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IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 401k Plan overview

Plan NameIBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND
Plan identification number 501

IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • 10 or more employer plan under Code section 419A(f)(6).

401k Sponsoring company profile

BOARD OF TRUSTEES, IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES, IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND
Employer identification number (EIN):050264126
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01JOSEPH L. WALSH, JR.2023-10-12
5012021-01-01JOSEPH WALSH, JR.2022-10-15
5012021-01-01JOE WALSH2023-05-05
5012020-01-01JOSEPH WALSH2021-10-14
5012019-01-01JOSEPH L. WALSH JR.2020-10-06
5012018-01-01MICHAEL DALEY2019-10-15
5012017-01-01MICHAEL DALEY
5012016-01-01MICHAEL DALEY MICHAEL DALEY2017-10-10
5012015-01-01MICHAEL K DALEY MICHAEL K DALEY2016-09-09
5012014-01-01MICHAEL DALEY
5012013-01-01MICHAEL K DALEY
5012012-01-01MICHAEL DALEY MICHAEL DALEY2013-10-07
5012011-01-01MICHAEL K. DALEY
5012010-01-01MICHAEL K DALEY
5012009-01-01ALLEN P. DURAND

Plan Statistics for IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND

401k plan membership statisitcs for IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND

Measure Date Value
2022: IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2022 401k membership
Total participants, beginning-of-year2022-01-01789
Total number of active participants reported on line 7a of the Form 55002022-01-01743
Number of retired or separated participants receiving benefits2022-01-0122
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01765
Number of employers contributing to the scheme2022-01-010
2021: IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2021 401k membership
Total participants, beginning-of-year2021-01-01791
Total number of active participants reported on line 7a of the Form 55002021-01-01763
Number of retired or separated participants receiving benefits2021-01-0126
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01789
Number of employers contributing to the scheme2021-01-010
2020: IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2020 401k membership
Total participants, beginning-of-year2020-01-01769
Total number of active participants reported on line 7a of the Form 55002020-01-01768
Number of retired or separated participants receiving benefits2020-01-0123
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01791
Number of employers contributing to the scheme2020-01-010
2019: IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2019 401k membership
Total participants, beginning-of-year2019-01-01734
Total number of active participants reported on line 7a of the Form 55002019-01-01747
Number of retired or separated participants receiving benefits2019-01-0122
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01769
Number of employers contributing to the scheme2019-01-010
2018: IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-01-01519
Total number of active participants reported on line 7a of the Form 55002018-01-01718
Number of retired or separated participants receiving benefits2018-01-0116
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01734
Number of employers contributing to the scheme2018-01-010
2017: IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-01-01481
Total number of active participants reported on line 7a of the Form 55002017-01-01500
Number of retired or separated participants receiving benefits2017-01-0119
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01519
2016: IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-01-01451
Total number of active participants reported on line 7a of the Form 55002016-01-01459
Number of retired or separated participants receiving benefits2016-01-0122
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01481
2015: IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-01-01472
Total number of active participants reported on line 7a of the Form 55002015-01-01424
Number of retired or separated participants receiving benefits2015-01-0123
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01447
2014: IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-01-01872
Total number of active participants reported on line 7a of the Form 55002014-01-01445
Number of retired or separated participants receiving benefits2014-01-0127
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01472
2013: IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-01-01839
Total number of active participants reported on line 7a of the Form 55002013-01-01830
Number of retired or separated participants receiving benefits2013-01-0142
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01872
2012: IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-01-01719
Total number of active participants reported on line 7a of the Form 55002012-01-01839
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01839
2011: IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-01-01711
Total number of active participants reported on line 7a of the Form 55002011-01-01719
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01719
2010: IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2010 401k membership
Total participants, beginning-of-year2010-01-01864
Total number of active participants reported on line 7a of the Form 55002010-01-01711
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-01711
Number of employers contributing to the scheme2010-01-0154
2009: IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-01-01892
Total number of active participants reported on line 7a of the Form 55002009-01-01811
Number of retired or separated participants receiving benefits2009-01-0127
Number of other retired or separated participants entitled to future benefits2009-01-0126
Total of all active and inactive participants2009-01-01864
Number of employers contributing to the scheme2009-01-0154

Financial Data on IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND

Measure Date Value
2022 : IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2022 401k financial data
Unrealized appreciation/depreciation of real estate assets2022-12-31$-1,847,695
Total unrealized appreciation/depreciation of assets2022-12-31$-1,847,695
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$354,421
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$199,230
Total income from all sources (including contributions)2022-12-31$9,693,858
Total of all expenses incurred2022-12-31$11,732,135
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$11,321,869
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$11,218,563
Value of total assets at end of year2022-12-31$18,857,323
Value of total assets at beginning of year2022-12-31$20,740,409
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$410,266
Total interest from all sources2022-12-31$322,990
Administrative expenses professional fees incurred2022-12-31$90,776
Assets. Corporate prefeered stocks other than exployer securities at end of year2022-12-31$20,943
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2022-12-31$23,286
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$81,729
Assets. Other investments not covered elsewhere at end of year2022-12-31$55,581
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$125
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$60,689
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$56,983
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$55,456
Administrative expenses (other) incurred2022-12-31$87,207
Total non interest bearing cash at end of year2022-12-31$969,972
Total non interest bearing cash at beginning of year2022-12-31$718,815
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-2,038,277
