BAUMANN & SONS BUSES, INC. has sponsored the creation of one or more 401k plans.
Additional information about BAUMANN & SONS BUSES, INC.
Submission information for form 5500 for 401k plan BAUMANN AND SONS BUSES MEDICAL PLAN
| Measure | Date | Value |
|---|
| 2017: BAUMANN AND SONS BUSES MEDICAL PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-02-01 | 106 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-02-01 | 81 |
| Number of retired or separated participants receiving benefits | 2017-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-02-01 | 0 |
| Total of all active and inactive participants | 2017-02-01 | 81 |
| 2016: BAUMANN AND SONS BUSES MEDICAL PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-02-01 | 160 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-02-01 | 106 |
| Number of retired or separated participants receiving benefits | 2016-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-02-01 | 0 |
| Total of all active and inactive participants | 2016-02-01 | 106 |
| 2015: BAUMANN AND SONS BUSES MEDICAL PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-02-01 | 212 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-02-01 | 160 |
| Number of retired or separated participants receiving benefits | 2015-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-02-01 | 0 |
| Total of all active and inactive participants | 2015-02-01 | 160 |
| 2014: BAUMANN AND SONS BUSES MEDICAL PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-02-01 | 147 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-02-01 | 201 |
| Number of retired or separated participants receiving benefits | 2014-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-02-01 | 0 |
| Total of all active and inactive participants | 2014-02-01 | 201 |
| 2013: BAUMANN AND SONS BUSES MEDICAL PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-02-01 | 205 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-02-01 | 147 |
| Number of retired or separated participants receiving benefits | 2013-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2013-02-01 | 0 |
| Total of all active and inactive participants | 2013-02-01 | 147 |
| 2012: BAUMANN AND SONS BUSES MEDICAL PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-02-01 | 224 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-02-01 | 205 |
| Number of retired or separated participants receiving benefits | 2012-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-02-01 | 0 |
| Total of all active and inactive participants | 2012-02-01 | 205 |
| 2011: BAUMANN AND SONS BUSES MEDICAL PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-02-01 | 450 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-02-01 | 224 |
| Number of retired or separated participants receiving benefits | 2011-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-02-01 | 0 |
| Total of all active and inactive participants | 2011-02-01 | 224 |
| 2010: BAUMANN AND SONS BUSES MEDICAL PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-02-01 | 428 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-02-01 | 450 |
| Number of retired or separated participants receiving benefits | 2010-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2010-02-01 | 0 |
| Total of all active and inactive participants | 2010-02-01 | 450 |
| 2009: BAUMANN AND SONS BUSES MEDICAL PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-02-01 | 374 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-02-01 | 428 |
| Number of retired or separated participants receiving benefits | 2009-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-02-01 | 0 |
| Total of all active and inactive participants | 2009-02-01 | 428 |
| 2008: BAUMANN AND SONS BUSES MEDICAL PLAN 2008 401k membership |
|---|
| Total participants, beginning-of-year | 2008-02-01 | 300 |
| Total number of active participants reported on line 7a of the Form 5500 | 2008-02-01 | 374 |
| Number of retired or separated participants receiving benefits | 2008-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2008-02-01 | 0 |
| Total of all active and inactive participants | 2008-02-01 | 374 |
| 2007: BAUMANN AND SONS BUSES MEDICAL PLAN 2007 401k membership |
|---|
| Total participants, beginning-of-year | 2007-02-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2007-02-01 | 300 |
| Number of retired or separated participants receiving benefits | 2007-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2007-02-01 | 0 |
| Total of all active and inactive participants | 2007-02-01 | 300 |
| 2006: BAUMANN AND SONS BUSES MEDICAL PLAN 2006 401k membership |
|---|
| Total participants, beginning-of-year | 2006-02-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2006-02-01 | 100 |
| Number of retired or separated participants receiving benefits | 2006-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2006-02-01 | 0 |
| Total of all active and inactive participants | 2006-02-01 | 100 |
| Total participants | 2006-02-01 | 100 |
| 2005: BAUMANN AND SONS BUSES MEDICAL PLAN 2005 401k membership |
|---|
| Total participants, beginning-of-year | 2005-02-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2005-02-01 | 100 |
| Number of retired or separated participants receiving benefits | 2005-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2005-02-01 | 0 |
| Total of all active and inactive participants | 2005-02-01 | 100 |
| Total participants | 2005-02-01 | 100 |
| 2004: BAUMANN AND SONS BUSES MEDICAL PLAN 2004 401k membership |
|---|
