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RHODE ISLAND LABORERS HEALTH FUND 401k Plan overview

Plan NameRHODE ISLAND LABORERS HEALTH FUND
Plan identification number 501

RHODE ISLAND LABORERS HEALTH FUND Benefits

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

401k Sponsoring company profile

RI LABORERS HEALTH FUND BOARD OF TRUSTEES has sponsored the creation of one or more 401k plans.

Company Name:RI LABORERS HEALTH FUND BOARD OF TRUSTEES
Employer identification number (EIN):050368200
NAIC Classification:238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RHODE ISLAND LABORERS HEALTH FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01MICHAEL F SABITONI, TRUSTEE2023-09-25
5012021-01-01MICHAEL F SABITONI, TRUSTEE2022-06-20
5012020-01-01VALERIE CAMPANA2021-07-28
5012019-01-01VALERIE CAMPANA2020-07-27
5012018-01-01
5012017-01-01
5012016-01-01
5012015-01-01VALERIE CAMPANA
5012014-01-01VALERIE CAMPANA
5012013-01-01
5012012-01-01VALERIE CAMPANA
5012011-01-01VALERIE E CAMPANA
5012009-01-01
5012009-01-01
5012009-01-01VALERIE E CAMPANA

Plan Statistics for RHODE ISLAND LABORERS HEALTH FUND

401k plan membership statisitcs for RHODE ISLAND LABORERS HEALTH FUND

Measure Date Value
2022: RHODE ISLAND LABORERS HEALTH FUND 2022 401k membership
Total participants, beginning-of-year2022-01-011,995
Total number of active participants reported on line 7a of the Form 55002022-01-012,163
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-012,163
2021: RHODE ISLAND LABORERS HEALTH FUND 2021 401k membership
Total participants, beginning-of-year2021-01-012,071
Total number of active participants reported on line 7a of the Form 55002021-01-011,995
Total of all active and inactive participants2021-01-011,995
2020: RHODE ISLAND LABORERS HEALTH FUND 2020 401k membership
Total participants, beginning-of-year2020-01-012,179
Total number of active participants reported on line 7a of the Form 55002020-01-012,071
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-012,071
2019: RHODE ISLAND LABORERS HEALTH FUND 2019 401k membership
Total participants, beginning-of-year2019-01-012,017
Total number of active participants reported on line 7a of the Form 55002019-01-012,179
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-012,179
2018: RHODE ISLAND LABORERS HEALTH FUND 2018 401k membership
Total participants, beginning-of-year2018-01-011,531
Total number of active participants reported on line 7a of the Form 55002018-01-012,017
Total of all active and inactive participants2018-01-012,017
Number of employers contributing to the scheme2018-01-01222
2017: RHODE ISLAND LABORERS HEALTH FUND 2017 401k membership
Total participants, beginning-of-year2017-01-011,533
Total number of active participants reported on line 7a of the Form 55002017-01-011,531
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-011,531
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
2016: RHODE ISLAND LABORERS HEALTH FUND 2016 401k membership
Total participants, beginning-of-year2016-01-011,521
Total number of active participants reported on line 7a of the Form 55002016-01-011,533
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-011,533
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
2015: RHODE ISLAND LABORERS HEALTH FUND 2015 401k membership
Total participants, beginning-of-year2015-01-011,539
Total number of active participants reported on line 7a of the Form 55002015-01-011,521
Total of all active and inactive participants2015-01-011,521
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
2014: RHODE ISLAND LABORERS HEALTH FUND 2014 401k membership
Total participants, beginning-of-year2014-01-011,529
Total number of active participants reported on line 7a of the Form 55002014-01-011,539
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-011,539
2013: RHODE ISLAND LABORERS HEALTH FUND 2013 401k membership
Total participants, beginning-of-year2013-01-011,496
Total number of active participants reported on line 7a of the Form 55002013-01-011,529
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-011,529
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
2012: RHODE ISLAND LABORERS HEALTH FUND 2012 401k membership
Total participants, beginning-of-year2012-01-011,463
Total number of active participants reported on line 7a of the Form 55002012-01-011,496
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 participants2012-01-011,496
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
2011: RHODE ISLAND LABORERS HEALTH FUND 2011 401k membership
Total participants, beginning-of-year2011-01-011,455
Total number of active participants reported on line 7a of the Form 55002011-01-011,463
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 participants2011-01-011,463
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Number of employers contributing to the scheme2011-01-01265
2009: RHODE ISLAND LABORERS HEALTH FUND 2009 401k membership
Total participants, beginning-of-year2009-01-011,763
Total number of active participants reported on line 7a of the Form 55002009-01-011,591
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-011,591

Financial Data on RHODE ISLAND LABORERS HEALTH FUND

Measure Date Value
2022 : RHODE ISLAND LABORERS HEALTH FUND 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$926,662
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$622,084
Total income from all sources (including contributions)2022-12-31$23,496,543
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$31,476,625
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$30,902,230
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$32,101,004
Value of total assets at end of year2022-12-31$78,505,267
Value of total assets at beginning of year2022-12-31$86,180,771
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$574,395
Total interest from all sources2022-12-31$41,594
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$299,537
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$63,419
Assets. Other investments not covered elsewhere at end of year2022-12-31$6,003,761
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$6,696,376
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$34,830
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$94,135
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$142,032
Other income not declared elsewhere2022-12-31$-1,056,250
Administrative expenses (other) incurred2022-12-31$35,009
Liabilities. Value of operating payables at end of year2022-12-31$926,662
Liabilities. Value of operating payables at beginning of year2022-12-31$622,084
Total non interest bearing cash at end of year2022-12-31$6,262,328
Total non interest bearing cash at beginning of year2022-12-31$4,770,536
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-7,980,082
Value of net assets at end of year (total assets less liabilities)2022-12-31$77,578,605
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$85,558,687
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$71,849
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$12,050,543
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$13,438,677
Value of interest in common/collective trusts at end of year2022-12-31$45,861,552
Value of interest in common/collective trusts at beginning of year2022-12-31$55,133,255
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$2,734,798