Value of net assets at end of year (total assets less liabilities)2022-12-31$18,502,902
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$20,541,179
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$65,035
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$1,699,821
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$1,657,312
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$322,990
Asset value of US Government securities at end of year2022-12-31$6,591,651
Asset value of US Government securities at beginning of year2022-12-31$8,304,325
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$11,136,834
Employer contributions (assets) at end of year2022-12-31$1,505,277
Employer contributions (assets) at beginning of year2022-12-31$1,003,137
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$11,321,869
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$3,365,487
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$3,820,323
Contract administrator fees2022-12-31$167,248
Assets. Corporate common stocks other than exployer securities at end of year2022-12-31$4,577,118
Assets. Corporate common stocks other than exployer securities at beginning of year2022-12-31$5,145,403
Liabilities. Value of benefit claims payable at end of year2022-12-31$298,965
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$199,230
Assets. Value of buildings and other operty used in plan operation at end of year2022-12-31$10,784
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-12-31$10,700
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31WARD FISHER AND COMPANY LLP
Accountancy firm EIN2022-12-31050234540
2021 : IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2021 401k financial data
Unrealized appreciation/depreciation of real estate assets2021-12-31$924,457
Total unrealized appreciation/depreciation of assets2021-12-31$924,457
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$199,230
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$448,819
Total income from all sources (including contributions)2021-12-31$12,021,898
Total of all expenses incurred2021-12-31$11,665,073
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$11,208,730
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$10,773,486
Value of total assets at end of year2021-12-31$20,740,409
Value of total assets at beginning of year2021-12-31$20,633,173
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$456,343
Total interest from all sources2021-12-31$323,955
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$144,197
Assets. Corporate prefeered stocks other than exployer securities at end of year2021-12-31$23,286
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2021-12-31$22,415
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$50,854
Assets. Other investments not covered elsewhere at end of year2021-12-31$125
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$60,947
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$100,763
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$56,983
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$48,017
Administrative expenses (other) incurred2021-12-31$89,373
Total non interest bearing cash at end of year2021-12-31$718,815
Total non interest bearing cash at beginning of year2021-12-31$2,696,277
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$356,825
Value of net assets at end of year (total assets less liabilities)2021-12-31$20,541,179
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$20,184,354
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$64,422
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$1,657,312
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$1,857,763
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$323,955
Asset value of US Government securities at end of year2021-12-31$8,304,325
Asset value of US Government securities at beginning of year2021-12-31$6,954,246
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$10,621,869
Employer contributions (assets) at end of year2021-12-31$1,003,137
Employer contributions (assets) at beginning of year2021-12-31$1,297,694
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$11,208,730
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$3,820,323
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$3,226,944
Contract administrator fees2021-12-31$158,351
Assets. Corporate common stocks other than exployer securities at end of year2021-12-31$5,145,403
Assets. Corporate common stocks other than exployer securities at beginning of year2021-12-31$4,414,326
Liabilities. Value of benefit claims payable at end of year2021-12-31$199,230
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$448,819
Assets. Value of buildings and other operty used in plan operation at end of year2021-12-31$10,700
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-12-31$54,544
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Disclaimer
Accountancy firm name2021-12-31WARD FISHER AND COMPANY LLP
Accountancy firm EIN2021-12-31050234540
2020 : IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets2020-12-31$728,074
Total unrealized appreciation/depreciation of assets2020-12-31$728,074
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$448,819
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$396,573
Total income from all sources (including contributions)2020-12-31$11,572,853
Total of all expenses incurred2020-12-31$10,550,409
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$10,120,187
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$10,543,399
Value of total assets at end of year2020-12-31$20,633,173
Value of total assets at beginning of year2020-12-31$19,558,483
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$430,222
Total interest from all sources2020-12-31$301,380
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$124,779
Assets. Corporate prefeered stocks other than exployer securities at end of year2020-12-31$22,415
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2020-12-31$24,017
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$47,704
Assets. Other investments not covered elsewhere at end of year2020-12-31$60,947
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$72,510
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$48,017
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$46,615
Administrative expenses (other) incurred2020-12-31$95,585
Liabilities. Value of operating payables at end of year2020-12-31$448,819
Liabilities. Value of operating payables at beginning of year2020-12-31$396,573
Total non interest bearing cash at end of year2020-12-31$2,696,277
Total non interest bearing cash at beginning of year2020-12-31$2,837,243
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,022,444
Value of net assets at end of year (total assets less liabilities)2020-12-31$20,184,354
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$19,161,910
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$55,108
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$1,857,763
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$2,151,049
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$301,380
Asset value of US Government securities at end of year2020-12-31$6,954,246
Asset value of US Government securities at beginning of year2020-12-31$6,567,990
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$10,495,695
Employer contributions (assets) at end of year2020-12-31$1,297,694
Employer contributions (assets) at beginning of year2020-12-31$1,064,657
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$10,120,187
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$3,226,944
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$2,404,608
Contract administrator fees2020-12-31$154,750
Assets. Corporate common stocks other than exployer securities at end of year2020-12-31$4,414,326
