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STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 401k Plan overview

Plan NameSTANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN
Plan identification number 516

STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN Benefits

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

401k Sponsoring company profile

THE BOARD OF TRUSTEES OF LELAND STANFORD JUNIOR UNIVERSITY has sponsored the creation of one or more 401k plans.

Company Name:THE BOARD OF TRUSTEES OF LELAND STANFORD JUNIOR UNIVERSITY
Employer identification number (EIN):941156365
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5162021-09-01
5162020-09-01
5162019-09-01
5162018-09-01
5162017-09-01
5162016-09-01LESLIE SCHLAEGEL
5162016-09-01
5162015-09-01LESLIE SCHLAEGEL
5162014-09-01LESLIE SCHLAEGEL LESLIE SCHLAEGEL2016-04-25
5162014-09-01LESLIE SCHLAEGEL
5162013-09-01LESLIE SCHLAEGEL LESLIE SCHLAEGEL2015-06-15
5162012-09-01LESLIE SCHLAEGEL2014-06-05 LESLIE SCHLAEGEL2014-06-05
5162011-09-01LESLIE SCHLAEGEL LESLIE SCHLAEGEL2013-06-14
5162009-09-01LESLIE SCHLAEGEL, AVP BENEFITS LESLIE SCHLAEGEL, AVP BENEFITS2011-06-15

Plan Statistics for STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN

401k plan membership statisitcs for STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN

Measure Date Value
2021: STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-09-014,982
Total number of active participants reported on line 7a of the Form 55002021-09-010
Number of retired or separated participants receiving benefits2021-09-014,311
Number of other retired or separated participants entitled to future benefits2021-09-01821
Total of all active and inactive participants2021-09-015,132
2020: STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-09-014,863
Total number of active participants reported on line 7a of the Form 55002020-09-010
Number of retired or separated participants receiving benefits2020-09-014,213
Number of other retired or separated participants entitled to future benefits2020-09-01769
Total of all active and inactive participants2020-09-014,982
2019: STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-09-014,697
Total number of active participants reported on line 7a of the Form 55002019-09-010
Number of retired or separated participants receiving benefits2019-09-014,172
Number of other retired or separated participants entitled to future benefits2019-09-01691
Total of all active and inactive participants2019-09-014,863
2018: STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-09-014,577
Total number of active participants reported on line 7a of the Form 55002018-09-010
Number of retired or separated participants receiving benefits2018-09-014,067
Number of other retired or separated participants entitled to future benefits2018-09-01630
Total of all active and inactive participants2018-09-014,697
2017: STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-09-014,594
Total number of active participants reported on line 7a of the Form 55002017-09-010
Number of retired or separated participants receiving benefits2017-09-014,014
Number of other retired or separated participants entitled to future benefits2017-09-01563
Total of all active and inactive participants2017-09-014,577
2016: STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-09-014,535
Total number of active participants reported on line 7a of the Form 55002016-09-010
Number of retired or separated participants receiving benefits2016-09-013,929
Number of other retired or separated participants entitled to future benefits2016-09-01665
Total of all active and inactive participants2016-09-014,594
2015: STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-09-014,401
Total number of active participants reported on line 7a of the Form 55002015-09-010
Number of retired or separated participants receiving benefits2015-09-013,888
Number of other retired or separated participants entitled to future benefits2015-09-01647
Total of all active and inactive participants2015-09-014,535
2014: STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-09-014,387
Number of retired or separated participants receiving benefits2014-09-013,822
Number of other retired or separated participants entitled to future benefits2014-09-01569
Total of all active and inactive participants2014-09-014,391
2013: STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-09-014,173
Number of retired or separated participants receiving benefits2013-09-013,844
Number of other retired or separated participants entitled to future benefits2013-09-01543
Total of all active and inactive participants2013-09-014,387
2012: STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-09-014,066
Number of retired or separated participants receiving benefits2012-09-013,681
Number of other retired or separated participants entitled to future benefits2012-09-01492
Total of all active and inactive participants2012-09-014,173
2011: STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-09-013,923
Number of retired or separated participants receiving benefits2011-09-013,603
Number of other retired or separated participants entitled to future benefits2011-09-01463
Total of all active and inactive participants2011-09-014,066
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-09-010
2009: STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-09-013,993
Number of retired or separated participants receiving benefits2009-09-013,495
Number of other retired or separated participants entitled to future benefits2009-09-01444
Total of all active and inactive participants2009-09-013,939
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-09-010
Total participants2009-09-013,939
Number of employers contributing to the scheme2009-09-010

Financial Data on STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN

Measure Date Value
2022 : STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2022 401k financial data
Unrealized appreciation/depreciation of real estate assets2022-08-31$-65,435,006
Total unrealized appreciation/depreciation of assets2022-08-31$-65,435,006
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-08-31$1,370,139
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-08-31$1,279,964
Total income from all sources (including contributions)2022-08-31$-39,230,674
Total loss/gain on sale of assets2022-08-31$-6,706,102
Total of all expenses incurred2022-08-31$44,385,376
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-08-31$42,663,085
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-08-31$25,298,988
Value of total assets at end of year2022-08-31$274,787,825
Value of total assets at beginning of year2022-08-31$358,313,700
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-08-31$1,722,291
Total interest from all sources2022-08-31$0
Total dividends received (eg from common stock, registered investment company shares)2022-08-31$7,611,446
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-08-31$7,611,446
Administrative expenses professional fees incurred2022-08-31$1,561,958
Was this plan covered by a fidelity bond2022-08-31Yes
Value of fidelity bond cover2022-08-31$15,000,000
If this is an individual account plan, was there a blackout period2022-08-31No
Were there any nonexempt tranactions with any party-in-interest2022-08-31No
Contributions received from participants2022-08-31$20,934,338
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-08-31$1,610,507
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-08-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-08-31No
