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MTM RETIREE HEALTH CARE PLAN & TRUST 401k Plan overview

Plan NameMTM RETIREE HEALTH CARE PLAN & TRUST
Plan identification number 501

MTM RETIREE HEALTH CARE PLAN & TRUST Benefits

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

401k Sponsoring company profile

MTM RETIREE HEALTH CARE PLAN AND TRUST BOARD OF DIRECTORS has sponsored the creation of one or more 401k plans.

Company Name:MTM RETIREE HEALTH CARE PLAN AND TRUST BOARD OF DIRECTORS
Employer identification number (EIN):275034344
NAIC Classification:525920
NAIC Description:Trusts, Estates, and Agency Accounts

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MTM RETIREE HEALTH CARE PLAN & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012024-03-01MICHELLE BRAMAN
5012023-03-01
5012023-03-01MICHELLE BRAMAN
5012022-03-01
5012022-03-01MICHELLE BRAMAN
5012021-03-01
5012021-03-01MICHELLE BRAMAN
5012020-03-01
5012019-03-01
5012018-03-01
5012017-03-01MICHELLE BRAMAN
5012017-03-01MICHELLE BRAMAN MICHELLE BRAMAN2018-07-24
5012016-03-01MICHELLE BRAMAN
5012016-03-01
5012015-03-01MICHELLE BRAMAN
5012014-03-01MICHELLE BRAMAN
5012013-03-01
5012012-03-01MICHELLE BRAMAN2013-08-16 MICHELLE BRAMAN2013-08-16
5012011-03-01BRIAN BOEYE
5012010-12-30BRIAN BOEYE

