401k Plan data: HEALTHPLUS OF MICHIGAN FLEXIBLE COMPENSATION PLAN plan

HEALTHPLUS OF MICHIGAN FLEXIBLE COMPENSATION PLAN 401k Plan overview

Plan Name	HEALTHPLUS OF MICHIGAN FLEXIBLE COMPENSATION PLAN
Plan identification number	015

HEALTHPLUS OF MICHIGAN FLEXIBLE COMPENSATION PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

HEALTH ALLIANCE PLAN OF MICHIGAN has sponsored the creation of one or more 401k plans.

Company Name: HEALTH ALLIANCE PLAN OF MICHIGAN

Employer identification number (EIN): 382242827

NAIC Classification: 621491
NAIC Description: HMO Medical Centers

Additional information about HEALTH ALLIANCE PLAN OF MICHIGAN

Jurisdiction of Incorporation: Michigan Department of Licensing & Regulatory Affairs

Incorporation Date:

Company Identification Number: 703428

More information about HEALTH ALLIANCE PLAN OF MICHIGAN

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEALTHPLUS OF MICHIGAN FLEXIBLE COMPENSATION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
015 2017-01-01
015 2016-01-01 DIANNA RONAN 2018-10-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
015	2017-01-01
015	2016-01-01	DIANNA RONAN	2018-10-15

Plan Statistics for HEALTHPLUS OF MICHIGAN FLEXIBLE COMPENSATION PLAN

401k plan membership statisitcs for HEALTHPLUS OF MICHIGAN FLEXIBLE COMPENSATION PLAN

Measure Date Value
2017: HEALTHPLUS OF MICHIGAN FLEXIBLE COMPENSATION PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 386
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: HEALTHPLUS OF MICHIGAN FLEXIBLE COMPENSATION PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 488
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 220
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 165
Total of all active and inactive participants 2016-01-01 385
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 1
Total participants 2016-01-01 386
Number of participants with account balances 2016-01-01 384
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0

Measure	Date	Value
2017: HEALTHPLUS OF MICHIGAN FLEXIBLE COMPENSATION PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	386
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: HEALTHPLUS OF MICHIGAN FLEXIBLE COMPENSATION PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	488
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	220
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	165
Total of all active and inactive participants	2016-01-01	385
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	1
Total participants	2016-01-01	386
Number of participants with account balances	2016-01-01	384
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0

Financial Data on HEALTHPLUS OF MICHIGAN FLEXIBLE COMPENSATION PLAN

Measure	Date	Value
2017 : HEALTHPLUS OF MICHIGAN FLEXIBLE COMPENSATION PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total transfer of assets from this plan	2017-12-31	$44,625,090
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$10,053,731
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$16,961,001
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$16,961,001
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,925,593
Value of total assets at end of year	2017-12-31	$0
Value of total assets at beginning of year	2017-12-31	$51,532,360
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$0
Total interest from all sources	2017-12-31	$36,794
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$1,633,369
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$1,633,369
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$1,150,325
Participant contributions at end of year	2017-12-31	$0
Participant contributions at beginning of year	2017-12-31	$1,002,649
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$197,204
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$-6,907,270
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$51,532,360
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$45,523,928
Interest on participant loans	2017-12-31	$36,794
Value of interest in common/collective trusts at end of year	2017-12-31	$0
Value of interest in common/collective trusts at beginning of year	2017-12-31	$4,934,849
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$6,383,615
Net investment gain or loss from common/collective trusts	2017-12-31	$74,360
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$578,064
Employer contributions (assets) at end of year	2017-12-31	$0
Employer contributions (assets) at beginning of year	2017-12-31	$70,934
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$16,961,001
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	ERNST & YOUNG LLP
Accountancy firm EIN	2017-12-31	346565596
2016 : HEALTHPLUS OF MICHIGAN FLEXIBLE COMPENSATION PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$6,017,590
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$14,587,077
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$14,587,077
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$2,284,131
Value of total assets at end of year	2016-12-31	$51,532,360
Value of total assets at beginning of year	2016-12-31	$60,101,847
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$0
Total interest from all sources	2016-12-31	$47,021
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$1,419,565
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$1,419,565
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$1,475,369
Participant contributions at end of year	2016-12-31	$1,002,649
Participant contributions at beginning of year	2016-12-31	$1,367,849
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$23,696
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$-8,569,487
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$51,532,360
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$60,101,847
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$45,523,928
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$51,913,509
Interest on participant loans	2016-12-31	$47,021
Value of interest in common/collective trusts at end of year	2016-12-31	$4,934,849
Value of interest in common/collective trusts at beginning of year	2016-12-31	$6,743,803
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$2,286,145
Net investment gain or loss from common/collective trusts	2016-12-31	$-19,272
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$785,066
Employer contributions (assets) at end of year	2016-12-31	$70,934
Employer contributions (assets) at beginning of year	2016-12-31	$76,686
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$14,587,077
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	ERNST & YOUNG LLP
Accountancy firm EIN	2016-12-31	346565596

Form 5500 Responses for HEALTHPLUS OF MICHIGAN FLEXIBLE COMPENSATION PLAN

2017: HEALTHPLUS OF MICHIGAN FLEXIBLE COMPENSATION PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: HEALTHPLUS OF MICHIGAN FLEXIBLE COMPENSATION PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	Yes
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	HEALTH ALLIANCE PLAN OF MICHIGAN
Employer identification number (EIN):	382242827
NAIC Classification:	621491
NAIC Description:	HMO Medical Centers

Jurisdiction of Incorporation:	Michigan Department of Licensing & Regulatory Affairs
Incorporation Date:
Company Identification Number:	703428