| Total participants, beginning-of-year | 2004-02-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2004-02-01 | 100 |
| Number of retired or separated participants receiving benefits | 2004-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2004-02-01 | 0 |
| Total of all active and inactive participants | 2004-02-01 | 100 |
| Total participants | 2004-02-01 | 100 |
| 2003: BAUMANN AND SONS BUSES MEDICAL PLAN 2003 401k membership |
|---|
| Total participants, beginning-of-year | 2003-02-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2003-02-01 | 100 |
| Number of retired or separated participants receiving benefits | 2003-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2003-02-01 | 0 |
| Total of all active and inactive participants | 2003-02-01 | 100 |
| Total participants | 2003-02-01 | 100 |
| 2002: BAUMANN AND SONS BUSES MEDICAL PLAN 2002 401k membership |
|---|
| Total participants, beginning-of-year | 2002-02-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2002-02-01 | 100 |
| Number of retired or separated participants receiving benefits | 2002-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2002-02-01 | 0 |
| Total of all active and inactive participants | 2002-02-01 | 100 |
| Total participants | 2002-02-01 | 100 |
| 2001: BAUMANN AND SONS BUSES MEDICAL PLAN 2001 401k membership |
|---|
| Total participants, beginning-of-year | 2001-02-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2001-02-01 | 100 |
| Number of retired or separated participants receiving benefits | 2001-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2001-02-01 | 0 |
| Total of all active and inactive participants | 2001-02-01 | 100 |
| Total participants | 2001-02-01 | 100 |
| 2000: BAUMANN AND SONS BUSES MEDICAL PLAN 2000 401k membership |
|---|
| Total participants, beginning-of-year | 2000-02-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2000-02-01 | 100 |
| Number of retired or separated participants receiving benefits | 2000-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2000-02-01 | 0 |
| Total of all active and inactive participants | 2000-02-01 | 100 |
| Total participants | 2000-02-01 | 100 |
| 1999: BAUMANN AND SONS BUSES MEDICAL PLAN 1999 401k membership |
|---|
| Total participants, beginning-of-year | 1999-02-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 1999-02-01 | 100 |
| Number of retired or separated participants receiving benefits | 1999-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 1999-02-01 | 0 |
| Total of all active and inactive participants | 1999-02-01 | 100 |
| Total participants | 1999-02-01 | 100 |
| 1998: BAUMANN AND SONS BUSES MEDICAL PLAN 1998 401k membership |
|---|
| Total participants, beginning-of-year | 1998-02-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 1998-02-01 | 100 |
| Number of retired or separated participants receiving benefits | 1998-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 1998-02-01 | 0 |
| Total of all active and inactive participants | 1998-02-01 | 100 |
| Total participants | 1998-02-01 | 100 |
| 1997: BAUMANN AND SONS BUSES MEDICAL PLAN 1997 401k membership |
|---|
| Total participants, beginning-of-year | 1997-02-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 1997-02-01 | 100 |
| Number of retired or separated participants receiving benefits | 1997-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 1997-02-01 | 0 |
| Total of all active and inactive participants | 1997-02-01 | 100 |
| Total participants | 1997-02-01 | 100 |
| 1996: BAUMANN AND SONS BUSES MEDICAL PLAN 1996 401k membership |
|---|
| Total participants, beginning-of-year | 1996-02-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 1996-02-01 | 100 |
| Number of retired or separated participants receiving benefits | 1996-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 1996-02-01 | 0 |
| Total of all active and inactive participants | 1996-02-01 | 100 |
| Total participants | 1996-02-01 | 100 |
| 1995: BAUMANN AND SONS BUSES MEDICAL PLAN 1995 401k membership |
|---|
| Total participants, beginning-of-year | 1995-02-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 1995-02-01 | 100 |
| Number of retired or separated participants receiving benefits | 1995-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 1995-02-01 | 0 |
| Total of all active and inactive participants | 1995-02-01 | 100 |
| Total participants | 1995-02-01 | 100 |
| 1994: BAUMANN AND SONS BUSES MEDICAL PLAN 1994 401k membership |
|---|
| Total participants, beginning-of-year | 1994-02-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 1994-02-01 | 100 |
| Number of retired or separated participants receiving benefits | 1994-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 1994-02-01 | 0 |
| Total of all active and inactive participants | 1994-02-01 | 100 |
| Total participants | 1994-02-01 | 100 |
| 1993: BAUMANN AND SONS BUSES MEDICAL PLAN 1993 401k membership |
|---|
| Total participants, beginning-of-year | 1993-02-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 1993-02-01 | 100 |
| Number of retired or separated participants receiving benefits | 1993-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 1993-02-01 | 0 |
| Total of all active and inactive participants | 1993-02-01 | 100 |
| Total participants | 1993-02-01 | 100 |
| 1992: BAUMANN AND SONS BUSES MEDICAL PLAN 1992 401k membership |
|---|
| Total participants, beginning-of-year | 1992-02-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 1992-02-01 | 100 |
