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UNITED FURNITURE WORKERS INSURANCE FUND 401k Plan overview

Plan NameUNITED FURNITURE WORKERS INSURANCE FUND
Plan identification number 501

UNITED FURNITURE WORKERS INSURANCE FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

UNITED FURNITURE WORKERS INSURANCE FUND has sponsored the creation of one or more 401k plans.

Company Name:UNITED FURNITURE WORKERS INSURANCE FUND
Employer identification number (EIN):135547701
NAIC Classification:337000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UNITED FURNITURE WORKERS INSURANCE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-10-01
5012020-10-01
5012019-10-01
5012018-10-01
5012017-10-01
5012016-10-01DEE ANNE WALKER
5012015-10-01DEE ANNE WALKER
5012014-10-01DEE ANNE WALKER
5012013-10-01DEE ANNE WALKER
5012012-10-01DEE ANNE WALKER
5012011-10-01DEE ANNE WALKER
5012009-10-01DEE ANNE WALKER
5012008-10-01

Plan Statistics for UNITED FURNITURE WORKERS INSURANCE FUND

401k plan membership statisitcs for UNITED FURNITURE WORKERS INSURANCE FUND

Measure Date Value
2021: UNITED FURNITURE WORKERS INSURANCE FUND 2021 401k membership
Total participants, beginning-of-year2021-10-013,331
Total number of active participants reported on line 7a of the Form 55002021-10-013,310
Number of retired or separated participants receiving benefits2021-10-01363
Number of other retired or separated participants entitled to future benefits2021-10-0117
Total of all active and inactive participants2021-10-013,690
Number of employers contributing to the scheme2021-10-01123
2020: UNITED FURNITURE WORKERS INSURANCE FUND 2020 401k membership
Total participants, beginning-of-year2020-10-013,343
Total number of active participants reported on line 7a of the Form 55002020-10-012,938
Number of retired or separated participants receiving benefits2020-10-01375
Number of other retired or separated participants entitled to future benefits2020-10-0118
Total of all active and inactive participants2020-10-013,331
Number of employers contributing to the scheme2020-10-01112
2019: UNITED FURNITURE WORKERS INSURANCE FUND 2019 401k membership
Total participants, beginning-of-year2019-10-013,641
Total number of active participants reported on line 7a of the Form 55002019-10-013,065
Number of retired or separated participants receiving benefits2019-10-01360
Number of other retired or separated participants entitled to future benefits2019-10-0118
Total of all active and inactive participants2019-10-013,443
Number of employers contributing to the scheme2019-10-01199
2018: UNITED FURNITURE WORKERS INSURANCE FUND 2018 401k membership
Total participants, beginning-of-year2018-10-013,192
Total number of active participants reported on line 7a of the Form 55002018-10-013,252
Number of retired or separated participants receiving benefits2018-10-01371
Number of other retired or separated participants entitled to future benefits2018-10-0118
Total of all active and inactive participants2018-10-013,641
Number of employers contributing to the scheme2018-10-01196
2017: UNITED FURNITURE WORKERS INSURANCE FUND 2017 401k membership
Total participants, beginning-of-year2017-10-013,186
Total number of active participants reported on line 7a of the Form 55002017-10-012,813
Number of retired or separated participants receiving benefits2017-10-01361
Number of other retired or separated participants entitled to future benefits2017-10-0118
Total of all active and inactive participants2017-10-013,192
Number of employers contributing to the scheme2017-10-01181
2016: UNITED FURNITURE WORKERS INSURANCE FUND 2016 401k membership
Total participants, beginning-of-year2016-10-012,740
Total number of active participants reported on line 7a of the Form 55002016-10-012,767
Number of retired or separated participants receiving benefits2016-10-01401
Number of other retired or separated participants entitled to future benefits2016-10-0118
Total of all active and inactive participants2016-10-013,186
Number of employers contributing to the scheme2016-10-01151
2015: UNITED FURNITURE WORKERS INSURANCE FUND 2015 401k membership
Total participants, beginning-of-year2015-10-012,538
Total number of active participants reported on line 7a of the Form 55002015-10-012,321
Number of retired or separated participants receiving benefits2015-10-01397
Number of other retired or separated participants entitled to future benefits2015-10-0122
Total of all active and inactive participants2015-10-012,740
Number of employers contributing to the scheme2015-10-01138
2014: UNITED FURNITURE WORKERS INSURANCE FUND 2014 401k membership
Total participants, beginning-of-year2014-10-012,463
Total number of active participants reported on line 7a of the Form 55002014-10-012,100
Number of retired or separated participants receiving benefits2014-10-01415
Number of other retired or separated participants entitled to future benefits2014-10-0123
Total of all active and inactive participants2014-10-012,538
Number of employers contributing to the scheme2014-10-01136
2013: UNITED FURNITURE WORKERS INSURANCE FUND 2013 401k membership
