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VOMELA SPECIALTY COMPANY MEDICAL PLAN 401k Plan overview

Plan NameVOMELA SPECIALTY COMPANY MEDICAL PLAN
Plan identification number 501

VOMELA SPECIALTY COMPANY MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision

401k Sponsoring company profile

VOMELA SPECIALTY COMPANY has sponsored the creation of one or more 401k plans.

Company Name:VOMELA SPECIALTY COMPANY
Employer identification number (EIN):411365624
NAIC Classification:326100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VOMELA SPECIALTY COMPANY MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012016-01-01CINDY DOEGE CINDY DOEGE2017-07-26
5012015-01-01CINDY DOEGE CINDY DOEGE2016-05-31
5012014-01-01CINDY DOEGE CINDY DOEGE2015-05-21
5012013-01-01TIMOTHY WIELAND TIMOTHY WIELAND2014-06-16
5012012-01-01TIMOTHY WIELAND TIMOTHY WIELAND2013-06-11
5012011-01-01TIMOTHY WIELAND TIMOTHY WIELAND2012-06-20
5012010-01-01TIMOTHY WIELAND TIMOTHY WIELAND2011-07-26
5012009-01-01TIMOTHY WIELAND TIMOTHY WIELAND2010-06-29

Plan Statistics for VOMELA SPECIALTY COMPANY MEDICAL PLAN

401k plan membership statisitcs for VOMELA SPECIALTY COMPANY MEDICAL PLAN

Measure Date Value
2016: VOMELA SPECIALTY COMPANY MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01645
Total number of active participants reported on line 7a of the Form 55002016-01-01641
Number of retired or separated participants receiving benefits2016-01-019
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01650
2015: VOMELA SPECIALTY COMPANY MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01516
Total number of active participants reported on line 7a of the Form 55002015-01-01671
Number of retired or separated participants receiving benefits2015-01-016
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01677
2014: VOMELA SPECIALTY COMPANY MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01525
Total number of active participants reported on line 7a of the Form 55002014-01-01516
Number of retired or separated participants receiving benefits2014-01-017
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01523
2013: VOMELA SPECIALTY COMPANY MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01511
Total number of active participants reported on line 7a of the Form 55002013-01-01525
Total of all active and inactive participants2013-01-01525
2012: VOMELA SPECIALTY COMPANY MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01114
Total number of active participants reported on line 7a of the Form 55002012-01-01150
Number of retired or separated participants receiving benefits2012-01-012
Total of all active and inactive participants2012-01-01152
2011: VOMELA SPECIALTY COMPANY MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01116
Total number of active participants reported on line 7a of the Form 55002011-01-01114
Total of all active and inactive participants2011-01-01114
2010: VOMELA SPECIALTY COMPANY MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01144
Total number of active participants reported on line 7a of the Form 55002010-01-01116
Number of retired or separated participants receiving benefits2010-01-011
Total of all active and inactive participants2010-01-01117
2009: VOMELA SPECIALTY COMPANY MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01188
Total number of active participants reported on line 7a of the Form 55002009-01-01144
Number of retired or separated participants receiving benefits2009-01-019
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01153

