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MICROSOFT CORPORATION WELFARE PLAN 401k Plan overview

Plan NameMICROSOFT CORPORATION WELFARE PLAN
Plan identification number 501

MICROSOFT CORPORATION WELFARE PLAN Benefits

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

MICROSOFT CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:MICROSOFT CORPORATION
Employer identification number (EIN):911144442
NAIC Classification:511210
NAIC Description:Software Publishers

Additional information about MICROSOFT CORPORATION

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 1993-09-22
Company Identification Number: 600413485
Legal Registered Office Address: 300 DESCHUTES WAY SW STE 208 MC-CSC1

TUMWATER
United States of America (USA)
98501

More information about MICROSOFT CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MICROSOFT CORPORATION WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01FRED THIELE2023-10-11 DANIEL GOFF2023-10-11
5012021-01-01FRED THIELE2022-10-07 DANIEL GOFF2022-10-06
5012020-01-01FRED THIELE2021-10-10 DANIEL GOFF2021-10-12
5012019-01-01FRED THIELE2020-10-11 DANIEL GOFF2020-10-09
5012018-01-01
5012017-01-01
5012017-01-01
5012016-01-01FRED THIELE DANIEL GOFF2017-09-22
5012015-01-01FRED THIELE DANIEL GOFF2016-07-27
5012014-01-01FRED THIELE WILLIAM J. SAMPLE2015-10-13
5012013-01-01FRED THIELE WILLIAM J. SAMPLE2014-07-24
5012012-01-01WILLIAM J. SAMPLE FRED THIELE2013-10-14
5012011-01-01FRED THIELE WILLIAM J. SAMPLE2012-10-10
5012009-01-01FRED THIELE WILLIAM J. SAMPLE2010-10-15
5012009-01-01FRED THIELE WILLIAM J. SAMPLE2010-10-15

Plan Statistics for MICROSOFT CORPORATION WELFARE PLAN

401k plan membership statisitcs for MICROSOFT CORPORATION WELFARE PLAN

Measure Date Value
2022: MICROSOFT CORPORATION WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0194,684
Total number of active participants reported on line 7a of the Form 55002022-01-01104,302
Number of retired or separated participants receiving benefits2022-01-011,445
Total of all active and inactive participants2022-01-01105,747
Total participants2022-01-010
2021: MICROSOFT CORPORATION WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0186,116
Total number of active participants reported on line 7a of the Form 55002021-01-0193,316
Number of retired or separated participants receiving benefits2021-01-011,168
Total of all active and inactive participants2021-01-0194,484
Total participants2021-01-0194,484
2020: MICROSOFT CORPORATION WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0177,630
Total number of active participants reported on line 7a of the Form 55002020-01-0183,942
Number of retired or separated participants receiving benefits2020-01-011,266
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-0185,208
Total participants2020-01-0185,208
2019: MICROSOFT CORPORATION WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0173,558
Total number of active participants reported on line 7a of the Form 55002019-01-0176,357
Number of retired or separated participants receiving benefits2019-01-011,390
Total of all active and inactive participants2019-01-0177,747
Total participants2019-01-0177,747
2018: MICROSOFT CORPORATION WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0168,484
Total number of active participants reported on line 7a of the Form 55002018-01-0172,054
Number of retired or separated participants receiving benefits2018-01-011,504
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0173,558
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0173,558
2017: MICROSOFT CORPORATION WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0165,899
Total number of active participants reported on line 7a of the Form 55002017-01-0166,702
Number of retired or separated participants receiving benefits2017-01-011,782
Total of all active and inactive participants2017-01-0168,484
Total participants2017-01-0168,484
2016: MICROSOFT CORPORATION WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0162,527
Total number of active participants reported on line 7a of the Form 55002016-01-0164,427
Number of retired or separated participants receiving benefits2016-01-011,472
Total of all active and inactive participants2016-01-0165,899
2015: MICROSOFT CORPORATION WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0160,336
Total number of active participants reported on line 7a of the Form 55002015-01-0160,680
Number of retired or separated participants receiving benefits2015-01-011,847
Total of all active and inactive participants2015-01-0162,527
2014: MICROSOFT CORPORATION WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0159,501
Total number of active participants reported on line 7a of the Form 55002014-01-0157,676
Number of retired or separated participants receiving benefits2014-01-012,660
Total of all active and inactive participants2014-01-0160,336
Total participants2014-01-0160,336
2013: MICROSOFT CORPORATION WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0158,778
Total number of active participants reported on line 7a of the Form 55002013-01-0158,052
Number of retired or separated participants receiving benefits2013-01-011,449
Total of all active and inactive participants2013-01-0159,501
Total participants2013-01-0159,501
2012: MICROSOFT CORPORATION WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0155,728
Total number of active participants reported on line 7a of the Form 55002012-01-0157,260
Number of retired or separated participants receiving benefits2012-01-011,518
Total of all active and inactive participants2012-01-0158,778
Total participants2012-01-0158,778
2011: MICROSOFT CORPORATION WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0155,022
Total number of active participants reported on line 7a of the Form 55002011-01-0154,332
Number of retired or separated participants receiving benefits2011-01-011,396
Total of all active and inactive participants2011-01-0155,728
Total participants2011-01-0155,728
2009: MICROSOFT CORPORATION WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0159,225
Total number of active participants reported on line 7a of the Form 55002009-01-0155,231
Number of retired or separated participants receiving benefits2009-01-012,260
Total of all active and inactive participants2009-01-0157,491
Total participants2009-01-0157,491

