | 170 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-06-01 | 233 |
| Number of other retired or separated participants entitled to future benefits | 2010-06-01 | 11 |
| Total of all active and inactive participants | 2010-06-01 | 244 |
| Total participants | 2010-06-01 | 244 |
| 2009: HEALTHCARE INNOVATIONS PRIVATE SERVICES INC. HEALTH INSURANCE PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-06-01 | 218 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-06-01 | 166 |
| Number of retired or separated participants receiving benefits | 2009-06-01 | 4 |
| Total of all active and inactive participants | 2009-06-01 | 170 |
| Total participants | 2009-06-01 | 170 |
| LEADERS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 74799 ) |
| Policy contract number | 1503 |
| Policy instance | 1 |
| Insurance contract or identification number | 1503 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2012-06-01 | | Insurance policy end date | 2013-05-31 | | Total amount of commissions paid to insurance broker | USD $248 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,283 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $248 | | Insurance broker organization code? | 3 | | Insurance broker name | MIKE SHUMARD |
|
| BLUECROSS BLUESHIELD OF OKLAHOMA (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | Y00012 |
| Policy instance | 6 |
| Insurance contract or identification number | Y00012 | | Number of Individuals Covered | 214 | | Insurance policy start date | 2012-06-01 | | Insurance policy end date | 2013-05-31 | | Total amount of commissions paid to insurance broker | USD $63,434 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,182,179 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $63,434 | | Insurance broker organization code? | 3 | | Insurance broker name | FULMER SCHUMARD INC. |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 95478 ) |
| Policy contract number | 30003608 |
| Policy instance | 5 |
| Insurance contract or identification number | 30003608 | | Number of Individuals Covered | 189 | | Insurance policy start date | 2012-06-01 | | Insurance policy end date | 2013-05-31 | | Total amount of commissions paid to insurance broker | USD $1,211 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $23,515 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,211 | | Additional information about fees paid to insurance broker | ADMINISTRATION FEES | | Insurance broker organization code? | 3 | | Insurance broker name | FULMER SHUMARD INC. |
|
| AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
| Policy contract number | 58-0663085 |
| Policy instance | 4 |
| Insurance contract or identification number | 58-0663085 | | Number of Individuals Covered | 190 | | Insurance policy start date | 2012-06-01 | | Insurance policy end date | 2013-05-31 | | Total amount of commissions paid to insurance broker | USD $32,536 | | Total amount of fees paid to insurance company | USD $1,502 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $142,088 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1 | | Insurance broker organization code? | 3 | | Additional information about fees paid to insurance broker | VALUE OF NON-MONETARY COMPENSATION | | Amount paid for insurance broker fees | 38 | | Insurance broker name | MICHAEL W. SHUMARD |
|
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
| Policy contract number | 8578-04 |
| Policy instance | 3 |
| Insurance contract or identification number | 8578-04 | | Number of Individuals Covered | 63 | | Insurance policy start date | 2012-06-01 | | Insurance policy end date | 2013-05-31 | | Total amount of commissions paid to insurance broker | USD $2,751 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $26,005 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,751 | | Insurance broker organization code? | 3 | | Insurance broker name | FULMER SHUMARD, INC. |
|
| TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 ) |
| Policy contract number | ER00011150 |
| Policy instance | 2 |
| Insurance contract or identification number | ER00011150 | | Number of Individuals Covered | 26 | | Insurance policy start date | 2012-06-01 | | Insurance policy end date | 2013-05-31 | | Total amount of commissions paid to insurance broker | USD $1,142 | | Health Insurance Welfare Benefit | Yes | | Other welfare benefits provided | GAP INSURANCE FOR HEALTH INSURANCE | | Welfare Benefit Premiums Paid to Carrier | USD $12,962 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,142 | | Insurance broker organization code? | 3 | | Insurance broker name | FULMER SHUMARD, INC. |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 95478 ) |
| Policy contract number | 30003608 |
| Policy instance | 5 |
| Insurance contract or identification number | 30003608 | | Number of Individuals Covered | 167 | | Insurance policy start date | 2011-06-01 | | Insurance policy end date | 2012-05-31 | | Total amount of commissions paid to insurance broker | USD $1,131 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $20,836 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
| Policy contract number | 58-0663085 |
| Policy instance | 4 |
| Insurance contract or identification number | 58-0663085 | | Number of Individuals Covered | 203 | | Insurance policy start date | 2011-06-01 | | Insurance policy end date | 2012-05-31 | | Total amount of commissions paid to insurance broker | USD $38,256 | | Total amount of fees paid to insurance company | USD $1,049 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $135,220 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
