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UAW RETIREES HEALTH CARE PLAN 401k Plan overview

Plan NameUAW RETIREES HEALTH CARE PLAN
Plan identification number 501

UAW RETIREES HEALTH CARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision
  • Other welfare benefit cover
  • Collectively bargained welfare benefit arrangement under Code section 419A(f)(5).

401k Sponsoring company profile

COMMITTEE OF UAW RETIREES HEALTH CARE PLAN has sponsored the creation of one or more 401k plans.

Company Name:COMMITTEE OF UAW RETIREES HEALTH CARE PLAN
Employer identification number (EIN):477404015
NAIC Classification:336100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UAW RETIREES HEALTH CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01FRANCINE PARKER2023-10-10
5012021-01-01FRANCINE PARKER2022-10-14
5012020-01-01FRANCINE PARKER2021-10-05
5012019-01-01FRANCINE PARKER2020-10-07
5012018-01-01FRANCINE PARKER2019-09-26
5012017-01-01
5012016-01-01
5012015-12-17

Plan Statistics for UAW RETIREES HEALTH CARE PLAN

401k plan membership statisitcs for UAW RETIREES HEALTH CARE PLAN

Measure Date Value
2022: UAW RETIREES HEALTH CARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,313
Total number of active participants reported on line 7a of the Form 55002022-01-010
Number of retired or separated participants receiving benefits2022-01-011,313
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-011,313
2021: UAW RETIREES HEALTH CARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011,354
Total number of active participants reported on line 7a of the Form 55002021-01-010
Number of retired or separated participants receiving benefits2021-01-011,313
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-011,313
2020: UAW RETIREES HEALTH CARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,423
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-011,354
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-011,354
2019: UAW RETIREES HEALTH CARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,439
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-011,423
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-011,423
2018: UAW RETIREES HEALTH CARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,453
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-011,439
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-011,439
2017: UAW RETIREES HEALTH CARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,797
Total number of active participants reported on line 7a of the Form 55002017-01-01298
Number of retired or separated participants receiving benefits2017-01-011,453
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-011,751
2016: UAW RETIREES HEALTH CARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,860
Total number of active participants reported on line 7a of the Form 55002016-01-01326
Number of retired or separated participants receiving benefits2016-01-011,471
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-011,797
2015: UAW RETIREES HEALTH CARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-12-171,460
Total number of active participants reported on line 7a of the Form 55002015-12-17400
Number of retired or separated participants receiving benefits2015-12-171,460
Number of other retired or separated participants entitled to future benefits2015-12-170
Total of all active and inactive participants2015-12-171,860