Assets. Corporate common stocks other than exployer securities at beginning of year2020-12-31$4,360,057
Assets. Value of buildings and other operty used in plan operation at end of year2020-12-31$54,544
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-12-31$29,737
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31WARD FISHER AND COMPANY LLP
Accountancy firm EIN2020-12-31050234540
2019 : IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets2019-12-31$1,371,616
Total unrealized appreciation/depreciation of assets2019-12-31$1,371,616
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$396,573
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$106,012
Total income from all sources (including contributions)2019-12-31$12,455,459
Total of all expenses incurred2019-12-31$9,740,077
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$9,347,782
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$10,802,619
Value of total assets at end of year2019-12-31$19,558,483
Value of total assets at beginning of year2019-12-31$16,552,540
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$392,295
Total interest from all sources2019-12-31$281,224
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$113,844
Assets. Corporate prefeered stocks other than exployer securities at end of year2019-12-31$24,017
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2019-12-31$21,830
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$36,967
Assets. Other investments not covered elsewhere at end of year2019-12-31$72,510
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$8,025
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$46,615
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$45,217
Administrative expenses (other) incurred2019-12-31$90,327
Liabilities. Value of operating payables at end of year2019-12-31$396,573
Liabilities. Value of operating payables at beginning of year2019-12-31$106,012
Total non interest bearing cash at end of year2019-12-31$2,837,243
Total non interest bearing cash at beginning of year2019-12-31$3,005,196
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$2,715,382
Value of net assets at end of year (total assets less liabilities)2019-12-31$19,161,910
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$16,446,528
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$51,662
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$2,151,049
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$746,399
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$281,224
Asset value of US Government securities at end of year2019-12-31$6,567,990
Asset value of US Government securities at beginning of year2019-12-31$6,151,587
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$10,765,652
Employer contributions (assets) at end of year2019-12-31$1,064,657
Employer contributions (assets) at beginning of year2019-12-31$1,054,995
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$9,347,782
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$2,404,608
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$2,233,224
Contract administrator fees2019-12-31$136,462
Assets. Corporate common stocks other than exployer securities at end of year2019-12-31$4,360,057
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$3,268,557
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$29,737
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$17,510
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31WARD FISHER AND COMPANY LLP
Accountancy firm EIN2019-12-31050234540
2018 : IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2018 401k financial data
Unrealized appreciation/depreciation of real estate assets2018-12-31$-172,645
Total unrealized appreciation/depreciation of assets2018-12-31$-172,645
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$106,012
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$48,343
Total income from all sources (including contributions)2018-12-31$10,590,132
Total of all expenses incurred2018-12-31$9,483,278
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$9,100,257
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$10,503,019
Value of total assets at end of year2018-12-31$16,552,540
Value of total assets at beginning of year2018-12-31$15,388,017
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$383,021
Total interest from all sources2018-12-31$259,758
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$119,455
Assets. Corporate prefeered stocks other than exployer securities at end of year2018-12-31$21,830
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2018-12-31$22,475
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$39,777
Assets. Other investments not covered elsewhere at end of year2018-12-31$8,025
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$64,725
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$45,217
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$53,467
Administrative expenses (other) incurred2018-12-31$100,088
Liabilities. Value of operating payables at end of year2018-12-31$106,012
Liabilities. Value of operating payables at beginning of year2018-12-31$48,343
Total non interest bearing cash at end of year2018-12-31$3,005,196
Total non interest bearing cash at beginning of year2018-12-31$2,200,759
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$1,106,854
Value of net assets at end of year (total assets less liabilities)2018-12-31$16,446,528
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$15,339,674
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$48,878
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$746,399
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$427,368
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$259,758
Asset value of US Government securities at end of year2018-12-31$6,151,587
Asset value of US Government securities at beginning of year2018-12-31$5,734,408
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$10,463,242
Employer contributions (assets) at end of year2018-12-31$1,054,995
Employer contributions (assets) at beginning of year2018-12-31$664,661
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$9,100,257
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$2,233,224
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$2,260,272
Contract administrator fees2018-12-31$114,600
Assets. Corporate common stocks other than exployer securities at end of year2018-12-31$3,268,557
Assets. Corporate common stocks other than exployer securities at beginning of year2018-12-31$3,930,593
Assets. Value of buildings and other operty used in plan operation at end of year2018-12-31$17,510
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-12-31$29,289
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31WARD FISHER AND COMPANY LLP
Accountancy firm EIN2018-12-31050234540
2017 : IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2017 401k financial data
Unrealized appreciation/depreciation of real estate assets2017-12-31$600,669
Total unrealized appreciation/depreciation of assets2017-12-31$600,669
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$48,343
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$84,362
Total income from all sources (including contributions)2017-12-31$9,861,496
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$8,463,644
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$8,086,436
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$9,009,724
Value of total assets at end of year2017-12-31$15,388,017
Value of total assets at beginning of year2017-12-31$14,026,184
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$377,208
Total interest from all sources2017-12-31$251,103
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$120,523
Assets. Corporate prefeered stocks other than exployer securities at end of year2017-12-31$22,475
