INTERNATIONAL UNION, UAW has sponsored the creation of one or more 401k plans.
Measure | Date | Value |
---|
2022: HOSPITAL AND HEALTH BENEFITS 2022 401k membership |
---|
Total participants, beginning-of-year | 2022-01-01 | 682 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 679 |
Number of retired or separated participants receiving benefits | 2022-01-01 | 14 |
Total of all active and inactive participants | 2022-01-01 | 693 |
2021: HOSPITAL AND HEALTH BENEFITS 2021 401k membership |
---|
Total participants, beginning-of-year | 2021-01-01 | 625 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 670 |
Number of retired or separated participants receiving benefits | 2021-01-01 | 12 |
Total of all active and inactive participants | 2021-01-01 | 682 |
2020: HOSPITAL AND HEALTH BENEFITS 2020 401k membership |
---|
Total participants, beginning-of-year | 2020-01-01 | 607 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 620 |
Number of retired or separated participants receiving benefits | 2020-01-01 | 5 |
Total of all active and inactive participants | 2020-01-01 | 625 |
2019: HOSPITAL AND HEALTH BENEFITS 2019 401k membership |
---|
Total participants, beginning-of-year | 2019-01-01 | 652 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 601 |
Number of retired or separated participants receiving benefits | 2019-01-01 | 6 |
Total of all active and inactive participants | 2019-01-01 | 607 |
2018: HOSPITAL AND HEALTH BENEFITS 2018 401k membership |
---|
Total participants, beginning-of-year | 2018-01-01 | 670 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 643 |
Number of retired or separated participants receiving benefits | 2018-01-01 | 9 |
Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 0 |
Total of all active and inactive participants | 2018-01-01 | 652 |
2017: HOSPITAL AND HEALTH BENEFITS 2017 401k membership |
---|
Total participants, beginning-of-year | 2017-01-01 | 664 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 667 |
Number of retired or separated participants receiving benefits | 2017-01-01 | 3 |
Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 0 |
Total of all active and inactive participants | 2017-01-01 | 670 |
2016: HOSPITAL AND HEALTH BENEFITS 2016 401k membership |
---|
Total participants, beginning-of-year | 2016-01-01 | 2,158 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 657 |
Number of retired or separated participants receiving benefits | 2016-01-01 | 7 |
Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 0 |
Total of all active and inactive participants | 2016-01-01 | 664 |
Total participants | 2016-01-01 | 664 |
2015: HOSPITAL AND HEALTH BENEFITS 2015 401k membership |
---|
Total participants, beginning-of-year | 2015-01-01 | 2,144 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 624 |
Number of retired or separated participants receiving benefits | 2015-01-01 | 1,227 |
Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 0 |
Total of all active and inactive participants | 2015-01-01 | 1,851 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2015-01-01 | 307 |
Total participants | 2015-01-01 | 2,158 |
2014: HOSPITAL AND HEALTH BENEFITS 2014 401k membership |
---|
Total participants, beginning-of-year | 2014-01-01 | 2,164 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 582 |
Number of retired or separated participants receiving benefits | 2014-01-01 | 1,237 |
Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 0 |
Total of all active and inactive participants | 2014-01-01 | 1,819 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2014-01-01 | 325 |
Total participants | 2014-01-01 | 2,144 |
2013: HOSPITAL AND HEALTH BENEFITS 2013 401k membership |
---|
Total participants, beginning-of-year | 2013-01-01 | 2,537 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 642 |
Number of retired or separated participants receiving benefits | 2013-01-01 | 1,195 |
Total of all active and inactive participants | 2013-01-01 | 1,837 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2013-01-01 | 327 |
Total participants | 2013-01-01 | 2,164 |
2012: HOSPITAL AND HEALTH BENEFITS 2012 401k membership |
---|
Total participants, beginning-of-year | 2012-01-01 | 2,599 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 754 |
Number of retired or separated participants receiving benefits | 2012-01-01 | 1,393 |
Total of all active and inactive participants | 2012-01-01 | 2,147 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2012-01-01 | 390 |
Total participants | 2012-01-01 | 2,537 |
2011: HOSPITAL AND HEALTH BENEFITS 2011 401k membership |
---|
Total participants, beginning-of-year | 2011-01-01 | 2,587 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 783 |
Number of retired or separated participants receiving benefits | 2011-01-01 | 1,429 |
