UTILITY WORKER'S UNION OF AMERICA 102 has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO
401k plan membership statisitcs for WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO
| Measure | Date | Value |
|---|
| 2021: WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 1,543 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 1,426 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
| Total of all active and inactive participants | 2021-01-01 | 1,426 |
| 2020: WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 1,566 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 1,543 |
| 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 | 1,543 |
| 2019: WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 1,689 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 1,566 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 0 |
| Total of all active and inactive participants | 2019-01-01 | 1,566 |
| 2018: WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 1,848 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 1,689 |
| 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 | 1,689 |
| 2017: WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 1,878 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 1,848 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 0 |
| Total of all active and inactive participants | 2017-01-01 | 1,848 |
| 2015: WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-05-01 | 1,878 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-05-01 | 1,582 |
| Number of retired or separated participants receiving benefits | 2015-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-05-01 | 0 |
| Total of all active and inactive participants | 2015-05-01 | 1,582 |
| 2014: WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-05-01 | 2,063 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-05-01 | 1,878 |
| Number of retired or separated participants receiving benefits | 2014-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-05-01 | 0 |
| Total of all active and inactive participants | 2014-05-01 | 1,878 |
| 2013: WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-05-01 | 1,075 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-05-01 | 2,063 |
| Total of all active and inactive participants | 2013-05-01 | 2,063 |
| 2012: WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-05-01 | 1,073 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-05-01 | 1,075 |
| Total of all active and inactive participants | 2012-05-01 | 1,075 |
| 2011: WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-08-01 | 1,111 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-08-01 | 1,073 |
| Total of all active and inactive participants | 2011-08-01 | 1,073 |
| 2010: WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-08-01 | 1,119 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-08-01 | 1,111 |
| Total of all active and inactive participants | 2010-08-01 | 1,111 |
| 2009: WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-08-01 | 1,158 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-08-01 | 1,119 |
| Total of all active and inactive participants | 2009-08-01 | 1,119 |
| Measure | Date | Value |
|---|
| 2021 : WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 2021 401k financial data |
|---|
| Total income from all sources | 2021-12-31 | $8,457,867 |
| Expenses. Total of all expenses incurred | 2021-12-31 | $8,457,867 |
| Benefits paid (including direct rollovers) | 2021-12-31 | $8,182,210 |
| Total plan assets at end of year | 2021-12-31 | $0 |
| Total plan assets at beginning of year | 2021-12-31 | $0 |
| Other income received | 2021-12-31 | $8,457,867 |
| Net plan assets at end of year (total assets less liabilities) | 2021-12-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-12-31 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2021-12-31 | $275,657 |
| 2020 : WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 2020 401k financial data |
|---|
| Total income from all sources | 2020-12-31 | $11,889,558 |
| Expenses. Total of all expenses incurred | 2020-12-31 | $11,889,558 |
| Benefits paid (including direct rollovers) | 2020-12-31 | $11,488,454 |
| Total plan assets at end of year | 2020-12-31 | $0 |
| Total plan assets at beginning of year | 2020-12-31 | $0 |
| Other income received | 2020-12-31 | $11,889,558 |
| Net plan assets at end of year (total assets less liabilities) | 2020-12-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-12-31 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2020-12-31 | $401,104 |
| 2019 : WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 2019 401k financial data |
|---|
| Total income from all sources | 2019-12-31 | $13,658,155 |
| Expenses. Total of all expenses incurred | 2019-12-31 | $13,658,155 |
| Benefits paid (including direct rollovers) | 2019-12-31 | $13,216,003 |
| Total plan assets at end of year | 2019-12-31 | $0 |
| Total plan assets at beginning of year | 2019-12-31 | $0 |
| Other income received | 2019-12-31 | $13,658,155 |