| Number of retired or separated participants receiving benefits | 1992-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 1992-02-01 | 0 |
| Total of all active and inactive participants | 1992-02-01 | 100 |
| Total participants | 1992-02-01 | 100 |
| 1991: BAUMANN AND SONS BUSES MEDICAL PLAN 1991 401k membership |
|---|
| Total participants, beginning-of-year | 1991-02-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 1991-02-01 | 100 |
| Number of retired or separated participants receiving benefits | 1991-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 1991-02-01 | 0 |
| Total of all active and inactive participants | 1991-02-01 | 100 |
| Total participants | 1991-02-01 | 100 |
| 1990: BAUMANN AND SONS BUSES MEDICAL PLAN 1990 401k membership |
|---|
| Total participants, beginning-of-year | 1990-02-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 1990-02-01 | 100 |
| Number of retired or separated participants receiving benefits | 1990-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 1990-02-01 | 0 |
| Total of all active and inactive participants | 1990-02-01 | 100 |
| Total participants | 1990-02-01 | 100 |
| 1989: BAUMANN AND SONS BUSES MEDICAL PLAN 1989 401k membership |
|---|
| Total participants, beginning-of-year | 1989-02-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 1989-02-01 | 100 |
| Number of retired or separated participants receiving benefits | 1989-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 1989-02-01 | 0 |
| Total of all active and inactive participants | 1989-02-01 | 100 |
| Total participants | 1989-02-01 | 100 |
| 1988: BAUMANN AND SONS BUSES MEDICAL PLAN 1988 401k membership |
|---|
| Total participants, beginning-of-year | 1988-02-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 1988-02-01 | 100 |
| Number of retired or separated participants receiving benefits | 1988-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 1988-02-01 | 0 |
| Total of all active and inactive participants | 1988-02-01 | 100 |
| Total participants | 1988-02-01 | 100 |
| 2017: BAUMANN AND SONS BUSES MEDICAL PLAN 2017 form 5500 responses |
|---|
| 2017-02-01 | Type of plan entity | Single employer plan |
| 2017-02-01 | Plan is a collectively bargained plan | Yes |
| 2017-02-01 | Plan funding arrangement – Insurance | Yes |
| 2017-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: BAUMANN AND SONS BUSES MEDICAL PLAN 2016 form 5500 responses |
|---|
| 2016-02-01 | Type of plan entity | Single employer plan |
| 2016-02-01 | Submission has been amended | No |
| 2016-02-01 | This submission is the final filing | No |
| 2016-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-02-01 | Plan is a collectively bargained plan | Yes |
| 2016-02-01 | Plan funding arrangement – Insurance | Yes |
| 2016-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: BAUMANN AND SONS BUSES MEDICAL PLAN 2015 form 5500 responses |
|---|
| 2015-02-01 | Type of plan entity | Single employer plan |
| 2015-02-01 | Submission has been amended | No |
| 2015-02-01 | This submission is the final filing | No |
| 2015-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-02-01 | Plan is a collectively bargained plan | Yes |
| 2015-02-01 | Plan funding arrangement – Insurance | Yes |
| 2015-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: BAUMANN AND SONS BUSES MEDICAL PLAN 2014 form 5500 responses |
|---|
| 2014-02-01 | Type of plan entity | Single employer plan |
| 2014-02-01 | Submission has been amended | No |
| 2014-02-01 | This submission is the final filing | No |
| 2014-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-02-01 | Plan is a collectively bargained plan | Yes |
| 2014-02-01 | Plan funding arrangement – Insurance | Yes |
| 2014-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: BAUMANN AND SONS BUSES MEDICAL PLAN 2013 form 5500 responses |
|---|
| 2013-02-01 | Type of plan entity | Single employer plan |
| 2013-02-01 | Submission has been amended | No |
| 2013-02-01 | This submission is the final filing | No |
| 2013-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-02-01 | Plan is a collectively bargained plan | Yes |
| 2013-02-01 | Plan funding arrangement – Insurance | Yes |
| 2013-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: BAUMANN AND SONS BUSES MEDICAL PLAN 2012 form 5500 responses |
|---|
| 2012-02-01 | Type of plan entity | Single employer plan |
| 2012-02-01 | Submission has been amended | No |
| 2012-02-01 | This submission is the final filing | No |
| 2012-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-02-01 | Plan is a collectively bargained plan | Yes |
| 2012-02-01 | Plan funding arrangement – Insurance | Yes |
| 2012-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: BAUMANN AND SONS BUSES MEDICAL PLAN 2011 form 5500 responses |
|---|
| 2011-02-01 | Type of plan entity | Single employer plan |
| 2011-02-01 | Submission has been amended | No |
| 2011-02-01 | This submission is the final filing | No |
| 2011-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-02-01 | Plan is a collectively bargained plan | Yes |
| 2011-02-01 | Plan funding arrangement – Insurance | Yes |
| 2011-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: BAUMANN AND SONS BUSES MEDICAL PLAN 2010 form 5500 responses |
|---|
| 2010-02-01 | Type of plan entity | Single employer plan |
| 2010-02-01 | Submission has been amended | No |
| 2010-02-01 | This submission is the final filing | No |
