401k Plan data: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS plan

THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 401k Plan overview

Plan Name	THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS
Plan identification number	511

THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS Benefits

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

401k Sponsoring company profile

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

Company Name: THE AEROSPACE CORPORATION

Employer identification number (EIN): 952102389

NAIC Classification: 541990
NAIC Description: All Other Professional, Scientific, and Technical Services

Additional information about THE AEROSPACE CORPORATION

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 1975-01-21

Company Identification Number: 0003705207

Legal Registered Office Address: PO BOX 92957

LOS ANGELES
United States of America (USA)
90009

More information about THE AEROSPACE CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
511 2020-01-01
511 2019-01-01
511 2018-01-01 DAVID A ROBERTS
511 2017-01-01 DAVID A ROBERTS
511 2016-01-01 HEATHER R LAYCHAK
511 2015-01-01 CHARLOTTE M. LAZAR-MORRISON ELLEN BEATTY 2016-07-01
511 2014-01-01 CHARLOTTE M. LAZAR-MORRISON ELLEN BEATTY 2015-06-29
511 2013-01-01 CHARLOTTE M. LAZAR-MORRISON ELLEN BEATTY 2014-07-09
511 2012-01-01 CHARLOTTE M. LAZAR-MORRISON ELLEN BEATTY 2013-07-10
511 2011-01-01 CHARLOTTE M LAZAR-MORRISON ELLEN BEATTY 2012-07-20
511 2010-01-01 CHARLOTTE M LAZAR-MORRISON DALE E WALLIS 2011-07-28
511 2009-01-01 CHARLOTTE M LAZAR-MORRISON DALE E WALLIS 2010-06-30

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
511	2020-01-01
511	2019-01-01
511	2018-01-01	DAVID A ROBERTS
511	2017-01-01	DAVID A ROBERTS
511	2016-01-01	HEATHER R LAYCHAK
511	2015-01-01	CHARLOTTE M. LAZAR-MORRISON	ELLEN BEATTY	2016-07-01
511	2014-01-01	CHARLOTTE M. LAZAR-MORRISON	ELLEN BEATTY	2015-06-29
511	2013-01-01	CHARLOTTE M. LAZAR-MORRISON	ELLEN BEATTY	2014-07-09
511	2012-01-01	CHARLOTTE M. LAZAR-MORRISON	ELLEN BEATTY	2013-07-10
511	2011-01-01	CHARLOTTE M LAZAR-MORRISON	ELLEN BEATTY	2012-07-20
511	2010-01-01	CHARLOTTE M LAZAR-MORRISON	DALE E WALLIS	2011-07-28
511	2009-01-01	CHARLOTTE M LAZAR-MORRISON	DALE E WALLIS	2010-06-30

Plan Statistics for THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS

401k plan membership statisitcs for THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS

Measure Date Value
2020: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2020 401k membership
Total participants, beginning-of-year 2020-01-01 1,136
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 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 0
2019: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2019 401k membership
Total participants, beginning-of-year 2019-01-01 1,237
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 1,113
Number of retired or separated participants receiving benefits 2019-01-01 4
Number of other retired or separated participants entitled to future benefits 2019-01-01 19
Total of all active and inactive participants 2019-01-01 1,136
2018: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2018 401k membership
Total participants, beginning-of-year 2018-01-01 1,214
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 1,231
Number of retired or separated participants receiving benefits 2018-01-01 6
Total of all active and inactive participants 2018-01-01 1,237
Total participants 2018-01-01 1,237
2017: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1,175
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 1,208
Number of retired or separated participants receiving benefits 2017-01-01 6
Total of all active and inactive participants 2017-01-01 1,214
Total participants 2017-01-01 1,214
2016: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2016 401k membership
Total participants, beginning-of-year 2016-01-01 1,182
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 1,172
Number of retired or separated participants receiving benefits 2016-01-01 3
Total of all active and inactive participants 2016-01-01 1,175
Total participants 2016-01-01 1,175
2015: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,419
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 1,177
Number of retired or separated participants receiving benefits 2015-01-01 5
Total of all active and inactive participants 2015-01-01 1,182
Total participants 2015-01-01 0
2014: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,425
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1,412
Number of retired or separated participants receiving benefits 2014-01-01 7
Total of all active and inactive participants 2014-01-01 1,419
Total participants 2014-01-01 0
2013: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,446
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,416
Number of retired or separated participants receiving benefits 2013-01-01 9
Total of all active and inactive participants 2013-01-01 1,425
Total participants 2013-01-01 0
2012: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,611
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,430
Number of retired or separated participants receiving benefits 2012-01-01 16
Total of all active and inactive participants 2012-01-01 1,446
Total participants 2012-01-01 0
2011: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,603
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,605
Number of retired or separated participants receiving benefits 2011-01-01 6
Total of all active and inactive participants 2011-01-01 1,611
Total participants 2011-01-01 1,611
2010: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1,604
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,598
Number of retired or separated participants receiving benefits 2010-01-01 5
Total of all active and inactive participants 2010-01-01 1,603
Total participants 2010-01-01 1,603
2009: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,632
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,598
Number of retired or separated participants receiving benefits 2009-01-01 6
Total of all active and inactive participants 2009-01-01 1,604
Total participants 2009-01-01 1,604