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$2,558,939
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$2,558,939
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$41,594
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$30,830,250
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-1,190,088
Net investment gain or loss from common/collective trusts2022-12-31$-6,399,717
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$32,037,585
Employer contributions (assets) at end of year2022-12-31$5,046,456
Employer contributions (assets) at beginning of year2022-12-31$3,001,756
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$37,150
Contract administrator fees2022-12-31$168,000
Assets. Value of buildings and other operty used in plan operation at end of year2022-12-31$451,694
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-12-31$439,200
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 & CO.
Accountancy firm EIN2022-12-31050234540
2021 : RHODE ISLAND LABORERS HEALTH FUND 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$622,084
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$853,971
Total income from all sources (including contributions)2021-12-31$33,398,580
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$30,642,668
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$29,080,648
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$27,296,340
Value of total assets at end of year2021-12-31$86,180,771
Value of total assets at beginning of year2021-12-31$83,656,746
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$1,562,020
Total interest from all sources2021-12-31$1,242
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
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$1,266,622
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$156,086
Assets. Other investments not covered elsewhere at end of year2021-12-31$6,696,376
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$6,436,277
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$86,834
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$37,283
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$142,032
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$57,016
Other income not declared elsewhere2021-12-31$434,471
Administrative expenses (other) incurred2021-12-31$37,531
Liabilities. Value of operating payables at end of year2021-12-31$622,084
Liabilities. Value of operating payables at beginning of year2021-12-31$853,971
Total non interest bearing cash at end of year2021-12-31$4,770,536
Total non interest bearing cash at beginning of year2021-12-31$5,573,136
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$2,755,912
Value of net assets at end of year (total assets less liabilities)2021-12-31$85,558,687
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$82,802,775
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$89,867
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$13,438,677
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$12,220,115
Value of interest in common/collective trusts at end of year2021-12-31$55,133,255
Value of interest in common/collective trusts at beginning of year2021-12-31$50,646,892
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$2,558,939
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$4,815,029
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$4,815,029
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$1,242
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$29,043,365
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$477,892
Net investment gain or loss from common/collective trusts2021-12-31$5,188,635
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$27,053,420
Employer contributions (assets) at end of year2021-12-31$3,001,756
Employer contributions (assets) at beginning of year2021-12-31$3,463,489
Contract administrator fees2021-12-31$168,000
Assets. Value of buildings and other operty used in plan operation at end of year2021-12-31$439,200
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-12-31$444,792
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 plan2021-12-31Unqualified
Accountancy firm name2021-12-31WARD FISHER & CO
Accountancy firm EIN2021-12-31050234540
2020 : RHODE ISLAND LABORERS HEALTH FUND 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$853,971
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$907,577
Total income from all sources (including contributions)2020-12-31$34,477,646
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$29,762,894
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$28,145,393
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$29,068,568
Value of total assets at end of year2020-12-31$83,656,746
Value of total assets at beginning of year2020-12-31$78,995,600
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$1,617,501
Total interest from all sources2020-12-31$22,635
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
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$1,350,258
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$166,876
Assets. Other investments not covered elsewhere at end of year2020-12-31$6,436,277
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$6,068,209
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$25,745,431
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$57,016
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$62,060
Other income not declared elsewhere2020-12-31$597,223
Administrative expenses (other) incurred2020-12-31$31,776
Liabilities. Value of operating payables at end of year2020-12-31$853,971
Liabilities. Value of operating payables at beginning of year2020-12-31$907,577
Total non interest bearing cash at end of year2020-12-31$5,573,136
Total non interest bearing cash at beginning of year2020-12-31$7,036,531
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$4,714,752
Value of net assets at end of year (total assets less liabilities)2020-12-31$82,802,775
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$78,088,023
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$67,467
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$12,220,115
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$11,841,487
Value of interest in common/collective trusts at end of year2020-12-31$50,646,892
Value of interest in common/collective trusts at beginning of year2020-12-31$44,147,745
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$4,815,029
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$4,793,045
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$4,793,045
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$22,635
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$2,369,552
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$88,878
Net investment gain or loss from common/collective trusts2020-12-31$4,700,342
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$28,901,692
Employer contributions (assets) at end of year2020-12-31$3,463,489
Employer contributions (assets) at beginning of year2020-12-31$4,589,366
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$30,410
Contract administrator fees2020-12-31$168,000
Assets. Value of buildings and other operty used in plan operation at end of year2020-12-31$444,792
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-12-31$457,157
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 & CO.
