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UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 401k Plan overview

Plan NameUNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN
Plan identification number 501

UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

UNITED GROUP INSURANCE TRUST has sponsored the creation of one or more 401k plans.

Company Name:UNITED GROUP INSURANCE TRUST
Employer identification number (EIN):911879291
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01TIMOTHY J. HALL2024-10-10
5012022-01-01
5012022-01-01
5012022-01-01TIMOTHY J HALL
5012021-01-01JOSEPH L. TATUM, JR.2022-10-12
5012020-01-01JOSEPH L. TATUM, JR.2021-10-12
5012019-01-01JOSEPH L. TATUM, JR.2020-10-07
5012018-01-01JOSEPH L. TATUM, JR.2019-08-30
5012017-01-01
5012016-01-01
5012015-01-01JOSPEH L TATUM JR
5012014-01-01JOSEPH L. TATUM, JR.
5012013-01-01JOSEPH L TATUM JR.
5012012-01-01NICOLE JONES-GYLLSTROM NICOLE JONES-GYLLSTROM2013-07-30
5012011-01-01NICOLE JONES-GYLLSTROM NICOLE JONES-GYLLSTROM2012-09-26
5012010-01-01NICOLE JONE-GYLLSTROM NICOLE JONE-GYLLSTROM2011-07-12
5012009-01-01PATRICIA SWATZELL PATRICIA SWATZELL2010-10-11

Plan Statistics for UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN

401k plan membership statisitcs for UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN

Measure Date Value
2023: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-011,567
Total number of active participants reported on line 7a of the Form 55002023-01-011,395
Number of retired or separated participants receiving benefits2023-01-0110
Number of other retired or separated participants entitled to future benefits2023-01-0117
Total of all active and inactive participants2023-01-011,422
Number of employers contributing to the scheme2023-01-010
2022: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,487
Total number of active participants reported on line 7a of the Form 55002022-01-011,567
Number of retired or separated participants receiving benefits2022-01-017
Number of other retired or separated participants entitled to future benefits2022-01-0124
Total of all active and inactive participants2022-01-011,598
2021: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011,461
Total number of active participants reported on line 7a of the Form 55002021-01-011,446
Number of retired or separated participants receiving benefits2021-01-014
Number of other retired or separated participants entitled to future benefits2021-01-0137
Total of all active and inactive participants2021-01-011,487
Number of employers contributing to the scheme2021-01-010
2020: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,915
Total number of active participants reported on line 7a of the Form 55002020-01-011,630
Number of retired or separated participants receiving benefits2020-01-013
Number of other retired or separated participants entitled to future benefits2020-01-018
Total of all active and inactive participants2020-01-011,641
Number of employers contributing to the scheme2020-01-010
2019: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-012,061
Total number of active participants reported on line 7a of the Form 55002019-01-011,891
Number of retired or separated participants receiving benefits2019-01-016
Number of other retired or separated participants entitled to future benefits2019-01-0118
Total of all active and inactive participants2019-01-011,915
Number of employers contributing to the scheme2019-01-010
2018: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-012,073
Total number of active participants reported on line 7a of the Form 55002018-01-012,018
Number of retired or separated participants receiving benefits2018-01-0114
Number of other retired or separated participants entitled to future benefits2018-01-0129
Total of all active and inactive participants2018-01-012,061
Number of employers contributing to the scheme2018-01-010
2017: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-012,318
Total number of active participants reported on line 7a of the Form 55002017-01-011,975
Number of retired or separated participants receiving benefits2017-01-0113
Number of other retired or separated participants entitled to future benefits2017-01-0153
Total of all active and inactive participants2017-01-012,041
2016: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-012,944
Total number of active participants reported on line 7a of the Form 55002016-01-012,267
Number of retired or separated participants receiving benefits2016-01-018
Number of other retired or separated participants entitled to future benefits2016-01-0143
Total of all active and inactive participants2016-01-012,318
2015: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-013,304
Total number of active participants reported on line 7a of the Form 55002015-01-012,824
Number of retired or separated participants receiving benefits2015-01-0119
Number of other retired or separated participants entitled to future benefits2015-01-01101
Total of all active and inactive participants2015-01-012,944
2014: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-014,391
Total number of active participants reported on line 7a of the Form 55002014-01-013,160
Number of retired or separated participants receiving benefits2014-01-0116
Number of other retired or separated participants entitled to future benefits2014-01-01128
Total of all active and inactive participants2014-01-013,304
2013: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-016,170
Total number of active participants reported on line 7a of the Form 55002013-01-014,293
Number of retired or separated participants receiving benefits2013-01-0198
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-014,391
2012: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-017,210
Total number of active participants reported on line 7a of the Form 55002012-01-016,072
Number of retired or separated participants receiving benefits2012-01-0198
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-016,170
2011: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0113,589
Total number of active participants reported on line 7a of the Form 55002011-01-017,175
Number of retired or separated participants receiving benefits2011-01-0135
Total of all active and inactive participants2011-01-017,210
2010: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0110,147
Total number of active participants reported on line 7a of the Form 55002010-01-0113,589
Number of retired or separated participants receiving benefits2010-01-010
Total of all active and inactive participants2010-01-0113,589
2009: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0110,007
Total number of active participants reported on line 7a of the Form 55002009-01-019,861
Number of retired or separated participants receiving benefits2009-01-01286
Total of all active and inactive participants2009-01-0110,147
Total participants2009-01-010