Total of all active and inactive participants | 2011-01-01 | 2,212 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2011-01-01 | 387 |
Total participants | 2011-01-01 | 2,599 |
2010: HOSPITAL AND HEALTH BENEFITS 2010 401k membership |
---|
Total participants, beginning-of-year | 2010-01-01 | 2,758 |
Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 791 |
Number of retired or separated participants receiving benefits | 2010-01-01 | 1,417 |
Total of all active and inactive participants | 2010-01-01 | 2,208 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2010-01-01 | 379 |
Total participants | 2010-01-01 | 2,587 |
2009: HOSPITAL AND HEALTH BENEFITS 2009 401k membership |
---|
Total participants, beginning-of-year | 2009-01-01 | 2,246 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 830 |
Number of retired or separated participants receiving benefits | 2009-01-01 | 1,525 |
Total of all active and inactive participants | 2009-01-01 | 2,355 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-01-01 | 403 |
Total participants | 2009-01-01 | 2,758 |
2022: HOSPITAL AND HEALTH BENEFITS 2022 form 5500 responses |
---|
2022-01-01 | Type of plan entity | Single employer plan |
2022-01-01 | Plan is a collectively bargained plan | Yes |
2022-01-01 | Plan funding arrangement – Insurance | Yes |
2022-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2022-01-01 | Plan benefit arrangement – Insurance | Yes |
2022-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2021: HOSPITAL AND HEALTH BENEFITS 2021 form 5500 responses |
---|
2021-01-01 | Type of plan entity | Single employer plan |
2021-01-01 | Plan is a collectively bargained plan | Yes |
2021-01-01 | Plan funding arrangement – Insurance | Yes |
2021-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2021-01-01 | Plan benefit arrangement – Insurance | Yes |
2021-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2020: HOSPITAL AND HEALTH BENEFITS 2020 form 5500 responses |
---|
2020-01-01 | Type of plan entity | Single employer plan |
2020-01-01 | Plan is a collectively bargained plan | Yes |
2020-01-01 | Plan funding arrangement – Insurance | Yes |
2020-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2020-01-01 | Plan benefit arrangement – Insurance | Yes |
2020-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2019: HOSPITAL AND HEALTH BENEFITS 2019 form 5500 responses |
---|
2019-01-01 | Type of plan entity | Single employer plan |
2019-01-01 | Plan is a collectively bargained plan | Yes |
2019-01-01 | Plan funding arrangement – Insurance | Yes |
2019-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2019-01-01 | Plan benefit arrangement – Insurance | Yes |
2019-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2018: HOSPITAL AND HEALTH BENEFITS 2018 form 5500 responses |
---|
2018-01-01 | Type of plan entity | Single employer plan |
2018-01-01 | Plan is a collectively bargained plan | Yes |
2018-01-01 | Plan funding arrangement – Insurance | Yes |
2018-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2018-01-01 | Plan benefit arrangement – Insurance | Yes |
2018-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2017: HOSPITAL AND HEALTH BENEFITS 2017 form 5500 responses |
---|
2017-01-01 | Type of plan entity | Single employer plan |
2017-01-01 | Plan is a collectively bargained plan | Yes |
2017-01-01 | Plan funding arrangement – Insurance | Yes |
2017-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2017-01-01 | Plan benefit arrangement – Insurance | Yes |
2017-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2016: HOSPITAL AND HEALTH BENEFITS 2016 form 5500 responses |
---|
2016-01-01 | Type of plan entity | Single employer plan |
2016-01-01 | Plan is a collectively bargained plan | Yes |
2016-01-01 | Plan funding arrangement – Insurance | Yes |
2016-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2016-01-01 | Plan benefit arrangement – Insurance | Yes |
2016-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2015: HOSPITAL AND HEALTH BENEFITS 2015 form 5500 responses |
---|
2015-01-01 | Type of plan entity | Single employer plan |
2015-01-01 | Plan is a collectively bargained plan | Yes |
2015-01-01 | Plan funding arrangement – Insurance | Yes |
2015-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2015-01-01 | Plan benefit arrangement – Insurance | Yes |
2015-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2014: HOSPITAL AND HEALTH BENEFITS 2014 form 5500 responses |
---|
2014-01-01 | Type of plan entity | Single employer plan |
2014-01-01 | Plan is a collectively bargained plan | Yes |
2014-01-01 | Plan funding arrangement – Insurance | Yes |
2014-01-01 | Plan benefit arrangement – Insurance | Yes |
2013: HOSPITAL AND HEALTH BENEFITS 2013 form 5500 responses |
---|
2013-01-01 | Type of plan entity | Single employer plan |