Accountancy firm EIN2020-12-31056016572
2019 : RHODE ISLAND LABORERS HEALTH FUND 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$907,577
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$720,072
Total income from all sources (including contributions)2019-12-31$41,186,281
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$28,914,222
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$28,382,689
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$32,922,908
Value of total assets at end of year2019-12-31$78,995,600
Value of total assets at beginning of year2019-12-31$66,536,036
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$531,533
Total interest from all sources2019-12-31$103,363
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
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$257,503
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$228,642
Assets. Other investments not covered elsewhere at end of year2019-12-31$6,068,209
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$6,765,381
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$24,742,758
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$62,060
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$61,621
Other income not declared elsewhere2019-12-31$1,099,288
Administrative expenses (other) incurred2019-12-31$42,765
Liabilities. Value of operating payables at end of year2019-12-31$907,577
Liabilities. Value of operating payables at beginning of year2019-12-31$720,072
Total non interest bearing cash at end of year2019-12-31$7,036,531
Total non interest bearing cash at beginning of year2019-12-31$6,087,555
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$12,272,059
Value of net assets at end of year (total assets less liabilities)2019-12-31$78,088,023
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$65,815,964
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$63,265
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$11,841,487
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$8,529,107
Value of interest in common/collective trusts at end of year2019-12-31$44,147,745
Value of interest in common/collective trusts at beginning of year2019-12-31$36,151,438
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$4,793,045
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$4,693,356
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$4,693,356
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$103,363
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$3,609,931
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,714,415
Net investment gain or loss from common/collective trusts2019-12-31$5,346,307
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$32,694,266
Employer contributions (assets) at end of year2019-12-31$4,589,366
Employer contributions (assets) at beginning of year2019-12-31$3,809,272
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$30,000
Contract administrator fees2019-12-31$168,000
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$457,157
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$438,306
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 & COMPANY
Accountancy firm EIN2019-12-31056016572
2018 : RHODE ISLAND LABORERS HEALTH FUND 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$720,072
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$512,561
Total income from all sources (including contributions)2018-12-31$29,190,908
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$26,698,678
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$26,215,439
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$30,786,796
Value of total assets at end of year2018-12-31$66,536,036
Value of total assets at beginning of year2018-12-31$63,836,295
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$483,239
Total interest from all sources2018-12-31$41,086
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$13,180
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$242,617
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$138,666
Assets. Other investments not covered elsewhere at end of year2018-12-31$6,765,381
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$7,325,035
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-12-31$1,014,034
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$61,621
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$94,476
Other income not declared elsewhere2018-12-31$-503,212
Administrative expenses (other) incurred2018-12-31$32,875
Liabilities. Value of operating payables at end of year2018-12-31$720,072
Liabilities. Value of operating payables at beginning of year2018-12-31$512,561
Total non interest bearing cash at end of year2018-12-31$6,087,555
Total non interest bearing cash at beginning of year2018-12-31$6,386,234
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$2,492,230
Value of net assets at end of year (total assets less liabilities)2018-12-31$65,815,964
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$63,323,734
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$39,747
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$8,529,107
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$10,249,455
Value of interest in common/collective trusts at end of year2018-12-31$36,151,438
Value of interest in common/collective trusts at beginning of year2018-12-31$33,894,991
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$4,693,356
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$2,156,118
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$2,156,118
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$41,086
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$25,201,405
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-1,180,253
Net investment gain or loss from common/collective trusts2018-12-31$33,311
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$30,648,130
Employer contributions (assets) at end of year2018-12-31$3,809,272
Employer contributions (assets) at beginning of year2018-12-31$3,299,176
Income. Dividends from common stock2018-12-31$13,180
Contract administrator fees2018-12-31$168,000
Assets. Value of buildings and other operty used in plan operation at end of year2018-12-31$438,306
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-12-31$430,810
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 & CO.