Financial Data on UAW RETIREES HEALTH CARE PLAN

Measure Date Value
2022 : UAW RETIREES HEALTH CARE PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-129,042
Total unrealized appreciation/depreciation of assets2022-12-31$-129,042
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,138,322
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,314,002
Total income from all sources (including contributions)2022-12-31$-49,073,922
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$16,921,014
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$14,516,848
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,134,147
Value of total assets at end of year2022-12-31$394,862,366
Value of total assets at beginning of year2022-12-31$461,032,982
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$2,404,166
Total interest from all sources2022-12-31$87,482
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$1,835,018
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$1,835,018
Administrative expenses professional fees incurred2022-12-31$485,470
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$69,716
Assets. Other investments not covered elsewhere at end of year2022-12-31$63,938
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$59,607
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$504,531
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$10,513,020
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$1,540,865
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$1,424,038
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$202,322
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$197,002
Other income not declared elsewhere2022-12-31$5,340,214
Administrative expenses (other) incurred2022-12-31$94,932
Total non interest bearing cash at end of year2022-12-31$9,147,682
Total non interest bearing cash at beginning of year2022-12-31$8,682,800
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-65,994,936
Value of net assets at end of year (total assets less liabilities)2022-12-31$393,724,044
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$459,718,980
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Assets. partnership/joint venture interests at end of year2022-12-31$18,687,395
Assets. partnership/joint venture interests at beginning of year2022-12-31$17,868,851
Investment advisory and management fees2022-12-31$416,989
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$64,076,894
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$76,925,656
Value of interest in common/collective trusts at end of year2022-12-31$213,292,060
Value of interest in common/collective trusts at beginning of year2022-12-31$262,039,798
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$8,622,632
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$7,761,861
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$7,761,861
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$87,482
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$377,843
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-13,285,434
Net investment gain or loss from common/collective trusts2022-12-31$-44,056,307
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$559,900
Employer contributions (assets) at end of year2022-12-31$79,430,900
Employer contributions (assets) at beginning of year2022-12-31$86,270,371
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$3,625,985
Contract administrator fees2022-12-31$1,406,775
Liabilities. Value of benefit claims payable at end of year2022-12-31$936,000
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$1,117,000
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31PLANTE & MORAN, PLLC
Accountancy firm EIN2022-12-31381357951
2021 : UAW RETIREES HEALTH CARE PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$510,224
Total unrealized appreciation/depreciation of assets2021-12-31$510,224
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,314,002
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,507,789
Total income from all sources (including contributions)2021-12-31$36,027,662
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$16,898,735
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$14,466,436
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$746,728
Value of total assets at end of year2021-12-31$461,032,982
Value of total assets at beginning of year2021-12-31$442,097,842
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$2,432,299
Total interest from all sources2021-12-31$973
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$1,021,766
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$1,021,766
Administrative expenses professional fees incurred2021-12-31$515,925
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$69,614
Assets. Other investments not covered elsewhere at end of year2021-12-31$59,607
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$179,992
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$569,703
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$10,903,701
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$1,424,038
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$1,789,449
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$197,002
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$128,789
Other income not declared elsewhere2021-12-31$5,498,075
Administrative expenses (other) incurred2021-12-31$85,051
Total non interest bearing cash at end of year2021-12-31$8,682,800
Total non interest bearing cash at beginning of year2021-12-31$7,258,529
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$19,128,927
Value of net assets at end of year (total assets less liabilities)2021-12-31$459,718,980
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$440,590,053
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Assets. partnership/joint venture interests at end of year2021-12-31$17,868,851
Assets. partnership/joint venture interests at beginning of year2021-12-31$16,539,552
Investment advisory and management fees2021-12-31$433,210
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$76,925,656
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$67,706,554
Value of interest in common/collective trusts at end of year2021-12-31$262,039,798
Value of interest in common/collective trusts at beginning of year2021-12-31$248,419,804
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$7,761,861
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$6,554,962
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$6,554,962
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$973
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$387,628
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$-1,802,710
Net investment gain or loss from common/collective trusts2021-12-31$30,052,606
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$107,411
Employer contributions (assets) at end of year2021-12-31$86,270,371
Employer contributions (assets) at beginning of year2021-12-31$93,649,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$3,175,107
Contract administrator fees2021-12-31$1,398,113
Liabilities. Value of benefit claims payable at end of year2021-12-31$1,117,000
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$1,379,000
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31PLANTE & MORAN, PLLC
Accountancy firm EIN2021-12-31381357951
2020 : UAW RETIREES HEALTH CARE PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$202,638
Total unrealized appreciation/depreciation of assets2020-12-31$202,638
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,507,789
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,223,597
Total income from all sources (including contributions)2020-12-31$43,288,777
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$16,494,578
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$14,100,928
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$527,627
Value of total assets at end of year2020-12-31$442,097,842
Value of total assets at beginning of year2020-12-31$415,019,451
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$2,393,650
Total interest from all sources2020-12-31$11,931
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$4,490,897
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$4,490,897
Administrative expenses professional fees incurred2020-12-31$301,142
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$79,596
Assets. Other investments not covered elsewhere at end of year2020-12-31$179,992
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$193,899
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$386,124
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$10,274,549
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$1,789,449
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$2,066,574
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$128,789
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$243,597
Other income not declared elsewhere2020-12-31$5,762,252
Administrative expenses (other) incurred2020-12-31$208,230
Total non interest bearing cash at end of year2020-12-31$7,258,529
Total non interest bearing cash at beginning of year2020-12-31$9,708,237