| 2010-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-02-01 | Plan is a collectively bargained plan | Yes |
| 2010-02-01 | Plan funding arrangement – Insurance | Yes |
| 2010-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: BAUMANN AND SONS BUSES MEDICAL PLAN 2009 form 5500 responses |
|---|
| 2009-02-01 | Type of plan entity | Single employer plan |
| 2009-02-01 | Submission has been amended | No |
| 2009-02-01 | This submission is the final filing | No |
| 2009-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-02-01 | Plan is a collectively bargained plan | Yes |
| 2009-02-01 | Plan funding arrangement – Insurance | Yes |
| 2009-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2008: BAUMANN AND SONS BUSES MEDICAL PLAN 2008 form 5500 responses |
|---|
| 2008-02-01 | Type of plan entity | Single employer plan |
| 2008-02-01 | Submission has been amended | No |
| 2008-02-01 | This submission is the final filing | No |
| 2008-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2008-02-01 | Plan is a collectively bargained plan | Yes |
| 2008-02-01 | Plan funding arrangement – Insurance | Yes |
| 2008-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2007: BAUMANN AND SONS BUSES MEDICAL PLAN 2007 form 5500 responses |
|---|
| 2007-02-01 | Type of plan entity | Single employer plan |
| 2007-02-01 | Submission has been amended | No |
| 2007-02-01 | This submission is the final filing | No |
| 2007-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2007-02-01 | Plan is a collectively bargained plan | Yes |
| 2007-02-01 | Plan funding arrangement – Insurance | Yes |
| 2007-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2006: BAUMANN AND SONS BUSES MEDICAL PLAN 2006 form 5500 responses |
|---|
| 2006-02-01 | Type of plan entity | Single employer plan |
| 2006-02-01 | Submission has been amended | No |
| 2006-02-01 | This submission is the final filing | No |
| 2006-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2006-02-01 | Plan is a collectively bargained plan | Yes |
| 2006-02-01 | Plan funding arrangement – Insurance | Yes |
| 2006-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2005: BAUMANN AND SONS BUSES MEDICAL PLAN 2005 form 5500 responses |
|---|
| 2005-02-01 | Type of plan entity | Single employer plan |
| 2005-02-01 | Submission has been amended | No |
| 2005-02-01 | This submission is the final filing | No |
| 2005-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2005-02-01 | Plan is a collectively bargained plan | Yes |
| 2005-02-01 | Plan funding arrangement – Insurance | Yes |
| 2005-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2004: BAUMANN AND SONS BUSES MEDICAL PLAN 2004 form 5500 responses |
|---|
| 2004-02-01 | Type of plan entity | Single employer plan |
| 2004-02-01 | Submission has been amended | No |
| 2004-02-01 | This submission is the final filing | No |
| 2004-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2004-02-01 | Plan is a collectively bargained plan | Yes |
| 2004-02-01 | Plan funding arrangement – Insurance | Yes |
| 2004-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2003: BAUMANN AND SONS BUSES MEDICAL PLAN 2003 form 5500 responses |
|---|
| 2003-02-01 | Type of plan entity | Single employer plan |
| 2003-02-01 | Submission has been amended | No |
| 2003-02-01 | This submission is the final filing | No |
| 2003-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2003-02-01 | Plan is a collectively bargained plan | Yes |
| 2003-02-01 | Plan funding arrangement – Insurance | Yes |
| 2003-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2002: BAUMANN AND SONS BUSES MEDICAL PLAN 2002 form 5500 responses |
|---|
| 2002-02-01 | Type of plan entity | Single employer plan |
| 2002-02-01 | Submission has been amended | No |
| 2002-02-01 | This submission is the final filing | No |
| 2002-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2002-02-01 | Plan is a collectively bargained plan | Yes |
| 2002-02-01 | Plan funding arrangement – Insurance | Yes |
| 2002-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2001: BAUMANN AND SONS BUSES MEDICAL PLAN 2001 form 5500 responses |
|---|
| 2001-02-01 | Type of plan entity | Single employer plan |
| 2001-02-01 | Submission has been amended | No |
| 2001-02-01 | This submission is the final filing | No |
| 2001-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2001-02-01 | Plan is a collectively bargained plan | Yes |
| 2001-02-01 | Plan funding arrangement – Insurance | Yes |
| 2001-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2000: BAUMANN AND SONS BUSES MEDICAL PLAN 2000 form 5500 responses |
|---|
| 2000-02-01 | Type of plan entity | Single employer plan |
| 2000-02-01 | Submission has been amended | No |
| 2000-02-01 | This submission is the final filing | No |
| 2000-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2000-02-01 | Plan is a collectively bargained plan | Yes |
| 2000-02-01 | Plan funding arrangement – Insurance | Yes |
| 2000-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1999: BAUMANN AND SONS BUSES MEDICAL PLAN 1999 form 5500 responses |
|---|
| 1999-02-01 | Type of plan entity | Single employer plan |
| 1999-02-01 | Submission has been amended | No |
| 1999-02-01 | This submission is the final filing | No |
| 1999-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1999-02-01 | Plan is a collectively bargained plan | Yes |
| 1999-02-01 | Plan funding arrangement – Insurance | Yes |
| 1999-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1998: BAUMANN AND SONS BUSES MEDICAL PLAN 1998 form 5500 responses |