Financial Data on MICROSOFT CORPORATION WELFARE PLAN

Measure Date Value
2013 : MICROSOFT CORPORATION WELFARE PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$66,132,509
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$68,067,569
Total income from all sources (including contributions)2013-12-31$752,823,169
Total of all expenses incurred2013-12-31$744,142,855
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$705,350,010
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$752,822,690
Value of total assets at end of year2013-12-31$47,203,726
Value of total assets at beginning of year2013-12-31$40,458,472
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$38,792,845
Total interest from all sources2013-12-31$479
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 bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$50,000,000
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$61,141,215
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$30,459,706
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$47,203,726
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$7,256,925
Administrative expenses (other) incurred2013-12-31$38,792,845
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$8,680,314
Value of net assets at end of year (total assets less liabilities)2013-12-31$-18,928,783
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$-27,609,097
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$33,201,547
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$33,201,547
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$479
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$62,965,789
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
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$691,681,475
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$611,924,515
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$66,132,509
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$68,067,569
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 name2013-12-31DELOITTE & TOUCHE, LLP
Accountancy firm EIN2013-12-31133891517
2012 : MICROSOFT CORPORATION WELFARE PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$68,067,569
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$67,323,160
Total income from all sources (including contributions)2012-12-31$929,020,106
Total of all expenses incurred2012-12-31$950,693,285
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$917,304,922
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$929,017,793
Value of total assets at end of year2012-12-31$40,458,472
Value of total assets at beginning of year2012-12-31$61,387,242
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$33,388,363
Total interest from all sources2012-12-31$2,313
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 bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$50,000,000
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$63,036,602
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$32,356,256
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$7,256,925
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$13,509,415
Administrative expenses (other) incurred2012-12-31$1,327,305
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-21,673,179
Value of net assets at end of year (total assets less liabilities)2012-12-31$-27,609,097
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$-5,935,918
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$33,201,547
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$47,877,827
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$47,877,827
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$2,313
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$59,095,697
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
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$865,981,191
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$825,852,969
Contract administrator fees2012-12-31$32,061,058
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$68,067,569
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$67,323,160
Did the plan have assets held for investment2012-12-31Yes
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 name2012-12-31DELOITTE & TOUCHE, LLP
Accountancy firm EIN2012-12-31133891517
2011 : MICROSOFT CORPORATION WELFARE PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$67,323,160
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$65,136,218
Total income from all sources (including contributions)2011-12-31$772,920,505
Total of all expenses incurred2011-12-31$767,371,804
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$737,070,354
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$772,917,344
Value of total assets at end of year2011-12-31$61,387,242
Value of total assets at beginning of year2011-12-31$53,651,599
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$30,301,450
Total interest from all sources2011-12-31$3,161
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 bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$50,000,000
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
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$13,509,415
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$292
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$1,105,781
Administrative expenses (other) incurred2011-12-31$1,169,452
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$5,548,701
Value of net assets at end of year (total assets less liabilities)2011-12-31$-5,935,918
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$-11,484,619
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$47,877,827
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$53,651,307
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$53,651,307
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$3,161
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$53,203,716
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
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$772,917,344
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$683,866,638
Contract administrator fees2011-12-31$29,131,998
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$67,323,160
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$64,030,437
Did the plan have assets held for investment2011-12-31Yes
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 name2011-12-31DELOITTE & TOUCHE, LLP
Accountancy firm EIN2011-12-31133891517
2010 : MICROSOFT CORPORATION WELFARE PLAN 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$65,136,218
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$67,762,804
Total income from all sources (including contributions)2010-12-31$699,729,895
Total of all expenses incurred2010-12-31$704,747,656
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$673,483,565
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$699,721,775
Value of total assets at end of year2010-12-31$53,651,599
Value of total assets at beginning of year2010-12-31$61,295,946
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$31,264,091
Total interest from all sources2010-12-31$8,120
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$50,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$292
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$774
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$1,105,781
Administrative expenses (other) incurred2010-12-31$1,082,725
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-5,017,761
Value of net assets at end of year (total assets less liabilities)2010-12-31$-11,484,619
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$-6,466,858
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 bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$53,651,307
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$57,869,368
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$57,869,368
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$8,120
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$50,762,606
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
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$699,721,775
Employer contributions (assets) at end of year2010-12-31$0
Employer contributions (assets) at beginning of year2010-12-31$3,425,804
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$622,720,959
Contract administrator fees2010-12-31$30,181,366
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$64,030,437
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$67,762,804
Did the plan have assets held for investment2010-12-31Yes
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 name2010-12-31DELOITTE & TOUCHE, LLP
Accountancy firm EIN2010-12-31133891517