| Net plan assets at end of year (total assets less liabilities) | 2019-12-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-12-31 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2019-12-31 | $442,152 |
| 2018 : WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 2018 401k financial data |
|---|
| Total income from all sources | 2018-12-31 | $13,296,332 |
| Expenses. Total of all expenses incurred | 2018-12-31 | $13,296,332 |
| Benefits paid (including direct rollovers) | 2018-12-31 | $12,880,575 |
| Total plan assets at end of year | 2018-12-31 | $0 |
| Total plan assets at beginning of year | 2018-12-31 | $0 |
| Other income received | 2018-12-31 | $13,296,332 |
| Net plan assets at end of year (total assets less liabilities) | 2018-12-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-12-31 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2018-12-31 | $415,757 |
| 2016 : WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 2016 401k financial data |
|---|
| Total income from all sources | 2016-04-30 | $13,223,102 |
| Expenses. Total of all expenses incurred | 2016-04-30 | $13,223,102 |
| Benefits paid (including direct rollovers) | 2016-04-30 | $13,223,102 |
| Total plan assets at end of year | 2016-04-30 | $0 |
| Total plan assets at beginning of year | 2016-04-30 | $0 |
| Other income received | 2016-04-30 | $13,223,102 |
| Net plan assets at end of year (total assets less liabilities) | 2016-04-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-04-30 | $0 |
| 2015 : WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 2015 401k financial data |
|---|
| Total income from all sources | 2015-04-30 | $13,498,360 |
| Expenses. Total of all expenses incurred | 2015-04-30 | $13,498,360 |
| Benefits paid (including direct rollovers) | 2015-04-30 | $13,498,360 |
| Total plan assets at end of year | 2015-04-30 | $0 |
| Total plan assets at beginning of year | 2015-04-30 | $0 |
| Other income received | 2015-04-30 | $13,498,360 |
| Net plan assets at end of year (total assets less liabilities) | 2015-04-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-04-30 | $0 |
| 2014 : WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 2014 401k financial data |
|---|
| Total income from all sources | 2014-04-30 | $13,871,822 |
| Expenses. Total of all expenses incurred | 2014-04-30 | $13,871,822 |
| Benefits paid (including direct rollovers) | 2014-04-30 | $13,871,822 |
| Total plan assets at end of year | 2014-04-30 | $0 |
| Total plan assets at beginning of year | 2014-04-30 | $0 |
| Other income received | 2014-04-30 | $13,871,822 |
| Net plan assets at end of year (total assets less liabilities) | 2014-04-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-04-30 | $0 |
| 2021: WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan is a collectively bargained plan | Yes |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2020: WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan is a collectively bargained plan | Yes |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2019: WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan is a collectively bargained plan | Yes |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2018: WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 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 funding arrangement – General assets of the sponsor | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 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 funding arrangement – General assets of the sponsor | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 2015 form 5500 responses |
|---|
| 2015-05-01 | Type of plan entity | Single employer plan |
| 2015-05-01 | Plan is a collectively bargained plan | Yes |
| 2015-05-01 | Plan funding arrangement – Insurance | Yes |
| 2015-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 2014 form 5500 responses |
|---|
| 2014-05-01 | Type of plan entity | Single employer plan |
| 2014-05-01 | Plan is a collectively bargained plan | Yes |
| 2014-05-01 | Plan funding arrangement – Insurance | Yes |
| 2014-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 2013 form 5500 responses |
|---|
| 2013-05-01 | Type of plan entity | Single employer plan |
| 2013-05-01 | Plan is a collectively bargained plan | Yes |
| 2013-05-01 | Plan funding arrangement – Insurance | Yes |
| 2013-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2012: WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 2012 form 5500 responses |
|---|
| 2012-05-01 | Type of plan entity | Single employer plan |
| 2012-05-01 | Plan is a collectively bargained plan | Yes |
| 2012-05-01 | Plan funding arrangement – Insurance | Yes |
| 2012-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 2011 form 5500 responses |
|---|
| 2011-08-01 | Type of plan entity | Single employer plan |
| 2011-08-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2011-08-01 | Plan is a collectively bargained plan | Yes |
| 2011-08-01 | Plan funding arrangement – Insurance | Yes |
| 2011-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 2010 form 5500 responses |