Value of net income/loss2022-08-31$-83,616,050
Value of net assets at end of year (total assets less liabilities)2022-08-31$273,417,686
Value of net assets at beginning of year (total assets less liabilities)2022-08-31$357,033,736
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-08-31No
Were any leases to which the plan was party in default or uncollectible2022-08-31No
Investment advisory and management fees2022-08-31$160,333
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-08-31$273,177,318
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-08-31$358,313,700
Expenses. Payments to insurance carriers foe the provision of benefits2022-08-31$12,689,918
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-08-31Yes
Was there a failure to transmit to the plan any participant contributions2022-08-31No
Has the plan failed to provide any benefit when due under the plan2022-08-31No
Contributions received in cash from employer2022-08-31$4,364,650
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-08-31$29,973,167
Liabilities. Value of benefit claims payable at end of year2022-08-31$1,370,139
Liabilities. Value of benefit claims payable at beginning of year2022-08-31$1,279,964
Did the plan have assets held for investment2022-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-08-31No
Aggregate proceeds on sale of assets2022-08-31$50,826,103
Aggregate carrying amount (costs) on sale of assets2022-08-31$57,532,205
Opinion of an independent qualified public accountant for this plan2022-08-31Unqualified
Accountancy firm name2022-08-31MOSS ADAMS, LLP
Accountancy firm EIN2022-08-31910189318
2021 : STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-08-31$51,174,695
Total unrealized appreciation/depreciation of assets2021-08-31$51,174,695
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-08-31$1,279,964
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-08-31$1,156,833
Total income from all sources (including contributions)2021-08-31$90,185,176
Total loss/gain on sale of assets2021-08-31$5,849,911
Total of all expenses incurred2021-08-31$41,220,745
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-08-31$39,614,135
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-08-31$26,209,067
Value of total assets at end of year2021-08-31$358,313,700
Value of total assets at beginning of year2021-08-31$309,226,138
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-08-31$1,606,610
Total interest from all sources2021-08-31$0
Total dividends received (eg from common stock, registered investment company shares)2021-08-31$6,951,503
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-08-31$6,951,503
Administrative expenses professional fees incurred2021-08-31$1,445,578
Was this plan covered by a fidelity bond2021-08-31Yes
Value of fidelity bond cover2021-08-31$15,000,000
If this is an individual account plan, was there a blackout period2021-08-31No
Were there any nonexempt tranactions with any party-in-interest2021-08-31No
Contributions received from participants2021-08-31$15,486,463
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-08-31No
Value of net income/loss2021-08-31$48,964,431
Value of net assets at end of year (total assets less liabilities)2021-08-31$357,033,736
Value of net assets at beginning of year (total assets less liabilities)2021-08-31$308,069,305
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-08-31No
Were any leases to which the plan was party in default or uncollectible2021-08-31No
Investment advisory and management fees2021-08-31$161,032
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-08-31$358,313,700
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-08-31$309,226,138
Expenses. Payments to insurance carriers foe the provision of benefits2021-08-31$13,158,217
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-08-31Yes
Was there a failure to transmit to the plan any participant contributions2021-08-31No
Has the plan failed to provide any benefit when due under the plan2021-08-31No
Contributions received in cash from employer2021-08-31$10,722,604
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-08-31$26,455,918
Liabilities. Value of benefit claims payable at end of year2021-08-31$1,279,964
Liabilities. Value of benefit claims payable at beginning of year2021-08-31$1,156,833
Did the plan have assets held for investment2021-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-08-31No
Aggregate proceeds on sale of assets2021-08-31$50,566,608
Aggregate carrying amount (costs) on sale of assets2021-08-31$44,716,697
Opinion of an independent qualified public accountant for this plan2021-08-31Unqualified
Accountancy firm name2021-08-31MOSS ADAMS, LLP
Accountancy firm EIN2021-08-31910189318
2020 : STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-08-31$32,611,452
Total unrealized appreciation/depreciation of assets2020-08-31$32,611,452
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-08-31$1,156,833
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-08-31$1,199,868
Total income from all sources (including contributions)2020-08-31$71,047,013
Total loss/gain on sale of assets2020-08-31$5,835,744
Total of all expenses incurred2020-08-31$35,995,879
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-08-31$34,500,184
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-08-31$26,111,347
Value of total assets at end of year2020-08-31$309,226,138
Value of total assets at beginning of year2020-08-31$274,218,039
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-08-31$1,495,695
Total interest from all sources2020-08-31$1,471,626
Total dividends received (eg from common stock, registered investment company shares)2020-08-31$5,016,844
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-08-31$5,016,844
Administrative expenses professional fees incurred2020-08-31$1,346,438
Was this plan covered by a fidelity bond2020-08-31Yes
Value of fidelity bond cover2020-08-31$15,000,000
If this is an individual account plan, was there a blackout period2020-08-31No
Were there any nonexempt tranactions with any party-in-interest2020-08-31No
Contributions received from participants2020-08-31$14,640,590
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-08-31No
Value of net income/loss2020-08-31$35,051,134
Value of net assets at end of year (total assets less liabilities)2020-08-31$308,069,305
Value of net assets at beginning of year (total assets less liabilities)2020-08-31$273,018,171
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-08-31No
Were any leases to which the plan was party in default or uncollectible2020-08-31No
Investment advisory and management fees2020-08-31$149,257
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-08-31$309,226,138
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-08-31$274,218,039
Interest earned on other investments2020-08-31$1,471,626
Expenses. Payments to insurance carriers foe the provision of benefits2020-08-31$13,488,019
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-08-31Yes
Was there a failure to transmit to the plan any participant contributions2020-08-31No
Has the plan failed to provide any benefit when due under the plan2020-08-31No
Contributions received in cash from employer2020-08-31$11,470,757
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-08-31$21,012,165
Liabilities. Value of benefit claims payable at end of year2020-08-31$1,156,833
Liabilities. Value of benefit claims payable at beginning of year2020-08-31$1,199,868
Did the plan have assets held for investment2020-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-08-31No
Aggregate proceeds on sale of assets2020-08-31$61,996,654
