401k Plan data: UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN plan

UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN 401k Plan overview

Plan Name	UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN
Plan identification number	501

UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN Benefits

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

401k Sponsoring company profile

UNIVERSITY OF DETROIT MERCY has sponsored the creation of one or more 401k plans.

Company Name: UNIVERSITY OF DETROIT MERCY

Employer identification number (EIN): 381360586

NAIC Classification: 611000

Additional information about UNIVERSITY OF DETROIT MERCY

Jurisdiction of Incorporation: Michigan Department of Licensing & Regulatory Affairs

Incorporation Date:

Company Identification Number: 744168

More information about UNIVERSITY OF DETROIT MERCY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-07-01
501 2021-07-01
501 2020-07-01
501 2019-07-01
501 2018-07-01
501 2017-07-01
501 2016-07-01 MARY TAYLOR
501 2016-07-01 MARY TAYLOR
501 2015-07-01 MARY TAYLOR

Plan Statistics for UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN

401k plan membership statisitcs for UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN

Measure Date Value
2022: UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year 2022-07-01 652
Total number of active participants reported on line 7a of the Form 5500 2022-07-01 636
Number of retired or separated participants receiving benefits 2022-07-01 0
Number of other retired or separated participants entitled to future benefits 2022-07-01 0
Total of all active and inactive participants 2022-07-01 636
2021: UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 659
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 652
Number of retired or separated participants receiving benefits 2021-07-01 0
Number of other retired or separated participants entitled to future benefits 2021-07-01 0
Total of all active and inactive participants 2021-07-01 652
2020: UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 1,053
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 1,085
Number of retired or separated participants receiving benefits 2020-07-01 0
Number of other retired or separated participants entitled to future benefits 2020-07-01 0
Total of all active and inactive participants 2020-07-01 1,085
2019: UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 1,106
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 1,053
Number of retired or separated participants receiving benefits 2019-07-01 0
Number of other retired or separated participants entitled to future benefits 2019-07-01 0
Total of all active and inactive participants 2019-07-01 1,053
2018: UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 1,114
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 1,106
Number of retired or separated participants receiving benefits 2018-07-01 0
Number of other retired or separated participants entitled to future benefits 2018-07-01 0
Total of all active and inactive participants 2018-07-01 1,106
2017: UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 975
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 1,114
Number of retired or separated participants receiving benefits 2017-07-01 0
Number of other retired or separated participants entitled to future benefits 2017-07-01 0
Total of all active and inactive participants 2017-07-01 1,114
2016: UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 454
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 474
Number of retired or separated participants receiving benefits 2016-07-01 92
Total of all active and inactive participants 2016-07-01 566
Total participants 2016-07-01 566

Measure	Date	Value
2022: UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year	2022-07-01	652
Total number of active participants reported on line 7a of the Form 5500	2022-07-01	636
Number of retired or separated participants receiving benefits	2022-07-01	0
Number of other retired or separated participants entitled to future benefits	2022-07-01	0
Total of all active and inactive participants	2022-07-01	636
2021: UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	659
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	652
Number of retired or separated participants receiving benefits	2021-07-01	0
Number of other retired or separated participants entitled to future benefits	2021-07-01	0
Total of all active and inactive participants	2021-07-01	652
2020: UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	1,053
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	1,085
Number of retired or separated participants receiving benefits	2020-07-01	0
Number of other retired or separated participants entitled to future benefits	2020-07-01	0
Total of all active and inactive participants	2020-07-01	1,085
2019: UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	1,106
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	1,053
Number of retired or separated participants receiving benefits	2019-07-01	0
Number of other retired or separated participants entitled to future benefits	2019-07-01	0
Total of all active and inactive participants	2019-07-01	1,053
2018: UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	1,114
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	1,106
Number of retired or separated participants receiving benefits	2018-07-01	0
Number of other retired or separated participants entitled to future benefits	2018-07-01	0
Total of all active and inactive participants	2018-07-01	1,106
2017: UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	975
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	1,114
Number of retired or separated participants receiving benefits	2017-07-01	0
Number of other retired or separated participants entitled to future benefits	2017-07-01	0
Total of all active and inactive participants	2017-07-01	1,114
2016: UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	454
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	474
Number of retired or separated participants receiving benefits	2016-07-01	92
Total of all active and inactive participants	2016-07-01	566
Total participants	2016-07-01	566

Form 5500 Responses for UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN

2022: UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN 2022 form 5500 responses
2022-07-01	Type of plan entity	Single employer plan
2022-07-01	Plan funding arrangement – Insurance	Yes
2022-07-01	Plan benefit arrangement – Insurance	Yes
2021: UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	Plan funding arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes
2020: UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2019: UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
2019-07-01	Plan funding arrangement – Insurance	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2018: UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2017: UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2016: UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	First time form 5500 has been submitted	Yes
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2015: UNIVERSITY OF DETROIT MERCY EMPLOYEE BENEFITS PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	First time form 5500 has been submitted	Yes
2015-07-01	Submission has been amended	Yes
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

