MEIJER, INC. has sponsored the creation of one or more 401k plans.
Additional information about MEIJER, INC.
| Measure | Date | Value |
|---|
| 2023 : MEIJER HEALTH BENEFITS PLAN 2023 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2023-01-28 | $-278,565 |
| Total unrealized appreciation/depreciation of assets | 2023-01-28 | $-278,565 |
| Total income from all sources (including contributions) | 2023-01-28 | $287,375,410 |
| Total loss/gain on sale of assets | 2023-01-28 | $-21,906 |
| Total of all expenses incurred | 2023-01-28 | $291,701,063 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2023-01-28 | $267,487,863 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2023-01-28 | $287,858,404 |
| Value of total assets at end of year | 2023-01-28 | $18,727,946 |
| Value of total assets at beginning of year | 2023-01-28 | $23,053,599 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2023-01-28 | $24,213,200 |
| Total interest from all sources | 2023-01-28 | $310,054 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2023-01-28 | No |
| Was this plan covered by a fidelity bond | 2023-01-28 | Yes |
| Value of fidelity bond cover | 2023-01-28 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2023-01-28 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2023-01-28 | No |
| Contributions received from participants | 2023-01-28 | $76,464,264 |
| Assets. Other investments not covered elsewhere at end of year | 2023-01-28 | $951,672 |
| Assets. Other investments not covered elsewhere at beginning of year | 2023-01-28 | $890,428 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2023-01-28 | $59,291 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2023-01-28 | $21,203 |
| Administrative expenses (other) incurred | 2023-01-28 | $8,300,885 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-01-28 | No |
| Value of net income/loss | 2023-01-28 | $-4,325,653 |
| Value of net assets at end of year (total assets less liabilities) | 2023-01-28 | $18,727,946 |
| Value of net assets at beginning of year (total assets less liabilities) | 2023-01-28 | $23,053,599 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2023-01-28 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2023-01-28 | No |
| Were any leases to which the plan was party in default or uncollectible | 2023-01-28 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2023-01-28 | $7,437,852 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2023-01-28 | $7,592,429 |
| Interest earned on other investments | 2023-01-28 | $51,768 |
| Income. Interest from US Government securities | 2023-01-28 | $8,857 |
| Income. Interest from corporate debt instruments | 2023-01-28 | $51,214 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2023-01-28 | $7,177,630 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2023-01-28 | $10,910,407 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2023-01-28 | $10,910,407 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2023-01-28 | $198,215 |
| Asset value of US Government securities at end of year | 2023-01-28 | $1,190,938 |
| Asset value of US Government securities at beginning of year | 2023-01-28 | $1,577,102 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2023-01-28 | $-492,577 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2023-01-28 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2023-01-28 | No |
| Has the plan failed to provide any benefit when due under the plan | 2023-01-28 | No |
| Contributions received in cash from employer | 2023-01-28 | $211,394,140 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2023-01-28 | $267,487,863 |
| Asset. Corporate debt instrument debt (other) at end of year | 2023-01-28 | $1,910,563 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2023-01-28 | $2,062,030 |
| Contract administrator fees | 2023-01-28 | $15,912,315 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2023-01-28 | No |
| Did the plan have assets held for investment | 2023-01-28 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-01-28 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2023-01-28 | No |
| Aggregate proceeds on sale of assets | 2023-01-28 | $13,561,135 |
| Aggregate carrying amount (costs) on sale of assets | 2023-01-28 | $13,583,041 |
| Opinion of an independent qualified public accountant for this plan | 2023-01-28 | Unqualified |
| Accountancy firm name | 2023-01-28 | HUNGERFORD NICHOLS |
| Accountancy firm EIN | 2023-01-28 | 382184825 |
| 2022 : MEIJER HEALTH BENEFITS PLAN 2022 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2022-01-29 | $-204,412 |
| Total unrealized appreciation/depreciation of assets | 2022-01-29 | $-204,412 |
| Total income from all sources (including contributions) | 2022-01-29 | $277,337,976 |
| Total loss/gain on sale of assets | 2022-01-29 | $-12,188 |
| Total of all expenses incurred | 2022-01-29 | $285,710,756 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-01-29 | $262,497,179 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-01-29 | $276,537,762 |
| Value of total assets at end of year | 2022-01-29 | $23,053,599 |
| Value of total assets at beginning of year | 2022-01-29 | $31,426,379 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-01-29 | $23,213,577 |
| Total interest from all sources | 2022-01-29 | $113,696 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-01-29 | No |
| Administrative expenses professional fees incurred | 2022-01-29 | $3,795 |
| Was this plan covered by a fidelity bond | 2022-01-29 | Yes |
| Value of fidelity bond cover | 2022-01-29 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2022-01-29 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2022-01-29 | No |
| Contributions received from participants | 2022-01-29 | $78,041,887 |
| Assets. Other investments not covered elsewhere at end of year | 2022-01-29 | $890,428 |
| Assets. Other investments not covered elsewhere at beginning of year | 2022-01-29 | $1,046,677 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-01-29 | $21,203 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-01-29 | $18,188 |
| Administrative expenses (other) incurred | 2022-01-29 | $5,354,194 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-01-29 | No |
| Value of net income/loss | 2022-01-29 | $-8,372,780 |
| Value of net assets at end of year (total assets less liabilities) | 2022-01-29 | $23,053,599 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-01-29 | $31,426,379 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-01-29 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-01-29 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-01-29 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2022-01-29 | $7,592,429 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2022-01-29 | $7,349,285 |
| Interest earned on other investments | 2022-01-29 | $48,308 |
| Income. Interest from US Government securities | 2022-01-29 | $13,849 |
| Income. Interest from corporate debt instruments | 2022-01-29 | $48,882 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2022-01-29 | $10,910,407 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2022-01-29 | $20,006,526 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2022-01-29 | $20,006,526 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2022-01-29 | $2,657 |
| Asset value of US Government securities at end of year | 2022-01-29 | $1,577,102 |
| Asset value of US Government securities at beginning of year | 2022-01-29 | $1,318,185 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2022-01-29 | $903,118 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-01-29 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2022-01-29 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-01-29 | No |
| Contributions received in cash from employer | 2022-01-29 | $198,495,875 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2022-01-29 | $262,497,179 |
| Asset. Corporate debt instrument debt (other) at end of year | 2022-01-29 | $2,062,030 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2022-01-29 | $1,687,518 |
| Contract administrator fees | 2022-01-29 | $17,855,588 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2022-01-29 | No |
| Did the plan have assets held for investment | 2022-01-29 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-01-29 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-01-29 | No |
| Aggregate proceeds on sale of assets | 2022-01-29 | $25,493,945 |
| Aggregate carrying amount (costs) on sale of assets | 2022-01-29 | $25,506,133 |
| Opinion of an independent qualified public accountant for this plan | 2022-01-29 | Unqualified |
| Accountancy firm name | 2022-01-29 | HUNGERFORD NICHOLS |
| Accountancy firm EIN | 2022-01-29 | 382184825 |
| 2021 : MEIJER HEALTH BENEFITS PLAN 2021 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2021-01-30 | $75,305 |
| Total unrealized appreciation/depreciation of assets | 2021-01-30 | $75,305 |
| Total income from all sources (including contributions) | 2021-01-30 | $258,148,574 |
| Total loss/gain on sale of assets | 2021-01-30 | $5,555 |
| Total of all expenses incurred | 2021-01-30 | $255,979,787 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-01-30 | $234,236,051 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-01-30 | $256,923,338 |
| Value of total assets at end of year | 2021-01-30 | $31,426,379 |
| Value of total assets at beginning of year | 2021-01-30 | $29,257,592 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-01-30 | $21,743,736 |
| Total interest from all sources | 2021-01-30 | $129,079 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-01-30 | No |
