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NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 401k Plan overview

Plan NameNATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND
Plan identification number 502

NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

BOARD OF TRUSTEES, NHL PLAYERS' HEALTH AND BENEFITS FUND has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES, NHL PLAYERS' HEALTH AND BENEFITS FUND
Employer identification number (EIN):020758876
NAIC Classification:711300
NAIC Description: Promoters of Performing Arts, Sports, and Similar Events

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-07-01CRAIG HARNETT2023-04-09
5022020-07-01CRAIG HARNETT2022-04-12
5022019-07-01CRAIG HARNETT2021-04-08
5022018-07-01CRAIG HARNETT2020-06-30
5022017-07-01CRAIG HARNETT2019-04-10
5022016-07-01
5022015-07-01CRAIG HARNETT
5022014-07-01
5022014-07-01CRAIG C HARNETT
5022013-07-01CRAIG HARNETT
5022012-07-01CRAIG HARNETT
5022011-07-01CRAIG HARNETT
5022009-07-01CRAIG HARNETT
5022009-07-01CRAIG HARNETT

Plan Statistics for NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND

401k plan membership statisitcs for NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND

Measure Date Value
2021: NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2021 401k membership
Total participants, beginning-of-year2021-07-011,671
Total number of active participants reported on line 7a of the Form 55002021-07-01965
Number of retired or separated participants receiving benefits2021-07-01661
Total of all active and inactive participants2021-07-011,626
Number of employers contributing to the scheme2021-07-0132
2020: NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2020 401k membership
Total participants, beginning-of-year2020-07-011,604
Total number of active participants reported on line 7a of the Form 55002020-07-011,065
Number of retired or separated participants receiving benefits2020-07-01606
Total of all active and inactive participants2020-07-011,671
Number of employers contributing to the scheme2020-07-0131
2019: NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2019 401k membership
Total participants, beginning-of-year2019-07-011,607
Total number of active participants reported on line 7a of the Form 55002019-07-011,027
Number of retired or separated participants receiving benefits2019-07-01577
Total of all active and inactive participants2019-07-011,604
Number of employers contributing to the scheme2019-07-0131
2018: NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2018 401k membership
Total participants, beginning-of-year2018-07-011,565
Total number of active participants reported on line 7a of the Form 55002018-07-011,050
Number of retired or separated participants receiving benefits2018-07-01557
Number of other retired or separated participants entitled to future benefits2018-07-010
Total of all active and inactive participants2018-07-011,607
Number of employers contributing to the scheme2018-07-0131
2017: NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2017 401k membership
Total participants, beginning-of-year2017-07-011,503
Total number of active participants reported on line 7a of the Form 55002017-07-011,048
Number of retired or separated participants receiving benefits2017-07-01517
Number of other retired or separated participants entitled to future benefits2017-07-010
Total of all active and inactive participants2017-07-011,565
Number of employers contributing to the scheme2017-07-0131
2016: NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2016 401k membership
Total participants, beginning-of-year2016-07-011,497
Total number of active participants reported on line 7a of the Form 55002016-07-011,024
Number of retired or separated participants receiving benefits2016-07-01479
Number of other retired or separated participants entitled to future benefits2016-07-010
Total of all active and inactive participants2016-07-011,503
Number of employers contributing to the scheme2016-07-0131
2015: NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2015 401k membership
Total participants, beginning-of-year2015-07-011,258
Total number of active participants reported on line 7a of the Form 55002015-07-011,034
Number of retired or separated participants receiving benefits2015-07-01463
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-011,497
Number of employers contributing to the scheme2015-07-0131
2014: NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2014 401k membership
Total participants, beginning-of-year2014-07-011,219
Total number of active participants reported on line 7a of the Form 55002014-07-01807
Number of retired or separated participants receiving benefits2014-07-01451
Number of other retired or separated participants entitled to future benefits2014-07-010
Total of all active and inactive participants2014-07-011,258
Number of employers contributing to the scheme2014-07-0131
2013: NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2013 401k membership
Total participants, beginning-of-year2013-07-01856
Total number of active participants reported on line 7a of the Form 55002013-07-01794
Number of retired or separated participants receiving benefits2013-07-01435
Number of other retired or separated participants entitled to future benefits2013-07-010
Total of all active and inactive participants2013-07-011,229
2012: NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2012 401k membership
Total participants, beginning-of-year2012-07-011,107
Total number of active participants reported on line 7a of the Form 55002012-07-01763
Number of retired or separated participants receiving benefits2012-07-01456
Number of other retired or separated participants entitled to future benefits2012-07-010
Total of all active and inactive participants2012-07-011,219
2011: NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2011 401k membership
Total participants, beginning-of-year2011-07-011,091
Total number of active participants reported on line 7a of the Form 55002011-07-01771
Number of retired or separated participants receiving benefits2011-07-01336
Number of other retired or separated participants entitled to future benefits2011-07-010
Total of all active and inactive participants2011-07-011,107
2009: NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2009 401k membership
Total participants, beginning-of-year2009-07-011,024
Total number of active participants reported on line 7a of the Form 55002009-07-011,020
Number of retired or separated participants receiving benefits2009-07-010
Number of other retired or separated participants entitled to future benefits2009-07-010
Total of all active and inactive participants2009-07-011,020