Form 5500 Responses for MICROSOFT CORPORATION WELFARE PLAN

2022: MICROSOFT CORPORATION WELFARE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: MICROSOFT CORPORATION WELFARE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: MICROSOFT CORPORATION WELFARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: MICROSOFT CORPORATION WELFARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: MICROSOFT CORPORATION WELFARE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: MICROSOFT CORPORATION WELFARE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: MICROSOFT CORPORATION WELFARE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: MICROSOFT CORPORATION WELFARE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: MICROSOFT CORPORATION WELFARE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: MICROSOFT CORPORATION WELFARE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: MICROSOFT CORPORATION WELFARE 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 benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: MICROSOFT CORPORATION WELFARE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: MICROSOFT CORPORATION WELFARE 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 benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

WELLSPRING FAMILY SERVICES, EAP (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract numberN/A
Policy instance 6
Insurance contract or identification numberN/A
Number of Individuals Covered104540
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $2,268,705
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number43994-1
Policy instance 5
Insurance contract or identification number43994-1
Number of Individuals Covered173464
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of fees paid to insurance companyUSD $14,299
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D; PAID LEAVE
Welfare Benefit Premiums Paid to CarrierUSD $110,392,053
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees14299
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION FEES
Insurance broker organization code?5
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number0172300
Policy instance 4
Insurance contract or identification number0172300
Number of Individuals Covered5350
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,146,866
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number603873
Policy instance 3
Insurance contract or identification number603873
Number of Individuals Covered5350
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,568,851
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number231325
Policy instance 2
Insurance contract or identification number231325
Number of Individuals Covered753
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,288,064
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ARAG INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 34738 )
Policy contract number10377-0001-001
Policy instance 1
Insurance contract or identification number10377-0001-001
Number of Individuals Covered119456
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Other welfare benefits providedGROUP LEGAL PLAN
Welfare Benefit Premiums Paid to CarrierUSD $14,476,857
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ARAG INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 34738 )
Policy contract number10377-0001-001
Policy instance 1
Insurance contract or identification number10377-0001-001
Number of Individuals Covered111498
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Other welfare benefits providedGROUP LEGAL PLAN
Welfare Benefit Premiums Paid to CarrierUSD $13,129,522
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number231325
Policy instance 2
Insurance contract or identification number231325
Number of Individuals Covered544
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,991,614
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number603873
Policy instance 3
Insurance contract or identification number603873
Number of Individuals Covered1773
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,571,902
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number0172300
Policy instance 4
Insurance contract or identification number0172300
Number of Individuals Covered5375
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,608,516
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WELLSPRING FAMILY SERVICES, EAP (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract numberN/A
Policy instance 6
Insurance contract or identification numberN/A
Number of Individuals Covered93694
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $1,834,311
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number43994-1
Policy instance 5
Insurance contract or identification number43994-1
Number of Individuals Covered158068
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of fees paid to insurance companyUSD $13,527
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D; PAID LEAVE
Welfare Benefit Premiums Paid to CarrierUSD $101,670,630
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees13527
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION FEES
Insurance broker organization code?5
ARAG INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 34738 )
Policy contract number10377-0001-001
Policy instance 1
Insurance contract or identification number10377-0001-001
Number of Individuals Covered105506
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Other welfare benefits providedGROUP LEGAL PLAN
Welfare Benefit Premiums Paid to CarrierUSD $12,335,685
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WELLSPRING FAMILY SERVICES, EAP (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract numberN/A
Policy instance 6
Insurance contract or identification numberN/A
Number of Individuals Covered88367
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $1,864,456
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number231325
Policy instance 2
Insurance contract or identification number231325
Number of Individuals Covered349
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,701,870
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number603873
Policy instance 3
Insurance contract or identification number603873
Number of Individuals Covered1397
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,205,412
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number0172300
Policy instance 4
Insurance contract or identification number0172300
Number of Individuals Covered2510
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,025,836
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number43994-1
Policy instance 5
Insurance contract or identification number43994-1
Number of Individuals Covered146300
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of fees paid to insurance companyUSD $13,629