Accountancy firm EIN2018-12-31056016572
2017 : RHODE ISLAND LABORERS HEALTH FUND 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$512,561
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$623,080
Total income from all sources (including contributions)2017-12-31$32,267,166
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$24,757,520
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$23,201,520
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$26,705,338
Value of total assets at end of year2017-12-31$63,836,295
Value of total assets at beginning of year2017-12-31$56,437,168
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$1,556,000
Total interest from all sources2017-12-31$17,268
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$214,454
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$214,454
Administrative expenses professional fees incurred2017-12-31$220,362
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$107,586
Assets. Other investments not covered elsewhere at end of year2017-12-31$7,325,035
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$6,418,643
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$94,476
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$68,794
Other income not declared elsewhere2017-12-31$971,874
Administrative expenses (other) incurred2017-12-31$1,109,285
Liabilities. Value of operating payables at end of year2017-12-31$512,561
Liabilities. Value of operating payables at beginning of year2017-12-31$623,080
Total non interest bearing cash at end of year2017-12-31$6,386,234
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$7,509,646
Value of net assets at end of year (total assets less liabilities)2017-12-31$63,323,734
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$55,814,088
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$58,353
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$10,249,455
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$8,567,742
Value of interest in common/collective trusts at end of year2017-12-31$33,894,991
Value of interest in common/collective trusts at beginning of year2017-12-31$31,014,190
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$2,156,118
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$7,103,643
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$7,103,643
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$17,268
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$23,135,657
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,467,260
Net investment gain or loss from common/collective trusts2017-12-31$2,890,972
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$26,597,752
Employer contributions (assets) at end of year2017-12-31$3,299,176
Employer contributions (assets) at beginning of year2017-12-31$2,882,695
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$65,863
Contract administrator fees2017-12-31$168,000
Assets. Value of buildings and other operty used in plan operation at end of year2017-12-31$430,810
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-12-31$381,461
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 & CO
Accountancy firm EIN2017-12-31056016572
2016 : RHODE ISLAND LABORERS HEALTH FUND 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$623,080
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$771,111
Total income from all sources (including contributions)2016-12-31$28,563,424
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$23,293,298
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$21,690,975
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$25,651,614
Value of total assets at end of year2016-12-31$56,437,168
Value of total assets at beginning of year2016-12-31$51,315,073
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$1,602,323
Total interest from all sources2016-12-31$31,485
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$141,461
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$141,461
Administrative expenses professional fees incurred2016-12-31$1,240,472
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$171,695
Assets. Other investments not covered elsewhere at end of year2016-12-31$6,418,643
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$19,593,079
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$68,794
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$47,846
Other income not declared elsewhere2016-12-31$849,910
Administrative expenses (other) incurred2016-12-31$143,543
Liabilities. Value of operating payables at end of year2016-12-31$623,080
Liabilities. Value of operating payables at beginning of year2016-12-31$771,111
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$5,270,126
Value of net assets at end of year (total assets less liabilities)2016-12-31$55,814,088
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$50,543,962
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
Assets. partnership/joint venture interests at beginning of year2016-12-31$3,951,871
Investment advisory and management fees2016-12-31$50,308
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$8,567,742
Interest earned on other investments2016-12-31$27,648
Value of interest in common/collective trusts at end of year2016-12-31$31,014,190
Value of interest in common/collective trusts at beginning of year2016-12-31$37,801,672
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$7,103,643
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$6,395,815
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$6,395,815
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$3,837
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$2,097,896
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$426,281
Net investment gain or loss from common/collective trusts2016-12-31$1,462,673
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
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$25,479,919
Employer contributions (assets) at end of year2016-12-31$2,882,695
Employer contributions (assets) at beginning of year2016-12-31$2,720,496
Contract administrator fees2016-12-31$168,000
Assets. Value of buildings and other operty used in plan operation at end of year2016-12-31$381,461
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-12-31$397,373
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31WARD FISHER & COMPANY
Accountancy firm EIN2016-12-31056016572
2015 : RHODE ISLAND LABORERS HEALTH FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-253,344
Total unrealized appreciation/depreciation of assets2015-12-31$-253,344
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$771,111
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$800,953
Total income from all sources (including contributions)2015-12-31$23,181,326
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$21,971,312
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$20,449,885
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$22,977,455
Value of total assets at end of year2015-12-31$51,315,073
Value of total assets at beginning of year2015-12-31$50,134,901
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$1,521,427
Total interest from all sources2015-12-31$9
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
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$203,130
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$176,094
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$57,271
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$47,846
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$229,076
Other income not declared elsewhere2015-12-31$31,498
Administrative expenses (other) incurred2015-12-31$217,918