Financial Data on NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND

Measure Date Value
2022 : NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$9,450,313
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$7,577,140
Total income from all sources (including contributions)2022-06-30$45,041,516
Total loss/gain on sale of assets2022-06-30$0
Total of all expenses incurred2022-06-30$40,796,663
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$38,898,279
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$45,148,461
Value of total assets at end of year2022-06-30$47,006,342
Value of total assets at beginning of year2022-06-30$40,888,316
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$1,898,384
Total interest from all sources2022-06-30$50,576
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Administrative expenses professional fees incurred2022-06-30$505,094
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$12,104,303
Participant contributions at end of year2022-06-30$171,725
Participant contributions at beginning of year2022-06-30$193,573
Income. Received or receivable in cash from other sources (including rollovers)2022-06-30$2,282,261
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-06-30$5,120,773
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-06-30$3,486,979
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-06-30$0
Other income not declared elsewhere2022-06-30$-157,521
Administrative expenses (other) incurred2022-06-30$62,320
Liabilities. Value of operating payables at end of year2022-06-30$4,093,313
Liabilities. Value of operating payables at beginning of year2022-06-30$3,725,140
Total non interest bearing cash at end of year2022-06-30$38,714,832
Total non interest bearing cash at beginning of year2022-06-30$30,610,381
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$4,244,853
Value of net assets at end of year (total assets less liabilities)2022-06-30$37,556,029
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$33,311,176
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-06-30$1,571,515
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$4,699,367
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$4,699,367
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-06-30$50,576
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$7,289,628
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30No
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$30,761,897
Employer contributions (assets) at end of year2022-06-30$1,424,275
Employer contributions (assets) at beginning of year2022-06-30$1,896,741
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$31,608,651
Contract administrator fees2022-06-30$1,330,970
Liabilities. Value of benefit claims payable at end of year2022-06-30$5,357,000
Liabilities. Value of benefit claims payable at beginning of year2022-06-30$3,852,000
Assets. Value of buildings and other operty used in plan operation at end of year2022-06-30$3,222
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-06-30$1,275
Did the plan have assets held for investment2022-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30WITHUMSMITH+BROWN
Accountancy firm EIN2022-06-30222027092
2021 : NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$7,577,140
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$3,551,860
Total income from all sources (including contributions)2021-06-30$44,770,762
Total loss/gain on sale of assets2021-06-30$0
Total of all expenses incurred2021-06-30$33,639,510
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$31,951,391
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$44,583,022
Value of total assets at end of year2021-06-30$40,888,316
Value of total assets at beginning of year2021-06-30$25,731,784
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$1,688,119
Total interest from all sources2021-06-30$52,438
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Administrative expenses professional fees incurred2021-06-30$393,298
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$12,612,803
Participant contributions at end of year2021-06-30$193,573
Participant contributions at beginning of year2021-06-30$179,949
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-06-30$3,486,979
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-06-30$11,634
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-06-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-06-30$0
Other income not declared elsewhere2021-06-30$135,302
Administrative expenses (other) incurred2021-06-30$39,552
Liabilities. Value of operating payables at end of year2021-06-30$3,725,140
Liabilities. Value of operating payables at beginning of year2021-06-30$601,860
Total non interest bearing cash at end of year2021-06-30$30,610,381
Total non interest bearing cash at beginning of year2021-06-30$18,962,385
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$11,131,252
Value of net assets at end of year (total assets less liabilities)2021-06-30$33,311,176
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$22,179,924
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Investment advisory and management fees2021-06-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-06-30$4,699,367
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-06-30$5,560,015
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-06-30$5,560,015
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-06-30$52,438
Expenses. Payments to insurance carriers foe the provision of benefits2021-06-30$6,341,042
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30No
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$31,970,219
Employer contributions (assets) at end of year2021-06-30$1,896,741
Employer contributions (assets) at beginning of year2021-06-30$1,016,223
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$25,610,349
Contract administrator fees2021-06-30$1,255,269
Liabilities. Value of benefit claims payable at end of year2021-06-30$3,852,000
Liabilities. Value of benefit claims payable at beginning of year2021-06-30$2,950,000
Assets. Value of buildings and other operty used in plan operation at end of year2021-06-30$1,275
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-06-30$1,578
Did the plan have assets held for investment2021-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Unqualified
Accountancy firm name2021-06-30WITHUMSMITH+BROWN
Accountancy firm EIN2021-06-30222027092
2020 : NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$3,551,860
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$4,852,349
Total income from all sources (including contributions)2020-06-30$40,454,824
Total loss/gain on sale of assets2020-06-30$0