|---|
| 1998-02-01 | Type of plan entity | Single employer plan |
| 1998-02-01 | Submission has been amended | No |
| 1998-02-01 | This submission is the final filing | No |
| 1998-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1998-02-01 | Plan is a collectively bargained plan | Yes |
| 1998-02-01 | Plan funding arrangement – Insurance | Yes |
| 1998-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1997: BAUMANN AND SONS BUSES MEDICAL PLAN 1997 form 5500 responses |
|---|
| 1997-02-01 | Type of plan entity | Single employer plan |
| 1997-02-01 | Submission has been amended | No |
| 1997-02-01 | This submission is the final filing | No |
| 1997-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1997-02-01 | Plan is a collectively bargained plan | Yes |
| 1997-02-01 | Plan funding arrangement – Insurance | Yes |
| 1997-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1996: BAUMANN AND SONS BUSES MEDICAL PLAN 1996 form 5500 responses |
|---|
| 1996-02-01 | Type of plan entity | Single employer plan |
| 1996-02-01 | Submission has been amended | No |
| 1996-02-01 | This submission is the final filing | No |
| 1996-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1996-02-01 | Plan is a collectively bargained plan | No |
| 1996-02-01 | Plan funding arrangement – Insurance | Yes |
| 1996-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1995: BAUMANN AND SONS BUSES MEDICAL PLAN 1995 form 5500 responses |
|---|
| 1995-02-01 | Type of plan entity | Single employer plan |
| 1995-02-01 | Submission has been amended | No |
| 1995-02-01 | This submission is the final filing | No |
| 1995-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1995-02-01 | Plan is a collectively bargained plan | No |
| 1995-02-01 | Plan funding arrangement – Insurance | Yes |
| 1995-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1994: BAUMANN AND SONS BUSES MEDICAL PLAN 1994 form 5500 responses |
|---|
| 1994-02-01 | Type of plan entity | Single employer plan |
| 1994-02-01 | Submission has been amended | No |
| 1994-02-01 | This submission is the final filing | No |
| 1994-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1994-02-01 | Plan is a collectively bargained plan | No |
| 1994-02-01 | Plan funding arrangement – Insurance | Yes |
| 1994-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1993: BAUMANN AND SONS BUSES MEDICAL PLAN 1993 form 5500 responses |
|---|
| 1993-02-01 | Type of plan entity | Single employer plan |
| 1993-02-01 | Submission has been amended | No |
| 1993-02-01 | This submission is the final filing | No |
| 1993-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1993-02-01 | Plan is a collectively bargained plan | No |
| 1993-02-01 | Plan funding arrangement – Insurance | Yes |
| 1993-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1992: BAUMANN AND SONS BUSES MEDICAL PLAN 1992 form 5500 responses |
|---|
| 1992-02-01 | Type of plan entity | Single employer plan |
| 1992-02-01 | Submission has been amended | No |
| 1992-02-01 | This submission is the final filing | No |
| 1992-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1992-02-01 | Plan is a collectively bargained plan | No |
| 1992-02-01 | Plan funding arrangement – Insurance | Yes |
| 1992-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1991: BAUMANN AND SONS BUSES MEDICAL PLAN 1991 form 5500 responses |
|---|
| 1991-02-01 | Type of plan entity | Single employer plan |
| 1991-02-01 | Submission has been amended | No |
| 1991-02-01 | This submission is the final filing | No |
| 1991-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1991-02-01 | Plan is a collectively bargained plan | No |
| 1991-02-01 | Plan funding arrangement – Insurance | Yes |
| 1991-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1990: BAUMANN AND SONS BUSES MEDICAL PLAN 1990 form 5500 responses |
|---|
| 1990-02-01 | Type of plan entity | Single employer plan |
| 1990-02-01 | Submission has been amended | No |
| 1990-02-01 | This submission is the final filing | No |
| 1990-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1990-02-01 | Plan is a collectively bargained plan | No |
| 1990-02-01 | Plan funding arrangement – Insurance | Yes |
| 1990-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1989: BAUMANN AND SONS BUSES MEDICAL PLAN 1989 form 5500 responses |
|---|
| 1989-02-01 | Type of plan entity | Single employer plan |
| 1989-02-01 | Submission has been amended | No |
| 1989-02-01 | This submission is the final filing | No |
| 1989-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1989-02-01 | Plan is a collectively bargained plan | No |
| 1989-02-01 | Plan funding arrangement – Insurance | Yes |
| 1989-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1988: BAUMANN AND SONS BUSES MEDICAL PLAN 1988 form 5500 responses |
|---|
| 1988-02-01 | Type of plan entity | Single employer plan |
| 1988-02-01 | First time form 5500 has been submitted | Yes |
| 1988-02-01 | Submission has been amended | No |
| 1988-02-01 | This submission is the final filing | No |
| 1988-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1988-02-01 | Plan is a collectively bargained plan | No |
| 1988-02-01 | Plan funding arrangement – Insurance | Yes |
| 1988-02-01 | Plan benefit arrangement – Insurance | Yes |
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10METR1398 |
| Policy instance | 2 |