| Administrative expenses professional fees incurred | 2021-01-30 | $1,605 |
| Was this plan covered by a fidelity bond | 2021-01-30 | Yes |
| Value of fidelity bond cover | 2021-01-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2021-01-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2021-01-30 | No |
| Contributions received from participants | 2021-01-30 | $76,388,371 |
| Assets. Other investments not covered elsewhere at end of year | 2021-01-30 | $1,046,677 |
| Assets. Other investments not covered elsewhere at beginning of year | 2021-01-30 | $1,057,050 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2021-01-30 | $18,188 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2021-01-30 | $31,121 |
| Administrative expenses (other) incurred | 2021-01-30 | $5,502,650 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-01-30 | No |
| Value of net income/loss | 2021-01-30 | $2,168,787 |
| Value of net assets at end of year (total assets less liabilities) | 2021-01-30 | $31,426,379 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-01-30 | $29,257,592 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-01-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-01-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-01-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2021-01-30 | $7,349,285 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2021-01-30 | $6,599,070 |
| Interest earned on other investments | 2021-01-30 | $48,814 |
| Income. Interest from US Government securities | 2021-01-30 | $10,020 |
| Income. Interest from corporate debt instruments | 2021-01-30 | $41,665 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2021-01-30 | $20,006,526 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2021-01-30 | $18,933,422 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2021-01-30 | $18,933,422 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2021-01-30 | $28,580 |
| Asset value of US Government securities at end of year | 2021-01-30 | $1,318,185 |
| Asset value of US Government securities at beginning of year | 2021-01-30 | $1,161,796 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2021-01-30 | $1,015,297 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-01-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2021-01-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-01-30 | No |
| Contributions received in cash from employer | 2021-01-30 | $180,534,967 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2021-01-30 | $234,236,051 |
| Asset. Corporate debt instrument debt (other) at end of year | 2021-01-30 | $1,687,518 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2021-01-30 | $1,475,133 |
| Contract administrator fees | 2021-01-30 | $16,239,481 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2021-01-30 | No |
| Did the plan have assets held for investment | 2021-01-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-01-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-01-30 | No |
| Aggregate proceeds on sale of assets | 2021-01-30 | $23,595,729 |
| Aggregate carrying amount (costs) on sale of assets | 2021-01-30 | $23,590,174 |
| Opinion of an independent qualified public accountant for this plan | 2021-01-30 | Unqualified |
| Accountancy firm name | 2021-01-30 | HUNGERFORD NICHOLS |
| Accountancy firm EIN | 2021-01-30 | 382184825 |
| 2020 : MEIJER HEALTH BENEFITS PLAN 2020 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2020-02-01 | $66,582 |
| Unrealized appreciation/depreciation of other (non real estate) assets | 2020-02-01 | $66,582 |
| Total unrealized appreciation/depreciation of assets | 2020-02-01 | $66,582 |
| Total unrealized appreciation/depreciation of assets | 2020-02-01 | $66,582 |
| Total income from all sources (including contributions) | 2020-02-01 | $272,205,127 |
| Total loss/gain on sale of assets | 2020-02-01 | $-1,471 |
| Total loss/gain on sale of assets | 2020-02-01 | $-1,471 |
| Total of all expenses incurred | 2020-02-01 | $272,507,155 |
| Total of all expenses incurred | 2020-02-01 | $272,507,155 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-02-01 | $246,870,374 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-02-01 | $246,870,374 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-02-01 | $270,750,353 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-02-01 | $270,750,353 |
| Value of total assets at end of year | 2020-02-01 | $29,257,592 |
| Value of total assets at end of year | 2020-02-01 | $29,257,592 |
| Value of total assets at beginning of year | 2020-02-01 | $29,559,620 |
| Value of total assets at beginning of year | 2020-02-01 | $29,559,620 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-02-01 | $25,636,781 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-02-01 | $25,636,781 |
| Total interest from all sources | 2020-02-01 | $282,404 |
| Total interest from all sources | 2020-02-01 | $282,404 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-02-01 | No |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-02-01 | No |
| Administrative expenses professional fees incurred | 2020-02-01 | $36,738 |
| Administrative expenses professional fees incurred | 2020-02-01 | $36,738 |
| Was this plan covered by a fidelity bond | 2020-02-01 | Yes |
| Was this plan covered by a fidelity bond | 2020-02-01 | Yes |
| Value of fidelity bond cover | 2020-02-01 | $500,000 |
| Value of fidelity bond cover | 2020-02-01 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2020-02-01 | No |
| If this is an individual account plan, was there a blackout period | 2020-02-01 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2020-02-01 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2020-02-01 | No |
| Contributions received from participants | 2020-02-01 | $70,837,885 |
| Contributions received from participants | 2020-02-01 | $70,837,885 |
| Assets. Other investments not covered elsewhere at end of year | 2020-02-01 | $1,057,050 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-02-01 | $31,121 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-02-01 | $31,121 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-02-01 | $12,328 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-02-01 | $12,328 |
| Administrative expenses (other) incurred | 2020-02-01 | $6,744,657 |
| Administrative expenses (other) incurred | 2020-02-01 | $6,744,657 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-02-01 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-02-01 | No |
| Value of net income/loss | 2020-02-01 | $-302,028 |
| Value of net income/loss | 2020-02-01 | $-302,028 |
| Value of net assets at end of year (total assets less liabilities) | 2020-02-01 | $29,257,592 |
| Value of net assets at end of year (total assets less liabilities) | 2020-02-01 | $29,257,592 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-02-01 | $29,559,620 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-02-01 | $29,559,620 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-02-01 | No |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-02-01 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-02-01 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-02-01 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-02-01 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-02-01 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2020-02-01 | $6,599,070 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2020-02-01 | $6,599,070 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2020-02-01 | $9,028,136 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2020-02-01 | $9,028,136 |
| Interest earned on other investments | 2020-02-01 | $25,297 |
| Interest earned on other investments | 2020-02-01 | $25,297 |
| Income. Interest from US Government securities | 2020-02-01 | $10,094 |
| Income. Interest from US Government securities | 2020-02-01 | $10,094 |
| Income. Interest from corporate debt instruments | 2020-02-01 | $25,346 |
| Income. Interest from corporate debt instruments | 2020-02-01 | $25,346 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-02-01 | $18,933,422 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-02-01 | $18,933,422 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-02-01 | $20,519,156 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-02-01 | $20,519,156 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-02-01 | $20,519,156 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-02-01 | $20,519,156 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-02-01 | $221,667 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-02-01 | $221,667 |
| Asset value of US Government securities at end of year | 2020-02-01 | $1,161,796 |
| Asset value of US Government securities at end of year | 2020-02-01 | $1,161,796 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2020-02-01 | $1,107,259 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2020-02-01 | $1,107,259 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-02-01 | Yes |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-02-01 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2020-02-01 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-02-01 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-02-01 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-02-01 | No |
| Contributions received in cash from employer | 2020-02-01 | $199,912,468 |
| Contributions received in cash from employer | 2020-02-01 | $199,912,468 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-02-01 | $246,870,374 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-02-01 | $246,870,374 |