Total of all expenses incurred2020-06-30$31,617,303
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$30,098,265
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$40,218,046
Value of total assets at end of year2020-06-30$25,731,784
Value of total assets at beginning of year2020-06-30$18,194,752
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$1,519,038
Total interest from all sources2020-06-30$222,002
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Administrative expenses professional fees incurred2020-06-30$325,737
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$12,472,389
Participant contributions at end of year2020-06-30$179,949
Participant contributions at beginning of year2020-06-30$242,411
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$11,634
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-06-30$18,253
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-06-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-06-30$0
Other income not declared elsewhere2020-06-30$14,776
Administrative expenses (other) incurred2020-06-30$50,937
Liabilities. Value of operating payables at end of year2020-06-30$601,860
Liabilities. Value of operating payables at beginning of year2020-06-30$144,349
Total non interest bearing cash at end of year2020-06-30$18,962,385
Total non interest bearing cash at beginning of year2020-06-30$12,917,441
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$8,837,521
Value of net assets at end of year (total assets less liabilities)2020-06-30$22,179,924
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$13,342,403
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$5,560,015
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$4,016,754
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$4,016,754
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-06-30$222,002
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$6,918,895
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$27,745,657
Employer contributions (assets) at end of year2020-06-30$1,016,223
Employer contributions (assets) at beginning of year2020-06-30$992,967
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$23,179,370
Contract administrator fees2020-06-30$1,142,364
Liabilities. Value of benefit claims payable at end of year2020-06-30$2,950,000
Liabilities. Value of benefit claims payable at beginning of year2020-06-30$4,708,000
Assets. Value of buildings and other operty used in plan operation at end of year2020-06-30$1,578
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-06-30$6,926
Did the plan have assets held for investment2020-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30No
Opinion of an independent qualified public accountant for this plan2020-06-30Unqualified
Accountancy firm name2020-06-30WITHUMSMITH+BROWN
Accountancy firm EIN2020-06-30222027092
2019 : NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$4,852,349
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$6,871,017
Total income from all sources (including contributions)2019-06-30$41,516,862
Total loss/gain on sale of assets2019-06-30$0
Total of all expenses incurred2019-06-30$31,255,406
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$29,412,575
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$41,302,653
Value of total assets at end of year2019-06-30$18,194,752
Value of total assets at beginning of year2019-06-30$9,951,964
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$1,842,831
Total interest from all sources2019-06-30$172,322
Total dividends received (eg from common stock, registered investment company shares)2019-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Administrative expenses professional fees incurred2019-06-30$645,168
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$12,453,914
Participant contributions at end of year2019-06-30$242,411
Participant contributions at beginning of year2019-06-30$153,186
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-06-30$18,253
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-06-30$681,199
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-06-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-06-30$0
Other income not declared elsewhere2019-06-30$41,887
Liabilities. Value of operating payables at end of year2019-06-30$144,349
Liabilities. Value of operating payables at beginning of year2019-06-30$349,017
Total non interest bearing cash at end of year2019-06-30$12,917,441
Total non interest bearing cash at beginning of year2019-06-30$8,134,748
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$10,261,456
Value of net assets at end of year (total assets less liabilities)2019-06-30$13,342,403
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$3,080,947
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-06-30$4,016,754
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-06-30$172,322
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$6,811,276
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30No
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$28,848,739
Employer contributions (assets) at end of year2019-06-30$992,967
Employer contributions (assets) at beginning of year2019-06-30$976,592
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$22,601,299
Contract administrator fees2019-06-30$1,197,663
Liabilities. Value of benefit claims payable at end of year2019-06-30$4,708,000
Liabilities. Value of benefit claims payable at beginning of year2019-06-30$6,522,000
Assets. Value of buildings and other operty used in plan operation at end of year2019-06-30$6,926
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-06-30$6,239
Did the plan have assets held for investment2019-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30No
Opinion of an independent qualified public accountant for this plan2019-06-30Unqualified
Accountancy firm name2019-06-30WITHUMSMITH&BROWN
Accountancy firm EIN2019-06-30222027092
2018 : NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$6,871,017
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$8,666,687
Total income from all sources (including contributions)2018-06-30$40,490,658
Total loss/gain on sale of assets2018-06-30$0
Total of all expenses incurred2018-06-30$36,325,301
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$33,472,386
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$40,423,107
Value of total assets at end of year2018-06-30$9,951,964
Value of total assets at beginning of year2018-06-30$7,582,277
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$2,852,915
Total interest from all sources2018-06-30$24,178
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Administrative expenses professional fees incurred2018-06-30$774,152