| Insurance contract or identification number | 10METR1398 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2017-02-01 | | Insurance policy end date | 2018-01-31 | | Total amount of commissions paid to insurance broker | USD $23,381 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $958,633 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $23,381 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | JAMIE SHAPIRO |
|
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | RR15598 |
| Policy instance | 1 |
| Insurance contract or identification number | RR15598 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2017-02-01 | | Insurance policy end date | 2018-01-31 | | Total amount of commissions paid to insurance broker | USD $1,499 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $46,276 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,499 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | JAMIE SHAPIRO |
|
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | RR15598 |
| Policy instance | 2 |
| Insurance contract or identification number | RR15598 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2015-02-01 | | Insurance policy end date | 2016-01-31 | | Total amount of commissions paid to insurance broker | USD $1,375 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $45,944 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,375 | | Insurance broker organization code? | 3 | | Insurance broker name | JAMIE SHAPIRO |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10METR1398 |
| Policy instance | 1 |
| Insurance contract or identification number | 10METR1398 | | Number of Individuals Covered | 200 | | Insurance policy start date | 2015-02-01 | | Insurance policy end date | 2016-01-31 | | Total amount of commissions paid to insurance broker | USD $45,457 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,443,928 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $45,457 | | Insurance broker organization code? | 3 | | Insurance broker name | JAMIE SHAPIRO |
|
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | RR15598 |
| Policy instance | 2 |
| Insurance contract or identification number | RR15598 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2014-02-01 | | Insurance policy end date | 2015-01-31 | | Total amount of commissions paid to insurance broker | USD $1,459 | | Total amount of fees paid to insurance company | USD $222 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $48,228 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,459 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 96 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE SERVICES | | Insurance broker name | FNA INSURANCE SERVICES, INC. |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10METR1398 |
| Policy instance | 1 |
| Insurance contract or identification number | 10METR1398 | | Number of Individuals Covered | 256 | | Insurance policy start date | 2014-02-01 | | Insurance policy end date | 2015-01-31 | | Total amount of commissions paid to insurance broker | USD $61,240 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,700,724 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $61,240 | | Insurance broker organization code? | 3 | | Insurance broker name | JAMIE SHAPIRO |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10METR1398 |
| Policy instance | 1 |
| Insurance contract or identification number | 10METR1398 | | Number of Individuals Covered | 176 | | Insurance policy start date | 2013-02-01 | | Insurance policy end date | 2014-01-31 | | Total amount of commissions paid to insurance broker | USD $46,107 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,239,029 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $46,107 | | Insurance broker organization code? | 3 | | Insurance broker name | JAMIE SHAPIRO |
|
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | RR15598 |
| Policy instance | 2 |
| Insurance contract or identification number | RR15598 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2013-02-01 | | Insurance policy end date | 2014-01-31 | | Total amount of commissions paid to insurance broker | USD $1,539 | | Total amount of fees paid to insurance company | USD $306 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $46,836 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,539 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 306 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE SERVICES | | Insurance broker name | GREATER METRO AGENCY, INC. |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10METR1398 |
| Policy instance | 1 |
| Insurance contract or identification number | 10METR1398 | | Number of Individuals Covered | 246 | | Insurance policy start date | 2012-02-01 | | Insurance policy end date | 2013-01-31 | | Total amount of commissions paid to insurance broker | USD $57,433 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,436,527 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $57,433 | | Insurance broker organization code? | 3 | | Insurance broker name | JAMIE SHAPIRO |
|
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | RR15598 |
| Policy instance | 2 |
| Insurance contract or identification number | RR15598 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2012-02-01 | | Insurance policy end date | 2013-01-31 | | Total amount of commissions paid to insurance broker | USD $1,740 | | Total amount of fees paid to insurance company | USD $300 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $49,052 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,740 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 300 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE SERVICES | | Insurance broker name | UNKNOWN |
