401k Plan data: UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN plan

UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN
Plan identification number	001

UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING 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.
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.

401k Sponsoring company profile

UPPER PENINSULA MANAGED CARE, LLC has sponsored the creation of one or more 401k plans.

Company Name: UPPER PENINSULA MANAGED CARE, LLC

Employer identification number (EIN): 383323620

NAIC Classification: 551112
NAIC Description: Offices of Other Holding Companies

Additional information about UPPER PENINSULA MANAGED CARE, LLC

Jurisdiction of Incorporation: Michigan Department of Licensing & Regulatory Affairs

Incorporation Date:

Company Identification Number: B06023

More information about UPPER PENINSULA MANAGED CARE, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 LESLIE LUKE LESLIE LUKE 2018-07-31
001 2016-01-01 LESLIE LUKE LESLIE LUKE 2017-09-18
001 2015-01-01 REGINA M. BERGH 2016-07-28
001 2014-01-01 REGINA M. BERGH 2015-07-29 REGINA M. BERGH 2015-07-29
001 2013-01-01 REGINA M. BERGH 2014-06-18
001 2012-01-01 KEVIN W. CARLSON 2013-06-06
001 2011-01-01 KEVIN W. CARLSON 2012-07-12
001 2010-01-01 KEVIN W. CARLSON 2011-06-30

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01	LESLIE LUKE		LESLIE LUKE	2018-07-31
001	2016-01-01	LESLIE LUKE		LESLIE LUKE	2017-09-18
001	2015-01-01	REGINA M. BERGH	2016-07-28
001	2014-01-01	REGINA M. BERGH	2015-07-29	REGINA M. BERGH	2015-07-29
001	2013-01-01	REGINA M. BERGH	2014-06-18
001	2012-01-01	KEVIN W. CARLSON	2013-06-06
001	2011-01-01	KEVIN W. CARLSON	2012-07-12
001	2010-01-01	KEVIN W. CARLSON	2011-06-30

Plan Statistics for UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN

Measure Date Value
2022: UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 188
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 162
Number of retired or separated participants receiving benefits 2022-01-01 6
Number of other retired or separated participants entitled to future benefits 2022-01-01 43
Total of all active and inactive participants 2022-01-01 211
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 211
Number of participants with account balances 2022-01-01 211
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 175
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 143
Number of retired or separated participants receiving benefits 2021-01-01 1
Number of other retired or separated participants entitled to future benefits 2021-01-01 42
Total of all active and inactive participants 2021-01-01 186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 186
Number of participants with account balances 2021-01-01 186
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 168
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 148
Number of other retired or separated participants entitled to future benefits 2020-01-01 27
Total of all active and inactive participants 2020-01-01 175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 175
Number of participants with account balances 2020-01-01 175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 171
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 147
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 21
Total of all active and inactive participants 2019-01-01 168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 168
Number of participants with account balances 2019-01-01 168
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 163
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 141
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 26
Total of all active and inactive participants 2018-01-01 167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 167
Number of participants with account balances 2018-01-01 167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 151
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 146
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 16
Total of all active and inactive participants 2017-01-01 162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 162
Number of participants with account balances 2017-01-01 162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 134
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 134
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 17
Total of all active and inactive participants 2016-01-01 151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 151
Number of participants with account balances 2016-01-01 150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0

Measure	Date	Value
2022: UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	188
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	162
Number of retired or separated participants receiving benefits	2022-01-01	6
Number of other retired or separated participants entitled to future benefits	2022-01-01	43
Total of all active and inactive participants	2022-01-01	211
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	211
Number of participants with account balances	2022-01-01	211
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	175
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	143
Number of retired or separated participants receiving benefits	2021-01-01	1
Number of other retired or separated participants entitled to future benefits	2021-01-01	42
Total of all active and inactive participants	2021-01-01	186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	186
Number of participants with account balances	2021-01-01	186
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	168
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	148
Number of other retired or separated participants entitled to future benefits	2020-01-01	27
Total of all active and inactive participants	2020-01-01	175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	175
Number of participants with account balances	2020-01-01	175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	171
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	147
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	21
Total of all active and inactive participants	2019-01-01	168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	168
Number of participants with account balances	2019-01-01	168
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	163
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	141
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	26
Total of all active and inactive participants	2018-01-01	167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	167
Number of participants with account balances	2018-01-01	167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	151
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	146
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	16
Total of all active and inactive participants	2017-01-01	162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	162
Number of participants with account balances	2017-01-01	162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	134
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	134
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	17
Total of all active and inactive participants	2016-01-01	151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	151
Number of participants with account balances	2016-01-01	150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0