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$11,862,183
Participant contributions at end of year2018-06-30$153,186
Participant contributions at beginning of year2018-06-30$152,916
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-06-30$681,199
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-06-30$3,902
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-06-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-06-30$3,000,000
Other income not declared elsewhere2018-06-30$43,373
Administrative expenses (other) incurred2018-06-30$814,666
Liabilities. Value of operating payables at end of year2018-06-30$349,017
Liabilities. Value of operating payables at beginning of year2018-06-30$1,035,687
Total non interest bearing cash at end of year2018-06-30$8,134,748
Total non interest bearing cash at beginning of year2018-06-30$3,831,086
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$4,165,357
Value of net assets at end of year (total assets less liabilities)2018-06-30$3,080,947
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$-1,084,410
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-06-30$24,178
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$6,906,912
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30No
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$28,560,924
Employer contributions (assets) at end of year2018-06-30$976,592
Employer contributions (assets) at beginning of year2018-06-30$588,467
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$26,565,474
Contract administrator fees2018-06-30$1,264,097
Liabilities. Value of benefit claims payable at end of year2018-06-30$6,522,000
Liabilities. Value of benefit claims payable at beginning of year2018-06-30$4,631,000
Assets. Value of buildings and other operty used in plan operation at end of year2018-06-30$6,239
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-06-30$3,005,906
Did the plan have assets held for investment2018-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30No
Opinion of an independent qualified public accountant for this plan2018-06-30Unqualified
Accountancy firm name2018-06-30WITHUMSMITH&BROWN
Accountancy firm EIN2018-06-30222027092
2017 : NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$8,666,687
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$5,750,903
Total income from all sources (including contributions)2017-06-30$37,859,064
Total loss/gain on sale of assets2017-06-30$0
Total of all expenses incurred2017-06-30$35,655,111
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$31,594,849
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$37,836,394
Value of total assets at end of year2017-06-30$7,582,277
Value of total assets at beginning of year2017-06-30$2,462,540
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$4,060,262
Total interest from all sources2017-06-30$31
Total dividends received (eg from common stock, registered investment company shares)2017-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Administrative expenses professional fees incurred2017-06-30$1,374,567
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$10,273,276
Participant contributions at end of year2017-06-30$152,916
Participant contributions at beginning of year2017-06-30$11,532
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-06-30$3,902
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-06-30$35,789
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-06-30$3,000,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-06-30$71,578
Other income not declared elsewhere2017-06-30$22,639
Administrative expenses (other) incurred2017-06-30$1,578,616
Liabilities. Value of operating payables at end of year2017-06-30$1,035,687
Liabilities. Value of operating payables at beginning of year2017-06-30$208,325
Total non interest bearing cash at end of year2017-06-30$3,831,086
Total non interest bearing cash at beginning of year2017-06-30$1,836,540
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$2,203,953
Value of net assets at end of year (total assets less liabilities)2017-06-30$-1,084,410
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$-3,288,363
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-06-30$19,246
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-06-30$19,246
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-06-30$31
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$7,163,818
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30No
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$27,563,118
Employer contributions (assets) at end of year2017-06-30$588,467
Employer contributions (assets) at beginning of year2017-06-30$559,433
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$24,431,031
Contract administrator fees2017-06-30$1,107,079
Liabilities. Value of benefit claims payable at end of year2017-06-30$4,631,000
Liabilities. Value of benefit claims payable at beginning of year2017-06-30$5,471,000
Assets. Value of buildings and other operty used in plan operation at end of year2017-06-30$3,005,906
Did the plan have assets held for investment2017-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30No
Opinion of an independent qualified public accountant for this plan2017-06-30Unqualified
Accountancy firm name2017-06-30WITHUMSMITH & BROWN
Accountancy firm EIN2017-06-30222027092
2016 : NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$5,750,903
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$5,193,535
Total income from all sources (including contributions)2016-06-30$35,335,641
Total loss/gain on sale of assets2016-06-30$0
Total of all expenses incurred2016-06-30$34,609,040
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$33,062,362
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$35,335,560
Value of total assets at end of year2016-06-30$2,462,540
Value of total assets at beginning of year2016-06-30$1,178,571
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$1,546,678
Total interest from all sources2016-06-30$81
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Administrative expenses professional fees incurred2016-06-30$399,068
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$9,373,490
Participant contributions at end of year2016-06-30$11,532
Participant contributions at beginning of year2016-06-30$50,440
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-06-30$35,789
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-06-30$153,109
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-06-30$71,578
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-06-30$108,988
Administrative expenses (other) incurred2016-06-30$165,642
