SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 401k Plan overview

Plan Name	SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN
Plan identification number	550

SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Supplemental unemployment

401k Sponsoring company profile

SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP has sponsored the creation of one or more 401k plans.

Company Name:	SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Employer identification number (EIN):	951750445
NAIC Classification:	621112
NAIC Description:	Offices of Physicians, Mental Health Specialists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
550	2022-01-01
550	2021-01-01
550	2020-01-01
550	2019-01-01
550	2018-01-01
550	2017-01-01	WILLIAM REID
550	2016-01-01
550	2015-01-01
550	2014-01-01	DONNA J SMITH
550	2014-01-01	DONNA J SMITH
550	2013-01-01	HARRIET E GUBERMAN
550	2012-01-01	CYNTHIA GARA
550	2010-01-01	HARRIET GUBERMAN
550	2009-01-01	HARRIET GUBERMAN
550	2009-01-01	HARRIET GUBERMAN

Plan Statistics for SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN

401k plan membership statisitcs for SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN

Measure	Date	Value
2022: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	9,011
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	0
Number of retired or separated participants receiving benefits	2022-01-01	8,811
Number of other retired or separated participants entitled to future benefits	2022-01-01	542
Total of all active and inactive participants	2022-01-01	9,353
Total participants	2022-01-01	0
2021: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	8,496
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	0
Number of retired or separated participants receiving benefits	2021-01-01	8,082
Number of other retired or separated participants entitled to future benefits	2021-01-01	929
Total of all active and inactive participants	2021-01-01	9,011
2020: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	8,073
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	0
Number of retired or separated participants receiving benefits	2020-01-01	7,588
Number of other retired or separated participants entitled to future benefits	2020-01-01	908
Total of all active and inactive participants	2020-01-01	8,496
2019: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	7,205
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	0
Number of retired or separated participants receiving benefits	2019-01-01	7,153
Number of other retired or separated participants entitled to future benefits	2019-01-01	920
Total of all active and inactive participants	2019-01-01	8,073
2018: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	6,438
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	0
Number of retired or separated participants receiving benefits	2018-01-01	6,451
Number of other retired or separated participants entitled to future benefits	2018-01-01	754
Total of all active and inactive participants	2018-01-01	7,205
2017: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	6,599
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	5,541
Number of other retired or separated participants entitled to future benefits	2017-01-01	897
Total of all active and inactive participants	2017-01-01	6,438
2016: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	7,048
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	5,543
Number of other retired or separated participants entitled to future benefits	2016-01-01	1,056
Total of all active and inactive participants	2016-01-01	6,599
2015: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	5,354
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	6,904
Number of other retired or separated participants entitled to future benefits	2015-01-01	144
Total of all active and inactive participants	2015-01-01	7,048
2014: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	4,569
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	5,025
Number of other retired or separated participants entitled to future benefits	2014-01-01	329
Total of all active and inactive participants	2014-01-01	5,354
2013: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	4,253
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Number of retired or separated participants receiving benefits	2013-01-01	4,569
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	4,569
2012: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	27,372
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Number of retired or separated participants receiving benefits	2012-01-01	3,860
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	3,860
2010: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	32,140
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	22,047
Number of retired or separated participants receiving benefits	2010-01-01	3,556
Total of all active and inactive participants	2010-01-01	25,603
2009: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	26,145
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	28,702
Number of retired or separated participants receiving benefits	2009-01-01	3,438
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	32,140

Financial Data on SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN

Measure	Date	Value
2022 : SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$315,265
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$356,757
Total income from all sources (including contributions)	2022-12-31	$-20,117,778
Total of all expenses incurred	2022-12-31	$49,239,063
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$48,249,485
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$48,249,485
Value of total assets at end of year	2022-12-31	$333,367,877
Value of total assets at beginning of year	2022-12-31	$402,766,210
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$989,578
Total interest from all sources	2022-12-31	$86,549
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$383
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Administrative expenses professional fees incurred	2022-12-31	$21,361
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$85,000,000
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Assets. Other investments not covered elsewhere at end of year	2022-12-31	$1,697,285
Assets. Other investments not covered elsewhere at beginning of year	2022-12-31	$1,885,897
Value of other receiveables (less allowance for doubtful accounts) at end of year	2022-12-31	$55,320
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2022-12-31	$69,769
Administrative expenses (other) incurred	2022-12-31	$2,456
Liabilities. Value of operating payables at end of year	2022-12-31	$315,265
Liabilities. Value of operating payables at beginning of year	2022-12-31	$356,757
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-69,356,841
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$333,052,612
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$402,409,453
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$965,761
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$326,114,049
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$395,335,473
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$5,496,384
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$5,469,219
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$5,469,219
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$86,549
Expenses. Payments to insurance carriers foe the provision of benefits	2022-12-31	$48,249,485
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-68,454,195
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$48,249,485
Income. Dividends from common stock	2022-12-31	$383
Asset. Corporate debt instrument preferred debt at end of year	2022-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2022-12-31	$5,852
Assets. Corporate common stocks other than exployer securities at end of year	2022-12-31	$4,839
Assets. Corporate common stocks other than exployer securities at beginning of year	2022-12-31	$0
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	MOSS ADAMS LLP
Accountancy firm EIN	2022-12-31	910189318
2021 : SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$356,757
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$306,850
Total income from all sources (including contributions)	2021-12-31	$89,944,160