Financial Data on UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2022 : UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$538
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$232
Total income from all sources (including contributions)	2022-12-31	$-1,277,300
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$1,398,161
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$1,377,759
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$1,133,736
Value of total assets at end of year	2022-12-31	$10,948,446
Value of total assets at beginning of year	2022-12-31	$13,623,601
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$20,402
Total interest from all sources	2022-12-31	$4,434
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$110,300
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$110,300
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$2,000,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$787,840
Participant contributions at end of year	2022-12-31	$95,647
Participant contributions at beginning of year	2022-12-31	$105,994
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$32,874
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-12-31	$538
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$232
Total non interest bearing cash at end of year	2022-12-31	$538
Total non interest bearing cash at beginning of year	2022-12-31	$232
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-2,675,461
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$10,947,908
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$13,623,369
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$17,480
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$3,826,789
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$4,228,809
Income. Interest from loans (other than to participants)	2022-12-31	$4,434
Value of interest in common/collective trusts at end of year	2022-12-31	$7,025,472
Value of interest in common/collective trusts at beginning of year	2022-12-31	$9,288,566
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-1,088,299
Net investment gain or loss from common/collective trusts	2022-12-31	$-1,437,471
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$313,022
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$1,377,759
Contract administrator fees	2022-12-31	$2,922
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	MAKELA TOUTANT HILL NARDI & KATONA
Accountancy firm EIN	2022-12-31	382806590
2021 : UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$232
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$28,240
Total income from all sources (including contributions)	2021-12-31	$3,084,752
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$866,018
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$845,885
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$1,304,770
Value of total assets at end of year	2021-12-31	$13,623,601
Value of total assets at beginning of year	2021-12-31	$11,432,875
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$20,133
Total interest from all sources	2021-12-31	$5,308
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$247,763
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$247,763
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$2,000,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$762,239
Participant contributions at end of year	2021-12-31	$105,994
Participant contributions at beginning of year	2021-12-31	$99,325
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$247,871
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-12-31	$22,856
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$232
Administrative expenses (other) incurred	2021-12-31	$2,791
Total non interest bearing cash at end of year	2021-12-31	$232
Total non interest bearing cash at beginning of year	2021-12-31	$5,384
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$2,218,734
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$13,623,369
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$11,404,635
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$17,342
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$4,228,809
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$3,344,132
Interest on participant loans	2021-12-31	$5,308
Value of interest in common/collective trusts at end of year	2021-12-31	$9,288,566
Value of interest in common/collective trusts at beginning of year	2021-12-31	$7,960,379
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$337,680
Net investment gain or loss from common/collective trusts	2021-12-31	$1,189,231
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$294,660
Employer contributions (assets) at beginning of year	2021-12-31	$799
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$845,885
Liabilities. Value of benefit claims payable at beginning of year	2021-12-31	$28,240
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	MAKELA TOUTANT HILL NARDI & KATONA
Accountancy firm EIN	2021-12-31	382806590
2020 : UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$28,240
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$2,016
Total income from all sources (including contributions)	2020-12-31	$2,677,993
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$710,664
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$697,149
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$1,082,689
Value of total assets at end of year	2020-12-31	$11,432,875
Value of total assets at beginning of year	2020-12-31	$9,439,322
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$13,515
Total interest from all sources	2020-12-31	$5,437
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$127,870
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$127,870
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$761,408
Participant contributions at end of year	2020-12-31	$99,325
Participant contributions at beginning of year	2020-12-31	$103,242
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$42,261
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-31	$22,856
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$2,016
Administrative expenses (other) incurred	2020-12-31	$1,900
Total non interest bearing cash at end of year	2020-12-31	$5,384
Total non interest bearing cash at beginning of year	2020-12-31	$2,016
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$1,967,329