Liabilities. Value of operating payables at end of year2016-06-30$208,325
Liabilities. Value of operating payables at beginning of year2016-06-30$233,547
Total non interest bearing cash at end of year2016-06-30$1,836,540
Total non interest bearing cash at beginning of year2016-06-30$152,581
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$726,601
Value of net assets at end of year (total assets less liabilities)2016-06-30$-3,288,363
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$-4,014,964
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-06-30$19,246
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$434,441
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$434,441
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-06-30$81
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$7,245,112
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$25,962,070
Employer contributions (assets) at end of year2016-06-30$559,433
Employer contributions (assets) at beginning of year2016-06-30$388,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$25,817,250
Contract administrator fees2016-06-30$981,968
Liabilities. Value of benefit claims payable at end of year2016-06-30$5,471,000
Liabilities. Value of benefit claims payable at beginning of year2016-06-30$4,851,000
Did the plan have assets held for investment2016-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30No
Opinion of an independent qualified public accountant for this plan2016-06-30Unqualified
Accountancy firm name2016-06-30BOND BEEBE, P.C.
Accountancy firm EIN2016-06-30521044197
2015 : NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$5,463,320
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$5,885,846
Total income from all sources (including contributions)2015-06-30$30,888,683
Total loss/gain on sale of assets2015-06-30$0
Total of all expenses incurred2015-06-30$30,403,479
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$29,085,982
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$30,887,094
Value of total assets at end of year2015-06-30$2,428,672
Value of total assets at beginning of year2015-06-30$2,365,994
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$1,317,497
Total interest from all sources2015-06-30$1,589
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Administrative expenses professional fees incurred2015-06-30$891,275
Was this plan covered by a fidelity bond2015-06-30No
Value of fidelity bond cover2015-06-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Amount of non-exempt transactions with any party-in-interest2015-06-30$1,182
Contributions received from participants2015-06-30$0
Participant contributions at end of year2015-06-30$50,440
Participant contributions at beginning of year2015-06-30$634,164
Income. Received or receivable in cash from other sources (including rollovers)2015-06-30$6,594,290
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-06-30$5,483,085
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-06-30$98,615
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-06-30$98,615
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-06-30$3,463,165
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-06-30$3,596,487
Administrative expenses (other) incurred2015-06-30$426,222
Liabilities. Value of operating payables at end of year2015-06-30$153,930
Liabilities. Value of operating payables at beginning of year2015-06-30$421,017
Total non interest bearing cash at end of year2015-06-30$1,891,617
Total non interest bearing cash at beginning of year2015-06-30$1,360,653
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$485,204
Value of net assets at end of year (total assets less liabilities)2015-06-30$-3,034,648
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$-3,519,852
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-06-30$1,589
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$1,852,974
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$24,292,804
Employer contributions (assets) at end of year2015-06-30$438,440
Employer contributions (assets) at beginning of year2015-06-30$906,726
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$21,749,923
Contract administrator fees2015-06-30$971,275
Liabilities. Value of benefit claims payable at end of year2015-06-30$1,846,225
Liabilities. Value of benefit claims payable at beginning of year2015-06-30$1,868,342
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Liabilities. Value of acquisition indebtedness at end of year2015-06-30$0
Liabilities. Value of acquisition indebtedness at beginning of year2015-06-30$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30No
Opinion of an independent qualified public accountant for this plan2015-06-30Unqualified
Accountancy firm name2015-06-30CHARTERED ACCOUNTANTS
Accountancy firm EIN2015-06-30999999999
2014 : NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$5,885,846
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$3,679,409
Total income from all sources (including contributions)2014-06-30$30,026,755
Total loss/gain on sale of assets2014-06-30$0
Total of all expenses incurred2014-06-30$32,445,375
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$31,465,706
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$29,964,090
Value of total assets at end of year2014-06-30$2,365,994
Value of total assets at beginning of year2014-06-30$2,578,177
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$979,669
Total interest from all sources2014-06-30$2,539
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Administrative expenses professional fees incurred2014-06-30$696,061
Was this plan covered by a fidelity bond2014-06-30No
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Income. Received or receivable in cash from other sources (including rollovers)2014-06-30$7,315,949
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-06-30$5,394,169
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-06-30$98,615
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-06-30$98,615
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-06-30$3,596,487
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-06-30$2,978,833
Other income not declared elsewhere2014-06-30$60,126
Administrative expenses (other) incurred2014-06-30$283,608
Liabilities. Value of operating payables at end of year2014-06-30$421,017
Liabilities. Value of operating payables at beginning of year2014-06-30$147,999
Total non interest bearing cash at end of year2014-06-30$1,360,653
Total non interest bearing cash at beginning of year2014-06-30$1,590,275
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$-2,418,620
Value of net assets at end of year (total assets less liabilities)2014-06-30$-3,519,852