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$45,135,439
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$43,932,384
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$43,932,384
Value of total assets at end of year	2021-12-31	$402,766,210
Value of total assets at beginning of year	2021-12-31	$357,907,582
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$1,203,055
Total interest from all sources	2021-12-31	$45,544
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$-3,837
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$-3,837
Administrative expenses professional fees incurred	2021-12-31	$112,839
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$85,000,000
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Assets. Other investments not covered elsewhere at end of year	2021-12-31	$1,885,897
Assets. Other investments not covered elsewhere at beginning of year	2021-12-31	$473,110
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-12-31	$69,769
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-12-31	$3,134,974
Administrative expenses (other) incurred	2021-12-31	$7,205
Liabilities. Value of operating payables at end of year	2021-12-31	$356,757
Liabilities. Value of operating payables at beginning of year	2021-12-31	$306,850
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$44,808,721
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$402,409,453
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$357,600,732
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$1,083,011
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$395,335,473
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$350,383,869
Interest earned on other investments	2021-12-31	$44,573
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$5,469,219
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$3,908,495
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$3,908,495
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$971
Expenses. Payments to insurance carriers foe the provision of benefits	2021-12-31	$43,932,384
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$45,970,069
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$43,932,384
Asset. Corporate debt instrument preferred debt at end of year	2021-12-31	$5,852
Asset. Corporate debt instrument preferred debt at beginning of year	2021-12-31	$7,134
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	MOSS ADAMS LLP
Accountancy firm EIN	2021-12-31	910189318
2020 : SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$306,850
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$130,253
Total income from all sources (including contributions)	2020-12-31	$73,862,505
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$42,939,959
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$41,502,802
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$41,502,802
Value of total assets at end of year	2020-12-31	$357,907,582
Value of total assets at beginning of year	2020-12-31	$326,808,439
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$1,437,157
Total interest from all sources	2020-12-31	$780,386
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$1,277,715
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$1,277,715
Administrative expenses professional fees incurred	2020-12-31	$76,747
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$85,000,000
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Assets. Other investments not covered elsewhere at end of year	2020-12-31	$473,110
Assets. Other investments not covered elsewhere at beginning of year	2020-12-31	$188,434,904
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-31	$3,134,974
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-12-31	$118,670
Administrative expenses (other) incurred	2020-12-31	$96,194
Liabilities. Value of operating payables at end of year	2020-12-31	$306,850
Liabilities. Value of operating payables at beginning of year	2020-12-31	$130,253
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$30,922,546
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$357,600,732
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$326,678,186
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$1,264,216
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$350,383,869
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$0
Interest earned on other investments	2020-12-31	$766,586
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$3,908,495
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$3,956,792
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$3,956,792
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$13,800
Expenses. Payments to insurance carriers foe the provision of benefits	2020-12-31	$41,502,802
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$30,301,602
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$41,502,802
Asset. Corporate debt instrument preferred debt at end of year	2020-12-31	$7,134
Asset. Corporate debt instrument preferred debt at beginning of year	2020-12-31	$134,298,073
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	MOSS ADAMS LLP
Accountancy firm EIN	2020-12-31	910189318
2019 : SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$130,253
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$130,253
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$101,408
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$101,408
Total income from all sources (including contributions)	2019-12-31	$89,334,096
Total income from all sources (including contributions)	2019-12-31	$89,334,096
Total loss/gain on sale of assets	2019-12-31	$0
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$46,136,160
Total of all expenses incurred	2019-12-31	$46,136,160
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$44,451,292
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$44,451,292
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$44,451,292
Value of total assets at end of year	2019-12-31	$326,808,439
Value of total assets at end of year	2019-12-31	$326,808,439
Value of total assets at beginning of year	2019-12-31	$283,581,658
Value of total assets at beginning of year	2019-12-31	$283,581,658
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$1,684,868
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$1,684,868
Total interest from all sources	2019-12-31	$4,949,659
Total interest from all sources	2019-12-31	$4,949,659
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Administrative expenses professional fees incurred	2019-12-31	$247,256
Administrative expenses professional fees incurred	2019-12-31	$247,256
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$72,500,000
Value of fidelity bond cover	2019-12-31	$72,500,000
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Assets. Other investments not covered elsewhere at end of year	2019-12-31	$188,434,904
Assets. Other investments not covered elsewhere at end of year	2019-12-31	$188,434,904
Assets. Other investments not covered elsewhere at beginning of year	2019-12-31	$173,008,611
Assets. Other investments not covered elsewhere at beginning of year	2019-12-31	$173,008,611
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$118,670
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$118,670
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$145,778
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$145,778
Other income not declared elsewhere	2019-12-31	$39,933,145
Other income not declared elsewhere	2019-12-31	$39,933,145
Liabilities. Value of operating payables at end of year	2019-12-31	$130,253
Liabilities. Value of operating payables at end of year	2019-12-31	$130,253
Liabilities. Value of operating payables at beginning of year	2019-12-31	$101,408
Liabilities. Value of operating payables at beginning of year	2019-12-31	$101,408
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$43,197,936
Value of net income/loss	2019-12-31	$43,197,936
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$326,678,186
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$326,678,186
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$283,480,250
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$283,480,250
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$1,437,612
Investment advisory and management fees	2019-12-31	$1,437,612
