SPECIAL SERVICE FOR GROUPS, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan SPECIAL SERVICE FOR GROUPS, INC. MEDICAL PLAN
401k plan membership statisitcs for SPECIAL SERVICE FOR GROUPS, INC. MEDICAL PLAN
| Measure | Date | Value |
|---|
| 2010: SPECIAL SERVICE FOR GROUPS, INC. MEDICAL PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-05-01 | 278 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-05-01 | 332 |
| Number of retired or separated participants receiving benefits | 2010-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2010-05-01 | 0 |
| Total of all active and inactive participants | 2010-05-01 | 332 |
| Number of employers contributing to the scheme | 2010-05-01 | 0 |
| 2009: SPECIAL SERVICE FOR GROUPS, INC. MEDICAL PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-05-01 | 223 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-05-01 | 278 |
| Number of retired or separated participants receiving benefits | 2009-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-05-01 | 0 |
| Total of all active and inactive participants | 2009-05-01 | 278 |
| Number of employers contributing to the scheme | 2009-05-01 | 0 |
| 2008: SPECIAL SERVICE FOR GROUPS, INC. MEDICAL PLAN 2008 401k membership |
|---|
| Total participants, beginning-of-year | 2008-05-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2008-05-01 | 223 |
| Number of retired or separated participants receiving benefits | 2008-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2008-05-01 | 0 |
| Total of all active and inactive participants | 2008-05-01 | 223 |
| Number of employers contributing to the scheme | 2008-05-01 | 0 |
| 2007: SPECIAL SERVICE FOR GROUPS, INC. MEDICAL PLAN 2007 401k membership |
|---|
| Total participants, beginning-of-year | 2007-05-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2007-05-01 | 100 |
| Number of retired or separated participants receiving benefits | 2007-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2007-05-01 | 0 |
| Total of all active and inactive participants | 2007-05-01 | 100 |
| Number of employers contributing to the scheme | 2007-05-01 | 0 |
| 2006: SPECIAL SERVICE FOR GROUPS, INC. MEDICAL PLAN 2006 401k membership |
|---|
| Total participants, beginning-of-year | 2006-05-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2006-05-01 | 100 |
| Number of retired or separated participants receiving benefits | 2006-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2006-05-01 | 0 |
| Total of all active and inactive participants | 2006-05-01 | 100 |
| Number of employers contributing to the scheme | 2006-05-01 | 0 |
| 2005: SPECIAL SERVICE FOR GROUPS, INC. MEDICAL PLAN 2005 401k membership |
|---|
| Total participants, beginning-of-year | 2005-05-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2005-05-01 | 100 |
| Number of retired or separated participants receiving benefits | 2005-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2005-05-01 | 0 |
| Total of all active and inactive participants | 2005-05-01 | 100 |
| Number of employers contributing to the scheme | 2005-05-01 | 0 |
| 2004: SPECIAL SERVICE FOR GROUPS, INC. MEDICAL PLAN 2004 401k membership |
|---|
| Total participants, beginning-of-year | 2004-05-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2004-05-01 | 0 |
| Number of retired or separated participants receiving benefits | 2004-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2004-05-01 | 0 |
| Total of all active and inactive participants | 2004-05-01 | 0 |
| Number of employers contributing to the scheme | 2004-05-01 | 0 |
| 2003: SPECIAL SERVICE FOR GROUPS, INC. MEDICAL PLAN 2003 401k membership |
|---|
| Total participants, beginning-of-year | 2003-05-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2003-05-01 | 100 |
| Number of retired or separated participants receiving benefits | 2003-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2003-05-01 | 0 |
| Total of all active and inactive participants | 2003-05-01 | 100 |
| Number of employers contributing to the scheme | 2003-05-01 | 0 |
| 2002: SPECIAL SERVICE FOR GROUPS, INC. MEDICAL PLAN 2002 401k membership |
|---|
| Total participants, beginning-of-year | 2002-05-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2002-05-01 | 100 |
| Number of retired or separated participants receiving benefits | 2002-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2002-05-01 | 0 |
| Total of all active and inactive participants | 2002-05-01 | 100 |
| Number of employers contributing to the scheme | 2002-05-01 | 0 |
| 2001: SPECIAL SERVICE FOR GROUPS, INC. MEDICAL PLAN 2001 401k membership |
|---|
| Total participants, beginning-of-year | 2001-05-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2001-05-01 | 100 |
| Number of retired or separated participants receiving benefits | 2001-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2001-05-01 | 0 |
| Total of all active and inactive participants | 2001-05-01 | 100 |
| Number of employers contributing to the scheme | 2001-05-01 | 0 |
| 2000: SPECIAL SERVICE FOR GROUPS, INC. MEDICAL PLAN 2000 401k membership |
|---|
| Total participants, beginning-of-year | 2000-05-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2000-05-01 | 100 |
| Number of retired or separated participants receiving benefits | 2000-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2000-05-01 | 0 |
