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JM EQUIPMENT CO INC 401k Plan overview

Plan NameJM EQUIPMENT CO INC
Plan identification number 501

JM EQUIPMENT CO INC Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision

401k Sponsoring company profile

JM EQUIPMENT CO has sponsored the creation of one or more 401k plans.

Company Name:JM EQUIPMENT CO
Employer identification number (EIN):940693960
NAIC Classification:423800

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JM EQUIPMENT CO INC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-03-01
5012021-03-01
5012020-03-01
5012019-03-01
5012018-03-01
5012017-03-01VINCENT VICTORINE
5012016-03-01VINCENT VICTORINE
5012015-03-01VINCENT VICTORINE
5012014-03-01VINCENT VICTORINE
5012013-03-01VINCENT VICTORINE
5012012-03-01VINCENT VICTORINE
5012011-03-01VINCENT VICTORINE
5012009-03-01VINCENT VICTORINE

Plan Statistics for JM EQUIPMENT CO INC

401k plan membership statisitcs for JM EQUIPMENT CO INC

Measure Date Value
2022: JM EQUIPMENT CO INC 2022 401k membership
Total participants, beginning-of-year2022-03-010
Total of all active and inactive participants2022-03-010
Total participants2022-03-010
2021: JM EQUIPMENT CO INC 2021 401k membership
Total participants, beginning-of-year2021-03-010
Total of all active and inactive participants2021-03-010
Total participants2021-03-010
2020: JM EQUIPMENT CO INC 2020 401k membership
Total participants, beginning-of-year2020-03-010
Total of all active and inactive participants2020-03-010
Total participants2020-03-010
2019: JM EQUIPMENT CO INC 2019 401k membership
Total participants, beginning-of-year2019-03-010
Total of all active and inactive participants2019-03-010
Total participants2019-03-010
2018: JM EQUIPMENT CO INC 2018 401k membership
Total participants, beginning-of-year2018-03-010
Total of all active and inactive participants2018-03-010
Total participants2018-03-010
2017: JM EQUIPMENT CO INC 2017 401k membership
Total participants, beginning-of-year2017-03-010
Total of all active and inactive participants2017-03-010
Total participants2017-03-010
2016: JM EQUIPMENT CO INC 2016 401k membership
Total participants, beginning-of-year2016-03-01325
Total number of active participants reported on line 7a of the Form 55002016-03-01309
Total of all active and inactive participants2016-03-01309
Total participants2016-03-01309
2015: JM EQUIPMENT CO INC 2015 401k membership
Total participants, beginning-of-year2015-03-010
Total of all active and inactive participants2015-03-010
Total participants2015-03-010
2014: JM EQUIPMENT CO INC 2014 401k membership
Total participants, beginning-of-year2014-03-010
Total of all active and inactive participants2014-03-010
Total participants2014-03-010
2013: JM EQUIPMENT CO INC 2013 401k membership
Total participants, beginning-of-year2013-03-010
Total of all active and inactive participants2013-03-010
Total participants2013-03-010
2012: JM EQUIPMENT CO INC 2012 401k membership
Total participants, beginning-of-year2012-03-01177
Total number of active participants reported on line 7a of the Form 55002012-03-01181
Total of all active and inactive participants2012-03-01181
Total participants2012-03-010
2011: JM EQUIPMENT CO INC 2011 401k membership
Total participants, beginning-of-year2011-03-01189
Total number of active participants reported on line 7a of the Form 55002011-03-01177
Total of all active and inactive participants2011-03-01177
Total participants2011-03-01177
2009: JM EQUIPMENT CO INC 2009 401k membership
Total participants, beginning-of-year2009-03-01185
Total number of active participants reported on line 7a of the Form 55002009-03-01189
Total of all active and inactive participants2009-03-01189
Total participants2009-03-01189

Financial Data on JM EQUIPMENT CO INC

Measure Date Value
2023 : JM EQUIPMENT CO INC 2023 401k financial data
Assets. Value of tangible personal property2023-02-28$0
Assets. Value of loans (other than to participants)2023-02-28$0
Assets. Value of participant loans2023-02-28$0
Assets. Value of assets in partnership/joint-venture interests2023-02-28$0
Assets. Value of real-estate (other than employer real property)2023-02-28$0
Assets. Value of employer securities2023-02-28$0
Assets. Value of employer real property2023-02-28$0
2017 : JM EQUIPMENT CO INC 2017 401k financial data
Value of total assets at end of year2017-02-28$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-02-28No
Was this plan covered by a fidelity bond2017-02-28No
If this is an individual account plan, was there a blackout period2017-02-28No
Were there any nonexempt tranactions with any party-in-interest2017-02-28No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-02-28No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2017-02-28No
Were any leases to which the plan was party in default or uncollectible2017-02-28No
Value of interest in common/collective trusts at end of year2017-02-28$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-02-28No
Was there a failure to transmit to the plan any participant contributions2017-02-28No
Has the plan failed to provide any benefit when due under the plan2017-02-28No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-02-28No
Did the plan have assets held for investment2017-02-28No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-02-28No