Total participants, beginning-of-year2013-10-012,571
Total number of active participants reported on line 7a of the Form 55002013-10-012,009
Number of retired or separated participants receiving benefits2013-10-01427
Number of other retired or separated participants entitled to future benefits2013-10-0127
Total of all active and inactive participants2013-10-012,463
Number of employers contributing to the scheme2013-10-01128
2012: UNITED FURNITURE WORKERS INSURANCE FUND 2012 401k membership
Total participants, beginning-of-year2012-10-012,670
Total number of active participants reported on line 7a of the Form 55002012-10-012,095
Number of retired or separated participants receiving benefits2012-10-01449
Number of other retired or separated participants entitled to future benefits2012-10-0127
Total of all active and inactive participants2012-10-012,571
Number of employers contributing to the scheme2012-10-01129
2011: UNITED FURNITURE WORKERS INSURANCE FUND 2011 401k membership
Total participants, beginning-of-year2011-10-013,192
Total number of active participants reported on line 7a of the Form 55002011-10-012,157
Number of retired or separated participants receiving benefits2011-10-01483
Number of other retired or separated participants entitled to future benefits2011-10-0130
Total of all active and inactive participants2011-10-012,670
Number of employers contributing to the scheme2011-10-01140
2009: UNITED FURNITURE WORKERS INSURANCE FUND 2009 401k membership
Total participants, beginning-of-year2009-10-012,468
Total number of active participants reported on line 7a of the Form 55002009-10-012,484
Number of retired or separated participants receiving benefits2009-10-01506
Number of other retired or separated participants entitled to future benefits2009-10-0136
Total of all active and inactive participants2009-10-013,026
Number of employers contributing to the scheme2009-10-01139

Financial Data on UNITED FURNITURE WORKERS INSURANCE FUND

Measure Date Value
2022 : UNITED FURNITURE WORKERS INSURANCE FUND 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$5,612,946
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$4,674,286
Total income from all sources (including contributions)2022-09-30$47,798,980
Total of all expenses incurred2022-09-30$49,462,126
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-09-30$45,849,923
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-09-30$49,750,929
Value of total assets at end of year2022-09-30$31,801,868
Value of total assets at beginning of year2022-09-30$32,526,354
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-09-30$3,612,203
Total interest from all sources2022-09-30$6,328
Total dividends received (eg from common stock, registered investment company shares)2022-09-30$607,482
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-09-30$607,482
Administrative expenses professional fees incurred2022-09-30$318,917
Was this plan covered by a fidelity bond2022-09-30Yes
Value of fidelity bond cover2022-09-30$500,000
If this is an individual account plan, was there a blackout period2022-09-30No
Were there any nonexempt tranactions with any party-in-interest2022-09-30No
Contributions received from participants2022-09-30$342,825
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-09-30$26,609
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-09-30$118,203
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-09-30$136,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-09-30$110,683
Administrative expenses (other) incurred2022-09-30$1,885,444
Liabilities. Value of operating payables at end of year2022-09-30$172,946
Liabilities. Value of operating payables at beginning of year2022-09-30$174,603
Total non interest bearing cash at end of year2022-09-30$2,036,532
Total non interest bearing cash at beginning of year2022-09-30$2,332,608
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Value of net income/loss2022-09-30$-1,663,146
Value of net assets at end of year (total assets less liabilities)2022-09-30$26,188,922
Value of net assets at beginning of year (total assets less liabilities)2022-09-30$27,852,068
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-09-30No
Were any leases to which the plan was party in default or uncollectible2022-09-30No
Investment advisory and management fees2022-09-30$9,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-09-30$28,581,653
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-09-30$29,039,930
Interest earned on other investments2022-09-30$6,328
Expenses. Payments to insurance carriers foe the provision of benefits2022-09-30$1,447,940
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-09-30$-2,565,759
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-09-30No
Was there a failure to transmit to the plan any participant contributions2022-09-30No
Has the plan failed to provide any benefit when due under the plan2022-09-30No
Contributions received in cash from employer2022-09-30$49,408,104
Employer contributions (assets) at end of year2022-09-30$1,048,000
Employer contributions (assets) at beginning of year2022-09-30$915,683
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-09-30$44,401,983