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$26,794,199
Value of net assets at end of year (total assets less liabilities)2020-12-31$440,590,053
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$413,795,854
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Assets. partnership/joint venture interests at end of year2020-12-31$16,539,552
Assets. partnership/joint venture interests at beginning of year2020-12-31$15,608,662
Investment advisory and management fees2020-12-31$442,725
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$67,706,554
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$62,020,969
Value of interest in common/collective trusts at end of year2020-12-31$248,419,804
Value of interest in common/collective trusts at beginning of year2020-12-31$221,014,200
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$6,554,962
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$3,979,910
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$3,979,910
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$11,931
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$414,006
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,194,688
Net investment gain or loss from common/collective trusts2020-12-31$31,098,744
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$61,907
Employer contributions (assets) at end of year2020-12-31$93,649,000
Employer contributions (assets) at beginning of year2020-12-31$100,427,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$3,412,373
Contract administrator fees2020-12-31$1,441,553
Liabilities. Value of benefit claims payable at end of year2020-12-31$1,379,000
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$980,000
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31PLANTE & MORAN, PLLC
Accountancy firm EIN2020-12-31381357951
2019 : UAW RETIREES HEALTH CARE PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$332,652
Total unrealized appreciation/depreciation of assets2019-12-31$332,652
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,223,597
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$3,123,802
Total income from all sources (including contributions)2019-12-31$52,179,447
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$14,443,738
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$12,048,149
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$549,897
Value of total assets at end of year2019-12-31$415,019,451
Value of total assets at beginning of year2019-12-31$379,183,947
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$2,395,589
Total interest from all sources2019-12-31$84,647
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$2,207,712
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$2,207,712
Administrative expenses professional fees incurred2019-12-31$448,845
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$96,836
Assets. Other investments not covered elsewhere at end of year2019-12-31$193,899
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$169,256
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$453,061
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$8,301,998
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$2,066,574
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$2,672,887
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$243,597
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$200,802
Other income not declared elsewhere2019-12-31$6,294,462
Administrative expenses (other) incurred2019-12-31$199,253
Total non interest bearing cash at end of year2019-12-31$9,708,237
Total non interest bearing cash at beginning of year2019-12-31$5,822,807
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$37,735,709
Value of net assets at end of year (total assets less liabilities)2019-12-31$413,795,854
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$376,060,145
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Assets. partnership/joint venture interests at end of year2019-12-31$15,608,662
Assets. partnership/joint venture interests at beginning of year2019-12-31$14,431,522
Investment advisory and management fees2019-12-31$436,026
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$62,020,969
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$60,673,332
Value of interest in common/collective trusts at end of year2019-12-31$221,014,200
Value of interest in common/collective trusts at beginning of year2019-12-31$181,716,988
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$3,979,910
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$6,700,155
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$6,700,155
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$84,647
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$388,256
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$3,230,560
Net investment gain or loss from common/collective trusts2019-12-31$39,479,517
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Employer contributions (assets) at end of year2019-12-31$100,427,000
Employer contributions (assets) at beginning of year2019-12-31$106,997,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$3,357,895
Contract administrator fees2019-12-31$1,311,465
Liabilities. Value of benefit claims payable at end of year2019-12-31$980,000
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$2,923,000
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31PLANTE & MORAN, PLLC
Accountancy firm EIN2019-12-31381357951
2018 : UAW RETIREES HEALTH CARE PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$477,533
Total unrealized appreciation/depreciation of assets2018-12-31$477,533
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$3,123,802
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$2,048,830
Total income from all sources (including contributions)2018-12-31$-5,900,604
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$17,253,241
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$14,790,604
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$733,316
Value of total assets at end of year2018-12-31$379,183,947
Value of total assets at beginning of year2018-12-31$401,262,820
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$2,462,637
Total interest from all sources2018-12-31$49,301
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$1,687,450
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$1,687,450
Administrative expenses professional fees incurred2018-12-31$511,805
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$89,270
Assets. Other investments not covered elsewhere at end of year2018-12-31$169,256
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$169,847
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$529,046
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-12-31$11,071,138
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$2,672,887
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$2,938,539
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$200,802
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$387,058
Other income not declared elsewhere2018-12-31$6,340,184
Administrative expenses (other) incurred2018-12-31$225,373
Liabilities. Value of operating payables at end of year2018-12-31$0
Liabilities. Value of operating payables at beginning of year2018-12-31$114,772
Total non interest bearing cash at end of year2018-12-31$5,822,807
Total non interest bearing cash at beginning of year2018-12-31$3,902,682
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-23,153,845
Value of net assets at end of year (total assets less liabilities)2018-12-31$376,060,145
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$399,213,990
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Assets. partnership/joint venture interests at end of year2018-12-31$14,431,522
Assets. partnership/joint venture interests at beginning of year2018-12-31$13,335,781
Investment advisory and management fees2018-12-31$389,886
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$60,673,332
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$57,971,437
Value of interest in common/collective trusts at end of year2018-12-31$181,716,988
Value of interest in common/collective trusts at beginning of year2018-12-31$205,139,162
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$6,700,155
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$3,770,372
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$3,770,372
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$49,301
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$394,019
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-1,440,961
Net investment gain or loss from common/collective trusts2018-12-31$-13,747,427
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$115,000
Employer contributions (assets) at end of year2018-12-31$106,997,000
Employer contributions (assets) at beginning of year2018-12-31$114,035,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$3,325,447
Contract administrator fees2018-12-31$1,335,573
Liabilities. Value of benefit claims payable at end of year2018-12-31$2,923,000
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$1,547,000