Form 5500 Responses for VOMELA SPECIALTY COMPANY MEDICAL PLAN

2016: VOMELA SPECIALTY COMPANY MEDICAL PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: VOMELA SPECIALTY COMPANY MEDICAL PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: VOMELA SPECIALTY COMPANY MEDICAL PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: VOMELA SPECIALTY COMPANY MEDICAL PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: VOMELA SPECIALTY COMPANY MEDICAL PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: VOMELA SPECIALTY COMPANY MEDICAL PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: VOMELA SPECIALTY COMPANY MEDICAL PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: VOMELA SPECIALTY COMPANY MEDICAL PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 )
Policy contract numberER060
Policy instance 3
Insurance contract or identification numberER060
Number of Individuals Covered1057
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $82,002
Welfare Benefit Premiums Paid to CarrierUSD $597,470
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $82,002
Insurance broker organization code?3
Insurance broker name
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number289530
Policy instance 2
Insurance contract or identification number289530
Number of Individuals Covered17
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $3,598
Welfare Benefit Premiums Paid to CarrierUSD $44,958
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,598
Insurance broker organization code?3
Insurance broker namePATRICK MCCANN
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number660794
Policy instance 1
Insurance contract or identification number660794
Number of Individuals Covered35
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $8,243
Welfare Benefit Premiums Paid to CarrierUSD $117,529
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,243
Insurance broker organization code?3
Insurance broker namePATRICK MCCANN
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number289530
Policy instance 2
Insurance contract or identification number289530
Number of Individuals Covered18
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $3,277
Welfare Benefit Premiums Paid to CarrierUSD $49,912
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,277
Insurance broker organization code?3
Insurance broker namePATRICK MCCANN
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number660794
Policy instance 1
Insurance contract or identification number660794
Number of Individuals Covered39
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $8,724
Welfare Benefit Premiums Paid to CarrierUSD $124,206
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,724
Insurance broker organization code?3
Insurance broker namePATRICK MCCANN
MEDICA (National Association of Insurance Commissioners NAIC id number: 1259 )
Policy contract numberMULTIPLE
Policy instance 3
Insurance contract or identification numberMULTIPLE
Number of Individuals Covered928
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $65,042
Welfare Benefit Premiums Paid to CarrierUSD $525,650
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $65,042
Insurance broker organization code?3
Insurance broker name
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number660794
Policy instance 1
Insurance contract or identification number660794
Number of Individuals Covered45
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $9,627
Welfare Benefit Premiums Paid to CarrierUSD $137,646
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,627
Insurance broker organization code?3
Insurance broker namePATRICK MCCANN
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number289530
Policy instance 2
Insurance contract or identification number289530
Number of Individuals Covered31
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $5,619
Welfare Benefit Premiums Paid to CarrierUSD $87,093
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,619
Insurance broker organization code?3
Insurance broker namePATRICK MCCANN
MEDICA (National Association of Insurance Commissioners NAIC id number: 1259 )
Policy contract numberMULTIPLE
Policy instance 3
Insurance contract or identification numberMULTIPLE
Number of Individuals Covered993
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $71,525
Welfare Benefit Premiums Paid to CarrierUSD $472,036
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $71,525
Insurance broker organization code?1
Insurance broker name
PREFERREDONE ADMINISTRATIVE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberPKA20329
Policy instance 1
Insurance contract or identification numberPKA20329
Number of Individuals Covered222
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $10,864
Total amount of fees paid to insurance companyUSD $50,790
Welfare Benefit Premiums Paid to CarrierUSD $107,775
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees50790
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICES
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $10,864
Insurance broker name
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number506244
Policy instance 4
Insurance contract or identification number506244
Number of Individuals Covered66
Insurance policy start date2012-01-01
Insurance policy end date2012-07-31
Total amount of commissions paid to insurance brokerUSD $11,245
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $339,865
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,245
Insurance broker organization code?3
Insurance broker namePATRICK J MCCANN
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number289530
Policy instance 3
Insurance contract or identification number289530
Number of Individuals Covered28
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $5,434
Welfare Benefit Premiums Paid to CarrierUSD $71,209
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,434
Insurance broker organization code?3
Insurance broker namePATRICK MCCANN
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number660794
Policy instance 2
Insurance contract or identification number660794
Number of Individuals Covered52
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $8,050
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $117,572
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,050
Insurance broker organization code?3
Insurance broker namePATRICK MCCANN
PREFERREDONE ADMINISTRATIVE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberPKA20329
Policy instance 1
Insurance contract or identification numberPKA20329
Number of Individuals Covered222
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $9,789
Total amount of fees paid to insurance companyUSD $35,865
Welfare Benefit Premiums Paid to CarrierUSD $98,100
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number
Policy instance 2
Number of Individuals Covered27
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $5,151
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $75,398
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PREFERREDONE ADMINISTRATIVE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberPKA20329
Policy instance 1
Insurance contract or identification numberPKA20329
Number of Individuals Covered233
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of fees paid to insurance companyUSD $47,040
Welfare Benefit Premiums Paid to CarrierUSD $99,806
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees37062
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICES
Insurance broker organization code?5
Insurance broker nameJOHNSON MCCANN BENEFITS LLC

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