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GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES 401k Plan overview

Plan NameGENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES
Plan identification number 524

GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision

401k Sponsoring company profile

GENERAL MOTORS LLC has sponsored the creation of one or more 401k plans.

Company Name:GENERAL MOTORS LLC
Employer identification number (EIN):270383222
NAIC Classification:336100

Additional information about GENERAL MOTORS LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 4692623

More information about GENERAL MOTORS LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5242023-01-01
5242022-01-01
5242021-01-01
5242020-01-01
5242019-01-01
5242018-01-01
5242017-01-01KEVIN COBB
5242016-01-01KEVIN COBB
5242015-01-01KEVIN COBB
5242014-01-01KEVIN COBB
5242013-01-01KEVIN COBB
5242012-01-01KEVIN COBB
5242011-01-01KEVIN COBB
5242009-01-01KEVIN COBB

Plan Statistics for GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES

401k plan membership statisitcs for GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES

Measure Date Value
2023: GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES 2023 401k membership
Total participants, beginning-of-year2023-01-0147,773
Total number of active participants reported on line 7a of the Form 55002023-01-0139,520
Number of retired or separated participants receiving benefits2023-01-015,810
Total of all active and inactive participants2023-01-0145,330
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-01483
Total participants2023-01-0145,813
2022: GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES 2022 401k membership
Total participants, beginning-of-year2022-01-0144,848
Total number of active participants reported on line 7a of the Form 55002022-01-0143,263
Number of retired or separated participants receiving benefits2022-01-014,568
Total of all active and inactive participants2022-01-0147,831
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-01532
Total participants2022-01-0148,363
2021: GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES 2021 401k membership
Total participants, beginning-of-year2021-01-0140,989
Total number of active participants reported on line 7a of the Form 55002021-01-0139,613
Number of retired or separated participants receiving benefits2021-01-014,926
Total of all active and inactive participants2021-01-0144,539
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-01546
Total participants2021-01-0145,085
2020: GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES 2020 401k membership
Total participants, beginning-of-year2020-01-0141,446
Total number of active participants reported on line 7a of the Form 55002020-01-0135,480
Number of retired or separated participants receiving benefits2020-01-015,504
Total of all active and inactive participants2020-01-0140,984
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-01575
Total participants2020-01-0141,559
2019: GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES 2019 401k membership
Total participants, beginning-of-year2019-01-0146,234
Total number of active participants reported on line 7a of the Form 55002019-01-0134,950
Number of retired or separated participants receiving benefits2019-01-016,717
Total of all active and inactive participants2019-01-0141,667
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-01519
Total participants2019-01-0142,186
2018: GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES 2018 401k membership
Total participants, beginning-of-year2018-01-0148,143
Total number of active participants reported on line 7a of the Form 55002018-01-0140,287
Number of retired or separated participants receiving benefits2018-01-016,153
Total of all active and inactive participants2018-01-0146,440
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-011,571
Total participants2018-01-0148,011
2017: GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES 2017 401k membership
Total participants, beginning-of-year2017-01-0147,520
Total number of active participants reported on line 7a of the Form 55002017-01-0140,520
Number of retired or separated participants receiving benefits2017-01-016,398
Total of all active and inactive participants2017-01-0146,918
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-011,333
Total participants2017-01-0148,251
2016: GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES 2016 401k membership
Total participants, beginning-of-year2016-01-0143,711
Total number of active participants reported on line 7a of the Form 55002016-01-0139,439
Number of retired or separated participants receiving benefits2016-01-016,901
Total of all active and inactive participants2016-01-0146,340
Total participants2016-01-0146,340
2015: GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES 2015 401k membership
Total participants, beginning-of-year2015-01-0141,342
Total number of active participants reported on line 7a of the Form 55002015-01-0135,597
Number of retired or separated participants receiving benefits2015-01-017,824
Total of all active and inactive participants2015-01-0143,421
Total participants2015-01-0143,421
2014: GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES 2014 401k membership
Total participants, beginning-of-year2014-01-0139,861
Total number of active participants reported on line 7a of the Form 55002014-01-0132,602
Number of retired or separated participants receiving benefits2014-01-019,017
Total of all active and inactive participants2014-01-0141,619
Total participants2014-01-0141,619
2013: GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES 2013 401k membership
Total participants, beginning-of-year2013-01-0137,909
Total number of active participants reported on line 7a of the Form 55002013-01-0129,560
Number of retired or separated participants receiving benefits2013-01-0110,383
Total of all active and inactive participants2013-01-0139,943
Total participants2013-01-0139,943
2012: GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES 2012 401k membership
Total participants, beginning-of-year2012-01-0139,275
Total number of active participants reported on line 7a of the Form 55002012-01-0125,158
Number of retired or separated participants receiving benefits2012-01-0112,751
Total of all active and inactive participants2012-01-0137,909
Total participants2012-01-0137,909
2011: GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES 2011 401k membership
Total participants, beginning-of-year2011-01-0142,223
Total number of active participants reported on line 7a of the Form 55002011-01-0124,315
Number of retired or separated participants receiving benefits2011-01-0114,960
Total of all active and inactive participants2011-01-0139,275
Total participants2011-01-0139,275
2009: GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES 2009 401k membership
Total participants, beginning-of-year2009-01-01125,898
Total number of active participants reported on line 7a of the Form 55002009-01-0125,450
Number of retired or separated participants receiving benefits2009-01-0123,812
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-0149,262
Total participants2009-01-0149,262