| Total of all active and inactive participants | 2000-05-01 | 100 |
| Number of employers contributing to the scheme | 2000-05-01 | 0 |
| 1999: SPECIAL SERVICE FOR GROUPS, INC. MEDICAL PLAN 1999 401k membership |
|---|
| Total participants, beginning-of-year | 1999-05-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 1999-05-01 | 100 |
| Number of retired or separated participants receiving benefits | 1999-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 1999-05-01 | 0 |
| Total of all active and inactive participants | 1999-05-01 | 100 |
| Number of employers contributing to the scheme | 1999-05-01 | 0 |
| 2010: SPECIAL SERVICE FOR GROUPS, INC. MEDICAL PLAN 2010 form 5500 responses |
|---|
| 2010-05-01 | Type of plan entity | Single employer plan |
| 2010-05-01 | This submission is the final filing | Yes |
| 2010-05-01 | Plan funding arrangement – Insurance | Yes |
| 2010-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: SPECIAL SERVICE FOR GROUPS, INC. MEDICAL PLAN 2009 form 5500 responses |
|---|
| 2009-05-01 | Type of plan entity | Single employer plan |
| 2009-05-01 | Plan funding arrangement – Insurance | Yes |
| 2009-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2008: SPECIAL SERVICE FOR GROUPS, INC. MEDICAL PLAN 2008 form 5500 responses |
|---|
| 2008-05-01 | Type of plan entity | Single employer plan |
| 2008-05-01 | Plan funding arrangement – Insurance | Yes |
| 2008-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2007: SPECIAL SERVICE FOR GROUPS, INC. MEDICAL PLAN 2007 form 5500 responses |
|---|
| 2007-05-01 | Type of plan entity | Single employer plan |
| 2007-05-01 | Plan funding arrangement – Insurance | Yes |
| 2007-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2006: SPECIAL SERVICE FOR GROUPS, INC. MEDICAL PLAN 2006 form 5500 responses |
|---|
| 2006-05-01 | Type of plan entity | Single employer plan |
| 2006-05-01 | Plan funding arrangement – Insurance | Yes |
| 2006-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2005: SPECIAL SERVICE FOR GROUPS, INC. MEDICAL PLAN 2005 form 5500 responses |
|---|
| 2005-05-01 | Type of plan entity | Single employer plan |
| 2005-05-01 | Plan funding arrangement – Insurance | Yes |
| 2005-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2004: SPECIAL SERVICE FOR GROUPS, INC. MEDICAL PLAN 2004 form 5500 responses |
|---|
| 2004-05-01 | Type of plan entity | Single employer plan |
| 2004-05-01 | Plan funding arrangement – Insurance | Yes |
| 2004-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2003: SPECIAL SERVICE FOR GROUPS, INC. MEDICAL PLAN 2003 form 5500 responses |
|---|
| 2003-05-01 | Type of plan entity | Single employer plan |
| 2003-05-01 | Plan funding arrangement – Insurance | Yes |
| 2003-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2002: SPECIAL SERVICE FOR GROUPS, INC. MEDICAL PLAN 2002 form 5500 responses |
|---|
| 2002-05-01 | Type of plan entity | Single employer plan |
| 2002-05-01 | Plan funding arrangement – Insurance | Yes |
| 2002-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2001: SPECIAL SERVICE FOR GROUPS, INC. MEDICAL PLAN 2001 form 5500 responses |
|---|
| 2001-05-01 | Type of plan entity | Single employer plan |
| 2001-05-01 | Plan funding arrangement – Insurance | Yes |
| 2001-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2000: SPECIAL SERVICE FOR GROUPS, INC. MEDICAL PLAN 2000 form 5500 responses |
|---|
| 2000-05-01 | Type of plan entity | Single employer plan |
| 2000-05-01 | Plan funding arrangement – Insurance | Yes |
| 2000-05-01 | Plan benefit arrangement – Insurance | Yes |
| 1999: SPECIAL SERVICE FOR GROUPS, INC. MEDICAL PLAN 1999 form 5500 responses |
|---|
| 1999-05-01 | Type of plan entity | Single employer plan |
| 1999-05-01 | First time form 5500 has been submitted | Yes |
| 1999-05-01 | Plan funding arrangement – Insurance | Yes |
| 1999-05-01 | Plan benefit arrangement – Insurance | Yes |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 127759 |
| Policy instance | 2 |
| Insurance contract or identification number | 127759 | | Number of Individuals Covered | 332 | | Insurance policy start date | 2010-05-01 | | Insurance policy end date | 2011-04-30 | | Total amount of commissions paid to insurance broker | USD $51,427 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,104,165 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $51,427 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | H54319 / 944169 |
| Policy instance | 1 |
| Insurance contract or identification number | H54319 / 944169 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2010-05-01 | | Insurance policy end date | 2011-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 127759 |
| Policy instance | 2 |
| Insurance contract or identification number | 127759 | | Number of Individuals Covered | 278 | | Insurance policy start date | 2009-05-01 | | Insurance policy end date | 2010-04-30 | | Total amount of commissions paid to insurance broker | USD $39,999 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $861,260 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $39,999 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | H54319 / 944169 |
| Policy instance | 1 |
