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TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 401k Plan overview

Plan NameTOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS
Plan identification number 502

TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS Benefits

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

401k Sponsoring company profile

TOLEDO CLINIC, INC. has sponsored the creation of one or more 401k plans.

Company Name:TOLEDO CLINIC, INC.
Employer identification number (EIN):340936207
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about TOLEDO CLINIC, INC.

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 1962-03-29
Company Identification Number: 309323
Legal Registered Office Address: 4235 SECOR ROAD
-
TOLEDO
United States of America (USA)
43623

More information about TOLEDO CLINIC, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-05-01
5022021-05-01
5022020-05-01
5022019-05-01
5022018-05-01
5022017-05-01CHARLES KOPITKE
5022016-05-01CHARLES KOPITKE
5022015-05-01CHARLES KOPITKE
5022014-05-01CHARLES KOPITKE
5022013-05-01CHARLES KOPITKE
5022012-05-01CHARLES KOPITKE CHARLES KOPITKE2014-02-04
5022011-05-01CHARLES KOPITKE CHARLES KOPITKE2013-01-16
5022009-05-01CHARLES KOPITKE
5022008-05-01CHARLES KOPITKE CHARLES KOPITKE2010-05-14
5022007-11-01CHARLES KOPITKE CHARLES KOPITKE2010-05-14

Plan Statistics for TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS

401k plan membership statisitcs for TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS

Measure Date Value
2022: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2022 401k membership
Total participants, beginning-of-year2022-05-011,617
Total number of active participants reported on line 7a of the Form 55002022-05-011,120
Number of retired or separated participants receiving benefits2022-05-01438
Number of other retired or separated participants entitled to future benefits2022-05-010
Total of all active and inactive participants2022-05-011,558
2021: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2021 401k membership
Total participants, beginning-of-year2021-05-011,603
Total number of active participants reported on line 7a of the Form 55002021-05-01991
Number of retired or separated participants receiving benefits2021-05-01626
Number of other retired or separated participants entitled to future benefits2021-05-010
Total of all active and inactive participants2021-05-011,617
2020: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2020 401k membership
Total participants, beginning-of-year2020-05-011,586
Total number of active participants reported on line 7a of the Form 55002020-05-011,269
Number of retired or separated participants receiving benefits2020-05-01334
Number of other retired or separated participants entitled to future benefits2020-05-010
Total of all active and inactive participants2020-05-011,603
2019: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2019 401k membership
Total participants, beginning-of-year2019-05-011,584
Total number of active participants reported on line 7a of the Form 55002019-05-011,133
Number of retired or separated participants receiving benefits2019-05-01453
Number of other retired or separated participants entitled to future benefits2019-05-010
Total of all active and inactive participants2019-05-011,586
2018: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2018 401k membership
Total participants, beginning-of-year2018-05-011,628
Total number of active participants reported on line 7a of the Form 55002018-05-011,326
Number of retired or separated participants receiving benefits2018-05-01258
Number of other retired or separated participants entitled to future benefits2018-05-010
Total of all active and inactive participants2018-05-011,584
2017: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2017 401k membership
Total participants, beginning-of-year2017-05-011,659
Total number of active participants reported on line 7a of the Form 55002017-05-011,349
Number of retired or separated participants receiving benefits2017-05-01279
Total of all active and inactive participants2017-05-011,628
2016: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2016 401k membership
Total participants, beginning-of-year2016-05-011,371
Total number of active participants reported on line 7a of the Form 55002016-05-011,416
Number of retired or separated participants receiving benefits2016-05-01243
Number of other retired or separated participants entitled to future benefits2016-05-010
Total of all active and inactive participants2016-05-011,659
2015: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2015 401k membership
Total participants, beginning-of-year2015-05-011,292
Total number of active participants reported on line 7a of the Form 55002015-05-011,210
Number of retired or separated participants receiving benefits2015-05-01161
Number of other retired or separated participants entitled to future benefits2015-05-010
Total of all active and inactive participants2015-05-011,371
2014: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2014 401k membership
Total participants, beginning-of-year2014-05-011,194
Total number of active participants reported on line 7a of the Form 55002014-05-011,140
Number of retired or separated participants receiving benefits2014-05-01152
Number of other retired or separated participants entitled to future benefits2014-05-010
Total of all active and inactive participants2014-05-011,292
2013: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2013 401k membership
Total participants, beginning-of-year2013-05-011,125
Total number of active participants reported on line 7a of the Form 55002013-05-011,090
Number of retired or separated participants receiving benefits2013-05-01104
Number of other retired or separated participants entitled to future benefits2013-05-010
Total of all active and inactive participants2013-05-011,194
2012: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2012 401k membership
Total participants, beginning-of-year2012-05-011,045
Total number of active participants reported on line 7a of the Form 55002012-05-011,005
Number of retired or separated participants receiving benefits2012-05-01120
Number of other retired or separated participants entitled to future benefits2012-05-010
Total of all active and inactive participants2012-05-011,125
2011: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2011 401k membership
Total participants, beginning-of-year2011-05-01737
Total number of active participants reported on line 7a of the Form 55002011-05-01956
Number of retired or separated participants receiving benefits2011-05-0189
Number of other retired or separated participants entitled to future benefits2011-05-010
Total of all active and inactive participants2011-05-011,045
2009: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2009 401k membership
Total participants, beginning-of-year2009-05-01456
Total number of active participants reported on line 7a of the Form 55002009-05-01480
Number of retired or separated participants receiving benefits2009-05-0115
Number of other retired or separated participants entitled to future benefits2009-05-010
Total of all active and inactive participants2009-05-01495
2008: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2008 401k membership
Total participants, beginning-of-year2008-05-01452
Total number of active participants reported on line 7a of the Form 55002008-05-01447
Number of retired or separated participants receiving benefits2008-05-019
Number of other retired or separated participants entitled to future benefits2008-05-010
Total of all active and inactive participants2008-05-01456
2007: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2007 401k membership
Total participants, beginning-of-year2007-11-01447
Total number of active participants reported on line 7a of the Form 55002007-11-01446
Number of retired or separated participants receiving benefits2007-11-016
Number of other retired or separated participants entitled to future benefits2007-11-010
Total of all active and inactive participants2007-11-01452