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D; PAID LEAVE
Welfare Benefit Premiums Paid to CarrierUSD $90,919,065
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1845
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION FEES
Insurance broker organization code?5
WELLSPRING FAMILY SERVICES, EAP (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract numberN/A
Policy instance 6
Insurance contract or identification numberN/A
Number of Individuals Covered72217
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $1,646,064
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number603873
Policy instance 3
Insurance contract or identification number603873
Number of Individuals Covered1174
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,397,715
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number231325
Policy instance 2
Insurance contract or identification number231325
Number of Individuals Covered261
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,059,455
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ARAG INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 34738 )
Policy contract number10377-0001-001
Policy instance 1
Insurance contract or identification number10377-0001-001
Number of Individuals Covered90130
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Other welfare benefits providedGROUP LEGAL PLAN
Welfare Benefit Premiums Paid to CarrierUSD $10,397,016
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number43994-1
Policy instance 5
Insurance contract or identification number43994-1
Number of Individuals Covered132502
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $21,459
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D; PAID LEAVE
Welfare Benefit Premiums Paid to CarrierUSD $85,940,475
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees21459
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION FEES
Insurance broker organization code?5
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number0172300
Policy instance 4
Insurance contract or identification number0172300
Number of Individuals Covered2555
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,861,696
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ARAG INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 34738 )
Policy contract number10377-0001-001
Policy instance 1
Insurance contract or identification number10377-0001-001
Number of Individuals Covered82698
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Other welfare benefits providedGROUP LEGAL PLAN
Welfare Benefit Premiums Paid to CarrierUSD $9,731,405
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number603873
Policy instance 3
Insurance contract or identification number603873
Number of Individuals Covered909
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,331,920
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number43994-1
Policy instance 5
Insurance contract or identification number43994-1
Number of Individuals Covered123531
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $20,121
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D; PAID LEAVE
Welfare Benefit Premiums Paid to CarrierUSD $77,222,588
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees20121
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION FEES
Insurance broker organization code?5
WELLSPRING FAMILY SERVICES, EAP (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract numberN/A
Policy instance 6
Insurance contract or identification numberN/A
Number of Individuals Covered71894
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $1,512,467
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number231325
Policy instance 2
Insurance contract or identification number231325
Number of Individuals Covered185
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $791,472
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number0172300
Policy instance 4
Insurance contract or identification number0172300
Number of Individuals Covered2710
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,863,687
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ARAG INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 34738 )
Policy contract number10377-0001-001
Policy instance 1
Insurance contract or identification number10377-0001-001
Number of Individuals Covered78636
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Other welfare benefits providedGROUP LEGAL PLAN
Welfare Benefit Premiums Paid to CarrierUSD $9,293,338
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number231325
Policy instance 2
Insurance contract or identification number231325
Number of Individuals Covered155
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $767,153
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number0172300
Policy instance 4
Insurance contract or identification number0172300
Number of Individuals Covered2301
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,706,966
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number603873
Policy instance 3
Insurance contract or identification number603873
Number of Individuals Covered801
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,546,392
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number43994-1
Policy instance 5
Insurance contract or identification number43994-1
Number of Individuals Covered127411
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of fees paid to insurance companyUSD $19,234
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $71,318,698
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees19234
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION FEES
Insurance broker organization code?5
Insurance broker nameAXA ASSISTANCE, USA
WELLSPRING FAMILY SERVICES, EAP (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract numberN/A
Policy instance 6
Insurance contract or identification numberN/A
Number of Individuals Covered66788
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $1,296,604
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number0043994-1
Policy instance 1
Insurance contract or identification number0043994-1
Number of Individuals Covered22273
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $17,820
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $58,944,632
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees17820
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION FEES
Insurance broker organization code?5
Insurance broker nameAXA ASSISTANCE USA INC.
WELLSPRING FAMILY SERVICES, EAP (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract numberN/A
Policy instance 2
Insurance contract or identification numberN/A
Number of Individuals Covered60138
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $929,302
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ARAG INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 34738 )
