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HRHS GROUP HEALTH PLAN 401k Plan overview

Plan NameHRHS GROUP HEALTH PLAN
Plan identification number 501

HRHS GROUP HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

HUTCHINSON REGIONAL MEDICAL CENTER, INC. has sponsored the creation of one or more 401k plans.

Company Name:HUTCHINSON REGIONAL MEDICAL CENTER, INC.
Employer identification number (EIN):480774005
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HRHS GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01KEVIN CHILES KEVIN CHILES2018-10-08
5012016-01-01CASSANDRA DOLEN CASSANDRA DOLEN2017-09-19
5012015-01-01CASSANDRA DOLEN CASSANDRA DOLEN2016-10-17
5012014-01-01CASSANDRA DOLEN CASSANDRA DOLEN2015-09-15
5012014-01-01CASSANDRA DOLEN CASSANDRA DOLEN2018-02-09
5012013-01-01CASSANDRA DOLEN CASSANDRA DOLEN2018-02-09
5012012-01-01CASSANDRA DOLEN CASSANDRA DOLEN2018-02-09
5012011-01-01CASSANDRA DOLEN CASSANDRA DOLEN2018-02-09
5012010-01-01CASSANDRA DOLEN CASSANDRA DOLEN2018-02-09
5012009-01-01JANET HAMOUS SHAWNDA HEIMERMAN2010-09-02

Plan Statistics for HRHS GROUP HEALTH PLAN

401k plan membership statisitcs for HRHS GROUP HEALTH PLAN

Measure Date Value
2023: HRHS GROUP HEALTH PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01922
Total number of active participants reported on line 7a of the Form 55002023-01-01910
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-01910
2022: HRHS GROUP HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01869
Total number of active participants reported on line 7a of the Form 55002022-01-01922
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01922
2021: HRHS GROUP HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01908
Total number of active participants reported on line 7a of the Form 55002021-01-01839
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01839
2020: HRHS GROUP HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,297
Total number of active participants reported on line 7a of the Form 55002020-01-011,381
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-011,381
2019: HRHS GROUP HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,239
Total number of active participants reported on line 7a of the Form 55002019-01-011,297
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-011,297
2018: HRHS GROUP HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,147
Total number of active participants reported on line 7a of the Form 55002018-01-011,151
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-011,151
2017: HRHS GROUP HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,029
Total number of active participants reported on line 7a of the Form 55002017-01-011,225
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-011,225
2016: HRHS GROUP HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01888
Total number of active participants reported on line 7a of the Form 55002016-01-011,025
Number of retired or separated participants receiving benefits2016-01-014
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-011,029
2015: HRHS GROUP HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01998
Total number of active participants reported on line 7a of the Form 55002015-01-01884
Number of retired or separated participants receiving benefits2015-01-014
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01888
2014: HRHS GROUP HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01965
Total number of active participants reported on line 7a of the Form 55002014-01-01997
Number of retired or separated participants receiving benefits2014-01-011
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01998
2013: HRHS GROUP HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01929
Total number of active participants reported on line 7a of the Form 55002013-01-01879
Number of retired or separated participants receiving benefits2013-01-0114
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01893
2012: HRHS GROUP HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,051
Total number of active participants reported on line 7a of the Form 55002012-01-01909
Number of retired or separated participants receiving benefits2012-01-0120
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01929
2011: HRHS GROUP HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,081
Total number of active participants reported on line 7a of the Form 55002011-01-011,051
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-011,051
2010: HRHS GROUP HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-011,078
Total number of active participants reported on line 7a of the Form 55002010-01-011,081
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-011,081
2009: HRHS GROUP HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01955
Total number of active participants reported on line 7a of the Form 55002009-01-011,078
Total of all active and inactive participants2009-01-011,078
Total participants2009-01-011,078