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2017-12-31$22,105
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$51,426
Assets. Other investments not covered elsewhere at end of year2017-12-31$64,725
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$53,467
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$47,315
Administrative expenses (other) incurred2017-12-31$96,959
Liabilities. Value of operating payables at end of year2017-12-31$48,343
Liabilities. Value of operating payables at beginning of year2017-12-31$84,362
Total non interest bearing cash at end of year2017-12-31$2,200,759
Total non interest bearing cash at beginning of year2017-12-31$1,672,846
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$1,397,852
Value of net assets at end of year (total assets less liabilities)2017-12-31$15,339,674
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$13,941,822
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$53,980
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$427,368
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$649,105
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$251,103
Asset value of US Government securities at end of year2017-12-31$5,734,408
Asset value of US Government securities at beginning of year2017-12-31$4,625,515
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$8,958,298
Employer contributions (assets) at end of year2017-12-31$664,661
Employer contributions (assets) at beginning of year2017-12-31$1,281,075
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$8,086,436
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$2,260,272
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$2,331,517
Contract administrator fees2017-12-31$105,746
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$3,930,593
Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$3,345,733
Assets. Value of buildings and other operty used in plan operation at end of year2017-12-31$29,289
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-12-31$50,973
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31WARD FISHER AND COMPANY LLP
Accountancy firm EIN2017-12-31050234540
2016 : IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$80,323
Total unrealized appreciation/depreciation of assets2016-12-31$80,323
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$84,362
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$94,773
Total income from all sources (including contributions)2016-12-31$9,128,708
Total loss/gain on sale of assets2016-12-31$152,328
Total of all expenses incurred2016-12-31$7,320,801
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$6,972,861
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$8,664,922
Value of total assets at end of year2016-12-31$14,026,184
Value of total assets at beginning of year2016-12-31$12,228,688
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$347,940
Total interest from all sources2016-12-31$168,625
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$62,510
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$2,905
Administrative expenses professional fees incurred2016-12-31$104,712
Assets. Corporate prefeered stocks other than exployer securities at end of year2016-12-31$22,105
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2016-12-31$21,803
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$38,809
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$47,315
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$26,945
Administrative expenses (other) incurred2016-12-31$94,339
Liabilities. Value of operating payables at end of year2016-12-31$84,362
Liabilities. Value of operating payables at beginning of year2016-12-31$94,773
Total non interest bearing cash at end of year2016-12-31$1,672,846
Total non interest bearing cash at beginning of year2016-12-31$1,645,482
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$1,807,907
Value of net assets at end of year (total assets less liabilities)2016-12-31$13,941,822
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$12,133,915
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$48,147
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$649,105
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$169,286
Income. Interest from US Government securities2016-12-31$72,464
Income. Interest from corporate debt instruments2016-12-31$95,091
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$1,070
Asset value of US Government securities at end of year2016-12-31$4,625,515
Asset value of US Government securities at beginning of year2016-12-31$4,550,450
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$8,626,113
Employer contributions (assets) at end of year2016-12-31$1,281,075
Employer contributions (assets) at beginning of year2016-12-31$945,725
Income. Dividends from common stock2016-12-31$59,605
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$6,972,861
Asset. Corporate debt instrument debt (other) at end of year2016-12-31$2,331,517
Asset. Corporate debt instrument debt (other) at beginning of year2016-12-31$1,832,809
Contract administrator fees2016-12-31$100,742
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$3,345,733
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$2,934,152
Assets. Value of buildings and other operty used in plan operation at end of year2016-12-31$50,973
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-12-31$102,036
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$152,328
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31WARD FISHER AND COMPANY LLP
Accountancy firm EIN2016-12-31050234540
2015 : IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-398,153
Total unrealized appreciation/depreciation of assets2015-12-31$-398,153
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$94,773
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$80,083
Total income from all sources (including contributions)2015-12-31$7,488,323
Total loss/gain on sale of assets2015-12-31$226,113
Total of all expenses incurred2015-12-31$6,898,118
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$6,558,962
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$7,451,660
Value of total assets at end of year2015-12-31$12,228,688
Value of total assets at beginning of year2015-12-31$11,623,793
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$339,156
Total interest from all sources2015-12-31$141,701
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$67,002
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$81,930
Assets. Corporate prefeered stocks other than exployer securities at end of year2015-12-31$21,803
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2015-12-31$21,763
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$60,128
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$26,945
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$23,827
Administrative expenses (other) incurred2015-12-31$108,392
Liabilities. Value of operating payables at end of year2015-12-31$94,773
Liabilities. Value of operating payables at beginning of year2015-12-31$80,083
Total non interest bearing cash at end of year2015-12-31$1,645,482
Total non interest bearing cash at beginning of year2015-12-31$1,188,336
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$590,205
Value of net assets at end of year (total assets less liabilities)2015-12-31$12,133,915
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$11,543,710
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$45,974
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$169,286
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$475,521
Income. Interest from US Government securities2015-12-31$59,996
Income. Interest from corporate debt instruments2015-12-31$81,698
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$7
Asset value of US Government securities at end of year2015-12-31$4,550,450