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$3,956,792
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$3,956,792
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$4,154,568
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$4,154,568
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$4,154,568
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$4,154,568
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$4,949,659
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$4,949,659
Expenses. Payments to insurance carriers foe the provision of benefits	2019-12-31	$44,451,292
Expenses. Payments to insurance carriers foe the provision of benefits	2019-12-31	$44,451,292
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$44,451,292
Contributions received in cash from employer	2019-12-31	$44,451,292
Asset. Corporate debt instrument preferred debt at end of year	2019-12-31	$134,298,073
Asset. Corporate debt instrument preferred debt at end of year	2019-12-31	$134,298,073
Asset. Corporate debt instrument preferred debt at beginning of year	2019-12-31	$106,272,701
Asset. Corporate debt instrument preferred debt at beginning of year	2019-12-31	$106,272,701
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	No
Opinion of an independent qualified public accountant for this plan	2019-12-31	Unqualified
Opinion of an independent qualified public accountant for this plan	2019-12-31	Unqualified
Accountancy firm name	2019-12-31	MORRIS DAVIS CHAN AND TAN LLP
Accountancy firm name	2019-12-31	MORRIS DAVIS CHAN AND TAN LLP
Accountancy firm EIN	2019-12-31	942214860
Accountancy firm EIN	2019-12-31	942214860
2018 : SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2018-12-31	$-19,181,782
Total unrealized appreciation/depreciation of assets	2018-12-31	$-19,181,782
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$101,408
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$120,459
Total income from all sources (including contributions)	2018-12-31	$43,832,274
Total loss/gain on sale of assets	2018-12-31	$16,003,327
Total of all expenses incurred	2018-12-31	$44,448,186
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$43,956,871
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$43,956,871
Value of total assets at end of year	2018-12-31	$283,581,658
Value of total assets at beginning of year	2018-12-31	$284,216,621
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$491,315
Total interest from all sources	2018-12-31	$1,779,962
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$1,273,896
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Administrative expenses professional fees incurred	2018-12-31	$62,429
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$72,500,000
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Assets. Other investments not covered elsewhere at end of year	2018-12-31	$173,008,611
Assets. Other investments not covered elsewhere at beginning of year	2018-12-31	$223,248,610
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$145,778
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$0
Liabilities. Value of operating payables at end of year	2018-12-31	$101,408
Liabilities. Value of operating payables at beginning of year	2018-12-31	$120,459
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-615,912
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$283,480,250
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$284,096,162
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$428,886
Interest earned on other investments	2018-12-31	$1,184,611
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$4,154,568
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$60,968,011
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$60,968,011
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$595,351
Expenses. Payments to insurance carriers foe the provision of benefits	2018-12-31	$43,956,871
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$43,956,871
Income. Dividends from common stock	2018-12-31	$1,273,896
Asset. Corporate debt instrument preferred debt at end of year	2018-12-31	$106,272,701
Asset. Corporate debt instrument preferred debt at beginning of year	2018-12-31	$0
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Aggregate proceeds on sale of assets	2018-12-31	$482,451,631
Aggregate carrying amount (costs) on sale of assets	2018-12-31	$466,448,304
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	No
Opinion of an independent qualified public accountant for this plan	2018-12-31	Unqualified
Accountancy firm name	2018-12-31	MORRIS DAVIS CHAN AND TAN LLP
Accountancy firm EIN	2018-12-31	942214860
2017 : SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$120,459
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$133,034
Total income from all sources (including contributions)	2017-12-31	$53,828,378
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$44,035,092
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$42,480,697
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$42,480,697
Value of total assets at end of year	2017-12-31	$284,216,621
Value of total assets at beginning of year	2017-12-31	$274,435,910
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$1,554,395
Total interest from all sources	2017-12-31	$852,444
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 year	2017-12-31	No
Administrative expenses professional fees incurred	2017-12-31	$69,222
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$72,500,000
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Assets. Other investments not covered elsewhere at end of year	2017-12-31	$223,248,610
Assets. Other investments not covered elsewhere at beginning of year	2017-12-31	$261,097,115
Other income not declared elsewhere	2017-12-31	$10,495,237
Liabilities. Value of operating payables at end of year	2017-12-31	$120,459
Liabilities. Value of operating payables at beginning of year	2017-12-31	$133,034
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$9,793,286
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$284,096,162
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$274,302,876
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$1,485,173
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$60,968,011
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$13,338,795
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$13,338,795
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$852,444
Expenses. Payments to insurance carriers foe the provision of benefits	2017-12-31	$42,480,697
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$42,480,697
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	No
Opinion of an independent qualified public accountant for this plan	2017-12-31	Unqualified
Accountancy firm name	2017-12-31	MORRIS DAVIS CHAN AND TAN LLP
Accountancy firm EIN	2017-12-31	942214860
2016 : SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$133,034
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$73,466
Total income from all sources (including contributions)	2016-12-31	$58,406,109
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$38,994,270
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$37,793,203
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$37,793,203
Value of total assets at end of year	2016-12-31	$274,435,910
Value of total assets at beginning of year	2016-12-31	$254,964,503
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$1,201,067
Total interest from all sources	2016-12-31	$340,172
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 year	2016-12-31	No
Administrative expenses professional fees incurred	2016-12-31	$61,125
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$72,500,000
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Assets. Other investments not covered elsewhere at end of year	2016-12-31	$261,097,115
Assets. Other investments not covered elsewhere at beginning of year	2016-12-31	$208,630,285
Other income not declared elsewhere	2016-12-31	$20,272,734
Liabilities. Value of operating payables at end of year	2016-12-31	$133,034
Liabilities. Value of operating payables at beginning of year	2016-12-31	$73,466
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$19,411,839
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$274,302,876
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$254,891,037