Liabilities. Value of operating payables at end of year2015-12-31$771,111
Liabilities. Value of operating payables at beginning of year2015-12-31$800,953
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$1,210,014
Value of net assets at end of year (total assets less liabilities)2015-12-31$50,543,962
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$49,333,948
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
Assets. partnership/joint venture interests at end of year2015-12-31$3,951,871
Assets. partnership/joint venture interests at beginning of year2015-12-31$4,205,215
Investment advisory and management fees2015-12-31$931,229
Value of interest in common/collective trusts at end of year2015-12-31$37,801,672
Value of interest in common/collective trusts at beginning of year2015-12-31$33,375,964
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$6,395,815
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$9,095,852
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$9,095,852
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$9
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$2,005,775
Net investment gain or loss from common/collective trusts2015-12-31$425,708
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
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$22,801,361
Employer contributions (assets) at end of year2015-12-31$2,720,496
Employer contributions (assets) at beginning of year2015-12-31$2,824,977
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$18,386,839
Contract administrator fees2015-12-31$169,150
Assets. Value of buildings and other operty used in plan operation at end of year2015-12-31$397,373
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-12-31$403,817
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31WARD FISHER & CO.
Accountancy firm EIN2015-12-31056016572
2014 : RHODE ISLAND LABORERS HEALTH FUND 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$2,808,853
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$532,627
Total income from all sources (including contributions)2014-12-31$26,143,465
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$22,652,258
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$21,036,985
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$23,651,125
Value of total assets at end of year2014-12-31$50,134,901
Value of total assets at beginning of year2014-12-31$44,367,468
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$1,615,273
Total interest from all sources2014-12-31$119
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Administrative expenses professional fees incurred2014-12-31$219,845
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$120,019
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$54,364
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$229,076
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$1,981,798
Other income not declared elsewhere2014-12-31$91,428
Administrative expenses (other) incurred2014-12-31$1,206,393
Liabilities. Value of operating payables at end of year2014-12-31$800,953
Liabilities. Value of operating payables at beginning of year2014-12-31$532,627
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$3,491,207
Value of net assets at end of year (total assets less liabilities)2014-12-31$47,326,048
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$43,834,841
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
Assets. partnership/joint venture interests at end of year2014-12-31$4,205,215
Assets. partnership/joint venture interests at beginning of year2014-12-31$3,168,615
Investment advisory and management fees2014-12-31$21,035
Value of interest in common/collective trusts at end of year2014-12-31$33,375,964
Value of interest in common/collective trusts at beginning of year2014-12-31$31,475,170
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$9,095,852
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$5,069,337
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$5,069,337
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$119
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$20,952,621
Net investment gain or loss from common/collective trusts2014-12-31$2,400,793
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
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$23,531,106
Employer contributions (assets) at end of year2014-12-31$2,824,977
Employer contributions (assets) at beginning of year2014-12-31$2,653,746
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$30,000
Contract administrator fees2014-12-31$168,000
Liabilities. Value of benefit claims payable at end of year2014-12-31$2,007,900
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$403,817
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-12-31$18,802
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31WARD FISHER & CO
Accountancy firm EIN2014-12-31056016572
2013 : RHODE ISLAND LABORERS HEALTH FUND 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$532,627
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$2,175,447
Total income from all sources (including contributions)2013-12-31$26,666,411
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$21,300,110
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$20,836,176
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$23,204,578
Value of total assets at end of year2013-12-31$44,367,468
Value of total assets at beginning of year2013-12-31$40,643,987
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$463,934
Total interest from all sources2013-12-31$50,953
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Administrative expenses professional fees incurred2013-12-31$227,255
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$149,005
Assets. Other investments not covered elsewhere at end of year2013-12-31$3,168,615
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$47,852
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$1,981,798
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$50,918
Other income not declared elsewhere2013-12-31$168,615
Administrative expenses (other) incurred2013-12-31$39,759
Liabilities. Value of operating payables at end of year2013-12-31$532,627
Liabilities. Value of operating payables at beginning of year2013-12-31$2,175,447
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$5,366,301
Value of net assets at end of year (total assets less liabilities)2013-12-31$43,834,841
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$38,468,540
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
Assets. partnership/joint venture interests at end of year2013-12-31$3,168,615
Investment advisory and management fees2013-12-31$34,920
Interest earned on other investments2013-12-31$50,614
Value of interest in common/collective trusts at end of year2013-12-31$31,475,170
Value of interest in common/collective trusts at beginning of year2013-12-31$30,632,905
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$5,069,337
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$7,452,961
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$7,452,961
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$339
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$20,756,652
Net investment gain or loss from common/collective trusts2013-12-31$3,242,265
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$23,055,573
Employer contributions (assets) at end of year2013-12-31$2,653,746
Employer contributions (assets) at beginning of year2013-12-31$2,492,475
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$31,672
Contract administrator fees2013-12-31$162,000
Assets. Value of buildings and other operty used in plan operation at end of year2013-12-31$18,802