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31PLANTE & MORAN, PLLC
Accountancy firm EIN2018-12-31381357951
2017 : UAW RETIREES HEALTH CARE PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$583,349
Total unrealized appreciation/depreciation of assets2017-12-31$583,349
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$2,048,830
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$4,709,008
Total income from all sources (including contributions)2017-12-31$41,977,217
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$15,640,804
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$13,165,095
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,548,996
Value of total assets at end of year2017-12-31$401,262,820
Value of total assets at beginning of year2017-12-31$377,586,585
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$2,475,709
Total interest from all sources2017-12-31$32,735
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$1,486,141
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$1,486,141
Administrative expenses professional fees incurred2017-12-31$539,983
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$81,257
Assets. Other investments not covered elsewhere at end of year2017-12-31$169,847
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$47,583
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$1,005,739
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$8,549,020
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$2,938,539
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$980,505
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$387,058
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$1,251,231
Other income not declared elsewhere2017-12-31$6,312,756
Administrative expenses (other) incurred2017-12-31$164,024
Liabilities. Value of operating payables at end of year2017-12-31$114,772
Liabilities. Value of operating payables at beginning of year2017-12-31$890,777
Total non interest bearing cash at end of year2017-12-31$3,902,682
Total non interest bearing cash at beginning of year2017-12-31$8,598,177
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$26,336,413
Value of net assets at end of year (total assets less liabilities)2017-12-31$399,213,990
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$372,877,577
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Assets. partnership/joint venture interests at end of year2017-12-31$13,335,781
Assets. partnership/joint venture interests at beginning of year2017-12-31$0
Investment advisory and management fees2017-12-31$444,345
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$57,971,437
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$53,680,906
Value of interest in common/collective trusts at end of year2017-12-31$205,139,162
Value of interest in common/collective trusts at beginning of year2017-12-31$166,366,497
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$3,770,372
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$17,586,917
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$17,586,917
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$32,735
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$1,360,425
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$-1,346,427
Net investment gain or loss from common/collective trusts2017-12-31$33,359,667
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$462,000
Employer contributions (assets) at end of year2017-12-31$114,035,000
Employer contributions (assets) at beginning of year2017-12-31$130,326,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$3,255,650
Contract administrator fees2017-12-31$1,327,357
Liabilities. Value of benefit claims payable at end of year2017-12-31$1,547,000
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$2,567,000
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31PLANTE & MORAN, PLLC
Accountancy firm EIN2017-12-31381357951
2016 : UAW RETIREES HEALTH CARE PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$4,709,008
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$641,218
Total income from all sources (including contributions)2016-12-31$14,501,566
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$16,723,184
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$14,679,201
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$385,726
Value of total assets at end of year2016-12-31$377,586,585
Value of total assets at beginning of year2016-12-31$375,740,413
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$2,043,983
Total interest from all sources2016-12-31$252,967
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$1,419,926
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$1,419,926
Administrative expenses professional fees incurred2016-12-31$608,442
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$5,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$72,562
Assets. Other investments not covered elsewhere at end of year2016-12-31$47,583
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$11,192,787
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$980,505
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$289,720
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$1,251,231
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$133,218
Other income not declared elsewhere2016-12-31$7,242,244
Administrative expenses (other) incurred2016-12-31$101,013
Liabilities. Value of operating payables at end of year2016-12-31$890,777
Liabilities. Value of operating payables at beginning of year2016-12-31$0
Total non interest bearing cash at end of year2016-12-31$8,598,177
Total non interest bearing cash at beginning of year2016-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-2,221,618
Value of net assets at end of year (total assets less liabilities)2016-12-31$372,877,577
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$375,099,195
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$166,517
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$53,680,906
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$0
Value of interest in common/collective trusts at end of year2016-12-31$166,366,497
Value of interest in common/collective trusts at beginning of year2016-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$17,586,917
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$240,730,693
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$240,730,693
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$252,967
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$1,137,543
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$-1,930,918
Net investment gain or loss from common/collective trusts2016-12-31$7,131,621
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$313,164
Employer contributions (assets) at end of year2016-12-31$130,326,000
Employer contributions (assets) at beginning of year2016-12-31$134,720,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$2,348,871
Contract administrator fees2016-12-31$1,168,011
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Liabilities. Value of benefit claims payable at end of year2016-12-31$2,567,000
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$508,000
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31PLANTE & MORAN, PLLC
Accountancy firm EIN2016-12-31381357951
2015 : UAW RETIREES HEALTH CARE PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$641,218
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$375,740,413
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$641,218
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$508,000
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$375,450,693
Value of total assets at end of year2015-12-31$375,740,413
Value of total assets at beginning of year2015-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$133,218
Total interest from all sources2015-12-31$289,720
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$91,179
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$5,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$289,720
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$133,218
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$0
Administrative expenses (other) incurred2015-12-31$11,034
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$375,099,195
Value of net assets at end of year (total assets less liabilities)2015-12-31$375,099,195
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$240,730,693
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$289,720
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$375,450,693
Employer contributions (assets) at end of year2015-12-31$134,720,000
Employer contributions (assets) at beginning of year2015-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$508,000
Contract administrator fees2015-12-31$31,005
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Liabilities. Value of benefit claims payable at end of year2015-12-31$508,000
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$0
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31PLANTE & MORAN, PLLC
Accountancy firm EIN2015-12-31381357951