| Asset. Corporate debt instrument debt (other) at end of year | 2020-02-01 | $1,475,133 |
| Asset. Corporate debt instrument debt (other) at end of year | 2020-02-01 | $1,475,133 |
| Contract administrator fees | 2020-02-01 | $18,855,386 |
| Contract administrator fees | 2020-02-01 | $18,855,386 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2020-02-01 | No |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2020-02-01 | No |
| Did the plan have assets held for investment | 2020-02-01 | Yes |
| Did the plan have assets held for investment | 2020-02-01 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-02-01 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-02-01 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-02-01 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-02-01 | No |
| Aggregate proceeds on sale of assets | 2020-02-01 | $30,984,745 |
| Aggregate proceeds on sale of assets | 2020-02-01 | $30,984,745 |
| Aggregate carrying amount (costs) on sale of assets | 2020-02-01 | $30,986,216 |
| Aggregate carrying amount (costs) on sale of assets | 2020-02-01 | $30,986,216 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2020-02-01 | Yes |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2020-02-01 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2020-02-01 | Disclaimer |
| Opinion of an independent qualified public accountant for this plan | 2020-02-01 | Disclaimer |
| Accountancy firm name | 2020-02-01 | HUNGERFORD NICHOLS |
| Accountancy firm name | 2020-02-01 | HUNGERFORD NICHOLS |
| Accountancy firm EIN | 2020-02-01 | 382184825 |
| Accountancy firm EIN | 2020-02-01 | 382184825 |
| 2019 : MEIJER HEALTH BENEFITS PLAN 2019 401k financial data |
|---|
| Total income from all sources (including contributions) | 2019-02-02 | $274,912,515 |
| Total of all expenses incurred | 2019-02-02 | $277,018,065 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-02-02 | $255,864,210 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-02-02 | $275,074,751 |
| Value of total assets at end of year | 2019-02-02 | $29,559,620 |
| Value of total assets at beginning of year | 2019-02-02 | $31,665,170 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-02-02 | $21,153,855 |
| Total dividends received (eg from common stock, registered investment company shares) | 2019-02-02 | $466,164 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-02-02 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2019-02-02 | $466,164 |
| Administrative expenses professional fees incurred | 2019-02-02 | $62,785 |
| Was this plan covered by a fidelity bond | 2019-02-02 | Yes |
| Value of fidelity bond cover | 2019-02-02 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2019-02-02 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2019-02-02 | No |
| Contributions received from participants | 2019-02-02 | $70,434,480 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-02-02 | $12,328 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-02-02 | $9,164 |
| Administrative expenses (other) incurred | 2019-02-02 | $2,844,797 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-02-02 | No |
| Value of net income/loss | 2019-02-02 | $-2,105,550 |
| Value of net assets at end of year (total assets less liabilities) | 2019-02-02 | $29,559,620 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-02-02 | $31,665,170 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-02-02 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-02-02 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-02-02 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2019-02-02 | $9,028,136 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2019-02-02 | $9,588,502 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2019-02-02 | $20,519,156 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2019-02-02 | $22,067,504 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2019-02-02 | $22,067,504 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2019-02-02 | $-628,400 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-02-02 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2019-02-02 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-02-02 | No |
| Contributions received in cash from employer | 2019-02-02 | $204,640,271 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-02-02 | $255,864,210 |
| Contract administrator fees | 2019-02-02 | $18,246,273 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2019-02-02 | No |
| Did the plan have assets held for investment | 2019-02-02 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-02-02 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-02-02 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-02-02 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2019-02-02 | Disclaimer |
| Accountancy firm name | 2019-02-02 | HUNGERFORD NICHOLS |
| Accountancy firm EIN | 2019-02-02 | 382184825 |
| 2018 : MEIJER HEALTH BENEFITS PLAN 2018 401k financial data |
|---|
| Total income from all sources (including contributions) | 2018-02-03 | $251,102,576 |
| Total of all expenses incurred | 2018-02-03 | $238,357,108 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-02-03 | $217,409,574 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-02-03 | $249,641,469 |
| Value of total assets at end of year | 2018-02-03 | $31,665,170 |
| Value of total assets at beginning of year | 2018-02-03 | $18,919,702 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-02-03 | $20,947,534 |
| Total dividends received (eg from common stock, registered investment company shares) | 2018-02-03 | $328,044 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-02-03 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2018-02-03 | $328,044 |
| Administrative expenses professional fees incurred | 2018-02-03 | $65,896 |
| Was this plan covered by a fidelity bond | 2018-02-03 | Yes |
| Value of fidelity bond cover | 2018-02-03 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2018-02-03 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2018-02-03 | No |
| Contributions received from participants | 2018-02-03 | $68,956,971 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-02-03 | $9,164 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-02-03 | $2,419 |
| Administrative expenses (other) incurred | 2018-02-03 | $3,040,147 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-02-03 | No |
| Value of net income/loss | 2018-02-03 | $12,745,468 |
| Value of net assets at end of year (total assets less liabilities) | 2018-02-03 | $31,665,170 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-02-03 | $18,919,702 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-02-03 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-02-03 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-02-03 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2018-02-03 | $9,588,502 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2018-02-03 | $8,216,550 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-02-03 | $22,067,504 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-02-03 | $10,700,733 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-02-03 | $10,700,733 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2018-02-03 | $1,133,063 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-02-03 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2018-02-03 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-02-03 | No |
| Contributions received in cash from employer | 2018-02-03 | $180,684,498 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-02-03 | $217,409,574 |
| Contract administrator fees | 2018-02-03 | $17,841,491 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2018-02-03 | No |
| Did the plan have assets held for investment | 2018-02-03 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-02-03 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-02-03 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-02-03 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2018-02-03 | Disclaimer |
| Accountancy firm name | 2018-02-03 | HUNGERFORD NICHOLS |
| Accountancy firm EIN | 2018-02-03 | 382184825 |
| 2017 : MEIJER HEALTH BENEFITS PLAN 2017 401k financial data |
|---|
| Total income from all sources (including contributions) | 2017-01-28 | $225,872,588 |
| Total of all expenses incurred | 2017-01-28 | $222,496,825 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-01-28 | $200,627,180 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-01-28 | $224,870,396 |
| Value of total assets at end of year | 2017-01-28 | $18,919,702 |
| Value of total assets at beginning of year | 2017-01-28 | $15,543,939 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-01-28 | $21,869,645 |
| Total dividends received (eg from common stock, registered investment company shares) | 2017-01-28 | $265,819 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-01-28 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2017-01-28 | $265,819 |
| Administrative expenses professional fees incurred | 2017-01-28 | $174,324 |
| Was this plan covered by a fidelity bond | 2017-01-28 | Yes |
| Value of fidelity bond cover | 2017-01-28 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2017-01-28 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2017-01-28 | No |
| Contributions received from participants | 2017-01-28 | $69,055,875 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-01-28 | $2,419 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-01-28 | $1,515 |