Measure	Date	Value
2020: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2020 401k membership
Total participants, beginning-of-year	2020-01-01	1,136
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	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	0
2019: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2019 401k membership
Total participants, beginning-of-year	2019-01-01	1,237
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	1,113
Number of retired or separated participants receiving benefits	2019-01-01	4
Number of other retired or separated participants entitled to future benefits	2019-01-01	19
Total of all active and inactive participants	2019-01-01	1,136
2018: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2018 401k membership
Total participants, beginning-of-year	2018-01-01	1,214
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	1,231
Number of retired or separated participants receiving benefits	2018-01-01	6
Total of all active and inactive participants	2018-01-01	1,237
Total participants	2018-01-01	1,237
2017: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1,175
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	1,208
Number of retired or separated participants receiving benefits	2017-01-01	6
Total of all active and inactive participants	2017-01-01	1,214
Total participants	2017-01-01	1,214
2016: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1,182
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	1,172
Number of retired or separated participants receiving benefits	2016-01-01	3
Total of all active and inactive participants	2016-01-01	1,175
Total participants	2016-01-01	1,175
2015: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,419
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	1,177
Number of retired or separated participants receiving benefits	2015-01-01	5
Total of all active and inactive participants	2015-01-01	1,182
Total participants	2015-01-01	0
2014: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,425
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1,412
Number of retired or separated participants receiving benefits	2014-01-01	7
Total of all active and inactive participants	2014-01-01	1,419
Total participants	2014-01-01	0
2013: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,446
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,416
Number of retired or separated participants receiving benefits	2013-01-01	9
Total of all active and inactive participants	2013-01-01	1,425
Total participants	2013-01-01	0
2012: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,611
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,430
Number of retired or separated participants receiving benefits	2012-01-01	16
Total of all active and inactive participants	2012-01-01	1,446
Total participants	2012-01-01	0
2011: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,603
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,605
Number of retired or separated participants receiving benefits	2011-01-01	6
Total of all active and inactive participants	2011-01-01	1,611
Total participants	2011-01-01	1,611
2010: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1,604
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,598
Number of retired or separated participants receiving benefits	2010-01-01	5
Total of all active and inactive participants	2010-01-01	1,603
Total participants	2010-01-01	1,603
2009: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,632
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,598
Number of retired or separated participants receiving benefits	2009-01-01	6
Total of all active and inactive participants	2009-01-01	1,604
Total participants	2009-01-01	1,604

Form 5500 Responses for THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS

2020: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 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	Yes
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 benefit arrangement – Insurance	Yes
2019: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 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 benefit arrangement – Insurance	Yes
2018: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan is a collectively bargained plan	Yes
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan is a collectively bargained plan	Yes
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan is a collectively bargained plan	Yes
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan is a collectively bargained plan	Yes
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan is a collectively bargained plan	Yes
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan is a collectively bargained plan	Yes
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan is a collectively bargained plan	Yes
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan is a collectively bargained plan	Yes
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan is a collectively bargained plan	Yes
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: THE AEROSPACE HEALTH MAINTENANCE ORGANIZATIONS 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan is a collectively bargained plan	Yes
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )

Policy contract number

7698

Policy instance

Insurance contract or identification number	7698
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 $57,739
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

3283

Policy instance

Insurance contract or identification number	3283
Number of Individuals Covered	246
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 $1,393,240
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

174218

Policy instance

Insurance contract or identification number	174218
Number of Individuals Covered	910
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
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

100232

Policy instance

Insurance contract or identification number	100232
Number of Individuals Covered	1279
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 $7,575,334
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

7698

Policy instance

Insurance contract or identification number	7698
Number of Individuals Covered	13
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 $46,041
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

100232

Policy instance

Insurance contract or identification number	100232
Number of Individuals Covered	1259
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 $7,045,592
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

3283

Policy instance

Insurance contract or identification number	3283
Number of Individuals Covered	237
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 $1,544,703
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

174218

Policy instance

Insurance contract or identification number	174218
Number of Individuals Covered	1010
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
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

7698

Policy instance

Insurance contract or identification number	7698
Number of Individuals Covered	5
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $46,080
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

174218

Policy instance

Insurance contract or identification number	174218
Number of Individuals Covered	451
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $6,574,916
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

100232

Policy instance

Insurance contract or identification number	100232
Number of Individuals Covered	640
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $6,787,363
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

3283

Policy instance

Insurance contract or identification number	3283
Number of Individuals Covered	107
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,588,544
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

174218

Policy instance

Insurance contract or identification number	174218
Number of Individuals Covered	486
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $7,856,600
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

100232

Policy instance

Insurance contract or identification number	100232
Number of Individuals Covered	582
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $5,857,685
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

7698

Policy instance

Insurance contract or identification number	7698
Number of Individuals Covered	4
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $47,762
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

3283

Policy instance

Insurance contract or identification number	3283
Number of Individuals Covered	106
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,372,342
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

174151

Policy instance

Insurance contract or identification number	174151
Number of Individuals Covered	508
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $7,261,182
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

3283

Policy instance

Insurance contract or identification number	3283
Number of Individuals Covered	106
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,364,980
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

7698

Policy instance

Insurance contract or identification number	7698
Number of Individuals Covered	8
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $65,612
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

100232

Policy instance

Insurance contract or identification number	100232
Number of Individuals Covered	524
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $5,488,621
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

L00025

Policy instance

Insurance contract or identification number	L00025
Number of Individuals Covered	19
Insurance policy start date	2014-06-01
Insurance policy end date	2014-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $218,434
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 95473 )

Policy contract number

174151

Policy instance

Insurance contract or identification number	174151
Number of Individuals Covered	66
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,628,759
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

730752

Policy instance

Insurance contract or identification number	730752
Number of Individuals Covered	164
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $2,833,936
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

LOVELACE HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95808 )

Policy contract number

20002500

Policy instance

Insurance contract or identification number	20002500
Number of Individuals Covered	19
Insurance policy start date	2014-01-01
Insurance policy end date	2014-05-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $156,024
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

100232

Policy instance

Insurance contract or identification number	100232
Number of Individuals Covered	495
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $5,607,006
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

7698

Policy instance

Insurance contract or identification number	7698
Number of Individuals Covered	6
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $61,639
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

3283

Policy instance

Insurance contract or identification number	3283
Number of Individuals Covered	101
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,396,340
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

174151

Policy instance

Insurance contract or identification number	174151
Number of Individuals Covered	503
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $7,287,504
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

0849862HNO

Policy instance

Insurance contract or identification number	0849862HNO
Number of Individuals Covered	23
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $693,380
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

0849862HNO

Policy instance

Insurance contract or identification number	0849862HNO
Number of Individuals Covered	25
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $795,993
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

59M21 (C11259)

Policy instance

Insurance contract or identification number	59M21 (C11259)
Number of Individuals Covered	518
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $6,838,380
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

3283

Policy instance

Insurance contract or identification number	3283
Number of Individuals Covered	99
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,279,817
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

7698

Policy instance

Insurance contract or identification number	7698
Number of Individuals Covered	5
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $63,881
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

100232

Policy instance

Insurance contract or identification number	100232
Number of Individuals Covered	485
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $5,682,558
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