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$-1,101,232
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-06-30$2,539
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$2,180,231
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$22,648,141
Employer contributions (assets) at end of year2014-06-30$906,726
Employer contributions (assets) at beginning of year2014-06-30$889,287
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$23,891,306
Liabilities. Value of benefit claims payable at end of year2014-06-30$1,868,342
Liabilities. Value of benefit claims payable at beginning of year2014-06-30$552,577
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Liabilities. Value of acquisition indebtedness at end of year2014-06-30$0
Liabilities. Value of acquisition indebtedness at beginning of year2014-06-30$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30No
Opinion of an independent qualified public accountant for this plan2014-06-30Unqualified
Accountancy firm name2014-06-30CHARTERED ACCOUNTANTS
Accountancy firm EIN2014-06-30999999999
2013 : NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$3,679,409
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$4,181,851
Total income from all sources (including contributions)2013-06-30$17,607,837
Total loss/gain on sale of assets2013-06-30$0
Total of all expenses incurred2013-06-30$22,148,995
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$21,533,365
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$17,601,673
Value of total assets at end of year2013-06-30$2,578,177
Value of total assets at beginning of year2013-06-30$7,621,777
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$615,630
Total interest from all sources2013-06-30$4,778
Total dividends received (eg from common stock, registered investment company shares)2013-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Was this plan covered by a fidelity bond2013-06-30No
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Income. Received or receivable in cash from other sources (including rollovers)2013-06-30$1,937,850
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-06-30$2,216,347
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-06-30$98,615
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-06-30$926,922
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-06-30$2,978,833
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-06-30$2,987,048
Other income not declared elsewhere2013-06-30$1,386
Administrative expenses (other) incurred2013-06-30$183,540
Liabilities. Value of operating payables at end of year2013-06-30$147,999
Liabilities. Value of operating payables at beginning of year2013-06-30$79,183
Total non interest bearing cash at end of year2013-06-30$1,590,275
Total non interest bearing cash at beginning of year2013-06-30$2,383,949
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$-4,541,158
Value of net assets at end of year (total assets less liabilities)2013-06-30$-1,101,232
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$3,439,926
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$3,584,786
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$3,584,786
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-06-30$4,778
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$1,641,607
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30No
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$15,663,823
Employer contributions (assets) at end of year2013-06-30$889,287
Employer contributions (assets) at beginning of year2013-06-30$726,120
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$17,675,411
Contract administrator fees2013-06-30$432,090
Liabilities. Value of benefit claims payable at end of year2013-06-30$552,577
Liabilities. Value of benefit claims payable at beginning of year2013-06-30$1,115,620
Did the plan have assets held for investment2013-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Liabilities. Value of acquisition indebtedness at end of year2013-06-30$0
Liabilities. Value of acquisition indebtedness at beginning of year2013-06-30$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30No
Opinion of an independent qualified public accountant for this plan2013-06-30Unqualified
Accountancy firm name2013-06-30CHARTERED ACCOUNTANTS
Accountancy firm EIN2013-06-30999999999
2012 : NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$4,181,851
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$3,056,225
Total income from all sources (including contributions)2012-06-30$16,075,499
Total loss/gain on sale of assets2012-06-30$0
Total of all expenses incurred2012-06-30$19,677,155
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$19,253,564
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$16,323,113
Value of total assets at end of year2012-06-30$7,621,777
Value of total assets at beginning of year2012-06-30$10,097,807
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$423,591
Total interest from all sources2012-06-30$20,891
Total dividends received (eg from common stock, registered investment company shares)2012-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Was this plan covered by a fidelity bond2012-06-30No
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-06-30$429,989
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-06-30$926,922
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-06-30$1,303,581
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-06-30$2,987,048
Other income not declared elsewhere2012-06-30$-268,505
Administrative expenses (other) incurred2012-06-30$13,031
Liabilities. Value of operating payables at end of year2012-06-30$79,183
Total non interest bearing cash at end of year2012-06-30$2,383,949
Total non interest bearing cash at beginning of year2012-06-30$1,628,222
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$-3,601,656
Value of net assets at end of year (total assets less liabilities)2012-06-30$3,439,926
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$7,041,582
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$3,584,786
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$7,166,004
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$7,166,004
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$20,891
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$1,003,904
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30No
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$16,323,113
Employer contributions (assets) at end of year2012-06-30$726,120
Employer contributions (assets) at beginning of year2012-06-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$17,819,671
Contract administrator fees2012-06-30$410,560