Policy contract number10377-001
Policy instance 3
Insurance contract or identification number10377-001
Number of Individuals Covered68556
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedGROUP LEGAL PLAN
Welfare Benefit Premiums Paid to CarrierUSD $7,247,590
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WELLSPRING FAMILY SERVICES, EAP (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract numberN/A
Policy instance 2
Insurance contract or identification numberN/A
Number of Individuals Covered58762
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $933,077
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ARAG INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 34738 )
Policy contract number10377-001
Policy instance 3
Insurance contract or identification number10377-001
Number of Individuals Covered66110
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $204,228
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedGROUP LEGAL PLAN
Welfare Benefit Premiums Paid to CarrierUSD $6,807,593
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $204,228
Insurance broker organization code?3
Insurance broker nameLIFE & HEALTH UNDERWRITERS INC.
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number0043994-1
Policy instance 1
Insurance contract or identification number0043994-1
Number of Individuals Covered223703
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $18,139
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $57,393,122
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees18139
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION FEE
Insurance broker organization code?5
Insurance broker nameAXA ASSISTANCE USA INC.
ARAG INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 34738 )
Policy contract number10377-001
Policy instance 3
Insurance contract or identification number10377-001
Number of Individuals Covered66550
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $200,151
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedGROUP LEGAL PLAN
Welfare Benefit Premiums Paid to CarrierUSD $6,671,686
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $200,151
Insurance broker organization code?3
Insurance broker nameLIFE & HEALTH UNDERWRITER INC.
WELLSPRING FAMILY SERVICES, EAP (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract numberN/A
Policy instance 2
Insurance contract or identification numberN/A
Number of Individuals Covered58886
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $1,014,984
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number0043994-1
Policy instance 1
Insurance contract or identification number0043994-1
Number of Individuals Covered224749
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $17,650
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $55,279,119
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees17650
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION FEE
Insurance broker organization code?5
Insurance broker nameAXA ASSISTANCE USA INC.
WELLSPRING FAMILY SERVICES, EAP (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract numberN/A
Policy instance 2
Insurance contract or identification numberN/A
Number of Individuals Covered56869
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $945,138
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number0043994-1
Policy instance 1
Insurance contract or identification number0043994-1
Number of Individuals Covered217453
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $117,194
Total amount of fees paid to insurance companyUSD $16,744
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $51,556,895
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $117,194
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISSIONS
Insurance broker organization code?3
Amount paid for insurance broker fees16744
Insurance broker nameAXA ASSISTANCE USA INC.
ARAG INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 34738 )
Policy contract number10377-001
Policy instance 3
Insurance contract or identification number10377-001
Number of Individuals Covered65478
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $197,810
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedGROUP LEGAL PLAN
Welfare Benefit Premiums Paid to CarrierUSD $6,593,664
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $197,810
Insurance broker organization code?3
Insurance broker nameLIFE & HEALTH UNDERWRITER INC.
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number0043994-1
Policy instance 1
Insurance contract or identification number0043994-1
Number of Individuals Covered209621
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $794,228
Total amount of fees paid to insurance companyUSD $46,950
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $45,803,125
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WELLSPRING FAMILY SERVICES, EAP (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract numberN/A
Policy instance 2
Insurance contract or identification numberN/A
Number of Individuals Covered54316
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $928,829
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ARAG INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 34738 )
Policy contract number10377-001
Policy instance 3
Insurance contract or identification number10377-001
Number of Individuals Covered32461
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $194,153
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedGROUP LEGAL PLAN
Welfare Benefit Premiums Paid to CarrierUSD $6,471,762
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WELLSPRING FAMILY SERVICES, EAP (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract numberN/A
Policy instance 2
Insurance contract or identification numberN/A
Number of Individuals Covered53365
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $865,091
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ARAG INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 34738 )
Policy contract number10377-001
Policy instance 3
Insurance contract or identification number10377-001
Number of Individuals Covered33027
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $193,356
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedGROUP LEGAL PLAN
Welfare Benefit Premiums Paid to CarrierUSD $6,445,197
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number0043994-1
Policy instance 1
Insurance contract or identification number0043994-1
Number of Individuals Covered204330
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $888,094
Total amount of fees paid to insurance companyUSD $15,717
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $43,452,318
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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