Financial Data on UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN

Measure Date Value
2023 : UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2023 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$118,044
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$126,214
Total income from all sources (including contributions)2023-12-31$1,429,294
Total of all expenses incurred2023-12-31$1,414,038
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$1,414,038
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$1,429,294
Value of total assets at end of year2023-12-31$132,713
Value of total assets at beginning of year2023-12-31$125,627
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$500,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31Yes
Amount of non-exempt transactions with any party-in-interest2023-12-31$76,006
Contributions received from participants2023-12-31$3,803
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-12-31$50,000
Total non interest bearing cash at end of year2023-12-31$117,922
Total non interest bearing cash at beginning of year2023-12-31$29,605
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$15,256
Value of net assets at end of year (total assets less liabilities)2023-12-31$14,669
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$-587
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2023-12-31$1,414,038
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$1,425,491
Employer contributions (assets) at end of year2023-12-31$14,791
Employer contributions (assets) at beginning of year2023-12-31$46,022
Liabilities. Value of benefit claims payable at end of year2023-12-31$118,044
Liabilities. Value of benefit claims payable at beginning of year2023-12-31$126,214
Did the plan have assets held for investment2023-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2023-12-31410746749
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$118,044
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$126,214
Total income from all sources (including contributions)2023-01-01$1,429,294
Total of all expenses incurred2023-01-01$1,414,038
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-01$1,414,038
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-01$1,429,294
Value of total assets at end of year2023-01-01$132,713
Value of total assets at beginning of year2023-01-01$125,627
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-01No
Was this plan covered by a fidelity bond2023-01-01Yes
Value of fidelity bond cover2023-01-01$500,000
If this is an individual account plan, was there a blackout period2023-01-01No
Were there any nonexempt tranactions with any party-in-interest2023-01-01Yes
Amount of non-exempt transactions with any party-in-interest2023-01-01$76,006
Contributions received from participants2023-01-01$3,803
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-01-01$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-01-01$50,000
Total non interest bearing cash at end of year2023-01-01$117,922
Total non interest bearing cash at beginning of year2023-01-01$29,605
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Value of net income/loss2023-01-01$15,256
Value of net assets at end of year (total assets less liabilities)2023-01-01$14,669
Value of net assets at beginning of year (total assets less liabilities)2023-01-01$-587
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-01No
Were any leases to which the plan was party in default or uncollectible2023-01-01No
Expenses. Payments to insurance carriers foe the provision of benefits2023-01-01$1,414,038
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-01No
Was there a failure to transmit to the plan any participant contributions2023-01-01No
Has the plan failed to provide any benefit when due under the plan2023-01-01No
Contributions received in cash from employer2023-01-01$1,425,491
Employer contributions (assets) at end of year2023-01-01$14,791
Employer contributions (assets) at beginning of year2023-01-01$46,022
Liabilities. Value of benefit claims payable at end of year2023-01-01$118,044
Liabilities. Value of benefit claims payable at beginning of year2023-01-01$126,214
Did the plan have assets held for investment2023-01-01No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-01No
Opinion of an independent qualified public accountant for this plan2023-01-011
Accountancy firm name2023-01-01CLIFTONLARSONALLEN LLP
Accountancy firm EIN2023-01-01410746749
2022 : UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$126,214
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$127,546
Total income from all sources (including contributions)2022-12-31$1,452,354
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$1,456,042
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,456,042
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,452,354
Value of total assets at end of year2022-12-31$125,627
Value of total assets at beginning of year2022-12-31$130,647
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$0
Total interest from all sources2022-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31Yes
Amount of non-exempt transactions with any party-in-interest2022-12-31$50,000
Contributions received from participants2022-12-31$2,060
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$1,456,042
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$50,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$0
Total non interest bearing cash at end of year2022-12-31$29,605
Total non interest bearing cash at beginning of year2022-12-31$111,533
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-3,688