Asset value of US Government securities at beginning of year2015-12-31$4,026,776
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$7,391,532
Employer contributions (assets) at end of year2015-12-31$945,725
Employer contributions (assets) at beginning of year2015-12-31$868,325
Income. Dividends from common stock2015-12-31$67,002
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$6,558,962
Asset. Corporate debt instrument debt (other) at end of year2015-12-31$1,832,809
Asset. Corporate debt instrument debt (other) at beginning of year2015-12-31$1,879,784
Contract administrator fees2015-12-31$102,860
Assets. Corporate common stocks other than exployer securities at end of year2015-12-31$2,934,152
Assets. Corporate common stocks other than exployer securities at beginning of year2015-12-31$3,121,002
Assets. Value of buildings and other operty used in plan operation at end of year2015-12-31$102,036
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-12-31$18,459
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$226,113
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31WARD FISHER AND COMPANY LLP
Accountancy firm EIN2015-12-31050234540
2014 : IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$38,921
Total unrealized appreciation/depreciation of assets2014-12-31$38,921
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$80,083
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$61,206
Total income from all sources (including contributions)2014-12-31$7,855,482
Total loss/gain on sale of assets2014-12-31$260,645
Total of all expenses incurred2014-12-31$6,847,726
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$6,464,210
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$7,383,411
Value of total assets at end of year2014-12-31$11,623,793
Value of total assets at beginning of year2014-12-31$10,597,160
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$383,516
Total interest from all sources2014-12-31$115,645
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$56,860
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$88,134
Assets. Corporate prefeered stocks other than exployer securities at end of year2014-12-31$21,763
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2014-12-31$20,957
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$95,133
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$23,827
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$91,668
Other income not declared elsewhere2014-12-31$0
Administrative expenses (other) incurred2014-12-31$111,582
Liabilities. Value of operating payables at end of year2014-12-31$80,083
Liabilities. Value of operating payables at beginning of year2014-12-31$61,206
Total non interest bearing cash at end of year2014-12-31$1,188,336
Total non interest bearing cash at beginning of year2014-12-31$1,641,150
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$1,007,756
Value of net assets at end of year (total assets less liabilities)2014-12-31$11,543,710
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$10,535,954
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$40,245
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$475,521
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$312,546
Income. Interest from US Government securities2014-12-31$51,957
Income. Interest from corporate debt instruments2014-12-31$63,688
Asset value of US Government securities at end of year2014-12-31$4,026,776
Asset value of US Government securities at beginning of year2014-12-31$3,720,105
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$7,288,278
Employer contributions (assets) at end of year2014-12-31$868,325
Employer contributions (assets) at beginning of year2014-12-31$752,335
Income. Dividends from common stock2014-12-31$56,860
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$6,464,210
Asset. Corporate debt instrument debt (other) at end of year2014-12-31$1,879,784
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$1,234,498
Contract administrator fees2014-12-31$143,555
Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$3,121,002
Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$2,799,359
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$18,459
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-12-31$24,542
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$260,645
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31WARD FISHER AND COMPANY LLP
Accountancy firm EIN2014-12-31050234540
2013 : IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$368,295
Total unrealized appreciation/depreciation of assets2013-12-31$368,295
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$61,206
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$56,051
Total income from all sources (including contributions)2013-12-31$8,413,803
Total loss/gain on sale of assets2013-12-31$66,890
Total of all expenses incurred2013-12-31$7,604,993
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$7,210,461
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$7,807,726
Value of total assets at end of year2013-12-31$10,597,160
Value of total assets at beginning of year2013-12-31$9,783,195
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$394,532
Total interest from all sources2013-12-31$118,289
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$52,204
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$110,332
Assets. Corporate prefeered stocks other than exployer securities at end of year2013-12-31$20,957
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2013-12-31$21,577
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$129,672
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$91,668
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$103,264
Other income not declared elsewhere2013-12-31$399
Administrative expenses (other) incurred2013-12-31$94,234
Liabilities. Value of operating payables at end of year2013-12-31$61,206
Liabilities. Value of operating payables at beginning of year2013-12-31$56,051
Total non interest bearing cash at end of year2013-12-31$1,641,150
Total non interest bearing cash at beginning of year2013-12-31$1,414,790
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$808,810
Value of net assets at end of year (total assets less liabilities)2013-12-31$10,535,954
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$9,727,144
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$36,754
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$312,546
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$556,414
Income. Interest from US Government securities2013-12-31$60,331
Income. Interest from corporate debt instruments2013-12-31$57,921
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$37
Asset value of US Government securities at end of year2013-12-31$3,720,105
Asset value of US Government securities at beginning of year2013-12-31$3,450,726
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$7,678,054
Employer contributions (assets) at end of year2013-12-31$752,335
Employer contributions (assets) at beginning of year2013-12-31$725,914
Income. Dividends from common stock2013-12-31$52,204
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$7,210,461
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$1,234,498
Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$1,266,567
Contract administrator fees2013-12-31$153,212
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2013-12-31$2,799,359
Assets. Corporate common stocks other than exployer securities at beginning of year2013-12-31$2,216,094
Assets. Value of buildings and other operty used in plan operation at end of year2013-12-31$24,542
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-12-31$27,849
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$3,751,427
Aggregate carrying amount (costs) on sale of assets2013-12-31$3,684,537