Form 5500 Responses for JM EQUIPMENT CO INC

2022: JM EQUIPMENT CO INC 2022 form 5500 responses
2022-03-01Type of plan entitySingle employer plan
2022-03-01Plan funding arrangement – InsuranceYes
2022-03-01Plan benefit arrangement – InsuranceYes
2021: JM EQUIPMENT CO INC 2021 form 5500 responses
2021-03-01Type of plan entitySingle employer plan
2021-03-01Plan funding arrangement – InsuranceYes
2021-03-01Plan benefit arrangement – InsuranceYes
2020: JM EQUIPMENT CO INC 2020 form 5500 responses
2020-03-01Type of plan entitySingle employer plan
2020-03-01Plan funding arrangement – InsuranceYes
2020-03-01Plan benefit arrangement – InsuranceYes
2019: JM EQUIPMENT CO INC 2019 form 5500 responses
2019-03-01Type of plan entitySingle employer plan
2019-03-01Plan funding arrangement – InsuranceYes
2019-03-01Plan benefit arrangement – InsuranceYes
2018: JM EQUIPMENT CO INC 2018 form 5500 responses
2018-03-01Type of plan entitySingle employer plan
2018-03-01Plan funding arrangement – InsuranceYes
2018-03-01Plan benefit arrangement – InsuranceYes
2017: JM EQUIPMENT CO INC 2017 form 5500 responses
2017-03-01Type of plan entitySingle employer plan
2017-03-01Plan funding arrangement – InsuranceYes
2017-03-01Plan benefit arrangement – InsuranceYes
2016: JM EQUIPMENT CO INC 2016 form 5500 responses
2016-03-01Type of plan entitySingle employer plan
2016-03-01Plan funding arrangement – InsuranceYes
2016-03-01Plan benefit arrangement – InsuranceYes
2015: JM EQUIPMENT CO INC 2015 form 5500 responses
2015-03-01Type of plan entitySingle employer plan
2015-03-01Plan funding arrangement – InsuranceYes
2015-03-01Plan benefit arrangement – InsuranceYes
2014: JM EQUIPMENT CO INC 2014 form 5500 responses
2014-03-01Type of plan entitySingle employer plan
2014-03-01Plan funding arrangement – InsuranceYes
2014-03-01Plan benefit arrangement – InsuranceYes
2013: JM EQUIPMENT CO INC 2013 form 5500 responses
2013-03-01Type of plan entitySingle employer plan
2013-03-01Plan funding arrangement – InsuranceYes
2013-03-01Plan benefit arrangement – InsuranceYes
2012: JM EQUIPMENT CO INC 2012 form 5500 responses
2012-03-01Type of plan entitySingle employer plan
2012-03-01Plan funding arrangement – InsuranceYes
2012-03-01Plan benefit arrangement – InsuranceYes
2011: JM EQUIPMENT CO INC 2011 form 5500 responses
2011-03-01Type of plan entitySingle employer plan
2011-03-01Plan funding arrangement – InsuranceYes
2011-03-01Plan funding arrangement – General assets of the sponsorYes
2011-03-01Plan benefit arrangement – InsuranceYes
2011-03-01Plan benefit arrangement – General assets of the sponsorYes
2009: JM EQUIPMENT CO INC 2009 form 5500 responses
2009-03-01Type of plan entitySingle employer plan
2009-03-01Plan funding arrangement – InsuranceYes
2009-03-01Plan funding arrangement – General assets of the sponsorYes
2009-03-01Plan benefit arrangement – InsuranceYes
2009-03-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00396157
Policy instance 2
Insurance contract or identification number00396157
Number of Individuals Covered106
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number35615
Policy instance 1
Insurance contract or identification number35615
Number of Individuals Covered218
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number35615
Policy instance 1
Insurance contract or identification number35615
Number of Individuals Covered224
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number35615
Policy instance 1
Insurance contract or identification number35615
Number of Individuals Covered247
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5548768
Policy instance 3
Insurance contract or identification number5548768
Number of Individuals Covered189
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Other welfare benefits providedADD
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00396157
Policy instance 2
Insurance contract or identification number00396157
Number of Individuals Covered122
Insurance policy start date2019-03-01
Insurance policy end date2020-02-28
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number35615
Policy instance 1
Insurance contract or identification number35615
Number of Individuals Covered302
Insurance policy start date2019-03-01
Insurance policy end date2020-02-28
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number35615
Policy instance 1
Insurance contract or identification number35615
Number of Individuals Covered312
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00396157
Policy instance 2
Insurance contract or identification number00396157
Number of Individuals Covered127
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00396157
Policy instance 3
Insurance contract or identification number00396157
Number of Individuals Covered122
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number35615
Policy instance 2
Insurance contract or identification number35615
Number of Individuals Covered349
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05548768
Policy instance 1
Insurance contract or identification numberKM05548768
Number of Individuals Covered225
Insurance policy start date2016-10-01
Insurance policy end date2017-09-30
Life Insurance Welfare BenefitYes
Other welfare benefits providedADD
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 )
Policy contract number957
Policy instance 1
Insurance contract or identification number957
Number of Individuals Covered312
Insurance policy start date2015-03-01
Insurance policy end date2016-02-28
Are there contracts with allocated funds for individual policies?Yes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05548768
Policy instance 2
Insurance contract or identification numberKM05548768
Number of Individuals Covered197