Financial Data on TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS

Measure Date Value
2023 : TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-04-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-04-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-04-30$0
Total income from all sources (including contributions)2023-04-30$9,167,668
Total loss/gain on sale of assets2023-04-30$0
Total of all expenses incurred2023-04-30$10,576,317
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-04-30$10,163,935
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-04-30$9,057,522
Value of total assets at end of year2023-04-30$6,832,783
Value of total assets at beginning of year2023-04-30$8,241,432
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-04-30$412,382
Total interest from all sources2023-04-30$110,146
Total dividends received (eg from common stock, registered investment company shares)2023-04-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-04-30No
Was this plan covered by a fidelity bond2023-04-30Yes
Value of fidelity bond cover2023-04-30$500,000
If this is an individual account plan, was there a blackout period2023-04-30No
Were there any nonexempt tranactions with any party-in-interest2023-04-30No
Contributions received from participants2023-04-30$2,730,902
Administrative expenses (other) incurred2023-04-30$412,382
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-04-30No
Value of net income/loss2023-04-30$-1,408,649
Value of net assets at end of year (total assets less liabilities)2023-04-30$6,832,783
Value of net assets at beginning of year (total assets less liabilities)2023-04-30$8,241,432
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2023-04-30No
Were any leases to which the plan was party in default or uncollectible2023-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-04-30$1,984,945
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-04-30$8,241,432
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-04-30$8,241,432
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-04-30$110,146
Expenses. Payments to insurance carriers foe the provision of benefits2023-04-30$1,729,010
Asset value of US Government securities at end of year2023-04-30$4,847,838
Asset value of US Government securities at beginning of year2023-04-30$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-04-30Yes
Was there a failure to transmit to the plan any participant contributions2023-04-30No
Has the plan failed to provide any benefit when due under the plan2023-04-30No
Contributions received in cash from employer2023-04-30$6,326,620
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-04-30$8,434,925
Did the plan have assets held for investment2023-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-04-30No
Opinion of an independent qualified public accountant for this plan2023-04-30Unqualified
Accountancy firm name2023-04-30CLIFTONLARSONALLEN LLP
Accountancy firm EIN2023-04-30410746749
2022 : TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-04-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-04-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-04-30$0
Total income from all sources (including contributions)2022-04-30$10,861,963
Total loss/gain on sale of assets2022-04-30$0
Total of all expenses incurred2022-04-30$9,899,744
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-04-30$9,507,337
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-04-30$10,860,509
Value of total assets at end of year2022-04-30$8,241,432
Value of total assets at beginning of year2022-04-30$7,279,213
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-04-30$392,407
Total interest from all sources2022-04-30$1,454
Total dividends received (eg from common stock, registered investment company shares)2022-04-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-04-30No
Was this plan covered by a fidelity bond2022-04-30Yes
Value of fidelity bond cover2022-04-30$500,000
If this is an individual account plan, was there a blackout period2022-04-30No
Were there any nonexempt tranactions with any party-in-interest2022-04-30No
Contributions received from participants2022-04-30$2,567,878
Administrative expenses (other) incurred2022-04-30$392,407
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-04-30No
Value of net income/loss2022-04-30$962,219
Value of net assets at end of year (total assets less liabilities)2022-04-30$8,241,432
Value of net assets at beginning of year (total assets less liabilities)2022-04-30$7,279,213
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-04-30No
Were any leases to which the plan was party in default or uncollectible2022-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-04-30$8,241,432
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-04-30$7,279,213
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-04-30$7,279,213
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-04-30$1,454
Expenses. Payments to insurance carriers foe the provision of benefits2022-04-30$1,646,619
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-04-30Yes
Was there a failure to transmit to the plan any participant contributions2022-04-30No
Has the plan failed to provide any benefit when due under the plan2022-04-30No
Contributions received in cash from employer2022-04-30$8,292,631
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-04-30$7,860,718
Did the plan have assets held for investment2022-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-04-30No
Opinion of an independent qualified public accountant for this plan2022-04-30Unqualified
Accountancy firm name2022-04-30GILMORE JASION MAHLER, LTD.
Accountancy firm EIN2022-04-30341827159
2021 : TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-04-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-04-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-04-30$0
Total income from all sources (including contributions)2021-04-30$11,957,247
Total loss/gain on sale of assets2021-04-30$0
Total of all expenses incurred2021-04-30$10,168,810
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-04-30$9,784,943
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-04-30$11,953,436
Value of total assets at end of year2021-04-30$7,279,213
Value of total assets at beginning of year2021-04-30$5,490,776
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-04-30$383,867
Total interest from all sources2021-04-30$3,811
Total dividends received (eg from common stock, registered investment company shares)2021-04-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-04-30No
Was this plan covered by a fidelity bond2021-04-30Yes
Value of fidelity bond cover2021-04-30$500,000
If this is an individual account plan, was there a blackout period2021-04-30No
Were there any nonexempt tranactions with any party-in-interest2021-04-30No
Contributions received from participants2021-04-30$2,692,950
Administrative expenses (other) incurred2021-04-30$383,867
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-04-30No
Value of net income/loss2021-04-30$1,788,437
Value of net assets at end of year (total assets less liabilities)2021-04-30$7,279,213
Value of net assets at beginning of year (total assets less liabilities)2021-04-30$5,490,776