PAUL REVERE VARIABLE ANNUITY INS. CO. (National Association of Insurance Commissioners NAIC id number: 67601 )

Policy contract number

000000000914653

Policy instance

Insurance contract or identification number	000000000914653
Number of Individuals Covered	86
Insurance policy start date	2022-07-01
Insurance policy end date	2023-07-01
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $11,671
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HERITAGE VISION PLANS, INC (National Association of Insurance Commissioners NAIC id number: 11204 )

Policy contract number

1010

Policy instance

Insurance contract or identification number	1010
Number of Individuals Covered	1010
Insurance policy start date	2022-07-01
Insurance policy end date	2023-06-30
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $44,769
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

000000467473

Policy instance

Insurance contract or identification number	000000467473
Number of Individuals Covered	837
Insurance policy start date	2022-07-01
Insurance policy end date	2023-07-01
Total amount of commissions paid to insurance broker	USD $39,562
Total amount of fees paid to insurance company	USD $2,005
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $312,770
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $39,562
Amount paid for insurance broker fees	2005
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

000000467474

Policy instance

Insurance contract or identification number	000000467474
Number of Individuals Covered	178
Insurance policy start date	2022-07-01
Insurance policy end date	2023-07-01
Total amount of commissions paid to insurance broker	USD $5,882
Total amount of fees paid to insurance company	USD $709
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $117,641
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,882
Amount paid for insurance broker fees	709
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 )

Policy contract number

0138068

Policy instance

Insurance contract or identification number	0138068
Number of Individuals Covered	1272
Insurance policy start date	2022-07-01
Insurance policy end date	2023-06-30
Welfare Benefit Premiums Paid to Carrier	USD $413,080
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 )

Policy contract number

E00067106395

Policy instance

Insurance contract or identification number	E00067106395
Number of Individuals Covered	117
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Welfare Benefit Premiums Paid to Carrier	USD $421,915
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 )

Policy contract number

000000449719

Policy instance

Insurance contract or identification number	000000449719
Number of Individuals Covered	102
Insurance policy start date	2022-07-01
Insurance policy end date	2023-07-01
Total amount of commissions paid to insurance broker	USD $6,344
Total amount of fees paid to insurance company	USD $364
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $105,732
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,344
Amount paid for insurance broker fees	364
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3

PAUL REVERE VARIABLE ANNUITY INS. CO. (National Association of Insurance Commissioners NAIC id number: 67601 )

Policy contract number

000000000914654

Policy instance

Insurance contract or identification number	000000000914654
Number of Individuals Covered	67
Insurance policy start date	2022-07-01
Insurance policy end date	2023-07-01
Total amount of commissions paid to insurance broker	USD $1,793
Other welfare benefits provided	ATTAINED AGE CRITICAL ILLNESS
Welfare Benefit Premiums Paid to Carrier	USD $11,954
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,793
Insurance broker organization code?	3

HERITAGE VISION PLANS, INC (National Association of Insurance Commissioners NAIC id number: 11204 )

Policy contract number

1010

Policy instance

Insurance contract or identification number	1010
Number of Individuals Covered	1065
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $54,786
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

000000467473

Policy instance

Insurance contract or identification number	000000467473
Number of Individuals Covered	837
Insurance policy start date	2021-08-01
Insurance policy end date	2022-08-01
Total amount of commissions paid to insurance broker	USD $35,667
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $263,207
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $35,667
Insurance broker organization code?	1

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

000000467474

Policy instance

Insurance contract or identification number	000000467474
Number of Individuals Covered	154
Insurance policy start date	2021-08-01
Insurance policy end date	2022-08-01
Total amount of commissions paid to insurance broker	USD $6,951
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $139,025
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,951
Insurance broker organization code?	4

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 )

Policy contract number

0138068

Policy instance

Insurance contract or identification number	0138068
Number of Individuals Covered	652
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Welfare Benefit Premiums Paid to Carrier	USD $910,082
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 )

Policy contract number

AE467147

Policy instance

Insurance contract or identification number	AE467147
Number of Individuals Covered	120
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Welfare Benefit Premiums Paid to Carrier	USD $576,970
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 )

Policy contract number

000000449719

Policy instance

Insurance contract or identification number	000000449719
Number of Individuals Covered	48
Insurance policy start date	2021-08-01
Insurance policy end date	2022-08-01
Total amount of commissions paid to insurance broker	USD $3,085
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $51,421
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,085
Insurance broker organization code?	1

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 )

Policy contract number

0138068

Policy instance

Insurance contract or identification number	0138068
Number of Individuals Covered	1342
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Welfare Benefit Premiums Paid to Carrier	USD $972,562
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 )