| Insurance contract or identification number | H54319 / 944169 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2009-05-01 | | Insurance policy end date | 2010-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 127759 |
| Policy instance | 2 |
| Insurance contract or identification number | 127759 | | Number of Individuals Covered | 223 | | Insurance policy start date | 2008-05-01 | | Insurance policy end date | 2009-04-30 | | Total amount of commissions paid to insurance broker | USD $30,783 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $629,195 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $30,783 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | H54319 / 944169 |
| Policy instance | 1 |
| Insurance contract or identification number | H54319 / 944169 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2008-05-01 | | Insurance policy end date | 2009-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | H54319 / 944169 |
| Policy instance | 1 |
| Insurance contract or identification number | H54319 / 944169 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2007-05-01 | | Insurance policy end date | 2008-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 127759 |
| Policy instance | 2 |
| Insurance contract or identification number | 127759 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2007-05-01 | | Insurance policy end date | 2008-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 127759 |
| Policy instance | 2 |
| Insurance contract or identification number | 127759 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2006-05-01 | | Insurance policy end date | 2007-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | H54319 / 944169 |
| Policy instance | 1 |
| Insurance contract or identification number | H54319 / 944169 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2006-05-01 | | Insurance policy end date | 2007-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 127759 |
| Policy instance | 2 |
| Insurance contract or identification number | 127759 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2005-05-01 | | Insurance policy end date | 2006-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| PACIFIC CARE (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00 |
| Policy instance | 1 |
| Insurance contract or identification number | 00 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2005-05-01 | | Insurance policy end date | 2006-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 127759 |
| Policy instance | 2 |
| Insurance contract or identification number | 127759 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2004-05-01 | | Insurance policy end date | 2005-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00 |
| Policy instance | 1 |
| Insurance contract or identification number | 00 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2004-05-01 | | Insurance policy end date | 2005-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 127759 |
| Policy instance | 2 |
| Insurance contract or identification number | 127759 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2003-05-01 | | Insurance policy end date | 2004-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00 |
| Policy instance | 1 |
| Insurance contract or identification number | 00 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2003-05-01 | | Insurance policy end date | 2004-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 127759 |
| Policy instance | 2 |
| Insurance contract or identification number | 127759 | | Number of Individuals Covered | 223 | | Insurance policy start date | 2002-05-01 | | Insurance policy end date | 2003-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00 |
| Policy instance | 1 |
| Insurance contract or identification number | 00 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2002-05-01 | | Insurance policy end date | 2003-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00 |
| Policy instance | 1 |
| Insurance contract or identification number | 00 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2001-05-01 | | Insurance policy end date | 2002-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 127759 |
| Policy instance | 2 |
| Insurance contract or identification number | 127759 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2001-05-01 | | Insurance policy end date | 2002-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 127759 |
| Policy instance | 2 |
| Insurance contract or identification number | 127759 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2000-05-01 | | Insurance policy end date | 2001-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00 |
| Policy instance | 1 |
| Insurance contract or identification number | 00 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2000-05-01 | | Insurance policy end date | 2001-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 127759 |
| Policy instance | 2 |
| Insurance contract or identification number | 127759 | | Number of Individuals Covered | 100 | | Insurance policy start date | 1999-05-01 | | Insurance policy end date | 2000-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00 |
| Policy instance | 1 |
| Insurance contract or identification number | 00 | | Number of Individuals Covered | 100 | | Insurance policy start date | 1999-05-01 | | Insurance policy end date | 2000-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
