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CALIFORNIA SMALL MANUFACTURING HEALTH AND WELFARE TRUST FUND 401k Plan overview

Plan NameCALIFORNIA SMALL MANUFACTURING HEALTH AND WELFARE TRUST FUND
Plan identification number 501

CALIFORNIA SMALL MANUFACTURING HEALTH AND WELFARE TRUST FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

CALIFORNIA METALS COALITION has sponsored the creation of one or more 401k plans.

Company Name:CALIFORNIA METALS COALITION
Employer identification number (EIN):954609615
NAIC Classification:525920
NAIC Description:Trusts, Estates, and Agency Accounts

Additional information about CALIFORNIA METALS COALITION

Jurisdiction of Incorporation: California Department of State
Incorporation Date: 1996-12-27
Company Identification Number: C1796017
Legal Registered Office Address: 2971 Warren Lane

El Dorado Hills
United States of America (USA)
95762

More information about CALIFORNIA METALS COALITION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CALIFORNIA SMALL MANUFACTURING HEALTH AND WELFARE TRUST FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012024-01-01TANYA EDWARDS
5012023-01-01TANYA EDWARDS2024-10-11 TIMOTHY GALLAGHER2024-10-14
5012022-01-01
5012022-01-01TIMOTHY GALLAGHER
5012021-01-01
5012021-01-01
5012021-01-01TIMOTHY GALLAGHER