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-04-30No
Were any leases to which the plan was party in default or uncollectible2021-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-04-30$7,279,213
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-04-30$5,490,776
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-04-30$5,490,776
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-04-30$3,811
Expenses. Payments to insurance carriers foe the provision of benefits2021-04-30$1,605,606
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-04-30Yes
Was there a failure to transmit to the plan any participant contributions2021-04-30No
Has the plan failed to provide any benefit when due under the plan2021-04-30No
Contributions received in cash from employer2021-04-30$9,260,486
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-04-30$8,179,337
Did the plan have assets held for investment2021-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-04-30No
Opinion of an independent qualified public accountant for this plan2021-04-30Unqualified
Accountancy firm name2021-04-30GILMORE JASION MAHLER, LTD.
Accountancy firm EIN2021-04-30341827159
2020 : TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-04-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-04-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-04-30$0
Total income from all sources (including contributions)2020-04-30$11,936,595
Total loss/gain on sale of assets2020-04-30$0
Total of all expenses incurred2020-04-30$11,188,214
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-04-30$10,793,265
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-04-30$11,840,787
Value of total assets at end of year2020-04-30$5,490,776
Value of total assets at beginning of year2020-04-30$4,742,395
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-04-30$394,949
Total interest from all sources2020-04-30$95,808
Total dividends received (eg from common stock, registered investment company shares)2020-04-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-04-30No
Was this plan covered by a fidelity bond2020-04-30Yes
Value of fidelity bond cover2020-04-30$500,000
If this is an individual account plan, was there a blackout period2020-04-30No
Were there any nonexempt tranactions with any party-in-interest2020-04-30No
Contributions received from participants2020-04-30$2,774,233
Administrative expenses (other) incurred2020-04-30$394,949
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-04-30No
Value of net income/loss2020-04-30$748,381
Value of net assets at end of year (total assets less liabilities)2020-04-30$5,490,776
Value of net assets at beginning of year (total assets less liabilities)2020-04-30$4,742,395
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-04-30No
Were any leases to which the plan was party in default or uncollectible2020-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-04-30$5,490,776
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-04-30$4,742,395
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-04-30$4,742,395
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-04-30$95,808
Expenses. Payments to insurance carriers foe the provision of benefits2020-04-30$1,940,613
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-04-30Yes
Was there a failure to transmit to the plan any participant contributions2020-04-30No
Has the plan failed to provide any benefit when due under the plan2020-04-30No
Contributions received in cash from employer2020-04-30$9,066,554
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-04-30$8,852,652
Did the plan have assets held for investment2020-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-04-30No
Opinion of an independent qualified public accountant for this plan2020-04-30Unqualified
Accountancy firm name2020-04-30GILMORE JASION MAHLER, LTD.
Accountancy firm EIN2020-04-30341827159
2019 : TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-04-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-04-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-04-30$0
Total income from all sources (including contributions)2019-04-30$12,859,092
Total loss/gain on sale of assets2019-04-30$0
Total of all expenses incurred2019-04-30$10,558,929
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-04-30$10,112,528
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-04-30$12,801,088
Value of total assets at end of year2019-04-30$4,742,395
Value of total assets at beginning of year2019-04-30$2,442,232
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-04-30$446,401
Total interest from all sources2019-04-30$58,004
Total dividends received (eg from common stock, registered investment company shares)2019-04-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-04-30No
Was this plan covered by a fidelity bond2019-04-30Yes
Value of fidelity bond cover2019-04-30$500,000
If this is an individual account plan, was there a blackout period2019-04-30No
Were there any nonexempt tranactions with any party-in-interest2019-04-30No
Contributions received from participants2019-04-30$2,762,790
Administrative expenses (other) incurred2019-04-30$446,401
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-04-30No
Value of net income/loss2019-04-30$2,300,163
Value of net assets at end of year (total assets less liabilities)2019-04-30$4,742,395
Value of net assets at beginning of year (total assets less liabilities)2019-04-30$2,442,232
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-04-30No
Were any leases to which the plan was party in default or uncollectible2019-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-04-30$4,742,395
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-04-30$2,442,232
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-04-30$2,442,232
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-04-30$58,004
Expenses. Payments to insurance carriers foe the provision of benefits2019-04-30$1,840,814
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-04-30Yes
Was there a failure to transmit to the plan any participant contributions2019-04-30No
Has the plan failed to provide any benefit when due under the plan2019-04-30No
Contributions received in cash from employer2019-04-30$10,038,298
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-04-30$8,271,714
Did the plan have assets held for investment2019-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-04-30No
Opinion of an independent qualified public accountant for this plan2019-04-30Unqualified
Accountancy firm name2019-04-30GILMORE JASION MAHLER, LTD.
Accountancy firm EIN2019-04-30341827159
2018 : TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-04-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-04-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-04-30$0
Total income from all sources (including contributions)2018-04-30$11,787,835
Total loss/gain on sale of assets2018-04-30$0
Total of all expenses incurred2018-04-30$10,450,931
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-04-30$10,013,856
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-04-30$11,766,608
Value of total assets at end of year2018-04-30$2,442,232
Value of total assets at beginning of year2018-04-30$1,105,328