Financial Data on MTM RETIREE HEALTH CARE PLAN & TRUST

Measure Date Value
2024 : MTM RETIREE HEALTH CARE PLAN & TRUST 2024 401k financial data
Transfers to/from the plan2024-02-29$-25,696
Total plan liabilities at end of year2024-02-29$0
Total plan liabilities at beginning of year2024-02-29$0
Total income from all sources2024-02-29$297,834
Expenses. Total of all expenses incurred2024-02-29$158,253
Benefits paid (including direct rollovers)2024-02-29$139,605
Total plan assets at end of year2024-02-29$2,480,772
Total plan assets at beginning of year2024-02-29$2,366,887
Value of fidelity bond covering the plan2024-02-29$1,000,000
Expenses. Other expenses not covered elsewhere2024-02-29$438
Other income received2024-02-29$297,834
Net income (gross income less expenses)2024-02-29$139,581
Net plan assets at end of year (total assets less liabilities)2024-02-29$2,480,772
Net plan assets at beginning of year (total assets less liabilities)2024-02-29$2,366,887
Expenses. Administrative service providers (salaries,fees and commissions)2024-02-29$18,210
2023 : MTM RETIREE HEALTH CARE PLAN & TRUST 2023 401k financial data
Total income from all sources2023-02-28$113,703
Expenses. Total of all expenses incurred2023-02-28$159,071
Benefits paid (including direct rollovers)2023-02-28$139,069
Total plan assets at end of year2023-02-28$2,366,887
Total plan assets at beginning of year2023-02-28$2,412,255
Value of fidelity bond covering the plan2023-02-28$1,000,000
Expenses. Other expenses not covered elsewhere2023-02-28$208
Other income received2023-02-28$113,703
Net income (gross income less expenses)2023-02-28$-45,368
Net plan assets at end of year (total assets less liabilities)2023-02-28$2,366,887
Net plan assets at beginning of year (total assets less liabilities)2023-02-28$2,412,255
Expenses. Administrative service providers (salaries,fees and commissions)2023-02-28$19,794
2022 : MTM RETIREE HEALTH CARE PLAN & TRUST 2022 401k financial data
Transfers to/from the plan2022-02-28$-25
Total income from all sources2022-02-28$246,017
Expenses. Total of all expenses incurred2022-02-28$177,182
Benefits paid (including direct rollovers)2022-02-28$155,734
Total plan assets at end of year2022-02-28$2,412,255
Total plan assets at beginning of year2022-02-28$2,343,445
Value of fidelity bond covering the plan2022-02-28$1,000,000
Total contributions received or receivable from participants2022-02-28$2,980
Expenses. Other expenses not covered elsewhere2022-02-28$127
Other income received2022-02-28$243,037
Net income (gross income less expenses)2022-02-28$68,835
Net plan assets at end of year (total assets less liabilities)2022-02-28$2,412,255
Net plan assets at beginning of year (total assets less liabilities)2022-02-28$2,343,445
Expenses. Administrative service providers (salaries,fees and commissions)2022-02-28$21,321
2021 : MTM RETIREE HEALTH CARE PLAN & TRUST 2021 401k financial data
Transfers to/from the plan2021-02-28$-1,595
Total plan liabilities at end of year2021-02-28$0
Total plan liabilities at beginning of year2021-02-28$0
Total income from all sources2021-02-28$186,142
Expenses. Total of all expenses incurred2021-02-28$170,747
Benefits paid (including direct rollovers)2021-02-28$152,459
Total plan assets at end of year2021-02-28$2,343,445
Total plan assets at beginning of year2021-02-28$2,329,645
Value of fidelity bond covering the plan2021-02-28$1,500,000
Total contributions received or receivable from participants2021-02-28$3,587
Expenses. Other expenses not covered elsewhere2021-02-28$174
Other income received2021-02-28$182,555
Net income (gross income less expenses)2021-02-28$15,395
Net plan assets at end of year (total assets less liabilities)2021-02-28$2,343,445
Net plan assets at beginning of year (total assets less liabilities)2021-02-28$2,329,645
Expenses. Administrative service providers (salaries,fees and commissions)2021-02-28$18,114
2020 : MTM RETIREE HEALTH CARE PLAN & TRUST 2020 401k financial data
Transfers to/from the plan2020-02-29$5,989
Total income from all sources2020-02-29$262,010
Expenses. Total of all expenses incurred2020-02-29$257,270