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31WARD FISHER AND COMPANY LLP
Accountancy firm EIN2013-12-31050234540
2012 : IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$149,603
Total unrealized appreciation/depreciation of assets2012-12-31$149,603
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$56,051
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$35,635
Total income from all sources (including contributions)2012-12-31$8,626,517
Total loss/gain on sale of assets2012-12-31$80,393
Total of all expenses incurred2012-12-31$7,980,258
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$7,609,457
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$8,223,176
Value of total assets at end of year2012-12-31$9,783,195
Value of total assets at beginning of year2012-12-31$9,116,520
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$370,801
Total interest from all sources2012-12-31$124,040
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$48,491
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$108,481
Assets. Corporate prefeered stocks other than exployer securities at end of year2012-12-31$21,577
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2012-12-31$21,110
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$188,954
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$171,646
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$103,264
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$474,173
Other income not declared elsewhere2012-12-31$814
Administrative expenses (other) incurred2012-12-31$96,505
Liabilities. Value of operating payables at end of year2012-12-31$56,051
Liabilities. Value of operating payables at beginning of year2012-12-31$35,635
Total non interest bearing cash at end of year2012-12-31$1,414,790
Total non interest bearing cash at beginning of year2012-12-31$1,129,348
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$646,259
Value of net assets at end of year (total assets less liabilities)2012-12-31$9,727,144
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$9,080,885
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$33,633
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$556,414
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$1,496,838
Interest earned on other investments2012-12-31$2,250
Income. Interest from US Government securities2012-12-31$61,085
Income. Interest from corporate debt instruments2012-12-31$60,493
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$212
Asset value of US Government securities at end of year2012-12-31$3,450,726
Asset value of US Government securities at beginning of year2012-12-31$1,880,301
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$7,862,576
Employer contributions (assets) at end of year2012-12-31$725,914
Employer contributions (assets) at beginning of year2012-12-31$1,062,519
Income. Dividends from common stock2012-12-31$48,491
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$7,609,457
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$1,266,567
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$1,158,967
Contract administrator fees2012-12-31$132,182
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2012-12-31$2,216,094
Assets. Corporate common stocks other than exployer securities at beginning of year2012-12-31$1,870,827
Assets. Value of buildings and other operty used in plan operation at end of year2012-12-31$27,849
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-12-31$22,437
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$2,303,415
Aggregate carrying amount (costs) on sale of assets2012-12-31$2,223,022
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31WARD FISHER AND COMPANY LLP
Accountancy firm EIN2012-12-31050234540
2011 : IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$125,767
Total unrealized appreciation/depreciation of assets2011-12-31$125,767
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$35,635
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$57,484
Total income from all sources (including contributions)2011-12-31$9,332,843
Total loss/gain on sale of assets2011-12-31$15,697
Total of all expenses incurred2011-12-31$7,680,315
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$7,492,515
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$9,016,092
Value of total assets at end of year2011-12-31$9,116,520
Value of total assets at beginning of year2011-12-31$7,485,841
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$187,800
Total interest from all sources2011-12-31$126,166
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$36,540
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$55,619
Assets. Corporate prefeered stocks other than exployer securities at end of year2011-12-31$21,110
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2011-12-31$20,266
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$454,432
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$694,901
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$474,173
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$33,213
Other income not declared elsewhere2011-12-31$12,581
Administrative expenses (other) incurred2011-12-31$39,888
Liabilities. Value of operating payables at end of year2011-12-31$35,635
Liabilities. Value of operating payables at beginning of year2011-12-31$57,484
Total non interest bearing cash at end of year2011-12-31$1,129,348
Total non interest bearing cash at beginning of year2011-12-31$225,422
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$1,652,528
Value of net assets at end of year (total assets less liabilities)2011-12-31$9,080,885
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$7,428,357
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$17,165
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$1,496,838
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$238,215
Income. Interest from US Government securities2011-12-31$79,131
Income. Interest from corporate debt instruments2011-12-31$46,967
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$68
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$0
Asset value of US Government securities at end of year2011-12-31$1,880,301
Asset value of US Government securities at beginning of year2011-12-31$3,104,501
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$7,866,759
Employer contributions (assets) at end of year2011-12-31$1,062,519
Employer contributions (assets) at beginning of year2011-12-31$1,066,331
Income. Dividends from common stock2011-12-31$36,540
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$7,492,515
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$1,158,967
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$956,756
Contract administrator fees2011-12-31$75,128
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2011-12-31$1,870,827
Assets. Corporate common stocks other than exployer securities at beginning of year2011-12-31$1,813,257
Assets. Value of buildings and other operty used in plan operation at end of year2011-12-31$22,437
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-12-31$27,880
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$4,313,417
Aggregate carrying amount (costs) on sale of assets2011-12-31$4,297,720
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31WARD FISHER AND COMPANY LLP
Accountancy firm EIN2011-12-31050234540
2010 : IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$277,139
Total unrealized appreciation/depreciation of assets2010-12-31$277,139
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$57,484
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$38,967
Total income from all sources (including contributions)2010-12-31$8,654,155
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$9,520,850