Policy contract number

AE467147

Policy instance

Insurance contract or identification number	AE467147
Number of Individuals Covered	126
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $9,435
Welfare Benefit Premiums Paid to Carrier	USD $580,266
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,435
Insurance broker organization code?	4

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 )

Policy contract number

0138068

Policy instance

Insurance contract or identification number	0138068
Number of Individuals Covered	671
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Welfare Benefit Premiums Paid to Carrier	USD $909,580
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

000000467474

Policy instance

Insurance contract or identification number	000000467474
Number of Individuals Covered	160
Insurance policy start date	2020-07-01
Insurance policy end date	2021-07-01
Total amount of commissions paid to insurance broker	USD $6,871
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,871
Insurance broker organization code?	4

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

000000467473

Policy instance

Insurance contract or identification number	000000467473
Number of Individuals Covered	832
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $33,432
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $33,432
Insurance broker organization code?	1

HERITAGE VISION PLANS, INC (National Association of Insurance Commissioners NAIC id number: 11204 )

Policy contract number

1010

Policy instance

Insurance contract or identification number	1010
Number of Individuals Covered	1085
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $54,855
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HERITAGE VISION PLANS, INC (National Association of Insurance Commissioners NAIC id number: 11204 )

Policy contract number

1010

Policy instance

Insurance contract or identification number	1010
Number of Individuals Covered	1053
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $60,058
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

000000467473

Policy instance

Insurance contract or identification number	000000467473
Number of Individuals Covered	878
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $36,288
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $36,288
Insurance broker organization code?	4

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

000000467474

Policy instance

Insurance contract or identification number	000000467474
Number of Individuals Covered	151
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $5,871
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,871
Insurance broker organization code?	5

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 )

Policy contract number

0138068

Policy instance

Insurance contract or identification number	0138068
Number of Individuals Covered	780
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Welfare Benefit Premiums Paid to Carrier	USD $1,033,795
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 )

Policy contract number

AE467147

Policy instance

Insurance contract or identification number	AE467147
Number of Individuals Covered	114
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $8,585
Welfare Benefit Premiums Paid to Carrier	USD $456,812
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,585
Insurance broker organization code?	5

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

000000467473

Policy instance

Insurance contract or identification number	000000467473
Number of Individuals Covered	921
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $36,616
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $36,616
Insurance broker organization code?	4

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

000000467474

Policy instance

Insurance contract or identification number	000000467474
Number of Individuals Covered	148
Insurance policy start date	2017-08-01
Insurance policy end date	2018-08-01
Total amount of commissions paid to insurance broker	USD $4,781
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,781
Insurance broker organization code?	5

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 )

Policy contract number

0138068

Policy instance

Insurance contract or identification number	0138068
Number of Individuals Covered	791
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Welfare Benefit Premiums Paid to Carrier	USD $945,976
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 )

Policy contract number

AE467147

Policy instance

Insurance contract or identification number	AE467147
Number of Individuals Covered	100
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $21,200
Welfare Benefit Premiums Paid to Carrier	USD $154,799
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $21,200
Insurance broker organization code?	5

HERITAGE VISION PLANS, INC (National Association of Insurance Commissioners NAIC id number: 11204 )

Policy contract number

1010

Policy instance

Insurance contract or identification number	1010
Number of Individuals Covered	1106
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $51,404
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )

Policy contract number

CLI96287

Policy instance

Insurance contract or identification number	CLI96287
Number of Individuals Covered	288
Insurance policy start date	2017-07-01
Insurance policy end date	2017-09-30
Total amount of commissions paid to insurance broker	USD $27,538
Welfare Benefit Premiums Paid to Carrier	USD $152,987
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: )

Policy contract number

Policy instance

Insurance policy start date	2017-07-01
Insurance policy end date	2017-09-30
Total amount of commissions paid to insurance broker	USD $27,229
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HERITAGE VISION PLANS, INC (National Association of Insurance Commissioners NAIC id number: 11204 )

Policy contract number

1010

Policy instance

Insurance contract or identification number	1010
Number of Individuals Covered	1114
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $53,584
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

000000467474

Policy instance

Insurance contract or identification number	000000467474
Number of Individuals Covered	138
Insurance policy start date	2016-08-01
Insurance policy end date	2017-08-01
Total amount of commissions paid to insurance broker	USD $4,133
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

000000467473

Policy instance

Insurance contract or identification number	000000467473
Number of Individuals Covered	916
Insurance policy start date	2016-08-01
Insurance policy end date	2017-08-01
Total amount of commissions paid to insurance broker	USD $30,116
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	UNIVERSITY OF DETROIT MERCY
Employer identification number (EIN):	381360586
NAIC Classification:	611000

Jurisdiction of Incorporation:	Michigan Department of Licensing & Regulatory Affairs
Incorporation Date:
Company Identification Number:	744168