Benefits paid (including direct rollovers)2020-02-29$237,296
Total plan assets at end of year2020-02-29$2,329,645
Total plan assets at beginning of year2020-02-29$2,318,916
Value of fidelity bond covering the plan2020-02-29$1,500,000
Total contributions received or receivable from participants2020-02-29$7,761
Expenses. Other expenses not covered elsewhere2020-02-29$179
Other income received2020-02-29$254,249
Net income (gross income less expenses)2020-02-29$4,740
Net plan assets at end of year (total assets less liabilities)2020-02-29$2,329,645
Net plan assets at beginning of year (total assets less liabilities)2020-02-29$2,318,916
Expenses. Administrative service providers (salaries,fees and commissions)2020-02-29$19,795
2019 : MTM RETIREE HEALTH CARE PLAN & TRUST 2019 401k financial data
Transfers to/from the plan2019-02-28$-1,047
Total income from all sources2019-02-28$176,552
Expenses. Total of all expenses incurred2019-02-28$245,085
Benefits paid (including direct rollovers)2019-02-28$223,882
Total plan assets at end of year2019-02-28$2,318,916
Total plan assets at beginning of year2019-02-28$2,388,496
Value of fidelity bond covering the plan2019-02-28$1,500,000
Total contributions received or receivable from participants2019-02-28$9,611
Expenses. Other expenses not covered elsewhere2019-02-28$1,500
Other income received2019-02-28$166,941
Net income (gross income less expenses)2019-02-28$-68,533
Net plan assets at end of year (total assets less liabilities)2019-02-28$2,318,916
Net plan assets at beginning of year (total assets less liabilities)2019-02-28$2,388,496
Expenses. Administrative service providers (salaries,fees and commissions)2019-02-28$19,703
2018 : MTM RETIREE HEALTH CARE PLAN & TRUST 2018 401k financial data
Transfers to/from the plan2018-02-28$0
Total income from all sources2018-02-28$166,176
Expenses. Total of all expenses incurred2018-02-28$254,425
Benefits paid (including direct rollovers)2018-02-28$233,426
Total plan assets at end of year2018-02-28$2,388,496
Total plan assets at beginning of year2018-02-28$2,476,745
Value of fidelity bond covering the plan2018-02-28$1,500,000
Total contributions received or receivable from participants2018-02-28$9,302
Expenses. Other expenses not covered elsewhere2018-02-28$195
Other income received2018-02-28$156,874
Net income (gross income less expenses)2018-02-28$-88,249
Net plan assets at end of year (total assets less liabilities)2018-02-28$2,388,496
Net plan assets at beginning of year (total assets less liabilities)2018-02-28$2,476,745
Expenses. Administrative service providers (salaries,fees and commissions)2018-02-28$20,804
2017 : MTM RETIREE HEALTH CARE PLAN & TRUST 2017 401k financial data
Transfers to/from the plan2017-02-28$0
Total income from all sources2017-02-28$0
Expenses. Total of all expenses incurred2017-02-28$5,880
Benefits paid (including direct rollovers)2017-02-28$262,553
Total plan assets at end of year2017-02-28$3,066,671
Total plan assets at beginning of year2017-02-28$3,072,551
Total contributions received or receivable from participants2017-02-28$6,708
Expenses. Other expenses not covered elsewhere2017-02-28$3,151
Other income received2017-02-28$-73,871
Net income (gross income less expenses)2017-02-28$-5,880
Net plan assets at end of year (total assets less liabilities)2017-02-28$3,066,671
Net plan assets at beginning of year (total assets less liabilities)2017-02-28$3,072,551
Expenses. Administrative service providers (salaries,fees and commissions)2017-02-28$5,880
2016 : MTM RETIREE HEALTH CARE PLAN & TRUST 2016 401k financial data
Total plan liabilities at end of year2016-02-29$74,760
Total plan liabilities at beginning of year2016-02-29$15,160
Total income from all sources2016-02-29$89,920
Expenses. Total of all expenses incurred2016-02-29$393,181
Benefits paid (including direct rollovers)2016-02-29$317,237
Total plan assets at end of year2016-02-29$2,824,568
Total plan assets at beginning of year2016-02-29$3,068,229
Expenses. Other expenses not covered elsewhere2016-02-29$75,944
Net income (gross income less expenses)2016-02-29$-303,261
Net plan assets at end of year (total assets less liabilities)2016-02-29$2,749,808