Aggregate carrying amount (costs) on sale of assets2020-08-31$56,160,910
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-08-31Yes
Opinion of an independent qualified public accountant for this plan2020-08-31Disclaimer
Accountancy firm name2020-08-31MOSS ADAMS, LLP
Accountancy firm EIN2020-08-31910189318
2019 : STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-08-31$6,366,345
Total unrealized appreciation/depreciation of assets2019-08-31$6,366,345
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-08-31$1,199,868
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-08-31$1,286,161
Total income from all sources (including contributions)2019-08-31$43,435,165
Total loss/gain on sale of assets2019-08-31$2,208,098
Total of all expenses incurred2019-08-31$34,662,884
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-08-31$33,271,026
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-08-31$28,303,195
Value of total assets at end of year2019-08-31$274,218,039
Value of total assets at beginning of year2019-08-31$265,532,051
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-08-31$1,391,858
Total interest from all sources2019-08-31$1,838,688
Total dividends received (eg from common stock, registered investment company shares)2019-08-31$4,718,839
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-08-31$4,718,839
Administrative expenses professional fees incurred2019-08-31$1,254,086
Was this plan covered by a fidelity bond2019-08-31Yes
Value of fidelity bond cover2019-08-31$15,000,000
If this is an individual account plan, was there a blackout period2019-08-31No
Were there any nonexempt tranactions with any party-in-interest2019-08-31No
Contributions received from participants2019-08-31$14,974,184
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-08-31No
Value of net income/loss2019-08-31$8,772,281
Value of net assets at end of year (total assets less liabilities)2019-08-31$273,018,171
Value of net assets at beginning of year (total assets less liabilities)2019-08-31$264,245,890
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-08-31No
Were any leases to which the plan was party in default or uncollectible2019-08-31No
Investment advisory and management fees2019-08-31$137,772
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-08-31$274,218,039
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-08-31$265,532,051
Interest earned on other investments2019-08-31$1,838,688
Expenses. Payments to insurance carriers foe the provision of benefits2019-08-31$13,024,309
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-08-31Yes
Was there a failure to transmit to the plan any participant contributions2019-08-31No
Has the plan failed to provide any benefit when due under the plan2019-08-31No
Contributions received in cash from employer2019-08-31$13,329,011
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-08-31$20,246,717
Liabilities. Value of benefit claims payable at end of year2019-08-31$1,199,868
Liabilities. Value of benefit claims payable at beginning of year2019-08-31$1,286,161
Did the plan have assets held for investment2019-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-08-31No
Aggregate proceeds on sale of assets2019-08-31$35,782,502
Aggregate carrying amount (costs) on sale of assets2019-08-31$33,574,404
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-08-31Yes
Opinion of an independent qualified public accountant for this plan2019-08-31Disclaimer
Accountancy firm name2019-08-31MOSS ADAMS, LLP
Accountancy firm EIN2019-08-31910189318
2018 : STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-08-31$17,209,447
Total unrealized appreciation/depreciation of assets2018-08-31$17,209,447
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-08-31$1,286,161
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-08-31$1,648,000
Total income from all sources (including contributions)2018-08-31$53,216,398
Total loss/gain on sale of assets2018-08-31$-1,321,534
Total of all expenses incurred2018-08-31$32,898,742
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-08-31$31,575,105
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-08-31$30,914,969
Value of total assets at end of year2018-08-31$265,532,051
Value of total assets at beginning of year2018-08-31$245,576,234
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-08-31$1,323,637
Total interest from all sources2018-08-31$1,891,297
Total dividends received (eg from common stock, registered investment company shares)2018-08-31$4,522,219
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-08-31$4,522,219
Administrative expenses professional fees incurred2018-08-31$1,180,558
Was this plan covered by a fidelity bond2018-08-31Yes
Value of fidelity bond cover2018-08-31$15,000,000
If this is an individual account plan, was there a blackout period2018-08-31No
Were there any nonexempt tranactions with any party-in-interest2018-08-31No
Contributions received from participants2018-08-31$16,017,907
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-08-31No
Value of net income/loss2018-08-31$20,317,656
Value of net assets at end of year (total assets less liabilities)2018-08-31$264,245,890
Value of net assets at beginning of year (total assets less liabilities)2018-08-31$243,928,234
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-08-31No
Were any leases to which the plan was party in default or uncollectible2018-08-31No
Investment advisory and management fees2018-08-31$143,079
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-08-31$265,532,051
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-08-31$245,576,234
Interest earned on other investments2018-08-31$1,891,297
Expenses. Payments to insurance carriers foe the provision of benefits2018-08-31$12,876,765
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-08-31Yes
Was there a failure to transmit to the plan any participant contributions2018-08-31No
Has the plan failed to provide any benefit when due under the plan2018-08-31No
Contributions received in cash from employer2018-08-31$14,897,062
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-08-31$18,698,340
Liabilities. Value of benefit claims payable at end of year2018-08-31$1,286,161
Liabilities. Value of benefit claims payable at beginning of year2018-08-31$1,648,000
Did the plan have assets held for investment2018-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-08-31No
Aggregate proceeds on sale of assets2018-08-31$91,269,643
Aggregate carrying amount (costs) on sale of assets2018-08-31$92,591,177
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-08-31Yes
Opinion of an independent qualified public accountant for this plan2018-08-31Disclaimer
Accountancy firm name2018-08-31MOSS ADAMS, LLP
Accountancy firm EIN2018-08-31910189318
2017 : STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-08-31$21,979,615
Total unrealized appreciation/depreciation of assets2017-08-31$21,979,615
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-08-31$1,648,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-08-31$2,557,284
Total income from all sources (including contributions)2017-08-31$51,179,882
Total loss/gain on sale of assets2017-08-31$1,723,821
Total of all expenses incurred2017-08-31$30,098,306
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-08-31$28,820,530
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-08-31$21,699,128
Value of total assets at end of year2017-08-31$245,576,234
Value of total assets at beginning of year2017-08-31$225,403,942
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-08-31$1,277,776