|---|
| 2010-08-01 | Type of plan entity | Single employer plan |
| 2010-08-01 | Plan is a collectively bargained plan | Yes |
| 2010-08-01 | Plan funding arrangement – Insurance | Yes |
| 2010-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: WELFARE PLAN FOR MEMBERS OF UWUA SYSTEM LOCAL 102 AFL-CIO 2009 form 5500 responses |
|---|
| 2009-08-01 | Type of plan entity | Single employer plan |
| 2009-08-01 | Plan is a collectively bargained plan | Yes |
| 2009-08-01 | Plan funding arrangement – Insurance | Yes |
| 2009-08-01 | Plan benefit arrangement – Insurance | Yes |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 049796002 |
| Policy instance | 1 |
| Insurance contract or identification number | 049796002 | | Number of Individuals Covered | 1426 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $275,657 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $253,888 |
|
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 049796002 |
| Policy instance | 1 |
| Insurance contract or identification number | 049796002 | | Number of Individuals Covered | 1543 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $401,104 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $401,104 |
|
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 049796002 |
| Policy instance | 1 |
| Insurance contract or identification number | 049796002 | | Number of Individuals Covered | 1566 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 049796002 |
| Policy instance | 1 |
| Insurance contract or identification number | 049796002 | | Number of Individuals Covered | 3961 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $415,757 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $415,757 |
|
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 049796002 |
| Policy instance | 1 |
| Insurance contract or identification number | 049796002 | | Number of Individuals Covered | 3961 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $410,710 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 049796002 |
| Policy instance | 1 |
| Insurance contract or identification number | 049796002 | | Number of Individuals Covered | 1582 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | Welfare Benefit Premiums Paid to Carrier | USD $13,223,102 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 049796002 |
| Policy instance | 1 |
| Insurance contract or identification number | 049796002 | | Number of Individuals Covered | 1878 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Welfare Benefit Premiums Paid to Carrier | USD $13,498,360 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 049796002 |
| Policy instance | 1 |
| Insurance contract or identification number | 049796002 | | Number of Individuals Covered | 2063 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Welfare Benefit Premiums Paid to Carrier | USD $13,871,822 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 04979600 |
| Policy instance | 1 |
| Insurance contract or identification number | 04979600 | | Number of Individuals Covered | 2514 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Welfare Benefit Premiums Paid to Carrier | USD $11,556,436 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIGHMARK (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 04979600 |
| Policy instance | 2 |
| Insurance contract or identification number | 04979600 | | Number of Individuals Covered | 2514 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Welfare Benefit Premiums Paid to Carrier | USD $2,498,193 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIGHMARK (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 04979600 |
| Policy instance | 2 |
| Insurance contract or identification number | 04979600 | | Number of Individuals Covered | 2509 | | Insurance policy start date | 2011-08-01 | | Insurance policy end date | 2012-04-30 | | Welfare Benefit Premiums Paid to Carrier | USD $1,843,542 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 04979600 |
| Policy instance | 1 |
| Insurance contract or identification number | 04979600 | | Number of Individuals Covered | 2509 | | Insurance policy start date | 2011-08-01 | | Insurance policy end date | 2012-04-30 | | Welfare Benefit Premiums Paid to Carrier | USD $8,440,914 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIGHMARK (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 04979600 |
| Policy instance | 2 |
| Insurance contract or identification number | 04979600 | | Number of Individuals Covered | 2544 | | Insurance policy start date | 2010-08-01 | | Insurance policy end date | 2011-07-31 | | Welfare Benefit Premiums Paid to Carrier | USD $2,381,566 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 04979600 |
| Policy instance | 1 |
| Insurance contract or identification number | 04979600 | | Number of Individuals Covered | 2595 | | Insurance policy start date | 2010-08-01 | | Insurance policy end date | 2011-07-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,899,203 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