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-04-30$437,075
Total interest from all sources2018-04-30$21,227
Total dividends received (eg from common stock, registered investment company shares)2018-04-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-04-30No
Was this plan covered by a fidelity bond2018-04-30Yes
Value of fidelity bond cover2018-04-30$500,000
If this is an individual account plan, was there a blackout period2018-04-30No
Were there any nonexempt tranactions with any party-in-interest2018-04-30No
Contributions received from participants2018-04-30$2,539,232
Administrative expenses (other) incurred2018-04-30$437,075
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-04-30No
Value of net income/loss2018-04-30$1,336,904
Value of net assets at end of year (total assets less liabilities)2018-04-30$2,442,232
Value of net assets at beginning of year (total assets less liabilities)2018-04-30$1,105,328
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-04-30No
Were any leases to which the plan was party in default or uncollectible2018-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-04-30$2,442,232
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-04-30$1,105,328
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-04-30$1,105,328
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-04-30$21,227
Expenses. Payments to insurance carriers foe the provision of benefits2018-04-30$1,329,195
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-04-30Yes
Was there a failure to transmit to the plan any participant contributions2018-04-30No
Has the plan failed to provide any benefit when due under the plan2018-04-30No
Contributions received in cash from employer2018-04-30$9,227,376
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-04-30$8,684,661
Did the plan have assets held for investment2018-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-04-30No
Opinion of an independent qualified public accountant for this plan2018-04-30Unqualified
Accountancy firm name2018-04-30GILMORE JASION MAHLER, LTD
Accountancy firm EIN2018-04-30341827159
2017 : TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-04-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-04-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-04-30$0
Total income from all sources (including contributions)2017-04-30$9,510,463
Total loss/gain on sale of assets2017-04-30$0
Total of all expenses incurred2017-04-30$9,432,167
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-04-30$8,995,312
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-04-30$9,497,427
Value of total assets at end of year2017-04-30$1,105,328
Value of total assets at beginning of year2017-04-30$1,027,032
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-04-30$436,855
Total interest from all sources2017-04-30$13,036
Total dividends received (eg from common stock, registered investment company shares)2017-04-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-04-30No
Was this plan covered by a fidelity bond2017-04-30Yes
Value of fidelity bond cover2017-04-30$500,000
If this is an individual account plan, was there a blackout period2017-04-30No
Were there any nonexempt tranactions with any party-in-interest2017-04-30No
Contributions received from participants2017-04-30$2,046,504
Administrative expenses (other) incurred2017-04-30$436,855
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-04-30No
Value of net income/loss2017-04-30$78,296
Value of net assets at end of year (total assets less liabilities)2017-04-30$1,105,328
Value of net assets at beginning of year (total assets less liabilities)2017-04-30$1,027,032
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-04-30No
Were any leases to which the plan was party in default or uncollectible2017-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-04-30$1,105,328
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-04-30$1,027,032
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-04-30$1,027,032
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-04-30$13,036
Expenses. Payments to insurance carriers foe the provision of benefits2017-04-30$1,212,253
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-04-30Yes
Was there a failure to transmit to the plan any participant contributions2017-04-30No
Has the plan failed to provide any benefit when due under the plan2017-04-30No
Contributions received in cash from employer2017-04-30$7,450,923
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-04-30$7,783,059
Did the plan have assets held for investment2017-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-04-30No
Opinion of an independent qualified public accountant for this plan2017-04-30Unqualified
Accountancy firm name2017-04-30GILMORE JASION MAHLER, LTD
Accountancy firm EIN2017-04-30341827159
2016 : TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-04-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-04-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-04-30$0
Total income from all sources (including contributions)2016-04-30$8,575,130
Total loss/gain on sale of assets2016-04-30$0
Total of all expenses incurred2016-04-30$8,759,506
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-04-30$8,368,888
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-04-30$8,563,021
Value of total assets at end of year2016-04-30$1,027,032
Value of total assets at beginning of year2016-04-30$1,211,408
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-04-30$390,618
Total interest from all sources2016-04-30$12,109
Total dividends received (eg from common stock, registered investment company shares)2016-04-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-04-30No
Was this plan covered by a fidelity bond2016-04-30Yes
Value of fidelity bond cover2016-04-30$500,000
If this is an individual account plan, was there a blackout period2016-04-30No
Were there any nonexempt tranactions with any party-in-interest2016-04-30No
Contributions received from participants2016-04-30$1,631,659
Administrative expenses (other) incurred2016-04-30$390,618
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-04-30No
Value of net income/loss2016-04-30$-184,376
Value of net assets at end of year (total assets less liabilities)2016-04-30$1,027,032
Value of net assets at beginning of year (total assets less liabilities)2016-04-30$1,211,408
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-04-30No
Were any leases to which the plan was party in default or uncollectible2016-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-04-30$1,027,032
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-04-30$1,211,408
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-04-30$1,211,408
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-04-30$12,109
Expenses. Payments to insurance carriers foe the provision of benefits2016-04-30$531,261
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-04-30Yes
Was there a failure to transmit to the plan any participant contributions2016-04-30No
Has the plan failed to provide any benefit when due under the plan2016-04-30No
Contributions received in cash from employer2016-04-30$6,931,362
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-04-30$7,837,627