Value of net assets at end of year (total assets less liabilities)2022-12-31$-587
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$3,101
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$1,450,294
Employer contributions (assets) at end of year2022-12-31$46,022
Employer contributions (assets) at beginning of year2022-12-31$19,114
Liabilities. Value of benefit claims payable at end of year2022-12-31$126,214
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$127,546
Did the plan have assets held for investment2022-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2022-12-31410746749
Total unrealized appreciation/depreciation of assets2022-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$126,214
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$127,546
Total income from all sources (including contributions)2022-01-01$1,452,354
Total loss/gain on sale of assets2022-01-01$0
Total of all expenses incurred2022-01-01$1,456,042
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$1,456,042
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$1,452,354
Value of total assets at end of year2022-01-01$125,627
Value of total assets at beginning of year2022-01-01$130,647
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$0
Total interest from all sources2022-01-01$0
Total dividends received (eg from common stock, registered investment company shares)2022-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$500,000
If this is an individual account plan, was there a blackout period2022-01-01No
Were there any nonexempt tranactions with any party-in-interest2022-01-01Yes
Amount of non-exempt transactions with any party-in-interest2022-01-01$50,000
Contributions received from participants2022-01-01$2,060
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-01-01$1,456,042
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-01-01$50,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-01-01$0
Total non interest bearing cash at end of year2022-01-01$29,605
Total non interest bearing cash at beginning of year2022-01-01$111,533
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Value of net income/loss2022-01-01$-3,688
Value of net assets at end of year (total assets less liabilities)2022-01-01$-587
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$3,101
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01No
Was there a failure to transmit to the plan any participant contributions2022-01-01No
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Contributions received in cash from employer2022-01-01$1,450,294
Employer contributions (assets) at end of year2022-01-01$46,022
Employer contributions (assets) at beginning of year2022-01-01$19,114
Liabilities. Value of benefit claims payable at end of year2022-01-01$126,214
Liabilities. Value of benefit claims payable at beginning of year2022-01-01$127,546
Did the plan have assets held for investment2022-01-01No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Opinion of an independent qualified public accountant for this plan2022-01-011
Accountancy firm name2022-01-01CLIFTONLARSONALLEN LLP
Accountancy firm EIN2022-01-01410746749
2021 : UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$127,546
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$203,303
Total income from all sources (including contributions)2021-12-31$1,674,316
Total of all expenses incurred2021-12-31$1,681,626
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,681,626
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,674,316
Value of total assets at end of year2021-12-31$130,647
Value of total assets at beginning of year2021-12-31$213,714
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$1,727
Participant contributions at end of year2021-12-31$0
Participant contributions at beginning of year2021-12-31$642
Total non interest bearing cash at end of year2021-12-31$111,533
Total non interest bearing cash at beginning of year2021-12-31$194,878
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-7,310
Value of net assets at end of year (total assets less liabilities)2021-12-31$3,101
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$10,411
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$1,681,626
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$1,672,589
Employer contributions (assets) at end of year2021-12-31$19,114
Employer contributions (assets) at beginning of year2021-12-31$18,194
Liabilities. Value of benefit claims payable at end of year2021-12-31$127,546
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$203,303
Did the plan have assets held for investment2021-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2021-12-31410746749
2020 : UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$203,303
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$135,963
Total income from all sources (including contributions)2020-12-31$4,095,930
Total of all expenses incurred2020-12-31$4,089,492
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$4,089,492
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$4,095,930
Value of total assets at end of year2020-12-31$213,714
Value of total assets at beginning of year2020-12-31$139,936
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$1,522
Participant contributions at end of year2020-12-31$642
Total non interest bearing cash at end of year2020-12-31$194,878
Total non interest bearing cash at beginning of year2020-12-31$130,730
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$6,438
Value of net assets at end of year (total assets less liabilities)2020-12-31$10,411