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$1,139,942
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$13,338,795
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$46,334,218
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$46,334,218
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$340,172
Expenses. Payments to insurance carriers foe the provision of benefits	2016-12-31	$37,793,203
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$37,793,203
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	No
Opinion of an independent qualified public accountant for this plan	2016-12-31	Unqualified
Accountancy firm name	2016-12-31	MORRIS DAVIS CHAN AND TAN LLP
Accountancy firm EIN	2016-12-31	942214860
2015 : SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$73,466
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$78,827
Total income from all sources (including contributions)	2015-12-31	$36,691,712
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$36,814,051
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$35,084,870
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$35,084,870
Value of total assets at end of year	2015-12-31	$254,964,503
Value of total assets at beginning of year	2015-12-31	$255,092,203
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$1,729,181
Total interest from all sources	2015-12-31	$29,792
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Administrative expenses professional fees incurred	2015-12-31	$42,606
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$72,500,000
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$208,630,285
Assets. Other investments not covered elsewhere at beginning of year	2015-12-31	$254,870,608
Other income not declared elsewhere	2015-12-31	$1,577,050
Liabilities. Value of operating payables at end of year	2015-12-31	$73,466
Liabilities. Value of operating payables at beginning of year	2015-12-31	$78,827
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-122,339
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$254,891,037
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$255,013,376
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$1,686,575
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$46,334,218
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$221,595
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$221,595
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$29,792
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$35,084,870
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$35,084,870
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	No
Opinion of an independent qualified public accountant for this plan	2015-12-31	Unqualified
Accountancy firm name	2015-12-31	MORRIS DAVIS CHAN AND TAN LLP
Accountancy firm EIN	2015-12-31	942214860
2014 : SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$78,827
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$100,831
Total income from all sources (including contributions)	2014-12-31	$47,334,191
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$32,811,231
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$32,431,913
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$32,431,913
Value of total assets at end of year	2014-12-31	$255,092,203
Value of total assets at beginning of year	2014-12-31	$240,591,247
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$379,318
Total interest from all sources	2014-12-31	$15,760
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Administrative expenses professional fees incurred	2014-12-31	$39,578
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$72,500,000
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$254,870,608
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$240,242,807
Other income not declared elsewhere	2014-12-31	$14,886,518
Liabilities. Value of operating payables at end of year	2014-12-31	$78,827
Liabilities. Value of operating payables at beginning of year	2014-12-31	$100,831
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$14,522,960
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$255,013,376
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$240,490,416
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$339,740
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$221,595
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$348,440
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$348,440
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$15,760
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$32,431,913
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$32,431,913
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	No
Opinion of an independent qualified public accountant for this plan	2014-12-31	Unqualified
Accountancy firm name	2014-12-31	MORRIS DAVIS CHAN AND TAN LLP
Accountancy firm EIN	2014-12-31	942214860
2013 : SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$100,831
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$95,075
Total income from all sources (including contributions)	2013-12-31	$36,782,453
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$32,862,978
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$32,463,777
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$32,463,777
Value of total assets at end of year	2013-12-31	$240,591,247
Value of total assets at beginning of year	2013-12-31	$236,666,016
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$399,201
Total interest from all sources	2013-12-31	$26,736
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Administrative expenses professional fees incurred	2013-12-31	$37,959
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$100,000,000
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$240,242,807
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$207,639,468
Other income not declared elsewhere	2013-12-31	$4,291,940
Liabilities. Value of operating payables at end of year	2013-12-31	$100,831
Liabilities. Value of operating payables at beginning of year	2013-12-31	$95,075
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$3,919,475
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$240,490,416
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$236,570,941
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$361,242
Value of interest in common/collective trusts at end of year	2013-12-31	$0
Value of interest in common/collective trusts at beginning of year	2013-12-31	$28,834,017
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$348,440
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$192,531
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$192,531
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$26,736
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$32,463,777
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$32,463,777
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	MORRIS DAVIS CHAN AND TAN LLP
Accountancy firm EIN	2013-12-31	942214860
2012 : SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$16,173,984
Total unrealized appreciation/depreciation of assets	2012-12-31	$16,173,984
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$95,075
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$433,692
Total income from all sources (including contributions)	2012-12-31	$51,903,527
Total loss/gain on sale of assets	2012-12-31	$2,214,188
Total of all expenses incurred	2012-12-31	$31,108,723
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$30,646,441
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$30,646,441
Value of total assets at end of year	2012-12-31	$236,666,016
Value of total assets at beginning of year	2012-12-31	$216,209,829
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$462,282
Total interest from all sources	2012-12-31	$106,538
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$61,147
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$100,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$207,639,468
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$160,189,654
Administrative expenses (other) incurred	2012-12-31	$12,432
Liabilities. Value of operating payables at end of year	2012-12-31	$95,075
Liabilities. Value of operating payables at beginning of year	2012-12-31	$433,692