|
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | RR15598 |
| Policy instance | 2 |
| Insurance contract or identification number | RR15598 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2011-02-01 | | Insurance policy end date | 2012-01-31 | | Total amount of commissions paid to insurance broker | USD $1,908 | | Total amount of fees paid to insurance company | USD $458 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $48,279 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10METR1398 |
| Policy instance | 1 |
| Insurance contract or identification number | 10METR1398 | | Number of Individuals Covered | 269 | | Insurance policy start date | 2011-02-01 | | Insurance policy end date | 2012-01-31 | | Total amount of commissions paid to insurance broker | USD $55,935 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,398,386 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10METR1398 |
| Policy instance | 1 |
| Insurance contract or identification number | 10METR1398 | | Number of Individuals Covered | 525 | | Insurance policy start date | 2010-02-01 | | Insurance policy end date | 2011-01-31 | | Total amount of commissions paid to insurance broker | USD $96,410 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,410,262 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $96,410 | | Insurance broker organization code? | 3 | | Insurance broker name | JAMIE SHAPIRO |
|
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | RR15598 |
| Policy instance | 2 |
| Insurance contract or identification number | RR15598 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2010-02-01 | | Insurance policy end date | 2011-01-31 | | Total amount of commissions paid to insurance broker | USD $1,686 | | Total amount of fees paid to insurance company | USD $664 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $39,664 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,686 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 664 | | Insurance broker name | UNKNOWN |
|
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | RR15598 |
| Policy instance | 2 |
| Insurance contract or identification number | RR15598 | | Number of Individuals Covered | 7 | | Insurance policy start date | 2009-02-01 | | Insurance policy end date | 2010-01-31 | | Total amount of commissions paid to insurance broker | USD $1,222 | | Total amount of fees paid to insurance company | USD $534 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $36,821 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,222 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 534 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE SERVICES | | Insurance broker name | GREATER METRO AGENCY, INC. |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10METR1398 |
| Policy instance | 1 |
| Insurance contract or identification number | 10METR1398 | | Number of Individuals Covered | 502 | | Insurance policy start date | 2009-02-01 | | Insurance policy end date | 2010-01-31 | | Total amount of commissions paid to insurance broker | USD $81,630 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,040,742 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $81,630 | | Insurance broker organization code? | 3 | | Insurance broker name | JAMIE SHAPIRO |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10METR1398 |
| Policy instance | 1 |
| Insurance contract or identification number | 10METR1398 | | Number of Individuals Covered | 436 | | Insurance policy start date | 2008-02-01 | | Insurance policy end date | 2009-01-31 | | Total amount of commissions paid to insurance broker | USD $66,853 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,671,316 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $66,853 | | Insurance broker organization code? | 3 | | Insurance broker name | JAMIE SHAPIRO |
|
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | RR15598 |
| Policy instance | 2 |
| Insurance contract or identification number | RR15598 | | Number of Individuals Covered | 7 | | Insurance policy start date | 2008-02-01 | | Insurance policy end date | 2009-01-31 | | Total amount of commissions paid to insurance broker | USD $1,326 | | Total amount of fees paid to insurance company | USD $626 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $28,562 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,326 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 626 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE SERVICES | | Insurance broker name | GREATER METRO AGENCY, INC. |
|
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | RR15598 |
| Policy instance | 2 |
| Insurance contract or identification number | RR15598 | | Number of Individuals Covered | 7 | | Insurance policy start date | 2007-02-01 | | Insurance policy end date | 2008-01-31 | | Total amount of commissions paid to insurance broker | USD $418 | | Total amount of fees paid to insurance company | USD $209 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $15,058 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $418 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 209 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE SERVICES | | Insurance broker name | GREATER METRO AGENCY, INC. |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10METR1398 |
| Policy instance | 1 |