Total interest from all sources2017-08-31$1,502,549
Total dividends received (eg from common stock, registered investment company shares)2017-08-31$4,274,769
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-08-31$4,274,769
Administrative expenses professional fees incurred2017-08-31$1,146,850
Was this plan covered by a fidelity bond2017-08-31Yes
Value of fidelity bond cover2017-08-31$15,000,000
If this is an individual account plan, was there a blackout period2017-08-31No
Were there any nonexempt tranactions with any party-in-interest2017-08-31No
Contributions received from participants2017-08-31$8,436,923
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-08-31$1,149,051
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-08-31No
Value of net income/loss2017-08-31$21,081,576
Value of net assets at end of year (total assets less liabilities)2017-08-31$243,928,234
Value of net assets at beginning of year (total assets less liabilities)2017-08-31$222,846,658
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-08-31No
Were any leases to which the plan was party in default or uncollectible2017-08-31No
Investment advisory and management fees2017-08-31$130,926
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-08-31$245,576,234
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-08-31$224,478,107
Interest earned on other investments2017-08-31$1,502,549
Expenses. Payments to insurance carriers foe the provision of benefits2017-08-31$12,309,718
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-08-31Yes
Was there a failure to transmit to the plan any participant contributions2017-08-31No
Has the plan failed to provide any benefit when due under the plan2017-08-31No
Contributions received in cash from employer2017-08-31$13,262,205
Employer contributions (assets) at beginning of year2017-08-31$925,835
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-08-31$16,510,812
Liabilities. Value of benefit claims payable at end of year2017-08-31$1,648,000
Liabilities. Value of benefit claims payable at beginning of year2017-08-31$1,408,233
Did the plan have assets held for investment2017-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-08-31No
Aggregate proceeds on sale of assets2017-08-31$27,340,099
Aggregate carrying amount (costs) on sale of assets2017-08-31$25,616,278
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-08-31Yes
Opinion of an independent qualified public accountant for this plan2017-08-31Disclaimer
Accountancy firm name2017-08-31MOSS ADAMS, LLP
Accountancy firm EIN2017-08-31910189318
2016 : STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-08-31$10,307,359
Total unrealized appreciation/depreciation of assets2016-08-31$10,307,359
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-08-31$2,557,284
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-08-31$1,399,307
Total income from all sources (including contributions)2016-08-31$45,880,802
Total loss/gain on sale of assets2016-08-31$306,135
Total of all expenses incurred2016-08-31$30,428,924
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-08-31$29,207,900
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-08-31$30,082,104
Value of total assets at end of year2016-08-31$225,403,942
Value of total assets at beginning of year2016-08-31$208,794,087
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-08-31$1,221,024
Total interest from all sources2016-08-31$1,374,552
Total dividends received (eg from common stock, registered investment company shares)2016-08-31$3,810,652
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-08-31$3,810,652
Administrative expenses professional fees incurred2016-08-31$1,106,347
Was this plan covered by a fidelity bond2016-08-31Yes
Value of fidelity bond cover2016-08-31$15,000,000
If this is an individual account plan, was there a blackout period2016-08-31No
Were there any nonexempt tranactions with any party-in-interest2016-08-31No
Contributions received from participants2016-08-31$12,286,936
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-08-31$1,149,051
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-08-31No
Value of net income/loss2016-08-31$15,451,878
Value of net assets at end of year (total assets less liabilities)2016-08-31$222,846,658
Value of net assets at beginning of year (total assets less liabilities)2016-08-31$207,394,780
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-08-31No
Were any leases to which the plan was party in default or uncollectible2016-08-31No
Investment advisory and management fees2016-08-31$114,677
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-08-31$224,478,107
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-08-31$208,794,087
Interest earned on other investments2016-08-31$1,374,552
Expenses. Payments to insurance carriers foe the provision of benefits2016-08-31$11,868,201
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-08-31Yes
Was there a failure to transmit to the plan any participant contributions2016-08-31No
Has the plan failed to provide any benefit when due under the plan2016-08-31No
Contributions received in cash from employer2016-08-31$17,795,168
Employer contributions (assets) at end of year2016-08-31$925,835
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-08-31$17,339,699
Liabilities. Value of benefit claims payable at end of year2016-08-31$1,408,233
Liabilities. Value of benefit claims payable at beginning of year2016-08-31$1,399,307
Did the plan have assets held for investment2016-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-08-31No
Aggregate proceeds on sale of assets2016-08-31$19,019,015
Aggregate carrying amount (costs) on sale of assets2016-08-31$18,712,880
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-08-31Yes
Opinion of an independent qualified public accountant for this plan2016-08-31Disclaimer
Accountancy firm name2016-08-31MOSS ADAMS, LLP
Accountancy firm EIN2016-08-31910189318
2015 : STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-08-31$-17,782,409
Total unrealized appreciation/depreciation of assets2015-08-31$-17,782,409
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-08-31$1,399,307
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-08-31$1,171,874
Total income from all sources (including contributions)2015-08-31$20,201,398
Total loss/gain on sale of assets2015-08-31$4,600,299
Total of all expenses incurred2015-08-31$30,494,473
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-08-31$29,392,209
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-08-31$27,705,858
Value of total assets at end of year2015-08-31$208,794,087
Value of total assets at beginning of year2015-08-31$218,859,729
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-08-31$1,102,264
Total interest from all sources2015-08-31$1,527,281
Total dividends received (eg from common stock, registered investment company shares)2015-08-31$5,674,538
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-08-31$5,674,538
Administrative expenses professional fees incurred2015-08-31$990,209
Was this plan covered by a fidelity bond2015-08-31Yes
Value of fidelity bond cover2015-08-31$15,000,000
If this is an individual account plan, was there a blackout period2015-08-31No
Were there any nonexempt tranactions with any party-in-interest2015-08-31No
Contributions received from participants2015-08-31$11,339,838
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-08-31$227,443
Other income not declared elsewhere2015-08-31$3,112
Administrative expenses (other) incurred2015-08-31$30,404
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-08-31No