| Policy contract number | 8578-04 |
| Policy instance | 3 |
| Insurance contract or identification number | 8578-04 | | Number of Individuals Covered | 63 | | Insurance policy start date | 2011-06-01 | | Insurance policy end date | 2012-05-31 | | Total amount of commissions paid to insurance broker | USD $3,606 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $28,961 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 ) |
| Policy contract number | ER00011150 |
| Policy instance | 2 |
| Insurance contract or identification number | ER00011150 | | Number of Individuals Covered | 19 | | Insurance policy start date | 2011-06-01 | | Insurance policy end date | 2012-05-31 | | Total amount of commissions paid to insurance broker | USD $1,160 | | Health Insurance Welfare Benefit | Yes | | Other welfare benefits provided | GAP INSURANCE FOR HEALTH INSURANCE | | Welfare Benefit Premiums Paid to Carrier | USD $12,699 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LEADERS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 74799 ) |
| Policy contract number | 1503 |
| Policy instance | 1 |
| Insurance contract or identification number | 1503 | | Number of Individuals Covered | 10 | | Insurance policy start date | 2011-06-01 | | Insurance policy end date | 2012-05-31 | | Total amount of commissions paid to insurance broker | USD $279 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,075 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUECROSS BLUESHIELD OF OKLAHOMA (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | Y00012 |
| Policy instance | 6 |
| Insurance contract or identification number | Y00012 | | Number of Individuals Covered | 212 | | Insurance policy start date | 2011-06-01 | | Insurance policy end date | 2012-05-31 | | Total amount of commissions paid to insurance broker | USD $53,098 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $987,752 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 53937 ) |
| Policy contract number | 8240 |
| Policy instance | 6 |
| Insurance contract or identification number | 8240 | | Number of Individuals Covered | 166 | | Insurance policy start date | 2010-06-01 | | Insurance policy end date | 2011-05-31 | | Total amount of commissions paid to insurance broker | USD $6,039 | | Total amount of fees paid to insurance company | USD $6,438 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $75,484 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUECROSS BLUESHIELD OF OKLAHOMA (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | Y00012 |
| Policy instance | 7 |
| Insurance contract or identification number | Y00012 | | Number of Individuals Covered | 221 | | Insurance policy start date | 2010-06-01 | | Insurance policy end date | 2011-05-31 | | Total amount of commissions paid to insurance broker | USD $47,047 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $938,296 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 95478 ) |
| Policy contract number | 30003608 |
| Policy instance | 5 |
| Insurance contract or identification number | 30003608 | | Number of Individuals Covered | 149 | | Insurance policy start date | 2010-06-01 | | Insurance policy end date | 2011-05-31 | | Total amount of commissions paid to insurance broker | USD $1,075 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $19,120 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
| Policy contract number | 8578-04 |
| Policy instance | 3 |
| Insurance contract or identification number | 8578-04 | | Number of Individuals Covered | 58 | | Insurance policy start date | 2010-06-01 | | Insurance policy end date | 2011-05-31 | | Total amount of commissions paid to insurance broker | USD $3,683 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $27,328 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 ) |
| Policy contract number | ER00011150 |
| Policy instance | 2 |
| Insurance contract or identification number | ER00011150 | | Number of Individuals Covered | 16 | | Insurance policy start date | 2010-06-01 | | Insurance policy end date | 2011-05-31 | | Total amount of commissions paid to insurance broker | USD $1,364 | | Health Insurance Welfare Benefit | Yes | | Other welfare benefits provided | GAP INSURANCE FOR HEALTH INSURANCE | | Welfare Benefit Premiums Paid to Carrier | USD $11,874 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LEADERS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 74799 ) |
| Policy contract number | 1503 |
| Policy instance | 1 |
| Insurance contract or identification number | 1503 | | Number of Individuals Covered | 12 | | Insurance policy start date | 2010-06-01 | | Insurance policy end date | 2011-05-31 | | Total amount of commissions paid to insurance broker | USD $333 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,679 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
| Policy contract number | 58-0663085 |
| Policy instance | 4 |
| Insurance contract or identification number | 58-0663085 | | Number of Individuals Covered | 96 | | Insurance policy start date | 2010-06-01 | | Insurance policy end date | 2011-05-31 | | Total amount of commissions paid to insurance broker | USD $21,313 | | Total amount of fees paid to insurance company | USD $1,102 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $87,442 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