| Administrative expenses (other) incurred | 2017-01-28 | $4,718,173 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-01-28 | No |
| Value of net income/loss | 2017-01-28 | $3,375,763 |
| Value of net assets at end of year (total assets less liabilities) | 2017-01-28 | $18,919,702 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-01-28 | $15,543,939 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-01-28 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-01-28 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-01-28 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2017-01-28 | $8,216,550 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2017-01-28 | $7,205,797 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-01-28 | $10,700,733 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-01-28 | $8,336,627 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-01-28 | $8,336,627 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2017-01-28 | $736,373 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-01-28 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2017-01-28 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-01-28 | No |
| Contributions received in cash from employer | 2017-01-28 | $155,814,521 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-01-28 | $200,627,180 |
| Contract administrator fees | 2017-01-28 | $16,977,148 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2017-01-28 | No |
| Did the plan have assets held for investment | 2017-01-28 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-01-28 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-01-28 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-01-28 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2017-01-28 | Disclaimer |
| Accountancy firm name | 2017-01-28 | HUNGERFORD NICHOLS |
| Accountancy firm EIN | 2017-01-28 | 382184825 |
| 2016 : MEIJER HEALTH BENEFITS PLAN 2016 401k financial data |
|---|
| Total income from all sources (including contributions) | 2016-01-30 | $207,193,880 |
| Total of all expenses incurred | 2016-01-30 | $206,944,170 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-01-30 | $184,985,434 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-01-30 | $207,485,207 |
| Value of total assets at end of year | 2016-01-30 | $15,543,939 |
| Value of total assets at beginning of year | 2016-01-30 | $15,294,229 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-01-30 | $21,958,736 |
| Total dividends received (eg from common stock, registered investment company shares) | 2016-01-30 | $386,881 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-01-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2016-01-30 | $386,881 |
| Administrative expenses professional fees incurred | 2016-01-30 | $119,309 |
| Was this plan covered by a fidelity bond | 2016-01-30 | Yes |
| Value of fidelity bond cover | 2016-01-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2016-01-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-01-30 | No |
| Contributions received from participants | 2016-01-30 | $70,511,320 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-01-30 | $1,515 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-01-30 | $184 |
| Administrative expenses (other) incurred | 2016-01-30 | $5,680,918 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-01-30 | No |
| Value of net income/loss | 2016-01-30 | $249,710 |
| Value of net assets at end of year (total assets less liabilities) | 2016-01-30 | $15,543,939 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-01-30 | $15,294,229 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-01-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-01-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-01-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2016-01-30 | $7,205,797 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2016-01-30 | $7,472,229 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-01-30 | $8,336,627 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-01-30 | $7,821,816 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-01-30 | $7,821,816 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2016-01-30 | $-678,208 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-01-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2016-01-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-01-30 | No |
| Contributions received in cash from employer | 2016-01-30 | $136,973,887 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-01-30 | $184,985,434 |
| Contract administrator fees | 2016-01-30 | $16,158,509 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2016-01-30 | No |
| Did the plan have assets held for investment | 2016-01-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-01-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-01-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-01-30 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2016-01-30 | Disclaimer |
| Accountancy firm name | 2016-01-30 | HUNGERFORD NICHOLS |
| Accountancy firm EIN | 2016-01-30 | 382184825 |
| 2015 : MEIJER HEALTH BENEFITS PLAN 2015 401k financial data |
|---|
| Total income from all sources (including contributions) | 2015-01-31 | $190,678,566 |
| Total of all expenses incurred | 2015-01-31 | $190,483,969 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-01-31 | $169,487,363 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-01-31 | $190,194,949 |
| Value of total assets at end of year | 2015-01-31 | $15,294,229 |
| Value of total assets at beginning of year | 2015-01-31 | $15,099,632 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-01-31 | $20,996,606 |
| Total dividends received (eg from common stock, registered investment company shares) | 2015-01-31 | $360,869 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-01-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2015-01-31 | $360,869 |
| Administrative expenses professional fees incurred | 2015-01-31 | $2,726,593 |
| Was this plan covered by a fidelity bond | 2015-01-31 | Yes |
| Value of fidelity bond cover | 2015-01-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2015-01-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-01-31 | No |
| Contributions received from participants | 2015-01-31 | $70,701,949 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-01-31 | $184 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-01-31 | $76 |
| Administrative expenses (other) incurred | 2015-01-31 | $18,270,013 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-01-31 | No |
| Value of net income/loss | 2015-01-31 | $194,597 |
| Value of net assets at end of year (total assets less liabilities) | 2015-01-31 | $15,294,229 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-01-31 | $15,099,632 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-01-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2015-01-31 | $7,472,229 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2015-01-31 | $7,174,717 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-01-31 | $7,821,816 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-01-31 | $7,924,839 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-01-31 | $7,924,839 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-01-31 | $6,448,230 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2015-01-31 | $122,748 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-01-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2015-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-01-31 | No |
| Contributions received in cash from employer | 2015-01-31 | $119,493,000 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-01-31 | $163,039,133 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2015-01-31 | No |
| Did the plan have assets held for investment | 2015-01-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-01-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2015-01-31 | Disclaimer |
| Accountancy firm name | 2015-01-31 | HUNGERFORD NICHOLS |
| Accountancy firm EIN | 2015-01-31 | 382184825 |
| 2014 : MEIJER HEALTH BENEFITS PLAN 2014 401k financial data |
|---|
| Total income from all sources (including contributions) | 2014-02-01 | $199,661,971 |
| Total of all expenses incurred | 2014-02-01 | $197,818,611 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-02-01 | $177,944,219 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-02-01 | $198,790,062 |
| Value of total assets at end of year | 2014-02-01 | $15,099,632 |
| Value of total assets at beginning of year | 2014-02-01 | $13,256,272 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-02-01 | $19,874,392 |
| Total dividends received (eg from common stock, registered investment company shares) | 2014-02-01 | $327,409 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-02-01 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2014-02-01 | $327,409 |
| Administrative expenses professional fees incurred | 2014-02-01 | $2,239,568 |
| Was this plan covered by a fidelity bond | 2014-02-01 | Yes |
| Value of fidelity bond cover | 2014-02-01 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2014-02-01 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-02-01 | No |
| Contributions received from participants | 2014-02-01 | $69,611,594 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-02-01 | $76 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-02-01 | $394 |
| Administrative expenses (other) incurred | 2014-02-01 | $17,634,824 |
| Total non interest bearing cash at end of year | 2014-02-01 | $0 |