Insurance policy start date2015-10-01
Insurance policy end date2016-09-30
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number35615
Policy instance 3
Insurance contract or identification number35615
Number of Individuals Covered292
Insurance policy start date2015-03-01
Insurance policy end date2016-02-28
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00396157
Policy instance 4
Insurance contract or identification number00396157
Number of Individuals Covered104
Insurance policy start date2015-03-01
Insurance policy end date2016-02-28
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 )
Policy contract number957
Policy instance 1
Insurance contract or identification number957
Number of Individuals Covered325
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Are there contracts with allocated funds for individual policies?Yes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05548768
Policy instance 2
Insurance contract or identification numberKM05548768
Number of Individuals Covered190
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number35615
Policy instance 3
Insurance contract or identification number35615
Number of Individuals Covered295
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00396157
Policy instance 4
Insurance contract or identification number00396157
Number of Individuals Covered110
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00396157
Policy instance 4
Insurance contract or identification number00396157
Number of Individuals Covered107
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number35615
Policy instance 3
Insurance contract or identification number35615
Number of Individuals Covered301
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05548768
Policy instance 2
Insurance contract or identification numberKM05548768
Number of Individuals Covered176
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 )
Policy contract number957
Policy instance 1
Insurance contract or identification number957
Number of Individuals Covered330
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Are there contracts with allocated funds for individual policies?Yes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00396157
Policy instance 1
Insurance contract or identification number00396157
Number of Individuals Covered105
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,841
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number35615
Policy instance 2
Insurance contract or identification number35615
Number of Individuals Covered292
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05548768
Policy instance 3
Insurance contract or identification numberKM05548768
Number of Individuals Covered178
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 )
Policy contract number957
Policy instance 4
Insurance contract or identification number957
Number of Individuals Covered316
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,434
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 )
Policy contract number957
Policy instance 3
Insurance contract or identification number957
Number of Individuals Covered301
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,016
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number35615
Policy instance 4
Insurance contract or identification number35615
Number of Individuals Covered247
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $971,730
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKMO5548768
Policy instance 1
Insurance contract or identification numberKMO5548768
Number of Individuals Covered177
Insurance policy start date2009-10-01
Insurance policy end date2010-09-30
Life Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $26,203
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number805524
Policy instance 5
Insurance contract or identification number805524
Number of Individuals Covered4
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,731
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00396157
Policy instance 2
Insurance contract or identification number00396157
Number of Individuals Covered99
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,805
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberUS401269
Policy instance 6
Insurance contract or identification numberUS401269
Number of Individuals Covered75
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Welfare Benefit Premiums Paid to CarrierUSD $412,211
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number805524
Policy instance 1
Insurance contract or identification number805524
Number of Individuals Covered20
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $84,179
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKMO5548768
Policy instance 2
Insurance contract or identification numberKMO5548768
Number of Individuals Covered177
Insurance policy start date2009-10-01
Insurance policy end date2010-09-30
Life Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $24,067
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00396157
Policy instance 3
Insurance contract or identification number00396157
Number of Individuals Covered104
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,943
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number35615
Policy instance 5
Insurance contract or identification number35615
Number of Individuals Covered176
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $660,597
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 )
Policy contract number957
Policy instance 4
Insurance contract or identification number957
Number of Individuals Covered304
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,357
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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