Did the plan have assets held for investment2016-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-04-30No
Opinion of an independent qualified public accountant for this plan2016-04-30Unqualified
Accountancy firm name2016-04-30GILMORE JASION MAHLER, LTD
Accountancy firm EIN2016-04-30341827159
2015 : TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-04-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-04-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-04-30$0
Total income from all sources (including contributions)2015-04-30$6,721,986
Total loss/gain on sale of assets2015-04-30$0
Total of all expenses incurred2015-04-30$7,526,608
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-04-30$7,148,846
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-04-30$6,720,965
Value of total assets at end of year2015-04-30$1,211,408
Value of total assets at beginning of year2015-04-30$2,016,030
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-04-30$377,762
Total interest from all sources2015-04-30$1,021
Total dividends received (eg from common stock, registered investment company shares)2015-04-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-04-30No
Was this plan covered by a fidelity bond2015-04-30Yes
Value of fidelity bond cover2015-04-30$500,000
If this is an individual account plan, was there a blackout period2015-04-30No
Were there any nonexempt tranactions with any party-in-interest2015-04-30No
Contributions received from participants2015-04-30$1,263,532
Administrative expenses (other) incurred2015-04-30$377,762
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-04-30No
Value of net income/loss2015-04-30$-804,622
Value of net assets at end of year (total assets less liabilities)2015-04-30$1,211,408
Value of net assets at beginning of year (total assets less liabilities)2015-04-30$2,016,030
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-04-30No
Were any leases to which the plan was party in default or uncollectible2015-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-04-30$1,211,408
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-04-30$2,016,030
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-04-30$2,016,030
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-04-30$1,021
Expenses. Payments to insurance carriers foe the provision of benefits2015-04-30$503,620
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-04-30Yes
Was there a failure to transmit to the plan any participant contributions2015-04-30No
Has the plan failed to provide any benefit when due under the plan2015-04-30No
Contributions received in cash from employer2015-04-30$5,457,433
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-04-30$6,645,226
Did the plan have assets held for investment2015-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-04-30No
Opinion of an independent qualified public accountant for this plan2015-04-30Unqualified
Accountancy firm name2015-04-30GILMORE JASION MAHLER, LTD
Accountancy firm EIN2015-04-30341827159
2014 : TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-04-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-04-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-04-30$0
Total income from all sources (including contributions)2014-04-30$6,361,473
Total loss/gain on sale of assets2014-04-30$0
Total of all expenses incurred2014-04-30$6,306,804
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-04-30$5,949,691
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-04-30$6,361,407
Value of total assets at end of year2014-04-30$2,016,030
Value of total assets at beginning of year2014-04-30$1,961,361
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-04-30$357,113
Total interest from all sources2014-04-30$66
Total dividends received (eg from common stock, registered investment company shares)2014-04-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-04-30No
Was this plan covered by a fidelity bond2014-04-30Yes
Value of fidelity bond cover2014-04-30$500,000
If this is an individual account plan, was there a blackout period2014-04-30No
Were there any nonexempt tranactions with any party-in-interest2014-04-30No
Contributions received from participants2014-04-30$1,100,857
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-04-30$6
Administrative expenses (other) incurred2014-04-30$357,113
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-04-30No
Value of net income/loss2014-04-30$54,669
Value of net assets at end of year (total assets less liabilities)2014-04-30$2,016,030
Value of net assets at beginning of year (total assets less liabilities)2014-04-30$1,961,361
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-04-30No
Were any leases to which the plan was party in default or uncollectible2014-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-04-30$2,016,030
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-04-30$1,961,355
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-04-30$1,961,355
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-04-30$66
Expenses. Payments to insurance carriers foe the provision of benefits2014-04-30$419,252
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-04-30Yes
Was there a failure to transmit to the plan any participant contributions2014-04-30No
Has the plan failed to provide any benefit when due under the plan2014-04-30No
Contributions received in cash from employer2014-04-30$5,260,550
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-04-30$5,530,439
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-04-30No
Did the plan have assets held for investment2014-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-04-30No
Opinion of an independent qualified public accountant for this plan2014-04-30Unqualified
Accountancy firm name2014-04-30GILMORE JASION MAHLER, LTD
Accountancy firm EIN2014-04-30341827159
2013 : TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-04-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-04-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-04-30$0
Total income from all sources (including contributions)2013-04-30$6,552,889
Total loss/gain on sale of assets2013-04-30$0
Total of all expenses incurred2013-04-30$5,402,134
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-04-30$5,084,038
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-04-30$6,552,840
Value of total assets at end of year2013-04-30$1,961,361
Value of total assets at beginning of year2013-04-30$810,606
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-04-30$318,096
Total interest from all sources2013-04-30$49
Total dividends received (eg from common stock, registered investment company shares)2013-04-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-04-30No
Was this plan covered by a fidelity bond2013-04-30Yes
Value of fidelity bond cover2013-04-30$500,000
If this is an individual account plan, was there a blackout period2013-04-30No
Were there any nonexempt tranactions with any party-in-interest2013-04-30No
Contributions received from participants2013-04-30$1,095,447
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-04-30$6
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-04-30$4
Administrative expenses (other) incurred2013-04-30$318,096