2013-01-01 | Plan is a collectively bargained plan | Yes |
2013-01-01 | Plan funding arrangement – Insurance | Yes |
2013-01-01 | Plan benefit arrangement – Insurance | Yes |
2012: HOSPITAL AND HEALTH BENEFITS 2012 form 5500 responses |
---|
2012-01-01 | Type of plan entity | Single employer plan |
2012-01-01 | Submission has been amended | No |
2012-01-01 | This submission is the final filing | No |
2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2012-01-01 | Plan is a collectively bargained plan | Yes |
2012-01-01 | Plan funding arrangement – Insurance | Yes |
2012-01-01 | Plan benefit arrangement – Insurance | Yes |
2011: HOSPITAL AND HEALTH BENEFITS 2011 form 5500 responses |
---|
2011-01-01 | Type of plan entity | Single employer plan |
2011-01-01 | Submission has been amended | No |
2011-01-01 | This submission is the final filing | No |
2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2011-01-01 | Plan is a collectively bargained plan | Yes |
2011-01-01 | Plan funding arrangement – Insurance | Yes |
2011-01-01 | Plan benefit arrangement – Insurance | Yes |
2010: HOSPITAL AND HEALTH BENEFITS 2010 form 5500 responses |
---|
2010-01-01 | Type of plan entity | Single employer plan |
2010-01-01 | Submission has been amended | No |
2010-01-01 | This submission is the final filing | No |
2010-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2010-01-01 | Plan is a collectively bargained plan | Yes |
2010-01-01 | Plan funding arrangement – Insurance | Yes |
2010-01-01 | Plan benefit arrangement – Insurance | Yes |
2009: HOSPITAL AND HEALTH BENEFITS 2009 form 5500 responses |
---|
2009-01-01 | Type of plan entity | Single employer plan |
2009-01-01 | Submission has been amended | No |
2009-01-01 | This submission is the final filing | No |
2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2009-01-01 | Plan is a collectively bargained plan | Yes |
2009-01-01 | Plan funding arrangement – Insurance | Yes |
2009-01-01 | Plan benefit arrangement – Insurance | Yes |
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | UAW-001,003,004 |
Policy instance | 2 |
Insurance contract or identification number | UAW-001,003,004 | Number of Individuals Covered | 620 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $33,714 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 70605 |
Policy instance | 1 |
Insurance contract or identification number | 70605 | Number of Individuals Covered | 1650 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | UAW-001,003,004 |
Policy instance | 2 |
Insurance contract or identification number | UAW-001,003,004 | Number of Individuals Covered | 609 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $30,088 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 70605 |
Policy instance | 1 |
Insurance contract or identification number | 70605 | Number of Individuals Covered | 1651 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | UAW-001,003,004 |
Policy instance | 2 |
Insurance contract or identification number | UAW-001,003,004 | Number of Individuals Covered | 561 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $28,436 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 70605 |
Policy instance | 1 |
Insurance contract or identification number | 70605 | Number of Individuals Covered | 1584 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | UAW-001,003,004 |
Policy instance | 2 |
Insurance contract or identification number | UAW-001,003,004 | Number of Individuals Covered | 590 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $28,347 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 70605 |
Policy instance | 1 |
Insurance contract or identification number | 70605 | Number of Individuals Covered | 1623 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | UAW-001,003,004 |
Policy instance | 2 |
Insurance contract or identification number | UAW-001,003,004 | Number of Individuals Covered | 600 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $30,404 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 70605 |
Policy instance | 1 |
Insurance contract or identification number | 70605 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Health Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | UAW-001,003,004 |
Policy instance | 2 |
Insurance contract or identification number | UAW-001,003,004 | Number of Individuals Covered | 649 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Insurance broker name | HM LIFE INSURANCE COMPANY |
|
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 70605 |
Policy instance | 1 |
Insurance contract or identification number | 70605 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Health Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 70605 |
Policy instance | 1 |