Contract administrator fees2022-09-30$1,398,842
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-09-30No
Liabilities. Value of benefit claims payable at end of year2022-09-30$5,304,000
Liabilities. Value of benefit claims payable at beginning of year2022-09-30$4,389,000
Assets. Value of buildings and other operty used in plan operation at end of year2022-09-30$109,074
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-09-30$119,930
Did the plan have assets held for investment2022-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-09-30No
Opinion of an independent qualified public accountant for this plan2022-09-30Unqualified
Accountancy firm name2022-09-30ROGOFF & COMPANY PC
Accountancy firm EIN2022-09-30132688836
2021 : UNITED FURNITURE WORKERS INSURANCE FUND 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$4,674,286
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$4,646,876
Total income from all sources (including contributions)2021-09-30$48,933,477
Total of all expenses incurred2021-09-30$44,696,100
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-09-30$41,077,663
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-09-30$48,370,654
Value of total assets at end of year2021-09-30$32,526,354
Value of total assets at beginning of year2021-09-30$28,261,567
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-09-30$3,618,437
Total interest from all sources2021-09-30$779
Total dividends received (eg from common stock, registered investment company shares)2021-09-30$484,763
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-09-30$484,763
Administrative expenses professional fees incurred2021-09-30$450,412
Was this plan covered by a fidelity bond2021-09-30Yes
Value of fidelity bond cover2021-09-30$500,000
If this is an individual account plan, was there a blackout period2021-09-30No
Were there any nonexempt tranactions with any party-in-interest2021-09-30No
Contributions received from participants2021-09-30$193,891
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-09-30$118,203
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-09-30$9,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-09-30$110,683
Administrative expenses (other) incurred2021-09-30$1,830,231
Liabilities. Value of operating payables at end of year2021-09-30$174,603
Liabilities. Value of operating payables at beginning of year2021-09-30$198,876
Total non interest bearing cash at end of year2021-09-30$2,332,608
Total non interest bearing cash at beginning of year2021-09-30$2,659,056
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Value of net income/loss2021-09-30$4,237,377
Value of net assets at end of year (total assets less liabilities)2021-09-30$27,852,068
Value of net assets at beginning of year (total assets less liabilities)2021-09-30$23,614,691
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-09-30No
Were any leases to which the plan was party in default or uncollectible2021-09-30No
Investment advisory and management fees2021-09-30$8,500
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-09-30$29,039,930
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-09-30$23,933,603
Interest earned on other investments2021-09-30$779
Expenses. Payments to insurance carriers foe the provision of benefits2021-09-30$1,406,170
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-09-30$77,281
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-09-30Yes
Was there a failure to transmit to the plan any participant contributions2021-09-30No
Has the plan failed to provide any benefit when due under the plan2021-09-30No
Contributions received in cash from employer2021-09-30$48,176,763
Employer contributions (assets) at end of year2021-09-30$915,683
Employer contributions (assets) at beginning of year2021-09-30$985,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-09-30$39,671,493
Contract administrator fees2021-09-30$1,329,294
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-09-30No
Liabilities. Value of benefit claims payable at end of year2021-09-30$4,389,000
Liabilities. Value of benefit claims payable at beginning of year2021-09-30$4,448,000
Assets. Value of buildings and other operty used in plan operation at end of year2021-09-30$119,930
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-09-30$674,908
Did the plan have assets held for investment2021-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-09-30No
Opinion of an independent qualified public accountant for this plan2021-09-30Unqualified
Accountancy firm name2021-09-30ROGOFF & COMPANY, PC
Accountancy firm EIN2021-09-30132688836
2020 : UNITED FURNITURE WORKERS INSURANCE FUND 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$4,646,876
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$4,749,014
Total income from all sources (including contributions)2020-09-30$50,986,682
Total of all expenses incurred2020-09-30$42,620,781
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-09-30$39,144,679
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-09-30$49,871,952
Value of total assets at end of year2020-09-30$28,261,567
