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BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 401k Plan overview

Plan NameBANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN
Plan identification number 503

BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN Benefits

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

401k Sponsoring company profile

BANK STREET COLLEGE OF EDUCATION has sponsored the creation of one or more 401k plans.

Company Name:BANK STREET COLLEGE OF EDUCATION
Employer identification number (EIN):135562167
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032023-01-01
5032022-01-01
5032021-01-01
5032020-01-01
5032019-01-01
5032018-01-01ELYSE MATTHEWS
5032017-01-01ELYSE MATTHEWS
5032016-01-01ELYSE MATTHEWS
5032015-01-01ELYSE MATTHEWS
5032014-01-01ELYSE MATTHEWS
5032013-01-01CAROL SAMBERG
5032012-01-01CAROL SAMBERG
5032011-01-01CAROL SAMBERG
5032010-01-01CAROL SAMBERG
5032009-01-01CAROL SAMBERG

Plan Statistics for BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN

401k plan membership statisitcs for BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN

Measure Date Value
2023: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01313
Total number of active participants reported on line 7a of the Form 55002023-01-01230
Number of retired or separated participants receiving benefits2023-01-0177
Total of all active and inactive participants2023-01-01307
2022: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01326
Total number of active participants reported on line 7a of the Form 55002022-01-01237
Number of retired or separated participants receiving benefits2022-01-0176
Total of all active and inactive participants2022-01-01313
2021: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01319
Total number of active participants reported on line 7a of the Form 55002021-01-01250
Number of retired or separated participants receiving benefits2021-01-0176
Total of all active and inactive participants2021-01-01326
2020: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01324
Total number of active participants reported on line 7a of the Form 55002020-01-01243
Number of retired or separated participants receiving benefits2020-01-0176
Total of all active and inactive participants2020-01-01319
2019: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01303
Total number of active participants reported on line 7a of the Form 55002019-01-01324
Total of all active and inactive participants2019-01-01324
2018: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01316
Total number of active participants reported on line 7a of the Form 55002018-01-01303
Total of all active and inactive participants2018-01-01303
2017: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01327
Total number of active participants reported on line 7a of the Form 55002017-01-01252
Number of retired or separated participants receiving benefits2017-01-0164
Total of all active and inactive participants2017-01-01316
Total participants2017-01-01316
2016: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01363
Total number of active participants reported on line 7a of the Form 55002016-01-01270
Number of retired or separated participants receiving benefits2016-01-0157
Total of all active and inactive participants2016-01-01327
Total participants2016-01-01327
2015: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01291
Total number of active participants reported on line 7a of the Form 55002015-01-01311
Number of retired or separated participants receiving benefits2015-01-0152
Total of all active and inactive participants2015-01-01363
Total participants2015-01-01363
2014: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01349
Total number of active participants reported on line 7a of the Form 55002014-01-01244
Number of retired or separated participants receiving benefits2014-01-0147
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01291
Total participants2014-01-01291
2013: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01344
Total number of active participants reported on line 7a of the Form 55002013-01-01309
Number of retired or separated participants receiving benefits2013-01-0140
Total of all active and inactive participants2013-01-01349
Total participants2013-01-01349
2012: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01351
Total number of active participants reported on line 7a of the Form 55002012-01-01311
Number of retired or separated participants receiving benefits2012-01-0133
Total of all active and inactive participants2012-01-01344
Total participants2012-01-01344
2011: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01315
Total number of active participants reported on line 7a of the Form 55002011-01-01325
Number of retired or separated participants receiving benefits2011-01-0126
Total of all active and inactive participants2011-01-01351
Total participants2011-01-01351
2010: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01314
Total number of active participants reported on line 7a of the Form 55002010-01-01294
Number of retired or separated participants receiving benefits2010-01-0121
Total of all active and inactive participants2010-01-01315
Total participants2010-01-01315
2009: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01311
Total number of active participants reported on line 7a of the Form 55002009-01-01293
Number of retired or separated participants receiving benefits2009-01-0121
Total of all active and inactive participants2009-01-01314
Total participants2009-01-01314