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$20,794,804
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$236,570,941
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$215,776,137
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$388,703
Value of interest in common/collective trusts at end of year	2012-12-31	$28,834,017
Value of interest in common/collective trusts at beginning of year	2012-12-31	$55,812,051
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$192,531
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$208,124
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$208,124
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$106,538
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$30,646,441
Net investment gain or loss from common/collective trusts	2012-12-31	$2,762,376
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$30,646,441
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	No
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Aggregate proceeds on sale of assets	2012-12-31	$86,989,142
Aggregate carrying amount (costs) on sale of assets	2012-12-31	$84,774,954
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Unqualified
Accountancy firm name	2012-12-31	MORRIS DAVIS CHAN AND TAN LLP
Accountancy firm EIN	2012-12-31	942214860
2011 : SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$-10,053,295
Total unrealized appreciation/depreciation of assets	2011-12-31	$-10,053,295
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$433,692
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$353,318
Total income from all sources (including contributions)	2011-12-31	$40,909,062
Total loss/gain on sale of assets	2011-12-31	$20,657,435
Total of all expenses incurred	2011-12-31	$26,925,175
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$26,383,515
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$26,383,515
Value of total assets at end of year	2011-12-31	$216,209,829
Value of total assets at beginning of year	2011-12-31	$202,145,568
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$541,660
Total interest from all sources	2011-12-31	$30,448
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Administrative expenses professional fees incurred	2011-12-31	$22,493
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$71,500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$160,189,654
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$202,139,448
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$0
Administrative expenses (other) incurred	2011-12-31	$11,941
Liabilities. Value of operating payables at end of year	2011-12-31	$433,692
Liabilities. Value of operating payables at beginning of year	2011-12-31	$353,318
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$13,983,887
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$215,776,137
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$201,792,250
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$507,226
Value of interest in common/collective trusts at end of year	2011-12-31	$55,812,051
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$208,124
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$6,120
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$6,120
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$30,448
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$26,383,515
Net investment gain or loss from common/collective trusts	2011-12-31	$3,890,959
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$26,383,515
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	No
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Aggregate proceeds on sale of assets	2011-12-31	$275,538,518
Aggregate carrying amount (costs) on sale of assets	2011-12-31	$254,881,083
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	MORRIS, DAVIS AND CHAN
Accountancy firm EIN	2011-12-31	942214860
2010 : SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$18,753,128
Total unrealized appreciation/depreciation of assets	2010-12-31	$18,753,128
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$353,318
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$214,072
Total income from all sources (including contributions)	2010-12-31	$44,379,536
Total loss/gain on sale of assets	2010-12-31	$41,597
Total of all expenses incurred	2010-12-31	$26,751,459
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$25,584,407
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$25,584,407
Value of total assets at end of year	2010-12-31	$202,145,568
Value of total assets at beginning of year	2010-12-31	$184,378,245
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$1,167,052
Total interest from all sources	2010-12-31	$404
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Administrative expenses professional fees incurred	2010-12-31	$16,706
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$71,500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$202,139,448
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$184,359,886
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$0
Administrative expenses (other) incurred	2010-12-31	$6,992
Liabilities. Value of operating payables at end of year	2010-12-31	$353,318
Liabilities. Value of operating payables at beginning of year	2010-12-31	$214,072
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$17,628,077
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$201,792,250
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$184,164,173
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$1,143,354
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$6,120
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$18,359
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$18,359
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$404
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$25,584,407
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$25,584,407
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Aggregate proceeds on sale of assets	2010-12-31	$1,015,371
Aggregate carrying amount (costs) on sale of assets	2010-12-31	$973,774
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	MORRIS, DAVIS AND CHAN LLP
Accountancy firm EIN	2010-12-31	942214860

Form 5500 Responses for SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN

2022: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan is a collectively bargained plan	Yes
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	Yes
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	Yes
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	Yes
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	Yes
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	Yes
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	Yes
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	Yes
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	Yes
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	Yes
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BENEFIT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 )
Policy contract number	13046
Policy instance	3
Insurance contract or identification number 13046 Number of Individuals Covered 10 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $54,060 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	100199
Policy instance	1
Insurance contract or identification number 100199 Number of Individuals Covered 1352 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $8,803,285 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	100200
Policy instance	2
Insurance contract or identification number 100200 Number of Individuals Covered 13891 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $104,190,762 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC. (National Association of Insurance Commissioners NAIC id number: 96237 )
Policy contract number	2693
Policy instance	4
Insurance contract or identification number 2693 Number of Individuals Covered 48 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $415,941 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	35747
Policy instance	5
Insurance contract or identification number 35747 Number of Individuals Covered 19 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $118,501 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number	833
Policy instance	6