| Insurance contract or identification number | 10METR1398 | | Number of Individuals Covered | 345 | | Insurance policy start date | 2007-02-01 | | Insurance policy end date | 2008-01-31 | | Total amount of commissions paid to insurance broker | USD $54,740 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,368,504 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $54,740 | | Insurance broker organization code? | 3 | | Insurance broker name | JAMIE SHAPIRO |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10METR1398 |
| Policy instance | 1 |
| Insurance contract or identification number | 10METR1398 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2006-02-01 | | Insurance policy end date | 2007-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10METR1398 |
| Policy instance | 1 |
| Insurance contract or identification number | 10METR1398 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2005-02-01 | | Insurance policy end date | 2006-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10METR1398 |
| Policy instance | 1 |
| Insurance contract or identification number | 10METR1398 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2004-02-01 | | Insurance policy end date | 2005-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10METR1398 |
| Policy instance | 1 |
| Insurance contract or identification number | 10METR1398 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2003-02-01 | | Insurance policy end date | 2004-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10METR1398 |
| Policy instance | 1 |
| Insurance contract or identification number | 10METR1398 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2002-02-01 | | Insurance policy end date | 2003-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10METR1398 |
| Policy instance | 1 |
| Insurance contract or identification number | 10METR1398 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2001-02-01 | | Insurance policy end date | 2002-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10METR1398 |
| Policy instance | 1 |
| Insurance contract or identification number | 10METR1398 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2000-02-01 | | Insurance policy end date | 2001-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10METR1398 |
| Policy instance | 1 |
| Insurance contract or identification number | 10METR1398 | | Number of Individuals Covered | 100 | | Insurance policy start date | 1999-02-01 | | Insurance policy end date | 2000-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10METR1398 |
| Policy instance | 1 |
| Insurance contract or identification number | 10METR1398 | | Number of Individuals Covered | 100 | | Insurance policy start date | 1998-02-01 | | Insurance policy end date | 1999-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10METR1398 |
| Policy instance | 1 |
| Insurance contract or identification number | 10METR1398 | | Number of Individuals Covered | 100 | | Insurance policy start date | 1997-02-01 | | Insurance policy end date | 1998-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10METR1398 |
| Policy instance | 1 |
| Insurance contract or identification number | 10METR1398 | | Number of Individuals Covered | 100 | | Insurance policy start date | 1996-02-01 | | Insurance policy end date | 1997-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10METR1398 |
| Policy instance | 1 |
| Insurance contract or identification number | 10METR1398 | | Number of Individuals Covered | 100 | | Insurance policy start date | 1995-02-01 | | Insurance policy end date | 1996-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10METR1398 |
| Policy instance | 1 |
| Insurance contract or identification number | 10METR1398 | | Number of Individuals Covered | 100 | | Insurance policy start date | 1994-02-01 | | Insurance policy end date | 1995-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10METR1398 |
| Policy instance | 1 |
| Insurance contract or identification number | 10METR1398 | | Number of Individuals Covered | 100 | | Insurance policy start date | 1993-02-01 | | Insurance policy end date | 1994-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10METR1398 |
| Policy instance | 1 |
| Insurance contract or identification number | 10METR1398 | | Number of Individuals Covered | 100 | | Insurance policy start date | 1992-02-01 | | Insurance policy end date | 1993-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10METR1398 |
| Policy instance | 1 |
| Insurance contract or identification number | 10METR1398 | | Number of Individuals Covered | 100 | | Insurance policy start date | 1991-02-01 | | Insurance policy end date | 1992-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10METR1398 |
| Policy instance | 1 |
| Insurance contract or identification number | 10METR1398 | | Number of Individuals Covered | 100 | | Insurance policy start date | 1990-02-01 | | Insurance policy end date | 1991-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10METR1398 |
| Policy instance | 1 |
| Insurance contract or identification number | 10METR1398 | | Number of Individuals Covered | 100 | | Insurance policy start date | 1989-02-01 | | Insurance policy end date | 1990-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10METR1398 |
| Policy instance | 1 |
| Insurance contract or identification number | 10METR1398 | | Number of Individuals Covered | 100 | | Insurance policy start date | 1988-02-01 | | Insurance policy end date | 1989-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