Value of net income/loss2015-08-31$-10,293,075
Value of net assets at end of year (total assets less liabilities)2015-08-31$207,394,780
Value of net assets at beginning of year (total assets less liabilities)2015-08-31$217,687,855
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-08-31No
Were any leases to which the plan was party in default or uncollectible2015-08-31No
Investment advisory and management fees2015-08-31$81,651
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-08-31$208,794,087
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-08-31$218,859,729
Interest earned on other investments2015-08-31$1,524,169
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-08-31$3,112
Expenses. Payments to insurance carriers foe the provision of benefits2015-08-31$11,492,466
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-08-31Yes
Was there a failure to transmit to the plan any participant contributions2015-08-31No
Has the plan failed to provide any benefit when due under the plan2015-08-31No
Contributions received in cash from employer2015-08-31$16,366,020
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-08-31$17,672,300
Contract administrator fees2015-08-31$990,209
Liabilities. Value of benefit claims payable at end of year2015-08-31$1,399,307
Liabilities. Value of benefit claims payable at beginning of year2015-08-31$1,171,874
Did the plan have assets held for investment2015-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-08-31No
Aggregate proceeds on sale of assets2015-08-31$106,394,931
Aggregate carrying amount (costs) on sale of assets2015-08-31$101,794,632
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-08-31Yes
Opinion of an independent qualified public accountant for this plan2015-08-31Disclaimer
Accountancy firm name2015-08-31MOSS ADAMS LLP
Accountancy firm EIN2015-08-31910189318
2014 : STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-08-31$18,858,490
Total unrealized appreciation/depreciation of assets2014-08-31$18,858,490
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-08-31$1,171,874
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-08-31$1,187,659
Total income from all sources (including contributions)2014-08-31$60,169,547
Total loss/gain on sale of assets2014-08-31$1,612,585
Total of all expenses incurred2014-08-31$26,430,496
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-08-31$25,375,181
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-08-31$27,862,499
Value of total assets at end of year2014-08-31$218,859,729
Value of total assets at beginning of year2014-08-31$185,136,463
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-08-31$1,055,315
Total interest from all sources2014-08-31$1,411,189
Total dividends received (eg from common stock, registered investment company shares)2014-08-31$5,071,080
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-08-31$5,071,080
Administrative expenses professional fees incurred2014-08-31$949,231
Was this plan covered by a fidelity bond2014-08-31Yes
Value of fidelity bond cover2014-08-31$25,000,000
If this is an individual account plan, was there a blackout period2014-08-31No
Were there any nonexempt tranactions with any party-in-interest2014-08-31No
Contributions received from participants2014-08-31$9,331,985
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-08-31No
Value of net income/loss2014-08-31$33,739,051
Value of net assets at end of year (total assets less liabilities)2014-08-31$217,687,855
Value of net assets at beginning of year (total assets less liabilities)2014-08-31$183,948,804
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-08-31No
Were any leases to which the plan was party in default or uncollectible2014-08-31No
Investment advisory and management fees2014-08-31$106,084
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-08-31$218,859,729
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-08-31$185,136,463
Interest earned on other investments2014-08-31$1,411,189
Expenses. Payments to insurance carriers foe the provision of benefits2014-08-31$11,280,199
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-08-31$5,353,704
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-08-31Yes
Was there a failure to transmit to the plan any participant contributions2014-08-31No
Has the plan failed to provide any benefit when due under the plan2014-08-31No
Contributions received in cash from employer2014-08-31$18,530,514
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-08-31$14,094,982
Liabilities. Value of benefit claims payable at end of year2014-08-31$1,171,874
Liabilities. Value of benefit claims payable at beginning of year2014-08-31$1,187,659
Did the plan have assets held for investment2014-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-08-31No
Aggregate proceeds on sale of assets2014-08-31$16,507,042
Aggregate carrying amount (costs) on sale of assets2014-08-31$14,894,457
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-08-31Yes
Opinion of an independent qualified public accountant for this plan2014-08-31Disclaimer
Accountancy firm name2014-08-31MOSS ADAMS, LLP
Accountancy firm EIN2014-08-31910189318
2013 : STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-08-31$13,116,080
Total unrealized appreciation/depreciation of assets2013-08-31$13,116,080
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-08-31$1,187,659
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-08-31$1,097,668
Total income from all sources (including contributions)2013-08-31$47,539,413
Total loss/gain on sale of assets2013-08-31$1,651,994
Total of all expenses incurred2013-08-31$27,024,178
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-08-31$26,036,568
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-08-31$27,558,205
Value of total assets at end of year2013-08-31$185,136,463
Value of total assets at beginning of year2013-08-31$164,531,237
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-08-31$987,610
Total interest from all sources2013-08-31$1,393,479
Total dividends received (eg from common stock, registered investment company shares)2013-08-31$3,819,655
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-08-31$3,819,655
Administrative expenses professional fees incurred2013-08-31$894,106
Was this plan covered by a fidelity bond2013-08-31Yes
Value of fidelity bond cover2013-08-31$15,000,000
If this is an individual account plan, was there a blackout period2013-08-31No
Were there any nonexempt tranactions with any party-in-interest2013-08-31No
Contributions received from participants2013-08-31$7,581,891
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-08-31No
Value of net income/loss2013-08-31$20,515,235
Value of net assets at end of year (total assets less liabilities)2013-08-31$183,948,804
Value of net assets at beginning of year (total assets less liabilities)2013-08-31$163,433,569
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-08-31No
Were any leases to which the plan was party in default or uncollectible2013-08-31No
Investment advisory and management fees2013-08-31$93,504
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-08-31$185,136,463
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-08-31$164,531,237
Interest earned on other investments2013-08-31$1,393,287
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-08-31$192
Expenses. Payments to insurance carriers foe the provision of benefits2013-08-31$11,337,531
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-08-31Yes
Was there a failure to transmit to the plan any participant contributions2013-08-31No
Has the plan failed to provide any benefit when due under the plan2013-08-31No