| Total non interest bearing cash at beginning of year | 2014-02-01 | $1,335,815 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-02-01 | No |
| Value of net income/loss | 2014-02-01 | $1,843,360 |
| Value of net assets at end of year (total assets less liabilities) | 2014-02-01 | $15,099,632 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-02-01 | $13,256,272 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-02-01 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-02-01 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-02-01 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2014-02-01 | $7,174,717 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2014-02-01 | $6,405,140 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-02-01 | $7,924,839 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-02-01 | $5,514,923 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-02-01 | $5,514,923 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-02-01 | $7,123,763 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2014-02-01 | $544,500 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-02-01 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2014-02-01 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-02-01 | No |
| Contributions received in cash from employer | 2014-02-01 | $129,178,468 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-02-01 | $170,820,456 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2014-02-01 | No |
| Did the plan have assets held for investment | 2014-02-01 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-02-01 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-02-01 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-02-01 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2014-02-01 | Disclaimer |
| Accountancy firm name | 2014-02-01 | HUNGERFORD NICHOLS |
| Accountancy firm EIN | 2014-02-01 | 382184825 |
| 2013 : MEIJER HEALTH BENEFITS PLAN 2013 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2013-02-02 | $-15,760 |
| Total unrealized appreciation/depreciation of assets | 2013-02-02 | $-15,760 |
| Total income from all sources (including contributions) | 2013-02-02 | $189,004,720 |
| Total loss/gain on sale of assets | 2013-02-02 | $623 |
| Total of all expenses incurred | 2013-02-02 | $183,343,574 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-02-02 | $166,007,650 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-02-02 | $188,258,003 |
| Value of total assets at end of year | 2013-02-02 | $13,256,272 |
| Value of total assets at beginning of year | 2013-02-02 | $7,595,126 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-02-02 | $17,335,924 |
| Total dividends received (eg from common stock, registered investment company shares) | 2013-02-02 | $217,639 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-02-02 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2013-02-02 | $217,639 |
| Administrative expenses professional fees incurred | 2013-02-02 | $1,242,909 |
| Was this plan covered by a fidelity bond | 2013-02-02 | Yes |
| Value of fidelity bond cover | 2013-02-02 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2013-02-02 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-02-02 | No |
| Contributions received from participants | 2013-02-02 | $70,159,643 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-02-02 | $394 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-02-02 | $570 |
| Administrative expenses (other) incurred | 2013-02-02 | $16,093,015 |
| Total non interest bearing cash at end of year | 2013-02-02 | $1,335,815 |
| Total non interest bearing cash at beginning of year | 2013-02-02 | $1,598,912 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-02-02 | No |
| Value of net income/loss | 2013-02-02 | $5,661,146 |
| Value of net assets at end of year (total assets less liabilities) | 2013-02-02 | $13,256,272 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-02-02 | $7,595,126 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-02-02 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-02-02 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-02-02 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2013-02-02 | $6,405,140 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2013-02-02 | $5,503,632 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-02-02 | $5,514,923 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-02-02 | $306,245 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-02-02 | $306,245 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-02-02 | $11,956,387 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2013-02-02 | $544,215 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-02-02 | No |
| Was there a failure to transmit to the plan any participant contributions | 2013-02-02 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-02-02 | No |
| Contributions received in cash from employer | 2013-02-02 | $118,098,360 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-02-02 | $154,051,263 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2013-02-02 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2013-02-02 | $0 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2013-02-02 | $185,767 |
| Did the plan have assets held for investment | 2013-02-02 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-02-02 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-02-02 | No |
| Aggregate proceeds on sale of assets | 2013-02-02 | $186,390 |
| Aggregate carrying amount (costs) on sale of assets | 2013-02-02 | $185,767 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-02-02 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2013-02-02 | Disclaimer |
| Accountancy firm name | 2013-02-02 | HUNGERFORD NICHOLS |
| Accountancy firm EIN | 2013-02-02 | 382184825 |
| 2012 : MEIJER HEALTH BENEFITS PLAN 2012 401k financial data |
|---|
| Total income from all sources (including contributions) | 2012-01-29 | $171,712,657 |
| Total of all expenses incurred | 2012-01-29 | $173,461,319 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-01-29 | $158,890,541 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-01-29 | $171,588,900 |
| Value of total assets at end of year | 2012-01-29 | $7,595,126 |
| Value of total assets at beginning of year | 2012-01-29 | $9,343,788 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-01-29 | $14,570,778 |
| Total dividends received (eg from common stock, registered investment company shares) | 2012-01-29 | $171,224 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-01-29 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2012-01-29 | $171,224 |
| Administrative expenses professional fees incurred | 2012-01-29 | $254,631 |
| Was this plan covered by a fidelity bond | 2012-01-29 | Yes |
| Value of fidelity bond cover | 2012-01-29 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2012-01-29 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-01-29 | No |
| Contributions received from participants | 2012-01-29 | $70,662,894 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-01-29 | $570 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-01-29 | $1,098 |
| Administrative expenses (other) incurred | 2012-01-29 | $14,316,147 |
| Total non interest bearing cash at end of year | 2012-01-29 | $1,598,912 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-01-29 | No |
| Value of net income/loss | 2012-01-29 | $-1,748,662 |
| Value of net assets at end of year (total assets less liabilities) | 2012-01-29 | $7,595,126 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-01-29 | $9,343,788 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-01-29 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-01-29 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-01-29 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2012-01-29 | $5,503,632 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2012-01-29 | $5,643,042 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-01-29 | $306,245 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-01-29 | $3,699,648 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-01-29 | $3,699,648 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-01-29 | $22,668,486 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2012-01-29 | $-47,467 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-01-29 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-01-29 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-01-29 | No |
| Contributions received in cash from employer | 2012-01-29 | $100,926,006 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-01-29 | $136,222,055 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2012-01-29 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2012-01-29 | $185,767 |
| Did the plan have assets held for investment | 2012-01-29 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-01-29 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-01-29 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-01-29 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2012-01-29 | Disclaimer |
| Accountancy firm name | 2012-01-29 | HUNGERFORD ALDRIN NICHOLS & CARTER |
| Accountancy firm EIN | 2012-01-29 | 382184825 |
| 2011 : MEIJER HEALTH BENEFITS PLAN 2011 401k financial data |
|---|
| Total income from all sources (including contributions) | 2011-01-31 | $165,845,975 |
| Total of all expenses incurred | 2011-01-31 | $164,057,296 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-01-31 | $149,668,712 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-01-31 | $165,142,572 |