Financial Data on HRHS GROUP HEALTH PLAN

Measure Date Value
2015 : HRHS GROUP HEALTH PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-12-31$9,748,144
Total of all expenses incurred2015-12-31$10,045,736
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$10,030,636
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$9,748,072
Value of total assets at end of year2015-12-31$477,019
Value of total assets at beginning of year2015-12-31$774,611
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$15,100
Total interest from all sources2015-12-31$72
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$2,932,736
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$45,616
Total non interest bearing cash at end of year2015-12-31$477,019
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-297,592
Value of net assets at end of year (total assets less liabilities)2015-12-31$477,019
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$774,611
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 in registered invesment companies (eg mutual funds) at end of year2015-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$774,611
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$72
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$1,400,135
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
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$6,769,720
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$8,630,501
Contract administrator fees2015-12-31$15,100
Did the plan have assets held for investment2015-12-31No
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 name2015-12-31BKD, LLP
Accountancy firm EIN2015-12-31440160260
2014 : HRHS GROUP HEALTH PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$8,644,213
Total of all expenses incurred2014-12-31$9,787,628
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$9,393,974
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$8,638,737
Value of total assets at end of year2014-12-31$774,611
Value of total assets at beginning of year2014-12-31$1,918,026
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$393,654
Total interest from all sources2014-12-31$14,853
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$2,396
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$2,396
Administrative expenses professional fees incurred2014-12-31$0
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$2,744,247
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$79,850
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Income. Non cash contributions2014-12-31$0
Value of net income/loss2014-12-31$-1,143,415
Value of net assets at end of year (total assets less liabilities)2014-12-31$774,611
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,918,026
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$500
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$647,158
Income. Interest from US Government securities2014-12-31$14,853
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$774,611
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$1,270,868
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$1,270,868
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$469,701
Asset value of US Government securities at end of year2014-12-31$0
Asset value of US Government securities at beginning of year2014-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$-11,773
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$5,814,640
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$8,924,273
Contract administrator fees2014-12-31$393,154
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31BKD, LLP
Accountancy firm EIN2014-12-31440160260
2013 : HRHS GROUP HEALTH PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-140
Total unrealized appreciation/depreciation of assets2013-12-31$-140
Total income from all sources (including contributions)2013-12-31$7,443,057
Total of all expenses incurred2013-12-31$8,138,611
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$7,733,780
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$7,447,889
Value of total assets at end of year2013-12-31$1,918,026
Value of total assets at beginning of year2013-12-31$2,613,580
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$404,831
Total interest from all sources2013-12-31$12,812
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$7,050
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$7,050
Administrative expenses professional fees incurred2013-12-31$0
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$2,533,060
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$87,946
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-695,554
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,918,026
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$2,613,580
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$500
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$647,158
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$671,711
Income. Interest from US Government securities2013-12-31$12,812
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$1,270,868
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$936,324
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$936,324
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$491,368
Asset value of US Government securities at end of year2013-12-31$0
Asset value of US Government securities at beginning of year2013-12-31$1,005,545
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$-24,554
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$4,826,883
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$7,242,412
Contract administrator fees2013-12-31$404,331
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31BKD, LLP
Accountancy firm EIN2013-12-31440160260
2012 : HRHS GROUP HEALTH PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$-17,749
Total unrealized appreciation/depreciation of assets2012-12-31$-17,749
Total income from all sources (including contributions)2012-12-31$8,346,152
Total of all expenses incurred2012-12-31$8,430,768
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$8,052,097