Contributions received in cash from employer2013-08-31$19,976,314
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-08-31$14,699,037
Liabilities. Value of benefit claims payable at end of year2013-08-31$1,187,659
Liabilities. Value of benefit claims payable at beginning of year2013-08-31$1,097,668
Did the plan have assets held for investment2013-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-08-31No
Aggregate proceeds on sale of assets2013-08-31$19,586,848
Aggregate carrying amount (costs) on sale of assets2013-08-31$17,934,854
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-08-31Yes
Opinion of an independent qualified public accountant for this plan2013-08-31Disclaimer
Accountancy firm name2013-08-31MOSS ADAMS LLP
Accountancy firm EIN2013-08-31910189318
2012 : STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2012 401k financial data
Unrealized appreciation/depreciation of real estate assets2012-08-31$6,991,076
Total unrealized appreciation/depreciation of assets2012-08-31$6,991,076
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-08-31$1,097,668
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-08-31$533,507
Total income from all sources (including contributions)2012-08-31$45,924,470
Total loss/gain on sale of assets2012-08-31$353,020
Total of all expenses incurred2012-08-31$24,537,570
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-08-31$23,593,008
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-08-31$34,451,270
Value of total assets at end of year2012-08-31$164,531,237
Value of total assets at beginning of year2012-08-31$142,580,176
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-08-31$944,562
Total interest from all sources2012-08-31$1,298,125
Total dividends received (eg from common stock, registered investment company shares)2012-08-31$2,830,979
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-08-31$2,830,979
Administrative expenses professional fees incurred2012-08-31$865,594
Was this plan covered by a fidelity bond2012-08-31Yes
Value of fidelity bond cover2012-08-31$25,000,000
If this is an individual account plan, was there a blackout period2012-08-31No
Were there any nonexempt tranactions with any party-in-interest2012-08-31No
Contributions received from participants2012-08-31$7,143,646
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-08-31No
Value of net income/loss2012-08-31$21,386,900
Value of net assets at end of year (total assets less liabilities)2012-08-31$163,433,569
Value of net assets at beginning of year (total assets less liabilities)2012-08-31$142,046,669
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-08-31No
Were any leases to which the plan was party in default or uncollectible2012-08-31No
Investment advisory and management fees2012-08-31$78,968
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-08-31$164,531,237
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-08-31$142,580,176
Interest earned on other investments2012-08-31$1,281,740
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-08-31$16,385
Expenses. Payments to insurance carriers foe the provision of benefits2012-08-31$11,092,566
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-08-31Yes
Was there a failure to transmit to the plan any participant contributions2012-08-31No
Has the plan failed to provide any benefit when due under the plan2012-08-31No
Contributions received in cash from employer2012-08-31$27,307,624
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-08-31$12,500,442
Liabilities. Value of benefit claims payable at end of year2012-08-31$1,097,668
Liabilities. Value of benefit claims payable at beginning of year2012-08-31$533,507
Did the plan have assets held for investment2012-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-08-31No
Aggregate proceeds on sale of assets2012-08-31$16,091,811
Aggregate carrying amount (costs) on sale of assets2012-08-31$15,738,791
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-08-31Yes
Opinion of an independent qualified public accountant for this plan2012-08-31Disclaimer
Accountancy firm name2012-08-31MOSS ADAMS LLP
Accountancy firm EIN2012-08-31910189318
2011 : STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-08-31$9,907,418
Total unrealized appreciation/depreciation of assets2011-08-31$9,907,418
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-08-31$533,507
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-08-31$218,384
Total income from all sources (including contributions)2011-08-31$45,450,279
Total loss/gain on sale of assets2011-08-31$1,406,384
Total of all expenses incurred2011-08-31$22,118,648
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-08-31$21,197,642
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-08-31$30,575,334
Value of total assets at end of year2011-08-31$142,580,176
Value of total assets at beginning of year2011-08-31$118,933,422
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-08-31$921,006
Total interest from all sources2011-08-31$1,313,408
Total dividends received (eg from common stock, registered investment company shares)2011-08-31$2,247,735
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-08-31$2,247,735
Administrative expenses professional fees incurred2011-08-31$835,235
Was this plan covered by a fidelity bond2011-08-31Yes
Value of fidelity bond cover2011-08-31$25,000,000
If this is an individual account plan, was there a blackout period2011-08-31No
Were there any nonexempt tranactions with any party-in-interest2011-08-31No
Contributions received from participants2011-08-31$7,144,884
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-08-31No
Value of net income/loss2011-08-31$23,331,631
Value of net assets at end of year (total assets less liabilities)2011-08-31$142,046,669
Value of net assets at beginning of year (total assets less liabilities)2011-08-31$118,715,038
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-08-31No
Were any leases to which the plan was party in default or uncollectible2011-08-31No
Investment advisory and management fees2011-08-31$85,771
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-08-31$142,580,176
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-08-31$118,933,422
Interest earned on other investments2011-08-31$1,313,408
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-08-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-08-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2011-08-31$12,651,103
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-08-31Yes
Was there a failure to transmit to the plan any participant contributions2011-08-31No
Has the plan failed to provide any benefit when due under the plan2011-08-31No
Contributions received in cash from employer2011-08-31$23,430,450
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-08-31$8,546,539
Liabilities. Value of benefit claims payable at end of year2011-08-31$533,507
Liabilities. Value of benefit claims payable at beginning of year2011-08-31$218,384
Did the plan have assets held for investment2011-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-08-31No
Aggregate proceeds on sale of assets2011-08-31$11,896,106
Aggregate carrying amount (costs) on sale of assets2011-08-31$10,489,722
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-08-31Yes
Opinion of an independent qualified public accountant for this plan2011-08-31Disclaimer
Accountancy firm name2011-08-31MOHLER, NIXON AND WILLIAMS
Accountancy firm EIN2011-08-31770106234

Form 5500 Responses for STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN

2021: STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2021 form 5500 responses
2021-09-01Type of plan entitySingle employer plan
2021-09-01Submission has been amendedNo
2021-09-01This submission is the final filingNo
2021-09-01This return/report is a short plan year return/report (less than 12 months)No
2021-09-01Plan is a collectively bargained planNo
2021-09-01Plan funding arrangement – InsuranceYes
2021-09-01Plan funding arrangement – TrustYes
2021-09-01Plan funding arrangement – General assets of the sponsorYes
2021-09-01Plan benefit arrangement – InsuranceYes
2021-09-01Plan benefit arrangement - TrustYes
2021-09-01Plan benefit arrangement – General assets of the sponsorYes
2020: STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2020 form 5500 responses
2020-09-01Type of plan entitySingle employer plan
2020-09-01Submission has been amendedNo
2020-09-01This submission is the final filingNo
2020-09-01This return/report is a short plan year return/report (less than 12 months)No
2020-09-01Plan is a collectively bargained planNo
2020-09-01Plan funding arrangement – InsuranceYes
2020-09-01Plan funding arrangement – TrustYes
2020-09-01Plan funding arrangement – General assets of the sponsorYes
2020-09-01Plan benefit arrangement – InsuranceYes
2020-09-01Plan benefit arrangement - TrustYes
2020-09-01Plan benefit arrangement – General assets of the sponsorYes
2019: STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2019 form 5500 responses
2019-09-01Type of plan entitySingle employer plan
2019-09-01Submission has been amendedNo
2019-09-01This submission is the final filingNo
2019-09-01This return/report is a short plan year return/report (less than 12 months)No
2019-09-01Plan is a collectively bargained planNo
2019-09-01Plan funding arrangement – InsuranceYes
2019-09-01Plan funding arrangement – TrustYes
2019-09-01Plan funding arrangement – General assets of the sponsorYes
2019-09-01Plan benefit arrangement – InsuranceYes
2019-09-01Plan benefit arrangement - TrustYes
2019-09-01Plan benefit arrangement – General assets of the sponsorYes
2018: STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2018 form 5500 responses
2018-09-01Type of plan entitySingle employer plan
2018-09-01Submission has been amendedNo
2018-09-01This submission is the final filingNo
2018-09-01This return/report is a short plan year return/report (less than 12 months)No
2018-09-01Plan is a collectively bargained planNo
2018-09-01Plan funding arrangement – InsuranceYes
2018-09-01Plan funding arrangement – TrustYes
2018-09-01Plan funding arrangement – General assets of the sponsorYes
2018-09-01Plan benefit arrangement – InsuranceYes
2018-09-01Plan benefit arrangement - TrustYes
2018-09-01Plan benefit arrangement – General assets of the sponsorYes
2017: STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2017 form 5500 responses
2017-09-01Type of plan entitySingle employer plan
2017-09-01Submission has been amendedNo
2017-09-01This submission is the final filingNo
2017-09-01This return/report is a short plan year return/report (less than 12 months)No
2017-09-01Plan is a collectively bargained planNo
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan funding arrangement – TrustYes
2017-09-01Plan funding arrangement – General assets of the sponsorYes
2017-09-01Plan benefit arrangement – InsuranceYes
2017-09-01Plan benefit arrangement - TrustYes
2017-09-01Plan benefit arrangement – General assets of the sponsorYes
2016: STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01Submission has been amendedYes
2016-09-01This submission is the final filingNo
2016-09-01This return/report is a short plan year return/report (less than 12 months)No
2016-09-01Plan is a collectively bargained planNo
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan funding arrangement – TrustYes
2016-09-01Plan funding arrangement – General assets of the sponsorYes
2016-09-01Plan benefit arrangement – InsuranceYes
2016-09-01Plan benefit arrangement - TrustYes
2016-09-01Plan benefit arrangement – General assets of the sponsorYes
2015: STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2015 form 5500 responses
2015-09-01Type of plan entitySingle employer plan
2015-09-01Submission has been amendedNo
2015-09-01This submission is the final filingNo
2015-09-01This return/report is a short plan year return/report (less than 12 months)No
2015-09-01Plan is a collectively bargained planNo
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan funding arrangement – TrustYes
2015-09-01Plan funding arrangement – General assets of the sponsorYes
2015-09-01Plan benefit arrangement – InsuranceYes
2015-09-01Plan benefit arrangement - TrustYes
2015-09-01Plan benefit arrangement – General assets of the sponsorYes
2014: STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2014 form 5500 responses
2014-09-01Type of plan entitySingle employer plan
2014-09-01Submission has been amendedNo
2014-09-01This submission is the final filingNo
2014-09-01This return/report is a short plan year return/report (less than 12 months)No
2014-09-01Plan is a collectively bargained planNo
2014-09-01Plan funding arrangement – InsuranceYes
2014-09-01Plan funding arrangement – TrustYes
2014-09-01Plan funding arrangement – General assets of the sponsorYes
2014-09-01Plan benefit arrangement – InsuranceYes
2014-09-01Plan benefit arrangement - TrustYes
2014-09-01Plan benefit arrangement – General assets of the sponsorYes
2013: STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2013 form 5500 responses
2013-09-01Type of plan entitySingle employer plan
2013-09-01Submission has been amendedYes
2013-09-01This submission is the final filingNo
2013-09-01This return/report is a short plan year return/report (less than 12 months)No
2013-09-01Plan is a collectively bargained planNo
2013-09-01Plan funding arrangement – InsuranceYes
2013-09-01Plan funding arrangement – TrustYes
2013-09-01Plan funding arrangement – General assets of the sponsorYes
2013-09-01Plan benefit arrangement – InsuranceYes
2013-09-01Plan benefit arrangement - TrustYes
2013-09-01Plan benefit arrangement – General assets of the sponsorYes
2012: STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2012 form 5500 responses
2012-09-01Type of plan entitySingle employer plan
2012-09-01Submission has been amendedNo
2012-09-01This submission is the final filingNo
2012-09-01This return/report is a short plan year return/report (less than 12 months)No
2012-09-01Plan is a collectively bargained planNo
2012-09-01Plan funding arrangement – InsuranceYes
2012-09-01Plan funding arrangement – TrustYes
2012-09-01Plan funding arrangement – General assets of the sponsorYes
2012-09-01Plan benefit arrangement – InsuranceYes
2012-09-01Plan benefit arrangement - TrustYes
2012-09-01Plan benefit arrangement – General assets of the sponsorYes
2011: STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2011 form 5500 responses
2011-09-01Type of plan entitySingle employer plan
2011-09-01Submission has been amendedNo
2011-09-01This submission is the final filingNo
2011-09-01This return/report is a short plan year return/report (less than 12 months)No
2011-09-01Plan is a collectively bargained planNo
2011-09-01Plan funding arrangement – InsuranceYes
2011-09-01Plan funding arrangement – TrustYes
2011-09-01Plan funding arrangement – General assets of the sponsorYes
2011-09-01Plan benefit arrangement – InsuranceYes
2011-09-01Plan benefit arrangement - TrustYes
2011-09-01Plan benefit arrangement – General assets of the sponsorYes
2009: STANFORD UNIVERSITY POST-RETIREMENT AND POST-EMPLOYMENT BENEFIT PLAN 2009 form 5500 responses