Net plan assets at beginning of year (total assets less liabilities)2016-02-29$3,053,069
Total contributions received or receivable from employer(s)2016-02-29$89,920
2015 : MTM RETIREE HEALTH CARE PLAN & TRUST 2015 401k financial data
Total income from all sources2015-02-28$165,210
Expenses. Total of all expenses incurred2015-02-28$370,629
Benefits paid (including direct rollovers)2015-02-28$352,441
Total plan assets at end of year2015-02-28$3,072,551
Total plan assets at beginning of year2015-02-28$3,277,970
Total contributions received or receivable from participants2015-02-28$20,304
Expenses. Other expenses not covered elsewhere2015-02-28$18,188
Other income received2015-02-28$144,906
Net income (gross income less expenses)2015-02-28$-205,419
Net plan assets at end of year (total assets less liabilities)2015-02-28$3,072,551
Net plan assets at beginning of year (total assets less liabilities)2015-02-28$3,277,970
2014 : MTM RETIREE HEALTH CARE PLAN & TRUST 2014 401k financial data
Transfers to/from the plan2014-02-28$0
Total income from all sources2014-02-28$298,178
Expenses. Total of all expenses incurred2014-02-28$374,522
Benefits paid (including direct rollovers)2014-02-28$273,894
Total plan assets at end of year2014-02-28$3,299,037
Total plan assets at beginning of year2014-02-28$3,375,381
Total contributions received or receivable from participants2014-02-28$19,309
Expenses. Other expenses not covered elsewhere2014-02-28$100,628
Other income received2014-02-28$278,869
Net income (gross income less expenses)2014-02-28$-76,344
Net plan assets at end of year (total assets less liabilities)2014-02-28$3,299,037
Net plan assets at beginning of year (total assets less liabilities)2014-02-28$3,375,381
2013 : MTM RETIREE HEALTH CARE PLAN & TRUST 2013 401k financial data
Total plan liabilities at end of year2013-02-28$0
Total income from all sources2013-02-28$273,537
Expenses. Total of all expenses incurred2013-02-28$429,916
Benefits paid (including direct rollovers)2013-02-28$327,196
Total plan assets at end of year2013-02-28$3,375,381
Total plan assets at beginning of year2013-02-28$3,531,760
Total contributions received or receivable from participants2013-02-28$12,415
Expenses. Other expenses not covered elsewhere2013-02-28$102,720
Other income received2013-02-28$261,122
Net income (gross income less expenses)2013-02-28$-156,379
Net plan assets at end of year (total assets less liabilities)2013-02-28$3,375,381
Net plan assets at beginning of year (total assets less liabilities)2013-02-28$3,531,760
Total contributions received or receivable from employer(s)2013-02-28$0
2012 : MTM RETIREE HEALTH CARE PLAN & TRUST 2012 401k financial data
Total income from all sources2012-02-29$113,349
Expenses. Total of all expenses incurred2012-02-29$682,671
Benefits paid (including direct rollovers)2012-02-29$589,207
Total plan assets at end of year2012-02-29$3,531,760
Total plan assets at beginning of year2012-02-29$4,101,082
Total contributions received or receivable from participants2012-02-29$11,742
Expenses. Other expenses not covered elsewhere2012-02-29$93,464
Other income received2012-02-29$101,607
Net income (gross income less expenses)2012-02-29$-569,322
Net plan assets at end of year (total assets less liabilities)2012-02-29$3,531,760
Net plan assets at beginning of year (total assets less liabilities)2012-02-29$4,101,082
2011 : MTM RETIREE HEALTH CARE PLAN & TRUST 2011 401k financial data
Total plan liabilities at beginning of year2011-02-28$0
Total income from all sources2011-02-28$4,157,763
Expenses. Total of all expenses incurred2011-02-28$56,681
Benefits paid (including direct rollovers)2011-02-28$56,681
Total plan assets at end of year2011-02-28$4,101,082
Total plan assets at beginning of year2011-02-28$0
Other income received2011-02-28$18,763
Net income (gross income less expenses)2011-02-28$4,101,082
Net plan assets at end of year (total assets less liabilities)2011-02-28$4,101,082
Net plan assets at beginning of year (total assets less liabilities)2011-02-28$0
Total contributions received or receivable from employer(s)2011-02-28$4,139,000