| Value of total assets at end of year | 2011-01-31 | $9,343,788 |
| Value of total assets at beginning of year | 2011-01-31 | $8,108,450 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-01-31 | $14,388,584 |
| Total interest from all sources | 2011-01-31 | $9,247 |
| Total dividends received (eg from common stock, registered investment company shares) | 2011-01-31 | $172,637 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-01-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2011-01-31 | $172,637 |
| Administrative expenses professional fees incurred | 2011-01-31 | $364,050 |
| Was this plan covered by a fidelity bond | 2011-01-31 | Yes |
| Value of fidelity bond cover | 2011-01-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2011-01-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2011-01-31 | No |
| Contributions received from participants | 2011-01-31 | $66,243,701 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-01-31 | $1,098 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-01-31 | $242 |
| Administrative expenses (other) incurred | 2011-01-31 | $14,024,534 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-01-31 | No |
| Value of net income/loss | 2011-01-31 | $1,788,679 |
| Value of net assets at end of year (total assets less liabilities) | 2011-01-31 | $9,343,788 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-01-31 | $8,108,450 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-01-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2011-01-31 | $5,643,042 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2011-01-31 | $4,764,811 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-01-31 | $3,699,648 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-01-31 | $3,343,397 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-01-31 | $3,343,397 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-01-31 | $9,247 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-01-31 | $29,697,260 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2011-01-31 | $521,519 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2011-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-01-31 | No |
| Contributions received in cash from employer | 2011-01-31 | $98,898,871 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-01-31 | $119,971,452 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2011-01-31 | No |
| Did the plan have assets held for investment | 2011-01-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-01-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2011-01-31 | Disclaimer |
| Accountancy firm name | 2011-01-31 | HUNGERFORD ALDRIN NICHOLS & CARTER |
| Accountancy firm EIN | 2011-01-31 | 382184825 |
| DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 ) |
| Policy contract number | 0005696 |
| Policy instance | 2 |
| Insurance contract or identification number | 0005696 | | Number of Individuals Covered | 3806 | | 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 $1,193 | | Dental 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 | 1193 | | Additional information about fees paid to insurance broker | NEW BUSINESS BONUS, RETENTION BONUS | | Insurance broker organization code? | 3 |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 98598361001 |
| Policy instance | 1 |
| Insurance contract or identification number | 98598361001 | | Number of Individuals Covered | 3665 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $839 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $145,779 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $839 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 ) |
| Policy contract number | 0005696 |
| Policy instance | 2 |
| Insurance contract or identification number | 0005696 | | Number of Individuals Covered | 3659 | | 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 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 98598361001 |
| Policy instance | 1 |
| Insurance contract or identification number | 98598361001 | | Number of Individuals Covered | 3580 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $576 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $141,938 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $576 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 ) |
| Policy contract number | 0005696 |
| Policy instance | 2 |
| Insurance contract or identification number | 0005696 | | Number of Individuals Covered | 3829 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 98598361001 |
| Policy instance | 1 |
| Insurance contract or identification number | 98598361001 | | Number of Individuals Covered | 3889 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $326 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $139,165 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $326 | | Insurance broker organization code? | 3 |
|
| PARAMOUNT HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95189 ) |
| Policy contract number | S2H001, 2, 3 |
| Policy instance | 1 |
| Insurance contract or identification number | S2H001, 2, 3 | | Number of Individuals Covered | 804 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $257,852 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 98598361001 |
| Policy instance | 2 |
| Insurance contract or identification number | 98598361001 | | Number of Individuals Covered | 3768 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $883 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $145,354 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $883 | | Insurance broker organization code? | 3 | | Insurance broker name | TOPBENEFITS LLC |
|
| DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 ) |
| Policy contract number | 0005696 |
| Policy instance | 3 |
| Insurance contract or identification number | 0005696 | | Number of Individuals Covered | 3707 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 ) |
| Policy contract number | 9701442 |
| Policy instance | 1 |
| Insurance contract or identification number | 9701442 | | Number of Individuals Covered | 36983 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $6,129 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,129 | | Insurance broker organization code? | 3 | | Insurance broker name | TOPBENEFITS LLC |
|
| PARAMOUNT HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95189 ) |
| Policy contract number | S2H001, 2, 3 |
| Policy instance | 2 |
| Insurance contract or identification number | S2H001, 2, 3 | | Number of Individuals Covered | 738 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $222,513 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 9859836 |
| Policy instance | 3 |
| Insurance contract or identification number | 9859836 | | Number of Individuals Covered | 6975 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $1,597 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $250,529 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,597 | | Insurance broker organization code? | 3 | | Insurance broker name | TOPBENEFITS LLC |
|
| DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 ) |
| Policy contract number | 0005695 |
| Policy instance | 4 |
| Insurance contract or identification number | 0005695 | | Number of Individuals Covered | 36877 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 ) |
| Policy contract number | 0005696 |
| Policy instance | 5 |
| Insurance contract or identification number | 0005696 | | Number of Individuals Covered | 6705 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
| Policy contract number | 200100 S003 |
| Policy instance | 4 |
| Insurance contract or identification number | 200100 S003 | | Number of Individuals Covered | 58 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $443,506 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
| Policy contract number | 200100 S001 |
| Policy instance | 2 |
| Insurance contract or identification number | 200100 S001 | | Number of Individuals Covered | 55 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $376,969 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
| Policy contract number | 200100 S002 |
| Policy instance | 3 |
| Insurance contract or identification number | 200100 S002 | | Number of Individuals Covered | 124 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $919,889 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
| Policy contract number | 200100 S004 |
| Policy instance | 5 |
| Insurance contract or identification number | 200100 S004 | | Number of Individuals Covered | 15 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $128,170 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 ) |
| Policy contract number | 3342000001 |
| Policy instance | 7 |
| Insurance contract or identification number | 3342000001 | | Number of Individuals Covered | 325 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,988,370 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GRAND VALLEY HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95453 ) |
| Policy contract number | 000056 |
| Policy instance | 8 |
| Insurance contract or identification number | 000056 | | Number of Individuals Covered | 461 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,948,066 | | 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 number | S2H001, 2, 3 |
| Policy instance | 9 |
| Insurance contract or identification number | S2H001, 2, 3 | | Number of Individuals Covered | 855 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $250,721 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 ) |
| Policy contract number | 0005695 |