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-04-30No
Value of net income/loss2013-04-30$1,150,755
Value of net assets at end of year (total assets less liabilities)2013-04-30$1,961,361
Value of net assets at beginning of year (total assets less liabilities)2013-04-30$810,606
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-04-30No
Were any leases to which the plan was party in default or uncollectible2013-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-04-30$1,961,355
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-04-30$810,602
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-04-30$810,602
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-04-30$49
Expenses. Payments to insurance carriers foe the provision of benefits2013-04-30$402,438
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-04-30Yes
Was there a failure to transmit to the plan any participant contributions2013-04-30No
Has the plan failed to provide any benefit when due under the plan2013-04-30No
Contributions received in cash from employer2013-04-30$5,457,393
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-04-30$4,681,600
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-04-30No
Did the plan have assets held for investment2013-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-04-30No
Opinion of an independent qualified public accountant for this plan2013-04-30Unqualified
Accountancy firm name2013-04-30GILMORE, JASION, & MAHLER, LTD
Accountancy firm EIN2013-04-30341827159
2012 : TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-04-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-04-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-04-30$0
Total income from all sources (including contributions)2012-04-30$5,670,499
Total loss/gain on sale of assets2012-04-30$0
Total of all expenses incurred2012-04-30$5,159,814
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-04-30$4,870,961
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-04-30$5,670,467
Value of total assets at end of year2012-04-30$810,606
Value of total assets at beginning of year2012-04-30$299,921
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-04-30$288,853
Total interest from all sources2012-04-30$32
Total dividends received (eg from common stock, registered investment company shares)2012-04-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-04-30No
Was this plan covered by a fidelity bond2012-04-30Yes
Value of fidelity bond cover2012-04-30$500,000
If this is an individual account plan, was there a blackout period2012-04-30No
Were there any nonexempt tranactions with any party-in-interest2012-04-30No
Contributions received from participants2012-04-30$983,287
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-04-30$4
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-04-30$2
Administrative expenses (other) incurred2012-04-30$288,853
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-04-30No
Value of net income/loss2012-04-30$510,685
Value of net assets at end of year (total assets less liabilities)2012-04-30$810,606
Value of net assets at beginning of year (total assets less liabilities)2012-04-30$299,921
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-04-30No
Were any leases to which the plan was party in default or uncollectible2012-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-04-30$810,602
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-04-30$299,919
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-04-30$299,919
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-04-30$32
Expenses. Payments to insurance carriers foe the provision of benefits2012-04-30$314,077
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-04-30Yes
Was there a failure to transmit to the plan any participant contributions2012-04-30No
Has the plan failed to provide any benefit when due under the plan2012-04-30No
Contributions received in cash from employer2012-04-30$4,687,180
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-04-30$4,556,884
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-04-30No
Did the plan have assets held for investment2012-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-04-30No
Opinion of an independent qualified public accountant for this plan2012-04-30Unqualified
Accountancy firm name2012-04-30GILMORE, JASION, & MAHLER, LTD
Accountancy firm EIN2012-04-30341827159
2011 : TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-04-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-04-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-04-30$0
Total income from all sources (including contributions)2011-04-30$5,138,935
Total loss/gain on sale of assets2011-04-30$0
Total of all expenses incurred2011-04-30$4,853,210
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-04-30$4,579,674
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-04-30$5,138,898
Value of total assets at end of year2011-04-30$299,921
Value of total assets at beginning of year2011-04-30$14,196
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-04-30$273,536
Total interest from all sources2011-04-30$37
Total dividends received (eg from common stock, registered investment company shares)2011-04-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-04-30No
Was this plan covered by a fidelity bond2011-04-30Yes
Value of fidelity bond cover2011-04-30$500,000
If this is an individual account plan, was there a blackout period2011-04-30No
Were there any nonexempt tranactions with any party-in-interest2011-04-30No
Contributions received from participants2011-04-30$828,032
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-04-30$2
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-04-30$6
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-04-30No
Value of net income/loss2011-04-30$285,725
Value of net assets at end of year (total assets less liabilities)2011-04-30$299,921
Value of net assets at beginning of year (total assets less liabilities)2011-04-30$14,196
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-04-30No
Were any leases to which the plan was party in default or uncollectible2011-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-04-30$299,919
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-04-30$14,190
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-04-30$14,190
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-04-30$37
Expenses. Payments to insurance carriers foe the provision of benefits2011-04-30$223,211
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-04-30Yes
Was there a failure to transmit to the plan any participant contributions2011-04-30No
Has the plan failed to provide any benefit when due under the plan2011-04-30No
Contributions received in cash from employer2011-04-30$4,310,866
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-04-30$4,356,463
Contract administrator fees2011-04-30$273,536
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-04-30No
Did the plan have assets held for investment2011-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-04-30No
Opinion of an independent qualified public accountant for this plan2011-04-30Unqualified
Accountancy firm name2011-04-30GILMORE, JASION, & MAHLER, LTD
Accountancy firm EIN2011-04-30341827159