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-12-31$14,728
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31WARD FISHER & COMPANY
Accountancy firm EIN2013-12-31056016572
2012 : RHODE ISLAND LABORERS HEALTH FUND 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$2,175,447
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$2,462,095
Total income from all sources (including contributions)2012-12-31$23,222,018
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$21,630,217
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$21,145,332
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$20,940,400
Value of total assets at end of year2012-12-31$40,643,987
Value of total assets at beginning of year2012-12-31$39,338,834
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$484,885
Total interest from all sources2012-12-31$31,961
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Administrative expenses professional fees incurred2012-12-31$279,546
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$232,052
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$7,679
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$3,435
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$50,918
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$790,129
Administrative expenses (other) incurred2012-12-31$28,189
Liabilities. Value of operating payables at end of year2012-12-31$2,175,447
Liabilities. Value of operating payables at beginning of year2012-12-31$2,462,095
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$1,591,801
Value of net assets at end of year (total assets less liabilities)2012-12-31$38,468,540
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$36,876,739
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$21,150
Interest earned on other investments2012-12-31$30,120
Value of interest in common/collective trusts at end of year2012-12-31$30,632,905
Value of interest in common/collective trusts at beginning of year2012-12-31$28,383,249
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$7,452,961
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$7,112,336
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$7,112,336
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$1,841
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$21,081,897
Net investment gain or loss from common/collective trusts2012-12-31$2,249,657
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$20,700,669
Employer contributions (assets) at end of year2012-12-31$2,492,475
Employer contributions (assets) at beginning of year2012-12-31$3,041,167
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$60,000
Contract administrator fees2012-12-31$156,000
Assets. Value of buildings and other operty used in plan operation at end of year2012-12-31$14,728
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-12-31$11,953
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
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 & CO.
Accountancy firm EIN2012-12-31056016572
2011 : RHODE ISLAND LABORERS HEALTH FUND 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total transfer of assets to this plan2011-12-31$153,307
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$2,462,095
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$193,080
Total income from all sources (including contributions)2011-12-31$22,140,616
Total loss/gain on sale of assets2011-12-31$954,981
Total of all expenses incurred2011-12-31$22,772,825
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$22,281,564
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$20,775,565
Value of total assets at end of year2011-12-31$39,338,834
Value of total assets at beginning of year2011-12-31$37,548,721
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$491,261
Total interest from all sources2011-12-31$362,517
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$95,404
Administrative expenses professional fees incurred2011-12-31$202,850
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$292,337
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$157,102
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$4,440
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$790,129
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$317,372
Other income not declared elsewhere2011-12-31$9,117
Administrative expenses (other) incurred2011-12-31$21,777
Liabilities. Value of operating payables at end of year2011-12-31$2,462,095
Liabilities. Value of operating payables at beginning of year2011-12-31$193,080
Total non interest bearing cash at beginning of year2011-12-31$750,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-632,209
Value of net assets at end of year (total assets less liabilities)2011-12-31$36,876,739
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$37,355,641
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$110,634
Interest earned on other investments2011-12-31$23,171
Income. Interest from US Government securities2011-12-31$206,747
Income. Interest from corporate debt instruments2011-12-31$128,624
Value of interest in common/collective trusts at end of year2011-12-31$28,383,249
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$7,112,336
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$4,170,136
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$4,170,136
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$3,975
Asset value of US Government securities at beginning of year2011-12-31$11,050,863
Net investment gain or loss from common/collective trusts2011-12-31$-56,968
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$20,326,126
Employer contributions (assets) at end of year2011-12-31$3,041,167
Employer contributions (assets) at beginning of year2011-12-31$2,762,971
Income. Dividends from common stock2011-12-31$95,404
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$22,277,124
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$6,189,347
Contract administrator fees2011-12-31$156,000
Assets. Corporate common stocks other than exployer securities at beginning of year2011-12-31$11,388,878
Assets. Value of buildings and other operty used in plan operation at end of year2011-12-31$11,953
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-12-31$919,154
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$44,232,518
Aggregate carrying amount (costs) on sale of assets2011-12-31$43,277,537
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 & COMPANY
Accountancy firm EIN2011-12-31056016572
2010 : RHODE ISLAND LABORERS HEALTH FUND 2010 401k financial data
Unrealized appreciation/depreciation of real estate assets2010-12-31$762,717
Total unrealized appreciation/depreciation of assets2010-12-31$762,717
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$193,080
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$229,844
Total income from all sources (including contributions)2010-12-31$23,108,763
Total loss/gain on sale of assets2010-12-31$789,359
Total of all expenses incurred2010-12-31$18,763,003
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$18,222,856
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$20,597,680
Value of total assets at end of year2010-12-31$37,548,721
Value of total assets at beginning of year2010-12-31$33,239,725
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$540,147
Total interest from all sources2010-12-31$693,320
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$265,687
Administrative expenses professional fees incurred2010-12-31$203,238
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$274,133
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$264,727