Value of total assets at beginning of year2020-09-30$19,997,804
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-09-30$3,476,102
Total interest from all sources2020-09-30$20,683
Total dividends received (eg from common stock, registered investment company shares)2020-09-30$424,906
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-09-30$424,906
Administrative expenses professional fees incurred2020-09-30$318,003
Was this plan covered by a fidelity bond2020-09-30Yes
Value of fidelity bond cover2020-09-30$500,000
If this is an individual account plan, was there a blackout period2020-09-30No
Were there any nonexempt tranactions with any party-in-interest2020-09-30No
Contributions received from participants2020-09-30$254,632
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-09-30$9,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-09-30$9,691
Administrative expenses (other) incurred2020-09-30$1,758,232
Liabilities. Value of operating payables at end of year2020-09-30$198,876
Liabilities. Value of operating payables at beginning of year2020-09-30$185,014
Total non interest bearing cash at end of year2020-09-30$2,659,056
Total non interest bearing cash at beginning of year2020-09-30$1,956,518
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Value of net income/loss2020-09-30$8,365,901
Value of net assets at end of year (total assets less liabilities)2020-09-30$23,614,691
Value of net assets at beginning of year (total assets less liabilities)2020-09-30$15,248,790
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-09-30No
Were any leases to which the plan was party in default or uncollectible2020-09-30No
Investment advisory and management fees2020-09-30$8,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-09-30$23,933,603
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-09-30$16,339,557
Interest earned on other investments2020-09-30$20,683
Expenses. Payments to insurance carriers foe the provision of benefits2020-09-30$1,206,387
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-09-30$669,141
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-09-30Yes
Was there a failure to transmit to the plan any participant contributions2020-09-30No
Has the plan failed to provide any benefit when due under the plan2020-09-30No
Contributions received in cash from employer2020-09-30$49,617,320
Employer contributions (assets) at end of year2020-09-30$985,000
Employer contributions (assets) at beginning of year2020-09-30$1,058,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-09-30$37,938,292
Contract administrator fees2020-09-30$1,391,867
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-09-30No
Liabilities. Value of benefit claims payable at end of year2020-09-30$4,448,000
Liabilities. Value of benefit claims payable at beginning of year2020-09-30$4,564,000
Assets. Value of buildings and other operty used in plan operation at end of year2020-09-30$674,908
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-09-30$634,038
Did the plan have assets held for investment2020-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-09-30No
Opinion of an independent qualified public accountant for this plan2020-09-30Unqualified
Accountancy firm name2020-09-30ROGOFF & COMPANY, PC
Accountancy firm EIN2020-09-30132688836
2019 : UNITED FURNITURE WORKERS INSURANCE FUND 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$4,749,014
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$5,261,313
Total income from all sources (including contributions)2019-09-30$46,025,727
Total loss/gain on sale of assets2019-09-30$-18,417
Total of all expenses incurred2019-09-30$42,847,713
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-09-30$39,327,044
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-09-30$45,274,432
Value of total assets at end of year2019-09-30$19,997,804
Value of total assets at beginning of year2019-09-30$17,332,089
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-09-30$3,520,669
Total interest from all sources2019-09-30$37,170
Total dividends received (eg from common stock, registered investment company shares)2019-09-30$379,216
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-09-30$379,216
Administrative expenses professional fees incurred2019-09-30$324,947
Was this plan covered by a fidelity bond2019-09-30Yes
Value of fidelity bond cover2019-09-30$500,000
If this is an individual account plan, was there a blackout period2019-09-30No
Were there any nonexempt tranactions with any party-in-interest2019-09-30No
Contributions received from participants2019-09-30$362,457
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-09-30$9,691
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-09-30$80,783
Administrative expenses (other) incurred2019-09-30$1,866,143
Liabilities. Value of operating payables at end of year2019-09-30$185,014
Liabilities. Value of operating payables at beginning of year2019-09-30$198,313
Total non interest bearing cash at end of year2019-09-30$1,956,518
Total non interest bearing cash at beginning of year2019-09-30$311,996
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Value of net income/loss2019-09-30$3,178,014