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$11,404,635
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$9,437,306
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$11,615
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$3,344,132
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$3,336,045
Interest on participant loans	2020-12-31	$5,437
Value of interest in common/collective trusts at end of year	2020-12-31	$7,960,379
Value of interest in common/collective trusts at beginning of year	2020-12-31	$5,998,019
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$449,339
Net investment gain or loss from common/collective trusts	2020-12-31	$1,012,658
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$279,020
Employer contributions (assets) at end of year	2020-12-31	$799
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$697,149
Liabilities. Value of benefit claims payable at end of year	2020-12-31	$28,240
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	MAKELA TOUTANT HILL NARDI & KATONA
Accountancy firm EIN	2020-12-31	382806590
2019 : UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$2,016
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$3,255
Total income from all sources (including contributions)	2019-12-31	$2,996,113
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$663,676
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$640,795
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,297,346
Value of total assets at end of year	2019-12-31	$9,439,322
Value of total assets at beginning of year	2019-12-31	$7,108,124
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$22,881
Total interest from all sources	2019-12-31	$4,758
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$147,371
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$147,371
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$740,089
Participant contributions at end of year	2019-12-31	$103,242
Participant contributions at beginning of year	2019-12-31	$99,184
Participant contributions at beginning of year	2019-12-31	$22,023
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$287,119
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$2,016
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$3,255
Other income not declared elsewhere	2019-12-31	$31
Administrative expenses (other) incurred	2019-12-31	$2,550
Total non interest bearing cash at end of year	2019-12-31	$2,016
Total non interest bearing cash at beginning of year	2019-12-31	$3,255
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$2,332,437
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$9,437,306
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$7,104,869
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$20,331
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$3,336,045
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$2,575,739
Interest on participant loans	2019-12-31	$4,758
Value of interest in common/collective trusts at end of year	2019-12-31	$5,998,019
Value of interest in common/collective trusts at beginning of year	2019-12-31	$4,397,079
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$621,432
Net investment gain or loss from common/collective trusts	2019-12-31	$925,175
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$270,138
Employer contributions (assets) at beginning of year	2019-12-31	$10,844
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$640,795
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	MAKELA, TOUTANT, HILL, NARDI & KATO
Accountancy firm EIN	2019-12-31	382806590
2018 : UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$3,255
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$33,675
Total income from all sources (including contributions)	2018-12-31	$584,268
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$719,880
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$695,176
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$968,735
Value of total assets at end of year	2018-12-31	$7,108,124
Value of total assets at beginning of year	2018-12-31	$7,274,156
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$24,704
Total interest from all sources	2018-12-31	$2,671
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$176,242
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$176,242
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$663,327
Participant contributions at end of year	2018-12-31	$99,184
Participant contributions at beginning of year	2018-12-31	$65,351
Participant contributions at end of year	2018-12-31	$22,023
Participant contributions at beginning of year	2018-12-31	$20,036
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$38,438
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$109
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-12-31	$3,255
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$33,675
Other income not declared elsewhere	2018-12-31	$2,307
Administrative expenses (other) incurred	2018-12-31	$1,713
Total non interest bearing cash at end of year	2018-12-31	$3,255
Total non interest bearing cash at beginning of year	2018-12-31	$3,258
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-135,612
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$7,104,869
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$7,240,481
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$22,991
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$2,575,739
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$2,377,222
Interest on participant loans	2018-12-31	$2,671
Value of interest in common/collective trusts at end of year	2018-12-31	$4,397,079
Value of interest in common/collective trusts at beginning of year	2018-12-31	$4,798,802
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-347,216
Net investment gain or loss from common/collective trusts	2018-12-31	$-218,471
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$266,970
Employer contributions (assets) at end of year	2018-12-31	$10,844
Employer contributions (assets) at beginning of year	2018-12-31	$9,378
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$695,176
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	MAKELA, TOUTANT, HILL, NARDI & KATO
Accountancy firm EIN	2018-12-31	382806590
2017 : UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$33,675
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$29,358