Insurance contract or identification number 833 Number of Individuals Covered 53 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $365,307 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 )
Policy contract number	8809
Policy instance	7
Insurance contract or identification number 8809 Number of Individuals Covered 87 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $467,985 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number	927000
Policy instance	8
Insurance contract or identification number 927000 Number of Individuals Covered 66 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Health Insurance Welfare Benefit Yes Welfare Benefit Premiums Paid to Carrier USD $445,048 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 number	140310
Policy instance	9
Insurance contract or identification number 140310 Number of Individuals Covered 6854 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Life Insurance Welfare Benefit Yes Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	100199
Policy instance	3
Insurance contract or identification number 100199 Number of Individuals Covered 1112 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $4,187,171 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 number	0140310
Policy instance	1
Insurance contract or identification number 0140310 Number of Individuals Covered 6665 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $888,144 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	100200
Policy instance	2
Insurance contract or identification number 100200 Number of Individuals Covered 15348 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $57,897,204 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number	833
Policy instance	4
Insurance contract or identification number 833 Number of Individuals Covered 54 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $371,578 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC. (National Association of Insurance Commissioners NAIC id number: 96237 )
Policy contract number	2693
Policy instance	5
Insurance contract or identification number 2693 Number of Individuals Covered 44 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $392,299 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 )
Policy contract number	8809
Policy instance	6
Insurance contract or identification number 8809 Number of Individuals Covered 89 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $522,404 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 )
Policy contract number	13046
Policy instance	7
Insurance contract or identification number 13046 Number of Individuals Covered 10 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $34,836 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	35747
Policy instance	8
Insurance contract or identification number 35747 Number of Individuals Covered 17 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $120,049 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number	0927000
Policy instance	9
Insurance contract or identification number 0927000 Number of Individuals Covered 32 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $305,553 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	100200
Policy instance	2
Insurance contract or identification number 100200 Number of Individuals Covered 14245 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $89,848,848 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 number	0140310
Policy instance	1
Insurance contract or identification number 0140310 Number of Individuals Covered 6288 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $3,449,301 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	100199
Policy instance	3
Insurance contract or identification number 100199 Number of Individuals Covered 1072 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $6,609,696 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number	833
Policy instance	4
Insurance contract or identification number 833 Number of Individuals Covered 49 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $321,109 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC. (National Association of Insurance Commissioners NAIC id number: 96237 )
Policy contract number	2693
Policy instance	5
Insurance contract or identification number 2693 Number of Individuals Covered 45 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $353,956 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 )
Policy contract number	8809
Policy instance	6
Insurance contract or identification number 8809 Number of Individuals Covered 84 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $584,211 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 )
Policy contract number	13046
Policy instance	7
Insurance contract or identification number 13046 Number of Individuals Covered 7 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $36,285 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	35747
Policy instance	8
Insurance contract or identification number 35747 Number of Individuals Covered 17 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $118,870 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number	0927000
Policy instance	9
Insurance contract or identification number 0927000 Number of Individuals Covered 23 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $185,947 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number	833
Policy instance	4
Insurance contract or identification number 833 Number of Individuals Covered 49 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $312,832 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number	0927000
Policy instance	9
Insurance contract or identification number 0927000 Number of Individuals Covered 15 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $176,629 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	35747
Policy instance	8
Insurance contract or identification number 35747 Number of Individuals Covered 16 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $107,519 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 )
Policy contract number	13046
Policy instance	7
Insurance contract or identification number 13046 Number of Individuals Covered 4 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $22,839 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 )
Policy contract number	8809
Policy instance	6
Insurance contract or identification number 8809 Number of Individuals Covered 65 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $474,676 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 number	0140310
Policy instance	1
Insurance contract or identification number 0140310 Number of Individuals Covered 5845 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $3,216,918 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	100200
Policy instance	2
Insurance contract or identification number 100200 Number of Individuals Covered 12518 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $73,439,639 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC. (National Association of Insurance Commissioners NAIC id number: 96237 )
Policy contract number	2693
Policy instance	5
Insurance contract or identification number 2693 Number of Individuals Covered 35 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $299,294 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	100199
Policy instance	3
Insurance contract or identification number 100199 Number of Individuals Covered 1067 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $6,199,578 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	100199
Policy instance	3
Insurance contract or identification number 100199 Number of Individuals Covered 957 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $5,393,591 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number	0927000
Policy instance	9
Insurance contract or identification number 0927000 Number of Individuals Covered 34 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $189,974 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	35747
Policy instance	8
Insurance contract or identification number 35747 Number of Individuals Covered 16 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $119,161 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 )
Policy contract number	13046
Policy instance	7