Financial Data on CALIFORNIA SMALL MANUFACTURING HEALTH AND WELFARE TRUST FUND

Measure Date Value
2023 : CALIFORNIA SMALL MANUFACTURING HEALTH AND WELFARE TRUST FUND 2023 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$734,580
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$864,614
Total income from all sources (including contributions)2023-12-31$9,719,193
Total of all expenses incurred2023-12-31$9,694,647
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$8,678,380
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$9,702,594
Value of total assets at end of year2023-12-31$1,367,302
Value of total assets at beginning of year2023-12-31$1,472,790
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$1,016,267
Total interest from all sources2023-12-31$16,599
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$1,000,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$17,947
Assets. Other investments not covered elsewhere at beginning of year2023-12-31$6,265
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-12-31$22,132
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-12-31$68,852
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-12-31$725,858
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-12-31$837,057
Administrative expenses (other) incurred2023-12-31$22,603
Liabilities. Value of operating payables at end of year2023-12-31$8,722
Liabilities. Value of operating payables at beginning of year2023-12-31$27,557
Total non interest bearing cash at beginning of year2023-12-31$613,153
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$24,546
Value of net assets at end of year (total assets less liabilities)2023-12-31$632,722
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$608,176
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-12-31$1,310,069
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-12-31$751,740
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-12-31$751,740
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-12-31$16,599
Expenses. Payments to insurance carriers foe the provision of benefits2023-12-31$8,678,380
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$9,684,647
Employer contributions (assets) at end of year2023-12-31$35,101
Employer contributions (assets) at beginning of year2023-12-31$32,780
Contract administrator fees2023-12-31$311,828
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32023-12-31No
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31EIDE BAILLY LLP
Accountancy firm EIN2023-12-31450250958
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$734,580
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$864,614
Total income from all sources (including contributions)2023-01-01$9,719,193
Total of all expenses incurred2023-01-01$9,694,647
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-01$8,678,380
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-01$9,702,594
Value of total assets at end of year2023-01-01$1,367,302
Value of total assets at beginning of year2023-01-01$1,472,790
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-01$1,016,267
Total interest from all sources2023-01-01$16,599
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-01No
Was this plan covered by a fidelity bond2023-01-01Yes
Value of fidelity bond cover2023-01-01$1,000,000
If this is an individual account plan, was there a blackout period2023-01-01No
Were there any nonexempt tranactions with any party-in-interest2023-01-01No
Contributions received from participants2023-01-01$17,947
Assets. Other investments not covered elsewhere at beginning of year2023-01-01$6,265
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-01-01$22,132
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-01-01$68,852
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-01-01$725,858
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-01-01$837,057
Administrative expenses (other) incurred2023-01-01$22,603
Liabilities. Value of operating payables at end of year2023-01-01$8,722
Liabilities. Value of operating payables at beginning of year2023-01-01$27,557
Total non interest bearing cash at beginning of year2023-01-01$613,153
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Value of net income/loss2023-01-01$24,546
Value of net assets at end of year (total assets less liabilities)2023-01-01$632,722
Value of net assets at beginning of year (total assets less liabilities)2023-01-01$608,176
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-01No
Were any leases to which the plan was party in default or uncollectible2023-01-01No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-01-01$1,310,069
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-01-01$16,599
Expenses. Payments to insurance carriers foe the provision of benefits2023-01-01$8,678,380
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-01No
Was there a failure to transmit to the plan any participant contributions2023-01-01No
Has the plan failed to provide any benefit when due under the plan2023-01-01No
Contributions received in cash from employer2023-01-01$9,684,647
Employer contributions (assets) at end of year2023-01-01$35,101
Employer contributions (assets) at beginning of year2023-01-01$32,780
Contract administrator fees2023-01-01$311,828
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32023-01-01No
Did the plan have assets held for investment2023-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-01No
Opinion of an independent qualified public accountant for this plan2023-01-011
Accountancy firm name2023-01-01EIDE BAILLY LLP
Accountancy firm EIN2023-01-01450250958
2022 : CALIFORNIA SMALL MANUFACTURING HEALTH AND WELFARE TRUST FUND 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$864,614
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,198,244
Total income from all sources (including contributions)2022-12-31$12,310,828
Total of all expenses incurred2022-12-31$12,327,820
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$11,068,849
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$12,309,086
Value of total assets at end of year2022-12-31$1,472,790
Value of total assets at beginning of year2022-12-31$1,823,412
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$1,258,971
Total interest from all sources2022-12-31$1,742
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$693,948
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$36,079
Assets. Other investments not covered elsewhere at end of year2022-12-31$6,265
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$7,233
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$68,852
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$837,057
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$1,072,947
Administrative expenses (other) incurred2022-12-31$62,511
Liabilities. Value of operating payables at end of year2022-12-31$27,557
Liabilities. Value of operating payables at beginning of year2022-12-31$125,297
Total non interest bearing cash at end of year2022-12-31$613,153
Total non interest bearing cash at beginning of year2022-12-31$519,353
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-16,992
Value of net assets at end of year (total assets less liabilities)2022-12-31$608,176
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$625,168
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in pooled separate accounts at end of year2022-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$751,740
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$350,812
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$350,812
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$1,742
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$11,068,849
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$12,273,007
Employer contributions (assets) at end of year2022-12-31$32,780
Employer contributions (assets) at beginning of year2022-12-31$946,014
Contract administrator fees2022-12-31$502,512
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31RBTK, LLP
Accountancy firm EIN2022-12-31330567239
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$864,614
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$1,198,244
Total income from all sources (including contributions)2022-01-01$12,310,828
Total of all expenses incurred2022-01-01$12,327,820
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$11,068,849
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$12,309,086
Value of total assets at end of year2022-01-01$1,472,790
Value of total assets at beginning of year2022-01-01$1,823,412
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$1,258,971
Total interest from all sources2022-01-01$1,742
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
Administrative expenses professional fees incurred2022-01-01$693,948
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$1,000,000
If this is an individual account plan, was there a blackout period2022-01-01No
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Contributions received from participants2022-01-01$36,079
Assets. Other investments not covered elsewhere at end of year2022-01-01$6,265
Assets. Other investments not covered elsewhere at beginning of year2022-01-01$7,233
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-01-01$68,852
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-01-01$837,057
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-01-01$1,072,947
Administrative expenses (other) incurred2022-01-01$62,511
Liabilities. Value of operating payables at end of year2022-01-01$27,557
Liabilities. Value of operating payables at beginning of year2022-01-01$125,297
Total non interest bearing cash at end of year2022-01-01$613,153
Total non interest bearing cash at beginning of year2022-01-01$519,353
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Value of net income/loss2022-01-01$-16,992
Value of net assets at end of year (total assets less liabilities)2022-01-01$608,176
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$625,168
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Value of interest in pooled separate accounts at end of year2022-01-01$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-01-01$751,740
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-01-01$1,742
Expenses. Payments to insurance carriers foe the provision of benefits2022-01-01$11,068,849
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01No
Was there a failure to transmit to the plan any participant contributions2022-01-01No
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Contributions received in cash from employer2022-01-01$12,273,007
Employer contributions (assets) at end of year2022-01-01$32,780
Employer contributions (assets) at beginning of year2022-01-01$946,014
Contract administrator fees2022-01-01$502,512
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-01-01No
Did the plan have assets held for investment2022-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Opinion of an independent qualified public accountant for this plan2022-01-011
Accountancy firm name2022-01-01RBTK, LLP
Accountancy firm EIN2022-01-01330567239
2021 : CALIFORNIA SMALL MANUFACTURING HEALTH AND WELFARE TRUST FUND 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,198,244
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,424,281
Total income from all sources (including contributions)2021-12-31$14,976,558
Total of all expenses incurred2021-12-31$15,037,442
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$13,421,859
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$14,963,627
Value of total assets at end of year2021-12-31$1,823,412
Value of total assets at beginning of year2021-12-31$2,110,333
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$1,615,583
Total interest from all sources2021-12-31$105
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$898,881
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$93,921
Assets. Other investments not covered elsewhere at end of year2021-12-31$7,233
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$4,121
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$1,072,947
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$1,354,289
Other income not declared elsewhere2021-12-31$12,826
Administrative expenses (other) incurred2021-12-31$124,067
Liabilities. Value of operating payables at end of year2021-12-31$125,297
Liabilities. Value of operating payables at beginning of year2021-12-31$69,992
Total non interest bearing cash at end of year2021-12-31$519,353
Total non interest bearing cash at beginning of year2021-12-31$1,720,566
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-60,884
Value of net assets at end of year (total assets less liabilities)2021-12-31$625,168
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$686,052
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in pooled separate accounts at end of year2021-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$350,812
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$350,706
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$350,706
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$105
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$13,421,859
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$14,869,706
Employer contributions (assets) at end of year2021-12-31$946,014
Employer contributions (assets) at beginning of year2021-12-31$34,940
Contract administrator fees2021-12-31$592,635
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31RBTK, LLP
Accountancy firm EIN2021-12-31330567239