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$3,768
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$317,372
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$196,469
Administrative expenses (other) incurred2010-12-31$45,574
Liabilities. Value of operating payables at end of year2010-12-31$193,080
Liabilities. Value of operating payables at beginning of year2010-12-31$229,844
Total non interest bearing cash at end of year2010-12-31$750,000
Total non interest bearing cash at beginning of year2010-12-31$397,037
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$4,345,760
Value of net assets at end of year (total assets less liabilities)2010-12-31$37,355,641
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$33,009,881
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31Yes
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$157,703
Interest earned on other investments2010-12-31$10,781
Income. Interest from US Government securities2010-12-31$384,258
Income. Interest from corporate debt instruments2010-12-31$294,470
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$4,170,136
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$3,207,103
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$3,207,103
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$3,811
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$18,219,088
Asset value of US Government securities at end of year2010-12-31$11,050,863
Asset value of US Government securities at beginning of year2010-12-31$6,733,107
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$20,058,820
Employer contributions (assets) at end of year2010-12-31$2,762,971
Employer contributions (assets) at beginning of year2010-12-31$2,468,736
Income. Dividends from common stock2010-12-31$265,687
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$6,189,347
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$4,380,700
Contract administrator fees2010-12-31$133,632
Assets. Corporate common stocks other than exployer securities at end of year2010-12-31$11,388,878
Assets. Corporate common stocks other than exployer securities at beginning of year2010-12-31$15,839,537
Assets. Value of buildings and other operty used in plan operation at end of year2010-12-31$919,154
Assets. Value of buildings and other operty used in plan operation at beginning of year2010-12-31$17,036
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
Aggregate proceeds on sale of assets2010-12-31$45,139,621
Aggregate carrying amount (costs) on sale of assets2010-12-31$44,350,262
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 name2010-12-31WARD FISHER & CO
Accountancy firm EIN2010-12-31056016572

Form 5500 Responses for RHODE ISLAND LABORERS HEALTH FUND

2022: RHODE ISLAND LABORERS HEALTH FUND 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: RHODE ISLAND LABORERS HEALTH FUND 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: RHODE ISLAND LABORERS HEALTH FUND 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: RHODE ISLAND LABORERS HEALTH FUND 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: RHODE ISLAND LABORERS HEALTH FUND 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: RHODE ISLAND LABORERS HEALTH 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 planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: RHODE ISLAND LABORERS HEALTH 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 planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: RHODE ISLAND LABORERS HEALTH 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 planNo
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: RHODE ISLAND LABORERS HEALTH 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 planNo
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: RHODE ISLAND LABORERS HEALTH FUND 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Submission has been amendedYes
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: RHODE ISLAND LABORERS HEALTH 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 planNo
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: RHODE ISLAND LABORERS HEALTH FUND 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Submission has been amendedYes
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 – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: RHODE ISLAND LABORERS HEALTH 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 – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG2780/C4066
Policy instance 3
Insurance contract or identification numberG2780/C4066
Number of Individuals Covered1347
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & 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 $136,273
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 number6820/100752
Policy instance 2
Insurance contract or identification number6820/100752
Number of Individuals Covered4369
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $1,653,095
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 number6820/100752
Policy instance 1
Insurance contract or identification number6820/100752
Number of Individuals Covered4369
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $17,887
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,887
Insurance broker organization code?3
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number6820/100752
Policy instance 1
Insurance contract or identification number6820/100752
Number of Individuals Covered4510
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $18,839
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees18839
Additional information about fees paid to insurance brokerDIRECT PRODUCER 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 number6820/100752
Policy instance 2
Insurance contract or identification number6820/100752
Number of Individuals Covered4128
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $1,613,832
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG2780/C4066
Policy instance 3
Insurance contract or identification numberG2780/C4066
Number of Individuals Covered5
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & 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 $148,633
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 number6820/100752
Policy instance 2
Insurance contract or identification number6820/100752
Number of Individuals Covered4262
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
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 $1,666,910
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 number6820/100752
Policy instance 1
Insurance contract or identification number6820/100752
Number of Individuals Covered4658
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $17,110
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,110
Insurance broker organization code?3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG2780/C4066
Policy instance 3
Insurance contract or identification numberG2780/C4066
Number of Individuals Covered1721
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & 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 $159,536
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 number6820/100752
Policy instance 2
Insurance contract or identification number6820/100752
Number of Individuals Covered4294
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 $1,627,273
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG2780/C4066
Policy instance 3
Insurance contract or identification numberG2780/C4066
Number of Individuals Covered1648
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & 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 $154,974
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 number6820/100752