Value of net assets at end of year (total assets less liabilities)2019-09-30$15,248,790
Value of net assets at beginning of year (total assets less liabilities)2019-09-30$12,070,776
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-09-30No
Were any leases to which the plan was party in default or uncollectible2019-09-30No
Investment advisory and management fees2019-09-30$8,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-09-30$16,339,557
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-09-30$14,825,431
Interest earned on other investments2019-09-30$37,170
Expenses. Payments to insurance carriers foe the provision of benefits2019-09-30$1,787,477
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-09-30$353,326
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-09-30Yes
Was there a failure to transmit to the plan any participant contributions2019-09-30No
Has the plan failed to provide any benefit when due under the plan2019-09-30No
Contributions received in cash from employer2019-09-30$44,911,975
Employer contributions (assets) at end of year2019-09-30$1,058,000
Employer contributions (assets) at beginning of year2019-09-30$1,479,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-09-30$37,539,567
Contract administrator fees2019-09-30$1,321,579
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-09-30No
Liabilities. Value of benefit claims payable at end of year2019-09-30$4,564,000
Liabilities. Value of benefit claims payable at beginning of year2019-09-30$5,063,000
Assets. Value of buildings and other operty used in plan operation at end of year2019-09-30$634,038
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-09-30$634,879
Did the plan have assets held for investment2019-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-09-30No
Aggregate proceeds on sale of assets2019-09-30$1,200,000
Aggregate carrying amount (costs) on sale of assets2019-09-30$1,218,417
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-09-30No
Opinion of an independent qualified public accountant for this plan2019-09-30Unqualified
Accountancy firm name2019-09-30ROGOFF & COMPANY, PC
Accountancy firm EIN2019-09-30132688836
2018 : UNITED FURNITURE WORKERS INSURANCE FUND 2018 401k financial data
Total transfer of assets to this plan2018-09-30$1,675,785
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$5,261,313
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$2,636,044
Total income from all sources (including contributions)2018-09-30$35,478,891
Total loss/gain on sale of assets2018-09-30$-13,147
Total of all expenses incurred2018-09-30$36,566,391
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-09-30$33,208,877
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-09-30$35,236,546
Value of total assets at end of year2018-09-30$17,332,089
Value of total assets at beginning of year2018-09-30$14,118,535
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-09-30$3,357,514
Total interest from all sources2018-09-30$64,493
Total dividends received (eg from common stock, registered investment company shares)2018-09-30$287,618
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-09-30$287,618
Administrative expenses professional fees incurred2018-09-30$312,968
Was this plan covered by a fidelity bond2018-09-30Yes
Value of fidelity bond cover2018-09-30$500,000
If this is an individual account plan, was there a blackout period2018-09-30No
Were there any nonexempt tranactions with any party-in-interest2018-09-30No
Contributions received from participants2018-09-30$195,954
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-09-30$80,783
Other income not declared elsewhere2018-09-30$80,783
Administrative expenses (other) incurred2018-09-30$1,856,419
Liabilities. Value of operating payables at end of year2018-09-30$198,313
Liabilities. Value of operating payables at beginning of year2018-09-30$210,044
Total non interest bearing cash at end of year2018-09-30$311,996
Total non interest bearing cash at beginning of year2018-09-30$778,557
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Value of net income/loss2018-09-30$-1,087,500
Value of net assets at end of year (total assets less liabilities)2018-09-30$12,070,776
Value of net assets at beginning of year (total assets less liabilities)2018-09-30$11,482,491
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-09-30No
Were any leases to which the plan was party in default or uncollectible2018-09-30No
Investment advisory and management fees2018-09-30$8,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-09-30$14,825,431
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-09-30$11,278,362
Interest earned on other investments2018-09-30$64,493
Expenses. Payments to insurance carriers foe the provision of benefits2018-09-30$1,418,876
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-09-30$-177,402
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-09-30Yes
Was there a failure to transmit to the plan any participant contributions2018-09-30No
Has the plan failed to provide any benefit when due under the plan2018-09-30No
Contributions received in cash from employer2018-09-30$35,040,592