Liabilities. Value of benefit claims payable at end of year2012-06-30$1,115,620
Liabilities. Value of benefit claims payable at beginning of year2012-06-30$759,309
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Liabilities. Value of acquisition indebtedness at end of year2012-06-30$0
Liabilities. Value of acquisition indebtedness at beginning of year2012-06-30$2,296,916
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30No
Opinion of an independent qualified public accountant for this plan2012-06-30Unqualified
Accountancy firm name2012-06-30CHARTERED ACCOUNTANTS
Accountancy firm EIN2012-06-30999999999
2011 : NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$3,056,225
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$3,180,809
Total income from all sources (including contributions)2011-06-30$16,520,083
Total loss/gain on sale of assets2011-06-30$0
Total of all expenses incurred2011-06-30$16,097,220
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$15,644,636
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$16,008,656
Value of total assets at end of year2011-06-30$10,097,807
Value of total assets at beginning of year2011-06-30$9,799,528
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$452,584
Total interest from all sources2011-06-30$511,427
Total dividends received (eg from common stock, registered investment company shares)2011-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Was this plan covered by a fidelity bond2011-06-30No
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-06-30$1,303,581
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-06-30$388,732
Administrative expenses (other) incurred2011-06-30$452,584
Total non interest bearing cash at end of year2011-06-30$1,628,222
Total non interest bearing cash at beginning of year2011-06-30$1,742,382
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$422,863
Value of net assets at end of year (total assets less liabilities)2011-06-30$7,041,582
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$6,618,719
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Interest earned on other investments2011-06-30$485,512
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$7,166,004
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$7,462,085
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$7,462,085
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$25,915
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$383,820
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30No
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$16,008,656
Employer contributions (assets) at end of year2011-06-30$0
Employer contributions (assets) at beginning of year2011-06-30$206,329
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$15,260,816
Liabilities. Value of benefit claims payable at end of year2011-06-30$759,309
Liabilities. Value of benefit claims payable at beginning of year2011-06-30$451,701
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Liabilities. Value of acquisition indebtedness at end of year2011-06-30$2,296,916
Liabilities. Value of acquisition indebtedness at beginning of year2011-06-30$2,729,108
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30No
Opinion of an independent qualified public accountant for this plan2011-06-30Unqualified
Accountancy firm name2011-06-30CHARTERED ACCOUNTANTS
Accountancy firm EIN2011-06-30999999999

Form 5500 Responses for NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND

2021: NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2021 form 5500 responses
2021-07-01Type of plan entityMulti-employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2020 form 5500 responses
2020-07-01Type of plan entityMulti-employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2019 form 5500 responses
2019-07-01Type of plan entityMulti-employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2018 form 5500 responses
2018-07-01Type of plan entityMulti-employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2017 form 5500 responses
2017-07-01Type of plan entityMulti-employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2016 form 5500 responses
2016-07-01Type of plan entityMulti-employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2015 form 5500 responses
2015-07-01Type of plan entityMulti-employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2014 form 5500 responses
2014-07-01Type of plan entityMulti-employer plan
2014-07-01Submission has been amendedYes
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2013 form 5500 responses
2013-07-01Type of plan entityMulti-employer plan
2013-07-01Submission has been amendedYes
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planYes
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan funding arrangement – General assets of the sponsorYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2012 form 5500 responses
2012-07-01Type of plan entityMulti-employer plan
2012-07-01Submission has been amendedYes
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planYes
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan funding arrangement – General assets of the sponsorYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2011 form 5500 responses
2011-07-01Type of plan entityMulti-employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planYes
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2009: NATIONAL HOCKEY LEAGUE PLAYERS HEALTH FUND 2009 form 5500 responses
2009-07-01Type of plan entityMulitple employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL33046
Policy instance 4
Insurance contract or identification numberHCL33046
Number of Individuals Covered1632
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $18,660
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 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 $740,626
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,660
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0148639
Policy instance 3
Insurance contract or identification number0148639
Number of Individuals Covered1339
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Total amount of commissions paid to insurance brokerUSD $127,845
Total amount of fees paid to insurance companyUSD $82,140
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
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $2,268,709
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $127,845
Amount paid for insurance broker fees82140
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCCSU G-13
Policy instance 2
Insurance contract or identification numberHCCSU G-13
Number of Individuals Covered625
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $416,044
