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COLORADO SPRINGS HEALTH PARTNERS, P.C. HEALTH PLAN 401k Plan overview

Plan NameCOLORADO SPRINGS HEALTH PARTNERS, P.C. HEALTH PLAN
Plan identification number 516

COLORADO SPRINGS HEALTH PARTNERS, P.C. HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

COLORADO SPRINGS HEALTH PARTNERS, P.C. has sponsored the creation of one or more 401k plans.

Company Name:COLORADO SPRINGS HEALTH PARTNERS, P.C.
Employer identification number (EIN):841129000
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COLORADO SPRINGS HEALTH PARTNERS, P.C. HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5162015-01-01LINDA SOMMERVOLD
5162014-01-01LINDA SOMMERVOLD LINDA SOMMERVOLD2015-10-15
5162013-01-01LINDA SOMMERVOLD LINDA SOMMERVOLD2014-09-17
5162012-01-01LINDA SOMMERVOLD
5162011-01-01LINDA SOMMERVOLD
5162009-09-01LINDA SOMMERVOLD
5162009-09-01LINDA SOMMERVOLD
5162008-09-01LINDA SOMMERVOLD

Plan Statistics for COLORADO SPRINGS HEALTH PARTNERS, P.C. HEALTH PLAN

401k plan membership statisitcs for COLORADO SPRINGS HEALTH PARTNERS, P.C. HEALTH PLAN

Measure Date Value
2015: COLORADO SPRINGS HEALTH PARTNERS, P.C. HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011
Number of retired or separated participants receiving benefits2015-01-010
Total of all active and inactive participants2015-01-010
Total participants2015-01-010
2014: COLORADO SPRINGS HEALTH PARTNERS, P.C. HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01741
Total number of active participants reported on line 7a of the Form 55002014-01-010
Total of all active and inactive participants2014-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-011
Total participants2014-01-011
2013: COLORADO SPRINGS HEALTH PARTNERS, P.C. HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01722
Total number of active participants reported on line 7a of the Form 55002013-01-01732
Number of retired or separated participants receiving benefits2013-01-019
Total of all active and inactive participants2013-01-01741
Total participants2013-01-01741
2012: COLORADO SPRINGS HEALTH PARTNERS, P.C. HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01693
Total number of active participants reported on line 7a of the Form 55002012-01-01717
Number of retired or separated participants receiving benefits2012-01-014
Total of all active and inactive participants2012-01-01721
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-011
Total participants2012-01-01722
2011: COLORADO SPRINGS HEALTH PARTNERS, P.C. HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01651
Total number of active participants reported on line 7a of the Form 55002011-01-01687
Number of retired or separated participants receiving benefits2011-01-016
Total of all active and inactive participants2011-01-01693
Total participants2011-01-01693
2009: COLORADO SPRINGS HEALTH PARTNERS, P.C. HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year2009-09-01503
Total number of active participants reported on line 7a of the Form 55002009-09-01506
Total of all active and inactive participants2009-09-01506
Total participants2009-09-01506
Number of retired or separated participants receiving benefits2009-09-0111
2008: COLORADO SPRINGS HEALTH PARTNERS, P.C. HEALTH PLAN 2008 401k membership
Total participants, beginning-of-year2008-09-01497
Total number of active participants reported on line 7a of the Form 55002008-09-01503
Total of all active and inactive participants2008-09-01503
Total participants2008-09-01503