Form 5500 Responses for CALIFORNIA SMALL MANUFACTURING HEALTH AND WELFARE TRUST FUND

2023: CALIFORNIA SMALL MANUFACTURING HEALTH AND WELFARE TRUST FUND 2023 form 5500 responses
2023-01-01Type of plan entityMulitple employer plan
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: CALIFORNIA SMALL MANUFACTURING HEALTH AND WELFARE TRUST FUND 2022 form 5500 responses
2022-01-01Type of plan entityMulitple employer plan
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: CALIFORNIA SMALL MANUFACTURING HEALTH AND WELFARE TRUST FUND 2021 form 5500 responses
2021-01-01Type of plan entityMulitple employer plan
2021-01-01Submission has been amendedYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number5343685
Policy instance 3
Insurance contract or identification number5343685
Number of Individuals Covered233
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,518
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $53,200
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 number5343685
Policy instance 2
Insurance contract or identification number5343685
Number of Individuals Covered9219
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $39,177
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $798,638
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 95567 )
Policy contract numberVARIOUS
Policy instance 1
Insurance contract or identification numberVARIOUS
Number of Individuals Covered713
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,342,879
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number5343685
Policy instance 3
Insurance contract or identification number5343685
Number of Individuals Covered382
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $1,659
Total amount of fees paid to insurance companyUSD $1,152
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $48,162
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 number5343685
Policy instance 2
Insurance contract or identification number5343685
Number of Individuals Covered9663
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of fees paid to insurance companyUSD $18,649
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $528,543
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 95567 )
Policy contract numberVARIOUS
Policy instance 1
Insurance contract or identification numberVARIOUS
Number of Individuals Covered919
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,139,257
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number5343685
Policy instance 7
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number5343685
Policy instance 6
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0221553
Policy instance 5
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0221552
Policy instance 4
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0221551
Policy instance 3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number914381
Policy instance 2
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 95567 )
Policy contract numberVARIOUS
Policy instance 1

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