Form 5500 Responses for TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS

2022: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Submission has been amendedNo
2022-05-01This submission is the final filingNo
2022-05-01This return/report is a short plan year return/report (less than 12 months)No
2022-05-01Plan is a collectively bargained planNo
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan funding arrangement – TrustYes
2022-05-01Plan benefit arrangement – InsuranceYes
2022-05-01Plan benefit arrangement - TrustYes
2021: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01Submission has been amendedNo
2021-05-01This submission is the final filingNo
2021-05-01This return/report is a short plan year return/report (less than 12 months)No
2021-05-01Plan is a collectively bargained planNo
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan funding arrangement – TrustYes
2021-05-01Plan benefit arrangement – InsuranceYes
2021-05-01Plan benefit arrangement - TrustYes
2020: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01Submission has been amendedNo
2020-05-01This submission is the final filingNo
2020-05-01This return/report is a short plan year return/report (less than 12 months)No
2020-05-01Plan is a collectively bargained planNo
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan funding arrangement – TrustYes
2020-05-01Plan benefit arrangement – InsuranceYes
2020-05-01Plan benefit arrangement - TrustYes
2019: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Submission has been amendedNo
2019-05-01This submission is the final filingNo
2019-05-01This return/report is a short plan year return/report (less than 12 months)No
2019-05-01Plan is a collectively bargained planNo
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan funding arrangement – TrustYes
2019-05-01Plan benefit arrangement – InsuranceYes
2019-05-01Plan benefit arrangement - TrustYes
2018: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01Submission has been amendedNo
2018-05-01This submission is the final filingNo
2018-05-01This return/report is a short plan year return/report (less than 12 months)No
2018-05-01Plan is a collectively bargained planNo
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan funding arrangement – TrustYes
2018-05-01Plan benefit arrangement – InsuranceYes
2018-05-01Plan benefit arrangement - TrustYes
2017: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Submission has been amendedNo
2017-05-01This submission is the final filingNo
2017-05-01This return/report is a short plan year return/report (less than 12 months)No
2017-05-01Plan is a collectively bargained planNo
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan funding arrangement – TrustYes
2017-05-01Plan benefit arrangement – InsuranceYes
2017-05-01Plan benefit arrangement - TrustYes
2016: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Submission has been amendedNo
2016-05-01This submission is the final filingNo
2016-05-01This return/report is a short plan year return/report (less than 12 months)No
2016-05-01Plan is a collectively bargained planNo
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan funding arrangement – TrustYes
2016-05-01Plan benefit arrangement – InsuranceYes
2016-05-01Plan benefit arrangement - TrustYes
2015: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)No
2015-05-01Plan is a collectively bargained planNo
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan funding arrangement – TrustYes
2015-05-01Plan benefit arrangement – InsuranceYes
2015-05-01Plan benefit arrangement - TrustYes
2014: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Submission has been amendedNo
2014-05-01This submission is the final filingNo
2014-05-01This return/report is a short plan year return/report (less than 12 months)No
2014-05-01Plan is a collectively bargained planNo
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan funding arrangement – TrustYes
2014-05-01Plan benefit arrangement – InsuranceYes
2014-05-01Plan benefit arrangement - TrustYes
2013: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Submission has been amendedNo
2013-05-01This submission is the final filingNo
2013-05-01This return/report is a short plan year return/report (less than 12 months)No
2013-05-01Plan is a collectively bargained planNo
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan funding arrangement – TrustYes
2013-05-01Plan benefit arrangement – InsuranceYes
2013-05-01Plan benefit arrangement - TrustYes
2012: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Submission has been amendedNo
2012-05-01This submission is the final filingNo
2012-05-01This return/report is a short plan year return/report (less than 12 months)No
2012-05-01Plan is a collectively bargained planNo
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan funding arrangement – TrustYes
2012-05-01Plan benefit arrangement – InsuranceYes
2012-05-01Plan benefit arrangement - TrustYes
2011: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Submission has been amendedNo
2011-05-01This submission is the final filingNo
2011-05-01This return/report is a short plan year return/report (less than 12 months)No
2011-05-01Plan is a collectively bargained planNo
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan funding arrangement – TrustYes
2011-05-01Plan benefit arrangement – InsuranceYes
2011-05-01Plan benefit arrangement - TrustYes
2009: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2009 form 5500 responses
2009-05-01Type of plan entitySingle employer plan
2009-05-01Submission has been amendedNo
2009-05-01This submission is the final filingNo
2009-05-01This return/report is a short plan year return/report (less than 12 months)No
2009-05-01Plan is a collectively bargained planNo
2009-05-01Plan funding arrangement – InsuranceYes
2009-05-01Plan funding arrangement – TrustYes
2009-05-01Plan benefit arrangement – InsuranceYes
2009-05-01Plan benefit arrangement - TrustYes
2008: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2008 form 5500 responses
2008-05-01Type of plan entitySingle employer plan
2008-05-01Submission has been amendedNo
2008-05-01This submission is the final filingNo
2008-05-01This return/report is a short plan year return/report (less than 12 months)No
2008-05-01Plan is a collectively bargained planNo
2008-05-01Plan funding arrangement – InsuranceYes
2008-05-01Plan funding arrangement – TrustYes
2008-05-01Plan benefit arrangement – InsuranceYes
2008-05-01Plan benefit arrangement - TrustYes
2007: TOLEDO CLINIC INC GROUP HEALTH INSURANCE PLANS 2007 form 5500 responses
2007-11-01Type of plan entitySingle employer plan
2007-11-01Submission has been amendedNo
2007-11-01This submission is the final filingNo
2007-11-01This return/report is a short plan year return/report (less than 12 months)Yes
2007-11-01Plan is a collectively bargained planNo
2007-11-01Plan funding arrangement – InsuranceYes
2007-11-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number029163
Policy instance 3
Insurance contract or identification number029163
Number of Individuals Covered1367
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $9,250
Total amount of fees paid to insurance companyUSD $0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $77,422
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,708
Insurance broker organization code?3
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract number441414
Policy instance 2
Insurance contract or identification number441414
Number of Individuals Covered778
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $12,016
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
Welfare Benefit Premiums Paid to CarrierUSD $1,026,817
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees12016
Additional information about fees paid to insurance brokerBONUS AND/OR ADMINISTRATIVE FEES
Insurance broker organization code?3
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number5062
Policy instance 1
Insurance contract or identification number5062
Number of Individuals Covered1612
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
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 BenefitNo
Dental Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract number441414
Policy instance 2
Insurance contract or identification number441414
Number of Individuals Covered765
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $13,610
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
Welfare Benefit Premiums Paid to CarrierUSD $945,935
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees13610
Additional information about fees paid to insurance brokerBONUS AND/OR ADMINISTRATIVE FEES