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$3,973
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$4,089,492
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$4,094,408
Employer contributions (assets) at end of year2020-12-31$18,194
Employer contributions (assets) at beginning of year2020-12-31$9,206
Liabilities. Value of benefit claims payable at end of year2020-12-31$203,303
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$135,963
Did the plan have assets held for investment2020-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2020-12-31410746749
2019 : UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$135,963
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$130,239
Total income from all sources (including contributions)2019-12-31$4,704,844
Total of all expenses incurred2019-12-31$4,719,691
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$4,719,691
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$4,704,844
Value of total assets at end of year2019-12-31$139,936
Value of total assets at beginning of year2019-12-31$149,059
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$24,601
Total non interest bearing cash at end of year2019-12-31$130,730
Total non interest bearing cash at beginning of year2019-12-31$139,804
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-14,847
Value of net assets at end of year (total assets less liabilities)2019-12-31$3,973
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$18,820
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$4,719,691
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$4,680,243
Employer contributions (assets) at end of year2019-12-31$9,206
Employer contributions (assets) at beginning of year2019-12-31$9,255
Liabilities. Value of benefit claims payable at end of year2019-12-31$135,963
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$130,239
Did the plan have assets held for investment2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2019-12-31410746749
2018 : UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$130,239
Total income from all sources (including contributions)2018-12-31$4,752,527
Total of all expenses incurred2018-12-31$4,891,132
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$4,891,132
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$4,752,527
Value of total assets at end of year2018-12-31$149,059
Value of total assets at beginning of year2018-12-31$157,425
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$34,366
Total non interest bearing cash at end of year2018-12-31$139,804
Total non interest bearing cash at beginning of year2018-12-31$135,657
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-138,605
Value of net assets at end of year (total assets less liabilities)2018-12-31$18,820
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$157,425
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$4,891,132
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$4,718,161
Employer contributions (assets) at end of year2018-12-31$9,255
Employer contributions (assets) at beginning of year2018-12-31$21,768
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Liabilities. Value of benefit claims payable at end of year2018-12-31$130,239
Did the plan have assets held for investment2018-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2018-12-31410746749
2017 : UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$4,618,391
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$4,502,148
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$4,502,148
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$4,618,391
Value of total assets at end of year2017-12-31$157,425
Value of total assets at beginning of year2017-12-31$41,182
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$0
Total interest from all sources2017-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Total non interest bearing cash at end of year2017-12-31$135,657
Total non interest bearing cash at beginning of year2017-12-31$12,557
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$116,243
Value of net assets at end of year (total assets less liabilities)2017-12-31$157,425
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$41,182
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$4,502,148
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$4,618,391
Employer contributions (assets) at end of year2017-12-31$21,768
Employer contributions (assets) at beginning of year2017-12-31$28,625
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2017-12-31410746749
2016 : UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$4,710,655
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$4,669,473
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$4,669,473
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$4,710,655
Value of total assets at end of year2016-12-31$41,182
Value of total assets at beginning of year2016-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$0
Total interest from all sources2016-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Total non interest bearing cash at end of year2016-12-31$12,557
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$41,182
Value of net assets at end of year (total assets less liabilities)2016-12-31$41,182
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$4,669,473
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$4,710,655
Employer contributions (assets) at end of year2016-12-31$28,625
Did the plan have assets held for investment2016-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2016-12-31410746749