Form 5500 Responses for COLORADO SPRINGS HEALTH PARTNERS, P.C. HEALTH PLAN

2015: COLORADO SPRINGS HEALTH PARTNERS, P.C. 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 filingYes
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 benefit arrangement – InsuranceYes
2014: COLORADO SPRINGS HEALTH PARTNERS, P.C. HEALTH PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
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 benefit arrangement – InsuranceYes
2013: COLORADO SPRINGS HEALTH PARTNERS, P.C. HEALTH PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
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 benefit arrangement – InsuranceYes
2012: COLORADO SPRINGS HEALTH PARTNERS, P.C. HEALTH PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
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 benefit arrangement – InsuranceYes
2011: COLORADO SPRINGS HEALTH PARTNERS, P.C. HEALTH PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
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 benefit arrangement – InsuranceYes
2009: COLORADO SPRINGS HEALTH PARTNERS, P.C. HEALTH PLAN 2009 form 5500 responses
2009-09-01Type of plan entitySingle employer plan
2009-09-01Submission has been amendedYes
2009-09-01This submission is the final filingNo
2009-09-01This return/report is a short plan year return/report (less than 12 months)Yes
2009-09-01Plan is a collectively bargained planNo
2009-09-01Plan funding arrangement – InsuranceYes
2009-09-01Plan benefit arrangement – InsuranceYes
2008: COLORADO SPRINGS HEALTH PARTNERS, P.C. HEALTH PLAN 2008 form 5500 responses
2008-09-01Type of plan entitySingle employer plan
2008-09-01Submission has been amendedNo
2008-09-01This submission is the final filingNo
2008-09-01This return/report is a short plan year return/report (less than 12 months)No
2008-09-01Plan is a collectively bargained planNo
2008-09-01Plan funding arrangement – InsuranceYes
2008-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 95473 )
Policy contract number195687
Policy instance 4
Insurance contract or identification number195687
Number of Individuals Covered0
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $16,428
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $514,440
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,428
Insurance broker organization code?3
Insurance broker nameBROWN & BROWN INSURANCE
ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. (National Association of Insurance Commissioners NAIC id number: 11011 )
Policy contract number195687
Policy instance 2
Insurance contract or identification number195687
Number of Individuals Covered0
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $85,257
Total amount of fees paid to insurance companyUSD $425
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $85,257
Amount paid for insurance broker fees425
Insurance broker organization code?3
Insurance broker nameBROWN & BROWN INSURANCE
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract number195687
Policy instance 1
Insurance contract or identification number195687
Number of Individuals Covered0
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $107,349
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BETA HEALTH ASSOCIATION, INC. (National Association of Insurance Commissioners NAIC id number: 81300 )
Policy contract number5872000
Policy instance 3
Insurance contract or identification number5872000
Number of Individuals Covered0
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,393
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,334
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,393
Insurance broker organization code?3
Insurance broker nameBROWN AND BROWN OF DENVER
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number663053
Policy instance 5
Insurance contract or identification number663053
Number of Individuals Covered0
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $7,655
Total amount of fees paid to insurance companyUSD $1,658
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,827
Amount paid for insurance broker fees1381
Insurance broker organization code?3
Insurance broker nameSOUTH FLORIDA GRP LLC
ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. (National Association of Insurance Commissioners NAIC id number: 11011 )
Policy contract number195687
Policy instance 6
Insurance contract or identification number195687
Number of Individuals Covered0
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $50,941
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )
Policy contract number718602
Policy instance 2
Insurance contract or identification number718602
Number of Individuals Covered304
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $22,915
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $231,688
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,915
Insurance broker organization code?3
Insurance broker nameBROWN & BROWN OF COLORADO INC
BETA HEALTH ASSOCIATION, INC. (National Association of Insurance Commissioners NAIC id number: 81300 )
Policy contract number5872000
Policy instance 1
Insurance contract or identification number5872000
Number of Individuals Covered84
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1,616
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,266
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,616
Insurance broker organization code?3
Insurance broker nameBROWN AND BROWN OF DENVER
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number663053
Policy instance 4
Insurance contract or identification number663053
Number of Individuals Covered135
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $7,017
Total amount of fees paid to insurance companyUSD $1,520
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,340
Amount paid for insurance broker fees1266
Insurance broker organization code?3
Insurance broker nameSOUTH FLORIDA GRP LLC
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number718602
Policy instance 3
Insurance contract or identification number718602
Number of Individuals Covered741
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $113,411
Total amount of fees paid to insurance companyUSD $4,473
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $3,347,590
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $113,411
Amount paid for insurance broker fees4473
Insurance broker organization code?3
Insurance broker nameBROWN & BROWN OF COLORADO INC
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number663053
Policy instance 1
Insurance contract or identification number663053
Number of Individuals Covered129
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $7,105
Total amount of fees paid to insurance companyUSD $1,538
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,407
Amount paid for insurance broker fees1281
Insurance broker organization code?3
Insurance broker nameSOUTH FLORIDA GRP LLC
BETA HEALTH ASSOCIATION, INC. (National Association of Insurance Commissioners NAIC id number: 81300 )
Policy contract number5872000
Policy instance 3
Insurance contract or identification number5872000
Number of Individuals Covered79
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,609
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,176
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,609
Insurance broker organization code?3
Insurance broker nameBROWN AND BROWN OF DENVER
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract number718602
Policy instance 2
Insurance contract or identification number718602
Number of Individuals Covered722
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $128,440
Total amount of fees paid to insurance companyUSD $4,767
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $3,459,102
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $128,440
Amount paid for insurance broker fees4767
Insurance broker organization code?3
Insurance broker nameBROWN & BROWN OF COLORADO INC
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number663053
Policy instance 3
Insurance contract or identification number663053
Number of Individuals Covered124
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $5,172
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BETA HEALTH ASSOCIATION, INC. (National Association of Insurance Commissioners NAIC id number: 81300 )
Policy contract number5872000
Policy instance 2
Insurance contract or identification number5872000
Number of Individuals Covered94
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,809
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $23,803
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number718602
Policy instance 1
Insurance contract or identification number718602
Number of Individuals Covered693
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $102,568
Total amount of fees paid to insurance companyUSD $4,416
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $3,093,731
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF COLORADO (National Association of Insurance Commissioners NAIC id number: 55875 )
Policy contract number000130148
Policy instance 4
Insurance contract or identification number000130148
Number of Individuals Covered500
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $25,309
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $171,724
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BETA HEALTH ASSOCIATION, INC. (National Association of Insurance Commissioners NAIC id number: 81300 )
Policy contract number5872000
Policy instance 3
Insurance contract or identification number5872000
Number of Individuals Covered78
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $1,660
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,470
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF COLORADO (National Association of Insurance Commissioners NAIC id number: 55875 )
Policy contract number000130148
Policy instance 2
Insurance contract or identification number000130148
Number of Individuals Covered450
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $21,057
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $139,920
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number718602
Policy instance 1
Insurance contract or identification number718602
Number of Individuals Covered651
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $101,983
Total amount of fees paid to insurance companyUSD $10,165
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $3,071,996
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number663053
Policy instance 4
Insurance contract or identification number663053
Number of Individuals Covered117
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $5,316
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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