730752

Policy instance

Insurance contract or identification number	730752
Number of Individuals Covered	160
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $2,527,834
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 95473 )

Policy contract number

59M21 (C11259)

Policy instance

Insurance contract or identification number	59M21 (C11259)
Number of Individuals Covered	70
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,529,379
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

LOVELACE HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95808 )

Policy contract number

20002500

Policy instance

Insurance contract or identification number	20002500
Number of Individuals Covered	19
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $356,228
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

730752

Policy instance

Insurance contract or identification number	730752
Number of Individuals Covered	168
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $2,730,173
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

US061756

Policy instance

Insurance contract or identification number	US061756
Number of Individuals Covered	26
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $828,325
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 95473 )

Policy contract number

0000

Policy instance

Insurance contract or identification number	0000
Number of Individuals Covered	75
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,457,181
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

59M21 (C11259)

Policy instance

Insurance contract or identification number	59M21 (C11259)
Number of Individuals Covered	533
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $7,072,680
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

3283

Policy instance

Insurance contract or identification number	3283
Number of Individuals Covered	97
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,376,586
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

7698

Policy instance

Insurance contract or identification number	7698
Number of Individuals Covered	5
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $49,300
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

100232

Policy instance

Insurance contract or identification number	100232
Number of Individuals Covered	481
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $5,246,669
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

LOVELACE HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95808 )

Policy contract number

20002500

Policy instance

Insurance contract or identification number	20002500
Number of Individuals Covered	22
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $427,476
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

061756

Policy instance

Insurance contract or identification number	061756
Number of Individuals Covered	27
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $697,580
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

59M21 (C11259)

Policy instance

Insurance contract or identification number	59M21 (C11259)
Number of Individuals Covered	608
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $7,594,705
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

3283

Policy instance

Insurance contract or identification number	3283
Number of Individuals Covered	107
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,278,609
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

7698

Policy instance

Insurance contract or identification number	7698
Number of Individuals Covered	5
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $37,899
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

100-232-00

Policy instance

Insurance contract or identification number	100-232-00
Number of Individuals Covered	526
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $5,025,813
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

LOVELACE HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95808 )

Policy contract number

623

Policy instance

Insurance contract or identification number	623
Number of Individuals Covered	23
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $422,042
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MAMSI /MD-IPA (National Association of Insurance Commissioners NAIC id number: 60231 )

Policy contract number

6920

Policy instance

Insurance contract or identification number	6920
Number of Individuals Covered	186
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $2,748,576
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95434 )

Policy contract number

0447-01

Policy instance

Insurance contract or identification number	0447-01
Number of Individuals Covered	77
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,363,937
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95434 )

Policy contract number

0447-01

Policy instance

Insurance contract or identification number	0447-01
Number of Individuals Covered	75
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,200,124
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

LOVELACE HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95808 )

Policy contract number

623

Policy instance

Insurance contract or identification number	623
Number of Individuals Covered	22
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $367,978
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

100-232-00

Policy instance

Insurance contract or identification number	100-232-00
Number of Individuals Covered	503
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $4,735,546
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

7698

Policy instance

Insurance contract or identification number	7698
Number of Individuals Covered	4
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $37,902
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

3283

Policy instance

Insurance contract or identification number	3283
Number of Individuals Covered	101
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,135,326
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

59M21 (C11259)

Policy instance

Insurance contract or identification number	59M21 (C11259)
Number of Individuals Covered	632
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $6,868,402
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

061756

Policy instance

Insurance contract or identification number	061756
Number of Individuals Covered	27
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $586,329
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MAMSI /MD-IPA (National Association of Insurance Commissioners NAIC id number: 60231 )

Policy contract number

6920

Policy instance

Insurance contract or identification number	6920
Number of Individuals Covered	190
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $2,573,655
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

THE AEROSPACE TESTING ALLIANCE WAGE EMPLOYEES' SAVINGS PLAN [EIN = 431993864]

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Company Name:	THE AEROSPACE CORPORATION
Employer identification number (EIN):	952102389
NAIC Classification:	541990
NAIC Description:	All Other Professional, Scientific, and Technical Services

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	1975-01-21
Company Identification Number:	0003705207
Legal Registered Office Address:	PO BOX 92957 LOS ANGELES United States of America (USA) 90009