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 BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $416,044
Insurance broker organization code?3
CERTAIN UNDERWRITERS AT LLOYDS LONDON (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number4597
Policy instance 1
Insurance contract or identification number4597
Number of Individuals Covered175
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $118,303
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 BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $118,303
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL33046
Policy instance 4
Insurance contract or identification numberHCL33046
Number of Individuals Covered1755
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $5,748
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 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 $637,457
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,748
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0148639
Policy instance 3
Insurance contract or identification number0148639
Number of Individuals Covered1574
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $108,786
Total amount of fees paid to insurance companyUSD $52,724
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
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $2,896,154
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $108,786
Amount paid for insurance broker fees52724
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHL03PCT10050
Policy instance 2
Insurance contract or identification numberHL03PCT10050
Number of Individuals Covered600
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $415,780
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 BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $415,780
Insurance broker organization code?3
CERTAIN UNDERWRITERS AT LLOYDS LONDON (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number4597
Policy instance 1
Insurance contract or identification number4597
Number of Individuals Covered175
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $122,072
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 BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $122,072
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL33046
Policy instance 4
Insurance contract or identification numberHCL33046
Number of Individuals Covered1530
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $2,750
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 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 $772,224
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,750
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0148639
Policy instance 3
Insurance contract or identification number0148639
Number of Individuals Covered1817
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $153,535
Total amount of fees paid to insurance companyUSD $40,369
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
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $3,066,765
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $153,535
Amount paid for insurance broker fees40369
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHL03PCT10050
Policy instance 2
Insurance contract or identification numberHL03PCT10050
Number of Individuals Covered1027
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $314,560
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 BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $314,560
Insurance broker organization code?3
CERTAIN UNDERWRITERS AT LLOYDS LONDON (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number4597
Policy instance 1
Insurance contract or identification number4597
Number of Individuals Covered175
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $92,310
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 BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $92,310
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL33046
Policy instance 4
Insurance contract or identification numberHCL33046
Number of Individuals Covered1443
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
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 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 $861,775
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0148639
Policy instance 3
Insurance contract or identification number0148639
Number of Individuals Covered1816
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $138,201
Total amount of fees paid to insurance companyUSD $55,382
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
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $3,006,890
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $138,201
Amount paid for insurance broker fees55382
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHL03PCT10050
Policy instance 2
Insurance contract or identification numberHL03PCT10050
Number of Individuals Covered1050
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $313,610
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 BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $313,610
Insurance broker organization code?3
CERTAIN UNDERWRITERS AT LLOYDS LONDON (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number4597
Policy instance 1
Insurance contract or identification number4597
Number of Individuals Covered175
Insurance policy start date2018-06-30
Insurance policy end date2019-06-29
Total amount of commissions paid to insurance brokerUSD $91,808
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 BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $91,808
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL33046
Policy instance 3
Insurance contract or identification numberHCL33046
Number of Individuals Covered1394
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
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 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 $947,748
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0148639
Policy instance 2
Insurance contract or identification number0148639
Number of Individuals Covered1807
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $181,155
Total amount of fees paid to insurance companyUSD $62,176
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
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $2,889,211
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHL03PCT10050
Policy instance 1
Insurance contract or identification numberHL03PCT10050
Number of Individuals Covered1048
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $401,435
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 BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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