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CIGNA MEDICAL PLAN FOR RETIREES, SURVIVORS AND CERTAIN DISABLED EMPLOYEES 401k Plan overview

Plan NameCIGNA MEDICAL PLAN FOR RETIREES, SURVIVORS AND CERTAIN DISABLED EMPLOYEES
Plan identification number 522

CIGNA MEDICAL PLAN FOR RETIREES, SURVIVORS AND CERTAIN DISABLED EMPLOYEES Benefits

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

401k Sponsoring company profile

CIGNA HOLDING COMPANY has sponsored the creation of one or more 401k plans.

Company Name:CIGNA HOLDING COMPANY
Employer identification number (EIN):061059331
NAIC Classification:524290

Additional information about CIGNA HOLDING COMPANY

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 0925609

More information about CIGNA HOLDING COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CIGNA MEDICAL PLAN FOR RETIREES, SURVIVORS AND CERTAIN DISABLED EMPLOYEES

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5222024-01-01NANCY RYAN
5222023-01-01
5222023-01-01NANCY RYAN
5222022-01-01
5222022-01-01ALICIA VASLOW
5222021-01-01
5222021-01-01JILL VASLOW
5222020-01-01
5222019-01-01
5222018-01-01
5222017-01-01ALICIA VASLOW
5222016-01-01ALICIA VASLOW
5222015-01-01MARILYN PALUBA
5222014-01-01MARILYN PALUBA
5222013-01-01MARILYN PALUBA
5222012-01-01MARILYN PALUBA
5222011-01-01MARILYN PALUBA

Form 5500 Responses for CIGNA MEDICAL PLAN FOR RETIREES, SURVIVORS AND CERTAIN DISABLED EMPLOYEES

2023: CIGNA MEDICAL PLAN FOR RETIREES, SURVIVORS AND CERTAIN DISABLED 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 – InsuranceYes
2023-01-01Plan funding arrangement – General assets of the sponsorYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – General assets of the sponsorYes
2022: CIGNA MEDICAL PLAN FOR RETIREES, SURVIVORS AND CERTAIN DISABLED 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 – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: CIGNA MEDICAL PLAN FOR RETIREES, SURVIVORS AND CERTAIN DISABLED 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 – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: CIGNA MEDICAL PLAN FOR RETIREES, SURVIVORS AND CERTAIN DISABLED 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 – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: CIGNA MEDICAL PLAN FOR RETIREES, SURVIVORS AND CERTAIN DISABLED 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 – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: CIGNA MEDICAL PLAN FOR RETIREES, SURVIVORS AND CERTAIN DISABLED 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 – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: CIGNA MEDICAL PLAN FOR RETIREES, SURVIVORS AND CERTAIN DISABLED 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 – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: CIGNA MEDICAL PLAN FOR RETIREES, SURVIVORS AND CERTAIN DISABLED 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 – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: CIGNA MEDICAL PLAN FOR RETIREES, SURVIVORS AND CERTAIN DISABLED 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 – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: CIGNA MEDICAL PLAN FOR RETIREES, SURVIVORS AND CERTAIN DISABLED 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 – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: CIGNA MEDICAL PLAN FOR RETIREES, SURVIVORS AND CERTAIN DISABLED 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 – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: CIGNA MEDICAL PLAN FOR RETIREES, SURVIVORS AND CERTAIN DISABLED 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 – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: CIGNA MEDICAL PLAN FOR RETIREES, SURVIVORS AND CERTAIN DISABLED 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 – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

CIGNA HEALTHCARE OF ARIZONA, INC. (National Association of Insurance Commissioners NAIC id number: 95125 )
Policy contract number4153
Policy instance 2
Insurance contract or identification number4153
Number of Individuals Covered19
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $52,047
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 12902 )
Policy contract number2465170
Policy instance 1
Insurance contract or identification number2465170
Number of Individuals Covered419
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $276,038
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTHCARE OF ARIZONA, INC. (National Association of Insurance Commissioners NAIC id number: 95125 )
Policy contract number4153
Policy instance 2
Insurance contract or identification number4153
Number of Individuals Covered19
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $54,596
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number2465170
Policy instance 1
Insurance contract or identification number2465170
Number of Individuals Covered373
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $244,534
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number2465170
Policy instance 1
CIGNA HEALTHCARE OF ARIZONA, INC. (National Association of Insurance Commissioners NAIC id number: 95125 )
Policy contract number4153
Policy instance 2
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number2465170
Policy instance 1
CIGNA HEALTHCARE OF ARIZONA, INC. (National Association of Insurance Commissioners NAIC id number: 95125 )
Policy contract number4153
Policy instance 2
HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 12902 )
Policy contract number2465170-2
Policy instance 2
BRAVO HEALTH OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 11524 )
Policy contract number2465170
Policy instance 1
CIGNA HEALTHCARE OF ARIZONA, INC. (National Association of Insurance Commissioners NAIC id number: 95125 )
Policy contract number4153
Policy instance 3
HEALTHSPRING OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 11522 )
Policy contract number2465170
Policy instance 3
BRAVO HEALTH OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 11524 )
Policy contract number2465170
Policy instance 2
CIGNA HEALTHCARE OF ARIZONA, INC. (National Association of Insurance Commissioners NAIC id number: 95125 )
Policy contract number4153
Policy instance 1
BRAVO HEALTH OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 11524 )
Policy contract number2465170
Policy instance 3
CIGNA HEALTHCARE OF ARIZONA, INC. (National Association of Insurance Commissioners NAIC id number: 95125 )
Policy contract number4153
Policy instance 2
HEALTHSPRING OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 11522 )
Policy contract number2465170
Policy instance 1

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