Form 5500 Responses for MTM RETIREE HEALTH CARE PLAN & TRUST

2023: MTM RETIREE HEALTH CARE PLAN & TRUST 2023 form 5500 responses
2023-03-01Type of plan entitySingle employer plan
2023-03-01Submission has been amendedNo
2023-03-01This submission is the final filingNo
2023-03-01This return/report is a short plan year return/report (less than 12 months)No
2023-03-01Plan is a collectively bargained planNo
2023-03-01Plan funding arrangement – InsuranceYes
2023-03-01Plan funding arrangement – TrustYes
2023-03-01Plan benefit arrangement – InsuranceYes
2023-03-01Plan benefit arrangement - TrustYes
2022: MTM RETIREE HEALTH CARE PLAN & TRUST 2022 form 5500 responses
2022-03-01Type of plan entitySingle employer plan
2022-03-01Submission has been amendedNo
2022-03-01This submission is the final filingNo
2022-03-01This return/report is a short plan year return/report (less than 12 months)No
2022-03-01Plan is a collectively bargained planNo
2022-03-01Plan funding arrangement – InsuranceYes
2022-03-01Plan funding arrangement – TrustYes
2022-03-01Plan benefit arrangement – InsuranceYes
2022-03-01Plan benefit arrangement - TrustYes
2021: MTM RETIREE HEALTH CARE PLAN & TRUST 2021 form 5500 responses
2021-03-01Type of plan entitySingle employer plan
2021-03-01Submission has been amendedNo
2021-03-01This submission is the final filingNo
2021-03-01This return/report is a short plan year return/report (less than 12 months)No
2021-03-01Plan is a collectively bargained planNo
2021-03-01Plan funding arrangement – InsuranceYes
2021-03-01Plan funding arrangement – TrustYes
2021-03-01Plan benefit arrangement – InsuranceYes
2021-03-01Plan benefit arrangement - TrustYes
2020: MTM RETIREE HEALTH CARE PLAN & TRUST 2020 form 5500 responses
2020-03-01Type of plan entitySingle employer plan
2020-03-01Submission has been amendedNo
2020-03-01This submission is the final filingNo
2020-03-01This return/report is a short plan year return/report (less than 12 months)No
2020-03-01Plan is a collectively bargained planNo
2020-03-01Plan funding arrangement – InsuranceYes
2020-03-01Plan funding arrangement – TrustYes
2020-03-01Plan benefit arrangement – InsuranceYes
2020-03-01Plan benefit arrangement - TrustYes
2019: MTM RETIREE HEALTH CARE PLAN & TRUST 2019 form 5500 responses
2019-03-01Type of plan entitySingle employer plan
2019-03-01Submission has been amendedNo
2019-03-01This submission is the final filingNo
2019-03-01This return/report is a short plan year return/report (less than 12 months)No
2019-03-01Plan is a collectively bargained planNo
2019-03-01Plan funding arrangement – InsuranceYes
2019-03-01Plan funding arrangement – TrustYes
2019-03-01Plan benefit arrangement – InsuranceYes
2019-03-01Plan benefit arrangement - TrustYes
2018: MTM RETIREE HEALTH CARE PLAN & TRUST 2018 form 5500 responses
2018-03-01Type of plan entitySingle employer plan
2018-03-01Submission has been amendedNo
2018-03-01This submission is the final filingNo
2018-03-01This return/report is a short plan year return/report (less than 12 months)No
2018-03-01Plan is a collectively bargained planNo
2018-03-01Plan funding arrangement – InsuranceYes
2018-03-01Plan funding arrangement – TrustYes
2018-03-01Plan benefit arrangement – InsuranceYes
2018-03-01Plan benefit arrangement - TrustYes
2017: MTM RETIREE HEALTH CARE PLAN & TRUST 2017 form 5500 responses
2017-03-01Type of plan entitySingle employer plan
2017-03-01Submission has been amendedYes
2017-03-01This submission is the final filingNo
2017-03-01This return/report is a short plan year return/report (less than 12 months)No
2017-03-01Plan is a collectively bargained planNo
2017-03-01Plan funding arrangement – InsuranceYes
2017-03-01Plan funding arrangement – TrustYes
2017-03-01Plan benefit arrangement – InsuranceYes
2017-03-01Plan benefit arrangement - TrustYes
2016: MTM RETIREE HEALTH CARE PLAN & TRUST 2016 form 5500 responses
2016-03-01Type of plan entitySingle employer plan
2016-03-01Submission has been amendedYes
2016-03-01This submission is the final filingNo
2016-03-01This return/report is a short plan year return/report (less than 12 months)No
2016-03-01Plan is a collectively bargained planNo
2016-03-01Plan funding arrangement – InsuranceYes
2016-03-01Plan funding arrangement – TrustYes
2016-03-01Plan benefit arrangement – InsuranceYes
2016-03-01Plan benefit arrangement - TrustYes
2015: MTM RETIREE HEALTH CARE PLAN & TRUST 2015 form 5500 responses
2015-03-01Type of plan entitySingle employer plan
2015-03-01Submission has been amendedNo
2015-03-01This submission is the final filingNo
2015-03-01This return/report is a short plan year return/report (less than 12 months)No
2015-03-01Plan is a collectively bargained planNo
2015-03-01Plan funding arrangement – InsuranceYes