Insurance contract or identification number | 70605 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Health Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | UAW-001,003,004 |
Policy instance | 2 |
Insurance contract or identification number | UAW-001,003,004 | Number of Individuals Covered | 1690 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Insurance broker name | HM LIFE INSURANCE COMPANY |
|
WISCONSIN VISION (National Association of Insurance Commissioners NAIC id number: ) |
Policy contract number | |
Policy instance | 3 |
Number of Individuals Covered | 40 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 70605 |
Policy instance | 1 |
Insurance contract or identification number | 70605 | Number of Individuals Covered | 2216 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Health Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | UAW-001 |
Policy instance | 2 |
Insurance contract or identification number | UAW-001 | Number of Individuals Covered | 1755 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Insurance broker name | HM LIFE INSURANCE COMPANY |
|
WISCONSIN VISION (National Association of Insurance Commissioners NAIC id number: ) |
Policy contract number | |
Policy instance | 3 |
Number of Individuals Covered | 39 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | UAW-001 |
Policy instance | 2 |
Insurance contract or identification number | UAW-001 | Number of Individuals Covered | 1822 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of fees paid to insurance company | USD $6,048 | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 6048 | Insurance broker name | HM LIFE INSURANCE COMPANY |
|
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 7163-33 |
Policy instance | 1 |
Insurance contract or identification number | 7163-33 | Number of Individuals Covered | 2164 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Health Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
WISCONSIN VISION (National Association of Insurance Commissioners NAIC id number: ) |
Policy contract number | |
Policy instance | 3 |
Number of Individuals Covered | 40 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 70605 |
Policy instance | 1 |
Insurance contract or identification number | 70605 | Number of Individuals Covered | 3186 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Health Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Were dividends or retroactive rate refunds paid in cash? | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
WISCONSIN VISION (National Association of Insurance Commissioners NAIC id number: ) |
Policy contract number | |
Policy instance | 3 |
Number of Individuals Covered | 43 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $5,597 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | UAW-001 |
Policy instance | 2 |
Insurance contract or identification number | UAW-001 | Number of Individuals Covered | 1990 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $148,568 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
WISCONSIN VISION (National Association of Insurance Commissioners NAIC id number: ) |
Policy contract number | |
Policy instance | 3 |
Number of Individuals Covered | 42 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $5,076 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | UAW-001 |
Policy instance | 2 |
Insurance contract or identification number | UAW-001 | Number of Individuals Covered | 1948 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of fees paid to insurance company | USD $6,202 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $137,830 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 70605 |
Policy instance | 1 |
Insurance contract or identification number | 70605 | Number of Individuals Covered | 3243 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-01-01 | Health Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
WISCONSIN VISION (National Association of Insurance Commissioners NAIC id number: ) |
Policy contract number | |
Policy instance | 3 |
Number of Individuals Covered | 41 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $5,538 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | UAW-001 |
Policy instance | 2 |
Insurance contract or identification number | UAW-001 | Number of Individuals Covered | 1948 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of fees paid to insurance company | USD $4,446 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $98,800 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | Insurance broker name | HIGHMARK LIFE INSURANCE COMPANY |
|
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 70605 |
Policy instance | 1 |
Insurance contract or identification number | 70605 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Health Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|