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$9,204,568
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$8,167,688
Value of total assets at end of year2010-12-31$7,485,841
Value of total assets at beginning of year2010-12-31$8,334,019
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$316,282
Total interest from all sources2010-12-31$209,328
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$125,866
Assets. Corporate prefeered stocks other than exployer securities at end of year2010-12-31$20,266
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2010-12-31$20,266
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$234,819
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$1,441
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$33,213
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$45,840
Administrative expenses (other) incurred2010-12-31$138,405
Liabilities. Value of operating payables at end of year2010-12-31$57,484
Liabilities. Value of operating payables at beginning of year2010-12-31$38,967
Total non interest bearing cash at end of year2010-12-31$225,422
Total non interest bearing cash at beginning of year2010-12-31$12,686
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-866,695
Value of net assets at end of year (total assets less liabilities)2010-12-31$7,428,357
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$8,295,052
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$52,011
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$238,215
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$517,759
Income. Interest from US Government securities2010-12-31$209,328
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$0
Asset value of US Government securities at end of year2010-12-31$3,104,501
Asset value of US Government securities at beginning of year2010-12-31$3,468,990
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$7,931,428
Employer contributions (assets) at end of year2010-12-31$1,066,331
Employer contributions (assets) at beginning of year2010-12-31$652,653
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$9,204,568
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$956,756
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$1,425,667
Assets. Corporate common stocks other than exployer securities at end of year2010-12-31$1,813,257
Assets. Corporate common stocks other than exployer securities at beginning of year2010-12-31$2,161,766
Assets. Value of buildings and other operty used in plan operation at end of year2010-12-31$27,880
Assets. Value of buildings and other operty used in plan operation at beginning of year2010-12-31$28,392
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31CCR, LLP
Accountancy firm EIN2010-12-31043069946

Form 5500 Responses for IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND

2022: IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Submission has been amendedYes
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2010 form 5500 responses
2010-01-01Type of plan entityMulti-employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: IBEW LOCAL UNION NO. 99 HEALTH AND WELFARE FUND 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0B5HR
Policy instance 3
Insurance contract or identification numberGLUG0B5HR
Number of Individuals Covered743
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,585
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $23,802
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees1585
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number5767-1
Policy instance 2
Insurance contract or identification number5767-1
Number of Individuals Covered1524
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $496,509
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number1002536
Policy instance 1
Insurance contract or identification number1002536
Number of Individuals Covered1492
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $6,885
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,455,132
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,885
Amount paid for insurance broker fees0
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0B5HR
Policy instance 3
Insurance contract or identification numberGLUG0B5HR
Number of Individuals Covered763
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,419
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $24,034
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees1419
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number5767-1
Policy instance 2
Insurance contract or identification number5767-1
Number of Individuals Covered1492
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $453,349
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number1002536
Policy instance 1
Insurance contract or identification number1002536
Number of Individuals Covered1527
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $7,485
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,297,196
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,485
Amount paid for insurance broker fees0
Insurance broker organization code?3
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number1002536
Policy instance 1
Insurance contract or identification number1002536
Number of Individuals Covered1499
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,578,740
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number5767-1
Policy instance 2
Insurance contract or identification number5767-1
Number of Individuals Covered1478
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $474,639
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0B5HR
Policy instance 3
Insurance contract or identification numberGLUG0B5HR
Number of Individuals Covered768
Insurance policy start date2019-03-01
Insurance policy end date2020-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $930
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $23,574
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees930
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number1002536
Policy instance 1
Insurance contract or identification number1002536
Number of Individuals Covered1487
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,466,020
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number5767-1
Policy instance 2
Insurance contract or identification number5767-1
Number of Individuals Covered1407
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $466,196
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0B5HR
Policy instance 3
Insurance contract or identification numberGLUG0B5HR
Number of Individuals Covered747
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Total amount of commissions paid to insurance brokerUSD $1,518
Total amount of fees paid to insurance companyUSD $320
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $22,931
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,518
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerOTHER COMPENSATION
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number1002536
Policy instance 4
Insurance contract or identification number1002536
Number of Individuals Covered1498
Insurance policy start date2019-02-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,828,807
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number1002536
Policy instance 1
Insurance contract or identification number1002536
Number of Individuals Covered1442
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,494,929
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number5767-1
Policy instance 2
Insurance contract or identification number5767-1
Number of Individuals Covered1331
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $444,091
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0B5HR
Policy instance 3
Insurance contract or identification numberGLUG0B5HR
Number of Individuals Covered718