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$8,334,498
Value of total assets at end of year2012-12-31$2,613,580
Value of total assets at beginning of year2012-12-31$2,698,196
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$378,671
Total interest from all sources2012-12-31$30,425
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$6,577
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$6,577
Administrative expenses professional fees incurred2012-12-31$0
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$2,487,555
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$6,008
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-84,616
Value of net assets at end of year (total assets less liabilities)2012-12-31$2,613,580
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$2,698,196
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$500
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$671,711
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$679,312
Income. Interest from US Government securities2012-12-31$30,425
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$936,324
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$492,944
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$492,944
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$660,765
Asset value of US Government securities at end of year2012-12-31$1,005,545
Asset value of US Government securities at beginning of year2012-12-31$1,525,940
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$-7,599
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$5,840,935
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$7,391,332
Contract administrator fees2012-12-31$378,171
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31BKD, LLP
Accountancy firm EIN2012-12-31440160260
2011 : HRHS GROUP HEALTH PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$11,774
Total unrealized appreciation/depreciation of assets2011-12-31$11,774
Total income from all sources (including contributions)2011-12-31$9,484,380
Total of all expenses incurred2011-12-31$9,153,051
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$8,697,889
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$9,470,819
Value of total assets at end of year2011-12-31$2,698,196
Value of total assets at beginning of year2011-12-31$2,366,867
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$455,162
Total interest from all sources2011-12-31$18,269
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$4,715
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$4,715
Administrative expenses professional fees incurred2011-12-31$0
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$3,088,250
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$94,207
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$331,329
Value of net assets at end of year (total assets less liabilities)2011-12-31$2,698,196
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$2,366,867
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$500
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$679,312
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$349,108
Income. Interest from US Government securities2011-12-31$18,269
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$492,944
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$161,159
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$161,159
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$717,347
Asset value of US Government securities at end of year2011-12-31$1,525,940
Asset value of US Government securities at beginning of year2011-12-31$1,856,600
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-21,197
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$6,288,362
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$7,980,542
Contract administrator fees2011-12-31$454,662
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31BKD, LLP
Accountancy firm EIN2011-12-31440160260
2010 : HRHS GROUP HEALTH PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$3,959
Total unrealized appreciation/depreciation of assets2010-12-31$3,959
Total income from all sources (including contributions)2010-12-31$8,366,352
Total of all expenses incurred2010-12-31$8,688,711
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$8,272,790
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$8,323,583
Value of total assets at end of year2010-12-31$2,366,867
Value of total assets at beginning of year2010-12-31$2,689,226
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$415,921
Total interest from all sources2010-12-31$33,467
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$6,235
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$6,235
Administrative expenses professional fees incurred2010-12-31$0
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$2,397,167
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$1,002
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-322,359
Value of net assets at end of year (total assets less liabilities)2010-12-31$2,366,867
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$2,689,226
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$500
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$349,108
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$0
Income. Interest from US Government securities2010-12-31$33,467
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$161,159
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$188,266
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$188,266
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$612,037
Asset value of US Government securities at end of year2010-12-31$1,856,600
Asset value of US Government securities at beginning of year2010-12-31$2,500,960
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$-892
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$5,925,414
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$7,660,753
Contract administrator fees2010-12-31$415,421
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31BKD, LLP
Accountancy firm EIN2010-12-31440160260