Insurance contract or identification number 13046 Number of Individuals Covered 8 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $42,988 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 number	0140310
Policy instance	1
Insurance contract or identification number 0140310 Number of Individuals Covered 5648 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $2,778,754 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	100200
Policy instance	2
Insurance contract or identification number 100200 Number of Individuals Covered 13668 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $78,046,225 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number	833
Policy instance	4
Insurance contract or identification number 833 Number of Individuals Covered 43 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $254,810 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC. (National Association of Insurance Commissioners NAIC id number: 96237 )
Policy contract number	2693
Policy instance	5
Insurance contract or identification number 2693 Number of Individuals Covered 32 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $288,961 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 )
Policy contract number	8809
Policy instance	6
Insurance contract or identification number 8809 Number of Individuals Covered 62 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $385,420 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 number	0140310
Policy instance	1
Insurance contract or identification number 0140310 Number of Individuals Covered 5373 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $1,882,970 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	100200
Policy instance	2
Insurance contract or identification number 100200 Number of Individuals Covered 11338 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $62,460,598 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	100199
Policy instance	3
Insurance contract or identification number 100199 Number of Individuals Covered 1091 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $5,958,616 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC. (National Association of Insurance Commissioners NAIC id number: 96237 )
Policy contract number	2693
Policy instance	5
Insurance contract or identification number 2693 Number of Individuals Covered 37 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $352,904 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 )
Policy contract number	8809
Policy instance	6
Insurance contract or identification number 8809 Number of Individuals Covered 51 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $305,582 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 )
Policy contract number	13046
Policy instance	7
Insurance contract or identification number 13046 Number of Individuals Covered 8 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $49,604 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number	833
Policy instance	4
Insurance contract or identification number 833 Number of Individuals Covered 67 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $445,655 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number	*SEE BELOW
Policy instance	10
Insurance contract or identification number *SEE BELOW Number of Individuals Covered 3 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $40,880 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number	0927000
Policy instance	9
Insurance contract or identification number 0927000 Number of Individuals Covered 16 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $106,899 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	35747
Policy instance	8
Insurance contract or identification number 35747 Number of Individuals Covered 20 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $138,289 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 number	0140310
Policy instance	1
Insurance contract or identification number 0140310 Number of Individuals Covered 4744 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $963,791 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	100200
Policy instance	2
Insurance contract or identification number 100200 Number of Individuals Covered 11035 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $56,397,810 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	100199
Policy instance	3
Insurance contract or identification number 100199 Number of Individuals Covered 1294 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $6,494,529 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	100200
Policy instance	2
Insurance contract or identification number 100200 Number of Individuals Covered 9690 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $49,535,198 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 number	0095910
Policy instance	3
Insurance contract or identification number 0095910 Number of Individuals Covered 4010 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $1,364,261 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	100199
Policy instance	1
Insurance contract or identification number 100199 Number of Individuals Covered 1138 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $5,651,922 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	100199*
Policy instance	1
Insurance contract or identification number 100199* Number of Individuals Covered 1951 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $9,124,789 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	100200*
Policy instance	2
Insurance contract or identification number 100200* Number of Individuals Covered 13662 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $65,320,134 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 number	0095910
Policy instance	3
Insurance contract or identification number 0095910 Number of Individuals Covered 4430 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $1,469,457 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 number	95911G
Policy instance	1
Insurance contract or identification number 95911G Number of Individuals Covered 3521 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $125,321 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	226159-001
Policy instance	2
Insurance contract or identification number 226159-001 Number of Individuals Covered 29695 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $30,521,120 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	226159-0000
Policy instance	2
Insurance contract or identification number 226159-0000 Number of Individuals Covered 25603 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit Yes Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $25,453,752
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	95911-G
Policy instance	1
Insurance contract or identification number 95911-G Number of Individuals Covered 25603 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit Yes Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Welfare Benefit Premiums Paid to Carrier USD $130,655

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• SOUTHERN CALIFORNIA VETERINARY GROUP RETIREMENT PLAN [EIN = 471027767]
• SOUTHERN CALIFORNIA GRADING, INC. 401K PLAN [EIN = 952746647]
• SOUTHERN CALIFORNIA IBEW-NECA MANAGEMENT 401 (K) PLAN [EIN = 800135022]
• SOUTHERN CALIFORNIA DESIGN, LLC 401(K) PLAN [EIN = 272493570]
• SOUTHERN CALIFORNIA SEMI-CONDUCTOR SALES COMPANY, INC. 401(K) PLAN [EIN = 363098524]
• SOUTHERN CALIFORNIA RIVIERA PULMONARY GROUP, INC. DBPP [EIN = 371498221]
• SOUTHERN CALIFORNIA CARDIOVASCULAR INSTITUTE 401(K) PLAN [EIN = 273511887]
• SOUTHERN CALIFORNIA CONTRACTORS ASSOCIATION 401K PLAN [EIN = 952887975]
• SOUTHERN CALIFORNIA VET SURGICAL GROUP, INC. 401(K) PLAN [EIN = 330783695]
• SOUTHERN CALIFORNIA VETERINARY 401(K) PROFIT SHARING PLAN & TRUST [EIN = 330971773]
• SOUTHERN CALIFORNIA PACKAGING SYSTEMS 401K PLAN [EIN = 954666283]
• SOUTHERN CALIFORNIA PRIMARY MEDICAL INC. DEFINED BENEFIT PENSION PLAN [EIN = 800260648]
• SOUTHERN CALIFORNIA VACATION RENTALS 401K PLAN [EIN = 208823463]
• SOUTHERN CALIFORNIA ENDOCRINE MEDICAL GROUP P.M.C 401(K) PROFIT SHARING PLAN [EIN = 141969933]
• SOUTHERN CALIFORNIA DESERT RETINA CONSULTANTS MEDICAL, INC 401(K) PROFIT SHARING PLAN [EIN = 330592019]
• SOUTHERN CALIFORNIA ROOMS, INC. DEFINED BENEFIT PENSION PLAN [EIN = 364553859]
• SOUTHERN CALIFORNIA SWIMMING 401(K) [EIN = 311016597]
• SOUTHERN CALIFORNIA EQUINE FOUNDATION, INC. 401(K) PROFIT SHARING PLAN [EIN = 953083048]