2009-09-01Type of plan entitySingle employer plan
2009-09-01Submission has been amendedNo
2009-09-01This submission is the final filingNo
2009-09-01This return/report is a short plan year return/report (less than 12 months)No
2009-09-01Plan is a collectively bargained planNo
2009-09-01Plan funding arrangement – InsuranceYes
2009-09-01Plan funding arrangement – TrustYes
2009-09-01Plan funding arrangement – General assets of the sponsorYes
2009-09-01Plan benefit arrangement – InsuranceYes
2009-09-01Plan benefit arrangement - TrustYes
2009-09-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number45041-2
Policy instance 6
Insurance contract or identification number45041-2
Number of Individuals Covered2
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $23,906
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30059913
Policy instance 5
Insurance contract or identification number30059913
Number of Individuals Covered1637
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $7,097
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $258,864
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,097
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number230178-2,3
Policy instance 4
Insurance contract or identification number230178-2,3
Number of Individuals Covered52
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $215,661
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number97179-1
Policy instance 3
Insurance contract or identification number97179-1
Number of Individuals Covered48
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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 $31,464
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number07145-2,3,5
Policy instance 2
Insurance contract or identification number07145-2,3,5
Number of Individuals Covered1643
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $5,959,347
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 )
Policy contract number58004
Policy instance 1
Insurance contract or identification number58004
Number of Individuals Covered760
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare 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 $5,268,075
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 )
Policy contract number58004
Policy instance 1
Insurance contract or identification number58004
Number of Individuals Covered840
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $5,674,101
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 number07145-2, 3, 5
Policy instance 2
Insurance contract or identification number07145-2, 3, 5
Number of Individuals Covered1601
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $8,212,372
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number97179-1
Policy instance 3
Insurance contract or identification number97179-1
Number of Individuals Covered44
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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 $20,889
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number230178-2,3
Policy instance 4
Insurance contract or identification number230178-2,3
Number of Individuals Covered48
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $224,530
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30059913
Policy instance 5
Insurance contract or identification number30059913
Number of Individuals Covered1489
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $7,140
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $238,004
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,140
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30059913
Policy instance 5
Insurance contract or identification number30059913
Number of Individuals Covered1386
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $6,488
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $216,270
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,488
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number230178-2,3
Policy instance 4
Insurance contract or identification number230178-2,3
Number of Individuals Covered44
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $171,676
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number97179-1
Policy instance 3
Insurance contract or identification number97179-1
Number of Individuals Covered66
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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 $16,301
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number07145-2, 3, 5
Policy instance 2
Insurance contract or identification number07145-2, 3, 5
Number of Individuals Covered1582
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $6,897,169
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 )
Policy contract number58004
Policy instance 1
Insurance contract or identification number58004
Number of Individuals Covered924
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $5,809,708
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 )
Policy contract number58004
Policy instance 1
Insurance contract or identification number58004
Number of Individuals Covered1019
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $6,142,180
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 number07145-2, 3, 5
Policy instance 2
Insurance contract or identification number07145-2, 3, 5
Number of Individuals Covered1489
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,828,637
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number97179-1
Policy instance 3
Insurance contract or identification number97179-1
Number of Individuals Covered87
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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 $17,188
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number230178-2,3,5
Policy instance 4
Insurance contract or identification number230178-2,3,5
Number of Individuals Covered37
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $199,956
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30059913
Policy instance 5
Insurance contract or identification number30059913
Number of Individuals Covered1245
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $6,040
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $201,324
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,040
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number97179-1
Policy instance 5
Insurance contract or identification number97179-1
Number of Individuals Covered101
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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 $11,771
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number240689
Policy instance 3
Insurance contract or identification number240689
Number of Individuals Covered115
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $619,086
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number2666
Policy instance 4
Insurance contract or identification number2666
Number of Individuals Covered110
Insurance policy start date2017-09-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $645,491
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 )
Policy contract number58004
Policy instance 1
Insurance contract or identification number58004
Number of Individuals Covered1014
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $5,548,026
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 number07145
Policy instance 2
Insurance contract or identification number07145
Number of Individuals Covered1287
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $3,184,628
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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