| Policy instance | 11 |
| Insurance contract or identification number | 0005695 | | Number of Individuals Covered | 37248 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $615,065 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 9859836 |
| Policy instance | 10 |
| Insurance contract or identification number | 9859836 | | Number of Individuals Covered | 7165 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $1,461 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $248,301 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,461 | | Insurance broker organization code? | 3 | | Insurance broker name | TOPBENEFITS LLC |
|
| HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 ) |
| Policy contract number | 3342000000 |
| Policy instance | 6 |
| Insurance contract or identification number | 3342000000 | | Number of Individuals Covered | 222 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,184,677 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 ) |
| Policy contract number | 9701442 |
| Policy instance | 1 |
| Insurance contract or identification number | 9701442 | | Number of Individuals Covered | 37438 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $4,166 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,166 | | Insurance broker organization code? | 3 | | Insurance broker name | TOPBENEFITS LLC |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 9859836 |
| Policy instance | 10 |
| Insurance contract or identification number | 9859836 | | Number of Individuals Covered | 7472 | | Insurance policy start date | 2013-02-01 | | Insurance policy end date | 2014-02-01 | | Total amount of commissions paid to insurance broker | USD $1,609 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $237,718 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,609 | | Insurance broker organization code? | 3 | | Insurance broker name | TOPBENEFITS LLC |
|
| FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 ) |
| Policy contract number | 9701442 |
| Policy instance | 1 |
| Insurance contract or identification number | 9701442 | | Number of Individuals Covered | 39078 | | Insurance policy start date | 2013-02-01 | | Insurance policy end date | 2014-02-01 | | Total amount of commissions paid to insurance broker | USD $4,888 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,888 | | Insurance broker organization code? | 3 | | Insurance broker name | TOPBENEFITS LLC |
|
| PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
| Policy contract number | 200100 S001 |
| Policy instance | 2 |
| Insurance contract or identification number | 200100 S001 | | Number of Individuals Covered | 60 | | Insurance policy start date | 2013-02-01 | | Insurance policy end date | 2014-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $407,984 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
| Policy contract number | 200100 S002 |
| Policy instance | 3 |
| Insurance contract or identification number | 200100 S002 | | Number of Individuals Covered | 144 | | Insurance policy start date | 2013-02-01 | | Insurance policy end date | 2014-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,023,066 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
| Policy contract number | 200100 S003 |
| Policy instance | 4 |
| Insurance contract or identification number | 200100 S003 | | Number of Individuals Covered | 65 | | Insurance policy start date | 2013-02-01 | | Insurance policy end date | 2014-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $541,539 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
| Policy contract number | 200100 S004 |
| Policy instance | 5 |
| Insurance contract or identification number | 200100 S004 | | Number of Individuals Covered | 16 | | Insurance policy start date | 2013-02-01 | | Insurance policy end date | 2014-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $131,770 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 ) |
| Policy contract number | 3342000001 |
| Policy instance | 7 |
| Insurance contract or identification number | 3342000001 | | Number of Individuals Covered | 351 | | Insurance policy start date | 2013-02-01 | | Insurance policy end date | 2014-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $2,162,598 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GRAND VALLEY HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95453 ) |
| Policy contract number | 000056 |
| Policy instance | 8 |
| Insurance contract or identification number | 000056 | | Number of Individuals Covered | 438 | | Insurance policy start date | 2013-02-01 | | Insurance policy end date | 2014-02-01 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,690,046 | | 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 number | S2H001, 2, 3 |
| Policy instance | 9 |
| Insurance contract or identification number | S2H001, 2, 3 | | Number of Individuals Covered | 865 | | Insurance policy start date | 2013-02-01 | | Insurance policy end date | 2014-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $254,970 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 ) |
| Policy contract number | 3342000000 |
| Policy instance | 6 |
| Insurance contract or identification number | 3342000000 | | Number of Individuals Covered | 241 | | Insurance policy start date | 2013-02-01 | | Insurance policy end date | 2014-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,095,952 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
| Policy contract number | H90759 |
| Policy instance | 11 |
| Insurance contract or identification number | H90759 | | Number of Individuals Covered | 41 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,403,961 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 ) |
| Policy contract number | 9701442 |
| Policy instance | 1 |
| Insurance contract or identification number | 9701442 | | Number of Individuals Covered | 38090 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $3,749 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,096,336 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,749 | | Insurance broker organization code? | 3 | | Insurance broker name | WELLS FARGO INSURANCE - CHARLESTON, |
|
| PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
| Policy contract number | 200100 S004 |
| Policy instance | 6 |
| Insurance contract or identification number | 200100 S004 | | Number of Individuals Covered | 23 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $214,294 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 ) |
| Policy contract number | 3342000002 |
| Policy instance | 9 |
| Insurance contract or identification number | 3342000002 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2012-02-01 | | Insurance policy end date | 2013-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $322,455 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 ) |
| Policy contract number | 3342000001 |
| Policy instance | 8 |
| Insurance contract or identification number | 3342000001 | | Number of Individuals Covered | 442 | | Insurance policy start date | 2012-02-01 | | Insurance policy end date | 2013-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,844,377 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 ) |
| Policy contract number | 3342000000 |
| Policy instance | 7 |
| Insurance contract or identification number | 3342000000 | | Number of Individuals Covered | 263 | | Insurance policy start date | 2012-02-01 | | Insurance policy end date | 2013-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $851,597 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
| Policy contract number | 200100 S003 |
| Policy instance | 5 |
| Insurance contract or identification number | 200100 S003 | | Number of Individuals Covered | 119 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $598,131 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
| Policy contract number | 200100 S002 |
| Policy instance | 4 |
| Insurance contract or identification number | 200100 S002 | | Number of Individuals Covered | 208 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,000,100 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
| Policy contract number | 200100 S001 |
| Policy instance | 3 |
| Insurance contract or identification number | 200100 S001 | | Number of Individuals Covered | 83 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $974,755 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) |
| Policy contract number | 00100564 |
| Policy instance | 2 |
| Insurance contract or identification number | 00100564 | | Number of Individuals Covered | 239 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,771,693 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 ) |
| Policy contract number | 3342000003 |
| Policy instance | 10 |
| Insurance contract or identification number | 3342000003 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2012-02-01 | | Insurance policy end date | 2013-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $589,709 | | 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 number | S2H001 |
| Policy instance | 15 |
| Insurance contract or identification number | S2H001 | | Number of Individuals Covered | 692 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $180,531 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GRAND VALLEY HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95453 ) |
| Policy contract number | 000056 |
| Policy instance | 14 |
| Insurance contract or identification number | 000056 | | Number of Individuals Covered | 437 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,881,266 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 ) |