Form 5500 Responses for HRHS GROUP HEALTH PLAN

2023: HRHS GROUP HEALTH PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – General assets of the sponsorYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – General assets of the sponsorYes
2022: HRHS GROUP HEALTH 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 planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: HRHS GROUP HEALTH 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 planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: HRHS GROUP HEALTH 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 planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: HRHS GROUP HEALTH 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 planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: HRHS GROUP HEALTH 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 planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: HRHS GROUP HEALTH 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 planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: HRHS GROUP HEALTH 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 planNo
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: HRHS GROUP HEALTH PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: HRHS GROUP HEALTH PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedYes
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: HRHS GROUP HEALTH PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: HRHS GROUP HEALTH PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedYes
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: HRHS GROUP HEALTH PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedYes
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: HRHS GROUP HEALTH PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedYes
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: HRHS GROUP HEALTH PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
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

VISION CARE DIRECT OF KANSAS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number3756
Policy instance 1
Insurance contract or identification number3756
Number of Individuals Covered1445
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $18,545
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $185,449
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION CARE DIRECT OF KANSAS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number3756
Policy instance 1
Insurance contract or identification number3756
Number of Individuals Covered1462
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $16,529
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $165,288
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,529
Insurance broker organization code?3
VISION CARE DIRECT OF KANSAS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number3756
Policy instance 1
Insurance contract or identification number3756
Number of Individuals Covered1293
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $17,405
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $174,047
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,405
Amount paid for insurance broker fees0
Insurance broker organization code?3
VISION CARE DIRECT OF KANSAS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number3756
Policy instance 1
Insurance contract or identification number3756
Number of Individuals Covered1381
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $17,605
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $176,051
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,605
Insurance broker organization code?3
VISION CARE DIRECT OF KANSAS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number3756
Policy instance 1
Insurance contract or identification number3756
Number of Individuals Covered1297
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $17,695
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $176,946
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,695
Insurance broker organization code?3
VISION CARE DIRECT OF KANSAS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number3756
Policy instance 1
Insurance contract or identification number3756
Number of Individuals Covered1239
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $18,530
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $185,299
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,530
Insurance broker organization code?3
VISION CARE DIRECT OF KANSAS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number3756
Policy instance 1
Insurance contract or identification number3756
Number of Individuals Covered1225
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $10,228
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $102,279
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,228
Insurance broker organization code?3
Insurance broker nameFEE INSURANCE GROUP INC
HIGHMARK (National Association of Insurance Commissioners NAIC id number: 35599 )
Policy contract number405434-B
Policy instance 3
Insurance contract or identification number405434-B
Number of Individuals Covered802
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $938
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $553,798
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $938
Insurance broker organization code?3
Insurance broker nameBENEFIT MANAGEMENT INC
DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 )
Policy contract number52439
Policy instance 1
Insurance contract or identification number52439
Number of Individuals Covered832
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $37,924
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $450,145
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $37,924
Insurance broker organization code?3
Insurance broker nameDELTA DENTAL OF KANSAS
VISION CARE DIRECT OF KANSAS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number3756
Policy instance 2
Insurance contract or identification number3756
Number of Individuals Covered888
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $13,813
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $138,127
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,813
Insurance broker organization code?3
Insurance broker nameSARA SAMPSON
VISION CARE DIRECT OF KANSAS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number3756
Policy instance 2
Insurance contract or identification number3756
Number of Individuals Covered998
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $12,949
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $129,492
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,949
Insurance broker organization code?3
Insurance broker namePOWER GROUP COMPANY
DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 )
Policy contract number52439
Policy instance 1
Insurance contract or identification number52439
Number of Individuals Covered815
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $32,000
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $408,732
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,000
Insurance broker organization code?3
Insurance broker nameDELTA DENTAL OF KANSAS
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberECU-0093-GL-2
Policy instance 3
Insurance contract or identification numberECU-0093-GL-2
Number of Individuals Covered802
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Welfare Benefit Premiums Paid to CarrierUSD $469,701
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract number0000
Policy instance 1
Insurance contract or identification number0000
Number of Individuals Covered893
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $456,665
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION CARE DIRECT OF KANSAS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number3756
Policy instance 2
Insurance contract or identification number3756
Number of Individuals Covered965
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $12,069
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $120,691
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,069
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker namePOWER GROUP COMPANIES
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract number0000
Policy instance 2
Insurance contract or identification number0000
Number of Individuals Covered893
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with allocated funds for individual policies?No
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 $456,665
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION CARE DIRECT OF KANSAS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number3756
Policy instance 1
Insurance contract or identification number3756
Number of Individuals Covered965
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $12,069
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 $120,691
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,069
Insurance broker organization code?3
Insurance broker namePOWER GROUP COMPANIES
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number96030
Policy instance 1
Insurance contract or identification number96030
Number of Individuals Covered1868
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $660,766
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number96030
Policy instance 1
Insurance contract or identification number96030
Number of Individuals Covered2167
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number96030
Policy instance 1
Insurance contract or identification number96030
Number of Individuals Covered2204
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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