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $2,152
Total amount of fees paid to insurance companyUSD $705
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $21,523
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,152
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerOTHER COMPENSATION
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number1002536
Policy instance 3
Insurance contract or identification number1002536
Number of Individuals Covered1399
Insurance policy start date2016-02-01
Insurance policy end date2017-01-31
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $6,426,932
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70106 )
Policy contract numberG255830
Policy instance 2
Insurance contract or identification numberG255830
Number of Individuals Covered500
Insurance policy start date2016-05-01
Insurance policy end date2017-02-28
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 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 $16,468
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number5767-1
Policy instance 1
Insurance contract or identification number5767-1
Number of Individuals Covered1301
Insurance policy start date2016-02-01
Insurance policy end date2017-01-31
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 BenefitYes
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 $404,765
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number5767-1
Policy instance 1
Insurance contract or identification number5767-1
Number of Individuals Covered1152
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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 $377,299
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70106 )
Policy contract numberG255830
Policy instance 2
Insurance contract or identification numberG255830
Number of Individuals Covered612
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
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?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare 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 $14,433
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number901887
Policy instance 3
Insurance contract or identification number901887
Number of Individuals Covered1195
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
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?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $5,304,096
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70106 )
Policy contract numberG255830
Policy instance 3
Insurance contract or identification numberG255830
Number of Individuals Covered645
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
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?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare 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 $18,712
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number1E375
Policy instance 1
Insurance contract or identification number1E375
Number of Individuals Covered1648
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
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?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $6,597,770
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number5767-1
Policy instance 2
Insurance contract or identification number5767-1
Number of Individuals Covered1235
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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 $381,275
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number1E375
Policy instance 1
Insurance contract or identification number1E375
Number of Individuals Covered1713
Insurance policy start date2013-01-01
Insurance policy end date2013-01-31
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?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $559,532
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number5767-1
Policy instance 2
Insurance contract or identification number5767-1
Number of Individuals Covered1257
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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 $395,789
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KANAWHA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65110 )
Policy contract numberK100696
Policy instance 3
Insurance contract or identification numberK100696
Number of Individuals Covered824
Insurance policy start date2013-01-01
Insurance policy end date2013-04-30
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?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare 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 $6,039
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KANAWHA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65110 )
Policy contract numberK100696
Policy instance 3
Insurance contract or identification numberK100696
Number of Individuals Covered839
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $141
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare 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 $17,476
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $141
Insurance broker organization code?3
Insurance broker nameEAST COAST BENEFITS PLANS, INC.
DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number5767-1
Policy instance 2
Insurance contract or identification number5767-1
Number of Individuals Covered1433
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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 $415,772
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number1E375
Policy instance 1
Insurance contract or identification number1E375
Number of Individuals Covered1709
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $5,606,719
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number1E375
Policy instance 1
Insurance contract or identification number1E375
Number of Individuals Covered1645
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
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?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $6,987,582
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number5767
Policy instance 2
Insurance contract or identification number5767
Number of Individuals Covered1554
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
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?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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 $455,689
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KANAWHA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65110 )
Policy contract numberK100696
Policy instance 3
Insurance contract or identification numberK100696
Number of Individuals Covered719
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,362
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare 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 $16,417
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number1E375
Policy instance 1
Insurance contract or identification number1E375
Number of Individuals Covered1671
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,831,917
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number5767
Policy instance 2
Insurance contract or identification number5767
Number of Individuals Covered1656
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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 $542,739
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KANAWHA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65110 )
Policy contract numberK100696
Policy instance 3
Insurance contract or identification numberK100696
Number of Individuals Covered711
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $964
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare 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 $16,697
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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