| Policy contract number | M5742 |
| Policy instance | 13 |
| Insurance contract or identification number | M5742 | | Number of Individuals Covered | 28 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $244,511 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 ) |
| Policy contract number | M5741 |
| Policy instance | 12 |
| Insurance contract or identification number | M5741 | | Number of Individuals Covered | 64 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $483,785 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
| Policy contract number | 200100 S004 |
| Policy instance | 6 |
| Insurance contract or identification number | 200100 S004 | | Number of Individuals Covered | 37 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $185,044 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH ALLIANCE PLAN (National Association of Insurance Commissioners NAIC id number: 95844 ) |
| Policy contract number | 921XXX |
| Policy instance | 7 |
| Insurance contract or identification number | 921XXX | | Number of Individuals Covered | 2448 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $10,279,172 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 ) |
| Policy contract number | 3342000001 |
| Policy instance | 9 |
| Insurance contract or identification number | 3342000001 | | Number of Individuals Covered | 322 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,445,963 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 ) |
| Policy contract number | 3342000002 |
| Policy instance | 10 |
| Insurance contract or identification number | 3342000002 | | Number of Individuals Covered | 141 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $537,060 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 ) |
| Policy contract number | 3342000003 |
| Policy instance | 11 |
| Insurance contract or identification number | 3342000003 | | Number of Individuals Covered | 203 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $911,725 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
| Policy contract number | H90759 |
| Policy instance | 12 |
| Insurance contract or identification number | H90759 | | Number of Individuals Covered | 302 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,570,813 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
| Policy contract number | 200100 S003 |
| Policy instance | 5 |
| Insurance contract or identification number | 200100 S003 | | Number of Individuals Covered | 92 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $461,067 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 ) |
| Policy contract number | M5742 |
| Policy instance | 14 |
| Insurance contract or identification number | M5742 | | Number of Individuals Covered | 30 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $252,533 | | 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 number | S2H001 |
| Policy instance | 16 |
| Insurance contract or identification number | S2H001 | | Number of Individuals Covered | 371 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $90,168 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 ) |
| Policy contract number | M5741 |
| Policy instance | 13 |
| Insurance contract or identification number | M5741 | | Number of Individuals Covered | 70 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $476,266 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
| Policy contract number | 200100 S002 |
| Policy instance | 4 |
| Insurance contract or identification number | 200100 S002 | | Number of Individuals Covered | 245 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,283,587 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GRAND VALLEY HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95453 ) |
| Policy contract number | 000056 |
| Policy instance | 15 |
| Insurance contract or identification number | 000056 | | Number of Individuals Covered | 469 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,856,626 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 ) |
| Policy contract number | 3342000000 |
| Policy instance | 8 |
| Insurance contract or identification number | 3342000000 | | Number of Individuals Covered | 163 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $620,360 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 ) |
| Policy contract number | 9701442 |
| Policy instance | 1 |
| Insurance contract or identification number | 9701442 | | Number of Individuals Covered | 37879 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,051,122 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) |
| Policy contract number | 00100564 |
| Policy instance | 2 |
| Insurance contract or identification number | 00100564 | | Number of Individuals Covered | 367 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,456,743 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
| Policy contract number | 200100 S001 |
| Policy instance | 3 |
| Insurance contract or identification number | 200100 S001 | | Number of Individuals Covered | 255 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,267,381 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 ) |
| Policy contract number | M5741 |
| Policy instance | 13 |
| Insurance contract or identification number | M5741 | | Number of Individuals Covered | 95 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $686,323 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) |
| Policy contract number | 00100564 |
| Policy instance | 2 |
| Insurance contract or identification number | 00100564 | | Number of Individuals Covered | 611 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,699,942 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
| Policy contract number | 200100 S001 |
| Policy instance | 3 |
| Insurance contract or identification number | 200100 S001 | | Number of Individuals Covered | 422 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,953,530 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
| Policy contract number | 200100 S002 |
| Policy instance | 4 |
| Insurance contract or identification number | 200100 S002 | | Number of Individuals Covered | 416 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,243,307 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
| Policy contract number | 200100 S003 |
| Policy instance | 5 |
| Insurance contract or identification number | 200100 S003 | | Number of Individuals Covered | 145 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,062,369 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 ) |
| Policy contract number | 9701442 |
| Policy instance | 1 |
| Insurance contract or identification number | 9701442 | | Number of Individuals Covered | 37589 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,825,264 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 ) |
| Policy contract number | 200100 S004 |
| Policy instance | 6 |
| Insurance contract or identification number | 200100 S004 | | Number of Individuals Covered | 58 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $489,225 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH ALLIANCE PLAN (National Association of Insurance Commissioners NAIC id number: 95844 ) |
| Policy contract number | 921XXX |
| Policy instance | 7 |
| Insurance contract or identification number | 921XXX | | Number of Individuals Covered | 2706 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $10,939,053 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 ) |
| Policy contract number | 3342000000 |
| Policy instance | 8 |
| Insurance contract or identification number | 3342000000 | | Number of Individuals Covered | 233 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $857,387 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 ) |
| Policy contract number | 3342000001 |
| Policy instance | 9 |
| Insurance contract or identification number | 3342000001 | | Number of Individuals Covered | 430 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,798,777 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 ) |
| Policy contract number | 3342000003 |
| Policy instance | 11 |
| Insurance contract or identification number | 3342000003 | | Number of Individuals Covered | 284 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,193,031 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
| Policy contract number | H90759 |
| Policy instance | 12 |
| Insurance contract or identification number | H90759 | | Number of Individuals Covered | 489 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,781,244 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 ) |
| Policy contract number | M5742 |
| Policy instance | 14 |
| Insurance contract or identification number | M5742 | | Number of Individuals Covered | 35 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $295,430 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GRAND VALLEY HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95453 ) |
| Policy contract number | 000056 |
| Policy instance | 15 |
| Insurance contract or identification number | 000056 | | Number of Individuals Covered | 601 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,251,968 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHPLUS OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95580 ) |
| Policy contract number | 3342000002 |
| Policy instance | 10 |
| Insurance contract or identification number | 3342000002 | | Number of Individuals Covered | 193 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $674,506 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