Total income from all sources (including contributions)	2017-12-31	$1,874,468
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$291,695
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$263,666
Expenses. Certain deemed distributions of participant loans	2017-12-31	$3,665
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$872,143
Value of total assets at end of year	2017-12-31	$7,274,156
Value of total assets at beginning of year	2017-12-31	$5,687,066
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$24,364
Total interest from all sources	2017-12-31	$4,246
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$116,727
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	$116,727
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$604,096
Participant contributions at end of year	2017-12-31	$65,351
Participant contributions at beginning of year	2017-12-31	$86,513
Participant contributions at end of year	2017-12-31	$20,036
Participant contributions at beginning of year	2017-12-31	$19,593
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$29,733
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$109
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$204
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$33,675
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$29,358
Total non interest bearing cash at end of year	2017-12-31	$3,258
Total non interest bearing cash at beginning of year	2017-12-31	$795
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	$1,582,773
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$7,240,481
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$5,657,708
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
Investment advisory and management fees	2017-12-31	$23,219
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$2,377,222
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$1,721,671
Interest on participant loans	2017-12-31	$4,246
Value of interest in common/collective trusts at end of year	2017-12-31	$4,798,802
Value of interest in common/collective trusts at beginning of year	2017-12-31	$3,850,285
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$277,098
Net investment gain or loss from common/collective trusts	2017-12-31	$604,254
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	$238,314
Employer contributions (assets) at end of year	2017-12-31	$9,378
Employer contributions (assets) at beginning of year	2017-12-31	$8,005
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$263,666
Contract administrator fees	2017-12-31	$1,145
Did the plan have assets held for investment	2017-12-31	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	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	No
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	MAKELA, TOUTANT, HILL, NARDI & KATO
Accountancy firm EIN	2017-12-31	382806590
2016 : UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING 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	$29,358
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$22,015
Total income from all sources (including contributions)	2016-12-31	$1,160,886
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$135,759
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$95,900
Expenses. Certain deemed distributions of participant loans	2016-12-31	$16,753
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$757,901
Value of total assets at end of year	2016-12-31	$5,687,066
Value of total assets at beginning of year	2016-12-31	$4,654,596
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$23,106
Total interest from all sources	2016-12-31	$4,881
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$47,328
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	$47,328
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
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	$539,899
Participant contributions at end of year	2016-12-31	$86,513
Participant contributions at beginning of year	2016-12-31	$108,852
Participant contributions at end of year	2016-12-31	$19,593
Participant contributions at beginning of year	2016-12-31	$13,670
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$1,424
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$204
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$153
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$29,358
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$22,015
Total non interest bearing cash at end of year	2016-12-31	$795
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	$1,025,127
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$5,657,708
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$4,632,581
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
Investment advisory and management fees	2016-12-31	$23,106
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$1,721,671
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$1,232,398
Interest on participant loans	2016-12-31	$4,881
Value of interest in common/collective trusts at end of year	2016-12-31	$3,850,285
Value of interest in common/collective trusts at beginning of year	2016-12-31	$3,291,985
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$295,011
Net investment gain or loss from common/collective trusts	2016-12-31	$55,765
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	$216,578
Employer contributions (assets) at end of year	2016-12-31	$8,005
Employer contributions (assets) at beginning of year	2016-12-31	$7,538
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$95,900
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	MAKELA, TOUTANT, HILL & NARDI
Accountancy firm EIN	2016-12-31	382806590

Form 5500 Responses for UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN

2022: UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING 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	No
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	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: UPPER PENINSULA HEALTH PLAN 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
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	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	UPPER PENINSULA MANAGED CARE, LLC
Employer identification number (EIN):	383323620
NAIC Classification:	551112
NAIC Description:	Offices of Other Holding Companies

Jurisdiction of Incorporation:	Michigan Department of Licensing & Regulatory Affairs
Incorporation Date:
Company Identification Number:	B06023