Form 5500 Responses for UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN

2023: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2023 form 5500 responses
2023-01-01Type of plan entityDFE (Diect Filing Entity)
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entityDFE (Diect Filing Entity)
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entityDFE (Diect Filing Entity)
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entityDFE (Diect Filing Entity)
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-01-01Type of plan entityDFE (Diect Filing Entity)
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-01-01Type of plan entityDFE (Diect Filing Entity)
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entityDFE (Diect Filing Entity)
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entityDFE (Diect Filing Entity)
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: UNITED GROUP INSURANCE TRUST CONSOLIDATED WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00101116
Policy instance 2
Insurance contract or identification number00101116
Number of Individuals Covered759
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $23,429
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $116,881
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number648223
Policy instance 7
Insurance contract or identification number648223
Number of Individuals Covered558
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $64,657
Total amount of fees paid to insurance companyUSD $2,395
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number1378
Policy instance 6
Insurance contract or identification number1378
Number of Individuals Covered543
Insurance policy start date2023-01-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $2,474
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM,HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $16,494
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number8074
Policy instance 5
Insurance contract or identification number8074
Number of Individuals Covered1503
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $177,469
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Welfare Benefit Premiums Paid to CarrierUSD $98,654
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
U. S. BEHAVIORAL HEALTH PLAN, CALIFORNIA DBA OPTUMHEALTH (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number15763
Policy instance 4
Insurance contract or identification number15763
Number of Individuals Covered447
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
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 $3,641
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10438551001
Policy instance 3
Insurance contract or identification number10438551001
Number of Individuals Covered88
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $312
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,988
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number30398
Policy instance 1
Insurance contract or identification number30398
Number of Individuals Covered155
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $1,326
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,374
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberLH30W001
Policy instance 8
Insurance contract or identification numberLH30W001
Number of Individuals Covered298
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $662
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCHIROPRACTIC AND ACUPUNCTURE,CHIROPRACTIC
Welfare Benefit Premiums Paid to CarrierUSD $35,060
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number1378
Policy instance 3
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number30398
Policy instance 1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00101116
Policy instance 2
MES VISION (National Association of Insurance Commissioners NAIC id number: 36111 )
Policy contract numberM00DA006
Policy instance 4
LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberLH30W001
Policy instance 5
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number648223
Policy instance 6
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number8074
Policy instance 7
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number75668
Policy instance 8
CHINESE COMMUNITY HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberE0165
Policy instance 1
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number30398
Policy instance 2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00101116
Policy instance 3
MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number1378
Policy instance 4
MES VISION (National Association of Insurance Commissioners NAIC id number: 36111 )
Policy contract numberM00DA006
Policy instance 5
LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberLH30W001
Policy instance 6
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number648223
Policy instance 7
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number8074
Policy instance 8
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number75668
Policy instance 9
LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberLH30W001
Policy instance 12
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number75667
Policy instance 11
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number8074
Policy instance 10
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number648223
Policy instance 9
MES VISION (National Association of Insurance Commissioners NAIC id number: 36111 )
Policy contract numberM00DA006
Policy instance 8
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00101116
Policy instance 7
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number30398
Policy instance 6
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number5752313
Policy instance 5
HEALTH NET LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number1379
Policy instance 4
MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number1378
Policy instance 3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number103120
Policy instance 2
CHINESE COMMUNITY HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberE0165
Policy instance 1
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number30398
Policy instance 5
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number5752313
Policy instance 4
HEALTH NET LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number1379
Policy instance 3
MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number1378
Policy instance 2
CHINESE COMMUNITY HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberS002561
Policy instance 1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00101116
Policy instance 6
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number103120
Policy instance 7
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number75667
Policy instance 12
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number8074
Policy instance 11
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number648223
Policy instance 10
LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberLH30W001
Policy instance 9
MES VISION (National Association of Insurance Commissioners NAIC id number: 36111 )
Policy contract numberM00DA006
Policy instance 8
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number600165/103120
Policy instance 2
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract numberKM05752313
Policy instance 3
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number75667/75668
Policy instance 4
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number101116
Policy instance 5
MES VISION (National Association of Insurance Commissioners NAIC id number: 36111 )
Policy contract numberM00D-A-006
Policy instance 6
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number30398
Policy instance 7
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number648223
Policy instance 8
MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number1378
Policy instance 9
HEALTH NET LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number1379
Policy instance 10
LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberLH30W-001
Policy instance 11
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number7318/8074
Policy instance 12
CHINESE COMMUNITY HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberS02561 R000
Policy instance 1

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