• SOUTHERN CALIFORNIA NOBLE DEVELOPMENT,INC. PROFIT SHARING PLAN [EIN = 770439939]
• SOUTHERN CALIFORNIA CENTER FOR SEXUAL HEALTH AND SURVIVORSHIP MEDICINE, INC. 401(K) PROFIT SHARING PLAN [EIN = 262210833]
• SOUTHERN CALIFORNIA WORKERS COMPENSATION MGMT CO DB PENSION PLAN [EIN = 330301402]
• SOUTHERN CALIFORNIA SWAG INC 401 K PROFIT SHARING PLAN TRUST [EIN = 813726308]
• SOUTHERN CALIFORNIA DESERT RETINA CONSULTANTS MEDICAL CORPORATION CASH BALANCE PLAN [EIN = 330592019]
• SOUTHERN CALIFORNIA ELECTROPHYSIOLOGY ASSOCIATES, INC. PROFIT SHARING PLAN [EIN = 272892652]
• SOUTHERN CALIFORNIA SPINE AND PAIN INSTITUTE RETIREMENT PLAN [EIN = 383843223]
• SOUTHERN CALIFORNIA GLAUCOMA ASSOCIATES PROFIT SHARING RETIREMENT PLAN [EIN = 954166558]
• SOUTHERN CALIFORNIA GRADUATION SERVICES, INC. PROFIT SHARING PLAN [EIN = 464602706]
• SOUTHERN CALIFORNIA SPINE AND PAIN INSTITUTE PENSION PLAN [EIN = 383843223]
• SOUTHERN CALIFORNIA ICE CO. CASH BALANCE PLAN [EIN = 953245845]
• SOUTHERN CALIFORNIA MED-LEGAL CONSULTANTS, INC. 401(K) [EIN = 330269640]
• SOUTHERN CALIFORNIA UTILITY SOLUTIONS 401(K) PLAN [EIN = 475477996]
• SOUTHERN CALIFORNIA TELEPHONE 401 K PROFIT SHARING PLAN TRUST [EIN = 721601993]
• SOUTHERN CALIFORNIA GRADING, INC. CASH BALANCE PLAN [EIN = 952746647]
• SOUTHERN CALIFORNIA RIVIERA PULMONARY GROUP, INC. 401(K) PROFIT SHARING PLAN [EIN = 371498221]
• SOUTHERN CALIFORNIA IBEW-NECA MANAGEMENT 401 (K) PLAN [EIN = 030512258]
• SOUTHERN CALIFORNIA INDIAN CENTER 401(K) PLAN [EIN = 273031625]
• SOUTHERN CALIFORNIA SOUND STAGE AND LIGHTING PROFIT SHARING PLAN [EIN = 330572846]
• SOUTHERN CALIFORNIA DENTAL SERVICE 401(K) PROFIT SHARINGPLAN [EIN = 954254410]
• SOUTHERN CALIFORNIA HOLISTIC HEALTH CENTER, INC AGE WEIGHTED PROFIT SHARING PLAN [EIN = 330777185]
• SOUTHERN CALIFORNIA UNIVERSITY OF HEALTH SCIENCES MONEY PURCHASE PENSION PLAN [EIN = 950948050]
• SOUTHERN CALIFORNIA SCHOOL OF INTERPRETATION, INC. PROFIT SHARING PLAN [EIN = 954853988]
• SOUTHERN CALIFORNIA HEART SPECIALISTS, LLC WELFARE BENEFIT PLAN [EIN = 954557282]
• SOUTHERN CALIFORNIA AVIATION, LLC 401(K) PROFIT SHARING PLAN [EIN = 954750608]
• SOUTHERN CALIFORNIA AIR CONDITIONING SUPPLY CO., INC. 401(K) PLAN [EIN = 330050104]
• SOUTHERN CALIFORNIA PIPELINE 401K PLAN AND TRUST [EIN = 330399980]
• SOUTHERN CALIFORNIA FLOOR COVERING PENSION TRUST FUND [EIN = 516031409]
• SOUTHERN CALIFORNIA GAS CO. MEDICAL PLAN [EIN = 951240705]
• SOUTHERN CALIFORNIA RISK MGT ASSOC ANTHEM-GROUP MEDICAL PLAN [EIN = 330267372]
• SOUTHERN CALIFORNIA PIPELINE CONSTRUCTION, INC. EMPLOYEE STOCK OWNERSHIP PLAN [EIN = 330399980]
• SOUTHERN CALIFORNIA DENTAL SERVICE RETIREMENT PLAN [EIN = 954254410]
• SOUTHERN CALIFORNIA UNIVERSITY OF HEALTH SCIENCES 403(B) PLAN [EIN = 950948050]
• SOUTHERN CALIFORNIA WATER COMPANY MEDICAL PLAN FOR ACTIVE AND RETIRED UNION EMPLOYEES [EIN = 951243678]
• SOUTHERN CALIFORNIA WATER COMPANY MEDICAL PLAN FOR ACTIVE AND RETIRED EMPLOYEES [EIN = 951243678]
• SOUTHERN CALIFORNIA VET SPECIALTY HOSPITAL WELFARE BENEFITS PLAN [EIN = 463787210]
• SOUTHERN CALIFORNIA ORTHOPEDIC INSTITUTE WELFARE PLAN [EIN = 953150156]
• SOUTHERN CALIFORNIA EDISON COMPANY RETIREMENT PLAN TRUST [EIN = 951240335]
• SOUTHERN CALIFORNIA FLOOR COVERING VACATION AND HOLIDAY TRUST FUND [EIN = 237016818]
• SOUTHERN CALIFORNIA GEOTECHNICAL 401(K) PLAN [EIN = 330794704]
• SOUTHERN CALIFORNIA LOCAL 831 - EMPLOYER HEALTH FUND [EIN = 956047878]
• SOUTHERN CALIFORNIA PIZZA COMPANY, LLC WELFARE BENEFITS PLAN [EIN = 262518258]
• SOUTHERN CALIFORNIA PIPE TRADES PENSIONERS & SURVIVING SPOUSES HEALTH FUND [EIN = 274271742]
• SOUTHERN CALIFORNIA UNITED FOOD & COMMERCIAL WORKERS UNIONS AND FOOD EMPLOYERS JOINT BENEFIT FUNDS ADMINISTRATION, LLC 401(K) PLAN [EIN = 951939092]
• SOUTHERN CALIFORNIA DAIRY INDUSTRY SECURITY FUND [EIN = 956060456]
• SOUTHERN CALIFORNIA RETINA SPECIALISTS INC 401K PLAN [EIN = 811216556]
• SOUTHERN CALIFORNIA ORTHOPAEDIC SPECIALISTS MEDICAL GROUP 401(K) PROFIT SHARING PLAN [EIN = 330380898]
• SOUTHERN CALIFORNIA QUALITY HOME CARE, INC. 401(K) PROFIT SHARING PLAN [EIN = 461291591]
• SOUTHERN CALIFORNIA HYDROSEED AND HYDROMULCH, INC. PROFIT SHARING PLAN [EIN = 330073714]
• SOUTHERN CALIFORNIA CONSTRUCTION INSURANCE TRUST WELFARE BENEFIT PLAN [EIN = 330846888]
• SOUTHERN CALIFORNIA BAKERY DRIVERS SECURITY FUND [EIN = 956060455]
• SOUTHERN CALIFORNIA TELEPHONE CO 401(K) PLAN [EIN = 330632220]
• SOUTHERN CALIFORNIA BRAIN AND SPINE SURGERY 401(K) PLAN [EIN = 473833516]
• SOUTHERN CALIFORNIA BRAIN AND SPINE SURGERY CASH BALANCE PLAN [EIN = 473833516]
• SOUTHERN CALIFORNIA GRADING, INC. PROFIT SHARING PLAN [EIN = 952746647]
• SOUTHERN CALIFORNIA PRESBYTERIAN HOMES - FLEXIBLE BENEFITS PLAN [EIN = 951894293]
• SOUTHERN CALIFORNIA HOUSING CO 401 K PROFIT SHARING PLAN TRUST [EIN = 262583215]
• SOUTHERN CALIFORNIA PAVING INC 401(K) PLAN [EIN = 830425739]
• SOUTHERN CALIFORNIA VETERINARY SERVICES, INC. CASH BALANCE PENSION PLAN [EIN = 330971773]
• SOUTHERN CALIFORNIA SHADES, INC. 401(K) PROFIT SHARING PLAN [EIN = 203647940]
• SOUTHERN CALIFORNIA HEALTH PROVIDERS MEDICAL GROUP, INC. CASH BALANCE PLAN [EIN = 330254680]
• SOUTHERN CALIFORNIA EMERGENCY MEDICINE 401(K) PLAN [EIN = 870698478]
• SOUTHERN CALIFORNIA HEALTH PROVIDERS MEDICAL GROUP, INC. 401(K) PLAN [EIN = 832983899]
• SOUTHERN CALIFORNIA VALVE 401K PROFIT SHARING PLAN [EIN = 320221625]
• SOUTHERN CALIFORNIA VETERINARY DENTAL SPECIALTIES, INC. CASH BALANCE PLAN [EIN = 030506122]
• SOUTHERN CALIFORNIA PATIOS INC 401(K) PROFIT SHARING PLAN & TRUST [EIN = 823891441]
• SOUTHERN CALIFORNIA ENDODONTIC GROUP PROFIT SHARING PLAN AND TRUST [EIN = 770569481]
• SOUTHERN CALIFORNIA FINANCIAL SERVICES, INC. 401(K) P/S PLAN [EIN = 813161135]
• SOUTHERN CALIFORNIA ENDODONTIC GROUP DEFINED BENEFIT PENSION PLAN [EIN = 770569481]
• SOUTHERN CALIFORNIA DENTAL SERVICE 401(K) PROFIT SHARING PLAN [EIN = 830984322]
• SOUTHERN CALIFORNIA ACUPUNCTURE 401K AND PROFIT SHARING PLAN [EIN = 832018176]
• SOUTHERN CALIFORNIA KIDNEY CONSULTANTS, INC. 401(K) PLAN [EIN = 952850058]
• SOUTHERN CALIFORNIA PHYSICIAN NETWORK RETIREMENT PLAN [EIN = 472639091]
• SOUTHERN CALIFORNIA SPINE AND PAIN INSTITUTE PENSION PLAN [EIN = 471838723]
• SOUTHERN CALIFORNIA SPINE AND PAIN INSTITUTE RETIREMENT PLAN [EIN = 471838723]
• SOUTHERN CALIFORNIA VETERINARY SERVICES, INC. PROFIT SHARING PLAN [EIN = 330971773]
• SOUTHERN CALIFORNIA REPRODUCTIVE CENTER WELFARE BENEFIT PLAN [EIN = 954775290]
• SOUTHERN CALIFORNIA FLEET SERVICES INC. WELFARE BENEFITS PLAN [EIN = 390642224]
• SOUTHERN CALIFORNIA HEALTH & REHABILITATION PROGRAM PROFIT SHARING PLAN [EIN = 954482413]
• SOUTHERN CALIFORNIA PUBLIC RADIO VOLUNTARY EMPLOYEE SEPARATION PROGRAM [EIN = 954765734]
• SOUTHERN CALIFORNIA INSTITUTE OF ARCHITECTURE FLEXIBLE BENEFITS PLAN [EIN = 952789388]
• SOUTHERN CALIFORNIA RIVIERA PULMONARY GROUP, INC. CASH BALANCE PENSION PLAN [EIN = 371498221]
• SOUTHERN CALIFORNIA ELECTROPHYSIOLOGY ASSOCIATES, INC. CASH BALANCE PLAN [EIN = 272892652]
• SOUTHERN CALIFORNIA HEART AND VASCULAR CENTER 401(K) PLAN [EIN = 831531633]
• SOUTHERN CALIFORNIA EMG 401(K) PLAN [EIN = 850806620]
• SOUTHERN CALIFORNIA WATER AND 401(K) PROFIT SHARING PLAN & TRUST [EIN = 473799630]
• SOUTHERN CALIFORNIA CENTER FOR COUPLES AND FAMILIES [EIN = 814486985]
• SOUTHERN CALIFORNIA REGIONAL INFUSION PHARMACOLOGICAL TECHNOL [EIN = 464574903]
• SOUTHERN CALIFORNIA HEART CENTERS, A MED. CORP. 401K PLAN [EIN = 954719255]
• SOUTHERN CALIFORNIA PRIMARY CARE 401K PLAN [EIN = 330891219]
• SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP MASTER TRUST [EIN = 871707526]
• SOUTHERN CALIFORNIA TREE AND LANDSCAPE 401(K) P/S PLAN [EIN = 208253446]
• SOUTHERN CALIFORNIA REGENERATIVE MEDICAL, INC 401(K) PLAN [EIN = 830860536]
• SOUTHERN CALIFORNIA HEALTH & REHABILITATION PROGRAM WELFARE BENEFITS PLAN [EIN = 954482413]
• SOUTHERN CALIFORNIA SPORTFISHING LLC 401K PLAN [EIN = 465372764]
• SOUTHERN CALIFORNIA PROSTHETICS 401(K) PLAN [EIN = 270627217]
• SOUTHERN CALIFORNIA PARTNERSHIP FOR JOBS 401(K) PLAN [EIN = 465077693]
• SOUTHERN CALIFORNIA HOSPICE FOUNDATION 403(B) PLAN [EIN = 043720198]
• SOUTHERN CALIFORNIA SUNRISE RECOVERY CENTERS, LLC 401(K) [EIN = 813995233]
• SOUTHERN CALIFORNIA NEUROLOGY AND PSYCHIATRY, INC. DEFINED BENEFIT PENSION PLAN [EIN = 461666325]
• SOUTHERN CALIFORNIA FLEET SERVICES 401(K) PLAN [EIN = 330642224]