Form 5500 Responses for BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN

2023: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – General assets of the sponsorYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – General assets of the sponsorYes
2022: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: BANK STREET COLLEGE OF EDUCATION MAJOR MEDICAL INSURANCE HOSPITAL PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract numberNYEGR034
Policy instance 1
Insurance contract or identification numberNYEGR034
Number of Individuals Covered77
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $13,575
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $169,398
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number814460
Policy instance 2
Insurance contract or identification number814460
Number of Individuals Covered230
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $1,033
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,494
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract numberNYEGR034
Policy instance 2
Insurance contract or identification numberNYEGR034
Number of Individuals Covered76
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $12,450
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $304,220
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,450
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number814460
Policy instance 1
Insurance contract or identification number814460
Number of Individuals Covered237
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $889
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,729
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $889
Amount paid for insurance broker fees0
Insurance broker organization code?3
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract numberNYEGR034
Policy instance 2
Insurance contract or identification numberNYEGR034
Number of Individuals Covered76
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $12,315
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $301,738
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,315
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0814460
Policy instance 1
Insurance contract or identification number0814460
Number of Individuals Covered250
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $1,294
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,294
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0242275
Policy instance 1
Insurance contract or identification number0242275
Number of Individuals Covered190
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $127,019
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,218,741
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $127,019
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0814460
Policy instance 2
Insurance contract or identification number0814460
Number of Individuals Covered190
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $516
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,522
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $516
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 )
Policy contract numberAE430469
Policy instance 3
Insurance contract or identification numberAE430469
Number of Individuals Covered72
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $412,792
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 )
Policy contract numberAE455597
Policy instance 4
Insurance contract or identification numberAE455597
Number of Individuals Covered4
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $30,073
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 number1102043000
Policy instance 5
Insurance contract or identification number1102043000
Number of Individuals Covered53
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $18,323
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $944,708
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,323
Insurance broker organization code?3
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberBS28112
Policy instance 1
Insurance contract or identification numberBS28112
Number of Individuals Covered324
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $115,479
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,680,254
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $115,479
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 )
Policy contract numberAE430469
Policy instance 2
Insurance contract or identification numberAE430469
Number of Individuals Covered69
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $381,795
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 )
Policy contract numberAE455597
Policy instance 3
Insurance contract or identification numberAE455597
Number of Individuals Covered4
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $27,370
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number814460
Policy instance 4
Insurance contract or identification number814460
Number of Individuals Covered317
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $709
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,227
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $709
Insurance broker organization code?3
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number1102043000
Policy instance 5
Insurance contract or identification number1102043000
Number of Individuals Covered55
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $18,429
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $856,534
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,429
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0814460
Policy instance 4
Insurance contract or identification number0814460
Number of Individuals Covered247
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $744
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,442
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $744
Insurance broker organization code?3
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number1102043
Policy instance 5
Insurance contract or identification number1102043
Number of Individuals Covered57
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $16,501
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $841,495
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,501
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 )
Policy contract numberAE455597
Policy instance 3
Insurance contract or identification numberAE455597
Number of Individuals Covered4
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,072
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 )
Policy contract numberAE430469
Policy instance 2
Insurance contract or identification numberAE430469
Number of Individuals Covered73
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $366,895
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberBS28112
Policy instance 1
Insurance contract or identification numberBS28112
Number of Individuals Covered303
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $109,780
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,854,153
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $109,780
Insurance broker organization code?3
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number100286E000
Policy instance 5
Insurance contract or identification number100286E000
Number of Individuals Covered58
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $14,412
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $735,010
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,412
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number814460
Policy instance 4
Insurance contract or identification number814460
Number of Individuals Covered239
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $853
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,742
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $853
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 )
Policy contract numberAE455597
Policy instance 3
Insurance contract or identification numberAE455597
Number of Individuals Covered3
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,426
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 )
Policy contract numberAE430469
Policy instance 2
Insurance contract or identification numberAE430469
Number of Individuals Covered61
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $278,526
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberBS28112
Policy instance 1
Insurance contract or identification numberBS28112
Number of Individuals Covered316
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $105,757
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,061,816
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $105,757
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberBS28112
Policy instance 1
Insurance contract or identification numberBS28112
Number of Individuals Covered311
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $81,230
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,559,527
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $81,230
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 )
Policy contract numberAE455597
Policy instance 2
Insurance contract or identification numberAE455597
Number of Individuals Covered2
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,648
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0814460
Policy instance 3
Insurance contract or identification number0814460
Number of Individuals Covered220
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $924
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,232
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $924
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 )
Policy contract numberAE430469
Policy instance 4
Insurance contract or identification numberAE430469
Number of Individuals Covered50
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $191,829
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 number100286E000
Policy instance 3
Insurance contract or identification number100286E000
Number of Individuals Covered61
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $648,146
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberBS28112
Policy instance 1
Insurance contract or identification numberBS28112
Number of Individuals Covered291
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $77,358
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,784,202
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $77,358
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 )
Policy contract numberAE430469
Policy instance 2
Insurance contract or identification numberAE430469
Number of Individuals Covered47
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $186,841
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0814460
Policy instance 4
Insurance contract or identification number0814460
Number of Individuals Covered199
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $815
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,031
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $815
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberBS28112
Policy instance 1
Insurance contract or identification numberBS28112
Number of Individuals Covered309
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $74,408
Total amount of fees paid to insurance companyUSD $2,030
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,684,477
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $74,408
Amount paid for insurance broker fees2030
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 )
Policy contract numberAE455597
Policy instance 2
Insurance contract or identification numberAE455597
Number of Individuals Covered40
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $152,120
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95234 )
Policy contract numberAE430469
Policy instance 2
Insurance contract or identification numberAE430469
Number of Individuals Covered33
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $132,596
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberBS28112
Policy instance 1
Insurance contract or identification numberBS28112
Number of Individuals Covered311
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $90,499
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,846,166
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $90,499
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberBS28112
Policy instance 1
Insurance contract or identification numberBS28112
Number of Individuals Covered325
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $69,781
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,291,665
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95234 )
Policy contract numberAE430469
Policy instance 2
Insurance contract or identification numberAE430469
Number of Individuals Covered26
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $94,417
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95234 )
Policy contract numberAE382326
Policy instance 4
Insurance contract or identification numberAE382326
Number of Individuals Covered20
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $83,226
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00317883
Policy instance 3
Insurance contract or identification number00317883
Number of Individuals Covered234
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $7,373
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $160,325
Commission paid to Insurance BrokerUSD $7,373
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
HEALTH NET OF NY (National Association of Insurance Commissioners NAIC id number: 95305 )
Policy contract number058774
Policy instance 1
Insurance contract or identification number058774
Number of Individuals Covered294
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $83,469
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,086,731
Commission paid to Insurance BrokerUSD $83,469
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95234 )
Policy contract number045072
Policy instance 2
Insurance contract or identification number045072
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,019

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