401k Plan data: UNION OF CONCERNED SCIENTISTS, INC. MEDICAL PLAN plan

UNION OF CONCERNED SCIENTISTS, INC. MEDICAL PLAN 401k Plan overview

Plan Name	UNION OF CONCERNED SCIENTISTS, INC. MEDICAL PLAN
Plan identification number	506

UNION OF CONCERNED SCIENTISTS, INC. MEDICAL PLAN Benefits

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

401k Sponsoring company profile

UNION OF CONCERNED SCIENTISTS, INC. has sponsored the creation of one or more 401k plans.

Company Name: UNION OF CONCERNED SCIENTISTS, INC.

Employer identification number (EIN): 042535767

NAIC Classification: 541700

Additional information about UNION OF CONCERNED SCIENTISTS, INC.

Jurisdiction of Incorporation: California Department of State

Incorporation Date:

Company Identification Number: C1846912

More information about UNION OF CONCERNED SCIENTISTS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UNION OF CONCERNED SCIENTISTS, INC. MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
506 2018-01-01

Plan Statistics for UNION OF CONCERNED SCIENTISTS, INC. MEDICAL PLAN

401k plan membership statisitcs for UNION OF CONCERNED SCIENTISTS, INC. MEDICAL PLAN

Measure Date Value
2018: UNION OF CONCERNED SCIENTISTS, INC. MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 173
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 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 0

Measure	Date	Value
2018: UNION OF CONCERNED SCIENTISTS, INC. MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	173
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	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	0

Form 5500 Responses for UNION OF CONCERNED SCIENTISTS, INC. MEDICAL PLAN

2018: UNION OF CONCERNED SCIENTISTS, INC. MEDICAL PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	First time form 5500 has been submitted	Yes
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	Yes
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	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

00620993

Policy instance

Insurance contract or identification number	00620993
Number of Individuals Covered	241
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $59,759
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	Yes
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 $1,842,740
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	59759
Additional information about fees paid to insurance broker	FEES
Insurance broker organization code?	3

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Company Name:	UNION OF CONCERNED SCIENTISTS, INC.
Employer identification number (EIN):	042535767
NAIC Classification:	541700

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:
Company Identification Number:	C1846912