2015-03-01Plan funding arrangement – TrustYes
2015-03-01Plan benefit arrangement – InsuranceYes
2015-03-01Plan benefit arrangement - TrustYes
2014: MTM RETIREE HEALTH CARE PLAN & TRUST 2014 form 5500 responses
2014-03-01Type of plan entitySingle employer plan
2014-03-01Submission has been amendedNo
2014-03-01This submission is the final filingNo
2014-03-01This return/report is a short plan year return/report (less than 12 months)No
2014-03-01Plan is a collectively bargained planNo
2014-03-01Plan funding arrangement – InsuranceYes
2014-03-01Plan funding arrangement – TrustYes
2014-03-01Plan benefit arrangement – InsuranceYes
2014-03-01Plan benefit arrangement - TrustYes
2013: MTM RETIREE HEALTH CARE PLAN & TRUST 2013 form 5500 responses
2013-03-01Type of plan entitySingle employer plan
2013-03-01Submission has been amendedNo
2013-03-01This submission is the final filingNo
2013-03-01This return/report is a short plan year return/report (less than 12 months)No
2013-03-01Plan is a collectively bargained planNo
2013-03-01Plan funding arrangement – InsuranceYes
2013-03-01Plan funding arrangement – TrustYes
2013-03-01Plan benefit arrangement – InsuranceYes
2013-03-01Plan benefit arrangement - TrustYes
2012: MTM RETIREE HEALTH CARE PLAN & TRUST 2012 form 5500 responses
2012-03-01Type of plan entitySingle employer plan
2012-03-01Plan funding arrangement – InsuranceYes
2012-03-01Plan funding arrangement – TrustYes
2012-03-01Plan benefit arrangement – InsuranceYes
2012-03-01Plan benefit arrangement - TrustYes
2011: MTM RETIREE HEALTH CARE PLAN & TRUST 2011 form 5500 responses
2011-03-01Type of plan entitySingle employer plan
2011-03-01Submission has been amendedNo
2011-03-01This submission is the final filingNo
2011-03-01This return/report is a short plan year return/report (less than 12 months)No
2011-03-01Plan is a collectively bargained planNo
2011-03-01Plan funding arrangement – InsuranceYes
2011-03-01Plan funding arrangement – TrustYes
2011-03-01Plan benefit arrangement – InsuranceYes
2011-03-01Plan benefit arrangement - TrustYes
2010: MTM RETIREE HEALTH CARE PLAN & TRUST 2010 form 5500 responses
2010-12-30Type of plan entitySingle employer plan
2010-12-30First time form 5500 has been submittedYes
2010-12-30Submission has been amendedNo
2010-12-30This submission is the final filingNo
2010-12-30This return/report is a short plan year return/report (less than 12 months)Yes
2010-12-30Plan is a collectively bargained planNo
2010-12-30Plan funding arrangement – InsuranceYes
2010-12-30Plan funding arrangement – TrustYes
2010-12-30Plan benefit arrangement – InsuranceYes
2010-12-30Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number
Policy instance 1
Number of Individuals Covered29
Insurance policy start date2023-03-01
Insurance policy end date2024-02-28
Total amount of fees paid to insurance companyUSD $3,120
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number
Policy instance 1
Number of Individuals Covered33
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of fees paid to insurance companyUSD $3,480
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number
Policy instance 2
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number42843185
Policy instance 1
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number42843185
Policy instance 1
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number
Policy instance 2
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number
Policy instance 2
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number42843185
Policy instance 1
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number42843185
Policy instance 2
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number
Policy instance 1
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number42843-184/185
Policy instance 2
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number
Policy instance 1
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number
Policy instance 2
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number42843-184/185
Policy instance 1
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number42843185
Policy instance 1
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number
Policy instance 2
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number42843185
Policy instance 1
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number42843-185
Policy instance 1
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number42843-185
Policy instance 1
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number42843-185
Policy instance 1
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number9809344
Policy instance 1

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