Form 5500 Responses for GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES

2023: GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – General assets of the sponsorYes
2023-01-01Plan benefit arrangement – General assets of the sponsorYes
2022: GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: GENERAL MOTORS HEALTH CARE PROGRAM FOR SALARIED EMPLOYEES 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number33778
Policy instance 1
Insurance contract or identification number33778
Number of Individuals Covered5
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $15,314
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: 00000 )
Policy contract number33778
Policy instance 1
Insurance contract or identification number33778
Number of Individuals Covered5
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $15,936
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: 00000 )
Policy contract number734
Policy instance 1
Insurance contract or identification number734
Number of Individuals Covered4
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $14,976
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: 00000 )
Policy contract number734
Policy instance 1
Insurance contract or identification number734
Number of Individuals Covered4
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
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 $14,976
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 )
Policy contract number711
Policy instance 2
Insurance contract or identification number711
Number of Individuals Covered0
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
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 $4,780
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 )
Policy contract number711
Policy instance 3
Insurance contract or identification number711
Number of Individuals Covered0
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
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 $370
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: 00000 )
Policy contract number734
Policy instance 2
Insurance contract or identification number734
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
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 $14,976
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number703
Policy instance 1
Insurance contract or identification number703
Number of Individuals Covered0
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
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 $1,035
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 )
Policy contract number712
Policy instance 4
Insurance contract or identification number712
Number of Individuals Covered0
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
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 $2,925
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: 00000 )
Policy contract number734
Policy instance 5
Insurance contract or identification number734
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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 $8,150
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH ALLIANCE PLAN (National Association of Insurance Commissioners NAIC id number: 95802 )
Policy contract number703
Policy instance 1
Insurance contract or identification number703
Number of Individuals Covered3519
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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 $25,928,662
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number467
Policy instance 2
Insurance contract or identification number467
Number of Individuals Covered1258
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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 $8,008,631
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 )
Policy contract number711
Policy instance 3
Insurance contract or identification number711
Number of Individuals Covered864
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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 $7,002,345
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number483
Policy instance 13
Insurance contract or identification number483
Number of Individuals Covered0
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $58
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF THE MIDWEST, INC. (National Association of Insurance Commissioners NAIC id number: 96150 )
Policy contract number241
Policy instance 12
Insurance contract or identification number241
Number of Individuals Covered0
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $398
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 )
Policy contract number262
Policy instance 11
Insurance contract or identification number262
Number of Individuals Covered0
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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 $415
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CHOICE NY (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number675
Policy instance 10
Insurance contract or identification number675
Number of Individuals Covered0
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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 $458
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEAN HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 96156 )
Policy contract number257
Policy instance 9
Insurance contract or identification number257
Number of Individuals Covered0
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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 $952
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number376
Policy instance 8
Insurance contract or identification number376
Number of Individuals Covered0
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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 $1,606
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 )
Policy contract number712
Policy instance 4
Insurance contract or identification number712
Number of Individuals Covered489
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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 $3,543,290
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number762
Policy instance 6
Insurance contract or identification number762
Number of Individuals Covered0
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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 $6,726
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number468
Policy instance 7
Insurance contract or identification number468
Number of Individuals Covered0
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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 $2,239
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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