Form 5500 Responses for UAW RETIREES HEALTH CARE PLAN

2022: UAW RETIREES HEALTH CARE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: UAW RETIREES HEALTH CARE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: UAW RETIREES HEALTH CARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: UAW RETIREES HEALTH CARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: UAW RETIREES HEALTH CARE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: UAW RETIREES HEALTH CARE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: UAW RETIREES HEALTH CARE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: UAW RETIREES HEALTH CARE PLAN 2015 form 5500 responses
2015-12-17Type of plan entitySingle employer plan
2015-12-17First time form 5500 has been submittedYes
2015-12-17Submission has been amendedNo
2015-12-17This submission is the final filingNo
2015-12-17This return/report is a short plan year return/report (less than 12 months)Yes
2015-12-17Plan is a collectively bargained planYes
2015-12-17Plan funding arrangement – TrustYes
2015-12-17Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberURH-001 C01
Policy instance 4
Insurance contract or identification numberURH-001 C01
Number of Individuals Covered1224
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $119,964
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 number10004833
Policy instance 2
Insurance contract or identification number10004833
Number of Individuals Covered18
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $149,244
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number70605
Policy instance 1
Insurance contract or identification number70605
Number of Individuals Covered2567
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $47,077
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number70605
Policy instance 3
Insurance contract or identification number70605
Number of Individuals Covered2613
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $46,590
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberURH-001 C01
Policy instance 1
Insurance contract or identification numberURH-001 C01
Number of Individuals Covered1267
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $125,590
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 number10004833
Policy instance 2
Insurance contract or identification number10004833
Number of Individuals Covered19
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $151,128
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 number10004833
Policy instance 1
Insurance contract or identification number10004833
Number of Individuals Covered21
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $183,336
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number70605
Policy instance 4
Insurance contract or identification number70605
Number of Individuals Covered2705
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $45,953
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberURH-001 C01
Policy instance 2
Insurance contract or identification numberURH-001 C01
Number of Individuals Covered1340
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $131,909
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberURH-001 C01
Policy instance 3
Insurance contract or identification numberURH-001 C01
Number of Individuals Covered1131
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $119,744
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 number10004833
Policy instance 2
Insurance contract or identification number10004833
Number of Individuals Covered22
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $180,140
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number70605
Policy instance 4
Insurance contract or identification number70605
Number of Individuals Covered2769
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $40,972
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number70605
Policy instance 4
Insurance contract or identification number70605
Number of Individuals Covered2912
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $37,683
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberURH-001 C01
Policy instance 2
Insurance contract or identification numberURH-001 C01
Number of Individuals Covered1171
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $111,095
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 number10004833
Policy instance 1
Insurance contract or identification number10004833
Number of Individuals Covered22
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $174,141
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 number10004833
Policy instance 5
Insurance contract or identification number10004833
Number of Individuals Covered22
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $199,661
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 number5975
Policy instance 4
Insurance contract or identification number5975
Number of Individuals Covered2447
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberURH-001 C01
Policy instance 3
Insurance contract or identification numberURH-001 C01
Number of Individuals Covered1152
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $111,349
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number70605
Policy instance 2
Insurance contract or identification number70605
Number of Individuals Covered2957
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $32,410
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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