Policy instance 1
Insurance contract or identification number6820/100752
Number of Individuals Covered4761
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $16,427
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees16427
Additional information about fees paid to insurance brokerDIRECT PRODUCER COMPENSATION
Insurance broker organization code?3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG2780/C4066
Policy instance 3
Insurance contract or identification numberG2780/C4066
Number of Individuals Covered1600
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & 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 $147,612
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 number6820/100752
Policy instance 2
Insurance contract or identification number6820/100752
Number of Individuals Covered4101
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $1,743,215
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 number6820/100752
Policy instance 1
Insurance contract or identification number6820/100752
Number of Individuals Covered4470
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number6820/100752
Policy instance 2
Insurance contract or identification number6820/100752
Number of Individuals Covered4015
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $1,621,082
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 number6820/100752
Policy instance 1
Insurance contract or identification number6820/100752
Number of Individuals Covered4471
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $13,663
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees13663
Additional information about fees paid to insurance brokerDIRECT PRODUCER COMPENSATION
Insurance broker organization code?3
Insurance broker nameTHE SEGAL COMPANY
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG2780/C4066
Policy instance 3
Insurance contract or identification numberG2780/C4066
Number of Individuals Covered1529
Insurance policy start date2016-08-01
Insurance policy end date2017-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & 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 $147,011
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 number6820/100752
Policy instance 1
Insurance contract or identification number6820/100752
Number of Individuals Covered4175
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $887,402
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number6820/100752
Policy instance 2
Insurance contract or identification number6820/100752
Number of Individuals Covered4173
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 $1,324,373
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG2780/C4066
Policy instance 3
Insurance contract or identification numberG2780/C4066
Number of Individuals Covered1526
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
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 & 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 $125,064
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number6820/100752
Policy instance 1
Insurance contract or identification number6820/100752
Number of Individuals Covered4196
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $886,779
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number6820/100752
Policy instance 2
Insurance contract or identification number6820/100752
Number of Individuals Covered4190
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 $1,274,998
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG2780/C4066
Policy instance 3
Insurance contract or identification numberG2780/C4066
Number of Individuals Covered1529
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
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 & 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 $122,386
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number6820/100752
Policy instance 1
Insurance contract or identification number6820/100752
Number of Individuals Covered4260
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $20,277,699
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number6820/100752
Policy instance 2
Insurance contract or identification number6820/100752
Number of Individuals Covered4247
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 $1,208,844
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number6820/100455
Policy instance 3
Insurance contract or identification number6820/100455
Number of Individuals Covered4252
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 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 $562,821
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number6820/100752
Policy instance 1
Insurance contract or identification number6820/100752
Number of Individuals Covered4241
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 BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number6820/100752
Policy instance 2
Insurance contract or identification number6820/100752
Number of Individuals Covered4235
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 $1,104,028
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number6820/100455
Policy instance 3
Insurance contract or identification number6820/100455
Number of Individuals Covered4241
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 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 $449,990
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number6820/100752
Policy instance 4
Insurance contract or identification number6820/100752
Number of Individuals Covered4250
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 BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number6820/100752
Policy instance 1
Insurance contract or identification number6820/100752
Number of Individuals Covered4249
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 $1,304,469
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG2780/C4066
Policy instance 2
Insurance contract or identification numberG2780/C4066
Number of Individuals Covered1413
Insurance policy start date2010-08-01
Insurance policy end date2011-07-31
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 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 & 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 $93,064
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number6820/100455
Policy instance 3
Insurance contract or identification number6820/100455
Number of Individuals Covered4250
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 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 $522,388
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number6820/100455
Policy instance 4
Insurance contract or identification number6820/100455
Number of Individuals Covered4073
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 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 $390,654
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number100455/6820/*
Policy instance 2
Insurance contract or identification number100455/6820/*
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
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number6820/100752
Policy instance 1
Insurance contract or identification number6820/100752
Number of Individuals Covered4073
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 $1,274,344
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG2780/C4066
Policy instance 3
Insurance contract or identification numberG2780/C4066
Number of Individuals Covered1502
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 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 & 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 $100,543

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