Insurance broker organization code?3
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number5062
Policy instance 1
Insurance contract or identification number5062
Number of Individuals Covered1530
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
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 BenefitNo
Dental Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number5062
Policy instance 1
Insurance contract or identification number5062
Number of Individuals Covered1693
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 BenefitNo
Dental Insurance Welfare BenefitYes
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
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract number441414
Policy instance 2
Insurance contract or identification number441414
Number of Individuals Covered833
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $13,323
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
Welfare Benefit Premiums Paid to CarrierUSD $867,255
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees13323
Additional information about fees paid to insurance brokerBONUS AND/OR ADMINISTRATIVE FEES
Insurance broker organization code?3
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract number441414
Policy instance 2
Insurance contract or identification number441414
Number of Individuals Covered851
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $11,726
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
Welfare Benefit Premiums Paid to CarrierUSD $825,467
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees11726
Additional information about fees paid to insurance brokerBONUS AND/OR ADMINISTRATIVE FEES
Insurance broker organization code?3
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number5062
Policy instance 1
Insurance contract or identification number5062
Number of Individuals Covered1760
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,871
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 BenefitNo
Dental Insurance Welfare BenefitYes
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
Amount paid for insurance broker fees2871
Additional information about fees paid to insurance brokerNEW BUSINESS BONUS
Insurance broker organization code?3
PARAMOUNT HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95189 )
Policy contract number030996 & 031552
Policy instance 2
Insurance contract or identification number030996 & 031552
Number of Individuals Covered1635
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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
Welfare Benefit Premiums Paid to CarrierUSD $774,698
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number5062
Policy instance 1
Insurance contract or identification number5062
Number of Individuals Covered1829
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,252
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 BenefitNo
Dental Insurance Welfare BenefitYes
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
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees2252
Additional information about fees paid to insurance brokerNEW BUSINESS BONUS
Insurance broker organization code?3
PARAMOUNT HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95189 )
Policy contract number030996 & 031552
Policy instance 2
Insurance contract or identification number030996 & 031552
Number of Individuals Covered1596
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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
Welfare Benefit Premiums Paid to CarrierUSD $639,051
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number5062
Policy instance 1
Insurance contract or identification number5062
Number of Individuals Covered1761
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 BenefitNo
Dental Insurance Welfare BenefitYes
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
PARAMOUNT HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95189 )
Policy contract number0310996
Policy instance 2
Insurance contract or identification number0310996
Number of Individuals Covered1547
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
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 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
Welfare Benefit Premiums Paid to CarrierUSD $552,137
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number0005062
Policy instance 1
Insurance contract or identification number0005062
Number of Individuals Covered1679
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 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 BenefitNo
Dental Insurance Welfare BenefitYes
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
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number0005062
Policy instance 2
Insurance contract or identification number0005062
Number of Individuals Covered1606
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 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 BenefitNo
Dental Insurance Welfare BenefitYes
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
PARAMOUNT HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95189 )
Policy contract number030996
Policy instance 1
Insurance contract or identification number030996
Number of Individuals Covered1458
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 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
Welfare Benefit Premiums Paid to CarrierUSD $533,048
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PARAMOUNT HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95189 )
Policy contract number030475
Policy instance 1
Insurance contract or identification number030475
Number of Individuals Covered1393
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 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
Welfare Benefit Premiums Paid to CarrierUSD $516,549
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number0005062
Policy instance 2
Insurance contract or identification number0005062
Number of Individuals Covered1467
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 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 BenefitNo
Dental Insurance Welfare BenefitYes
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
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number0005062
Policy instance 2
Insurance contract or identification number0005062
Number of Individuals Covered1368
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 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 BenefitNo
Dental Insurance Welfare BenefitYes
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
PARAMOUNT HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95189 )
Policy contract number030475
Policy instance 1
Insurance contract or identification number030475
Number of Individuals Covered1296
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 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
Welfare Benefit Premiums Paid to CarrierUSD $460,534
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number0005062
Policy instance 1
Insurance contract or identification number0005062
Number of Individuals Covered1263
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $1,000
Total amount of fees paid to insurance companyUSD $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 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 BenefitNo
Dental Insurance Welfare BenefitYes
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
PARAMOUNT HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95189 )
Policy contract number030475
Policy instance 2
Insurance contract or identification number030475
Number of Individuals Covered1212
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 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
Welfare Benefit Premiums Paid to CarrierUSD $393,045
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number0005062
Policy instance 1
Insurance contract or identification number0005062
Number of Individuals Covered1102
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 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 BenefitNo
Dental Insurance Welfare BenefitYes
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
PARAMOUNT HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95189 )
Policy contract number030475
Policy instance 2
Insurance contract or identification number030475
Number of Individuals Covered1083
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 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
Welfare Benefit Premiums Paid to CarrierUSD $352,374
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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