Employer contributions (assets) at end of year2018-09-30$1,479,000
Employer contributions (assets) at beginning of year2018-09-30$1,073,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-09-30$31,790,001
Contract administrator fees2018-09-30$1,180,127
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-09-30No
Liabilities. Value of benefit claims payable at end of year2018-09-30$5,063,000
Liabilities. Value of benefit claims payable at beginning of year2018-09-30$2,426,000
Assets. Value of buildings and other operty used in plan operation at end of year2018-09-30$634,879
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-09-30$988,616
Did the plan have assets held for investment2018-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-09-30No
Aggregate proceeds on sale of assets2018-09-30$1,200,000
Aggregate carrying amount (costs) on sale of assets2018-09-30$1,213,147
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-09-30No
Opinion of an independent qualified public accountant for this plan2018-09-30Unqualified
Accountancy firm name2018-09-30ROGOFF & COMPANY, PC
Accountancy firm EIN2018-09-30132688836
2017 : UNITED FURNITURE WORKERS INSURANCE FUND 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$2,636,044
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$1,856,600
Total income from all sources (including contributions)2017-09-30$30,951,730
Total of all expenses incurred2017-09-30$30,039,086
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-09-30$26,821,753
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-09-30$30,805,649
Value of total assets at end of year2017-09-30$14,118,535
Value of total assets at beginning of year2017-09-30$12,426,447
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-09-30$3,217,333
Total interest from all sources2017-09-30$31,292
Total dividends received (eg from common stock, registered investment company shares)2017-09-30$190,171
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-09-30$190,171
Administrative expenses professional fees incurred2017-09-30$303,121
Was this plan covered by a fidelity bond2017-09-30Yes
Value of fidelity bond cover2017-09-30$500,000
If this is an individual account plan, was there a blackout period2017-09-30No
Were there any nonexempt tranactions with any party-in-interest2017-09-30No
Contributions received from participants2017-09-30$127,282
Administrative expenses (other) incurred2017-09-30$1,760,633
Liabilities. Value of operating payables at end of year2017-09-30$210,044
Liabilities. Value of operating payables at beginning of year2017-09-30$182,600
Total non interest bearing cash at end of year2017-09-30$778,557
Total non interest bearing cash at beginning of year2017-09-30$541,423
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Value of net income/loss2017-09-30$912,644
Value of net assets at end of year (total assets less liabilities)2017-09-30$11,482,491
Value of net assets at beginning of year (total assets less liabilities)2017-09-30$10,569,847
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-09-30No
Were any leases to which the plan was party in default or uncollectible2017-09-30No
Investment advisory and management fees2017-09-30$8,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-09-30$11,278,362
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-09-30$9,963,573
Interest earned on other investments2017-09-30$31,292
Expenses. Payments to insurance carriers foe the provision of benefits2017-09-30$1,033,852
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-09-30$-75,382
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-09-30Yes
Was there a failure to transmit to the plan any participant contributions2017-09-30No
Has the plan failed to provide any benefit when due under the plan2017-09-30No
Contributions received in cash from employer2017-09-30$30,678,367
Employer contributions (assets) at end of year2017-09-30$1,073,000
Employer contributions (assets) at beginning of year2017-09-30$938,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-09-30$25,787,901
Contract administrator fees2017-09-30$1,145,579
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-09-30No
Liabilities. Value of benefit claims payable at end of year2017-09-30$2,426,000
Liabilities. Value of benefit claims payable at beginning of year2017-09-30$1,674,000
Assets. Value of buildings and other operty used in plan operation at end of year2017-09-30$988,616
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-09-30$983,451
Did the plan have assets held for investment2017-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-09-30No
Opinion of an independent qualified public accountant for this plan2017-09-30Unqualified
Accountancy firm name2017-09-30ROGOFF & COMPANY, PC
Accountancy firm EIN2017-09-30132688836
2016 : UNITED FURNITURE WORKERS INSURANCE FUND 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$1,856,600
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$1,788,216
Total income from all sources (including contributions)2016-09-30$27,237,767
Total loss/gain on sale of assets2016-09-30$30,260
Total of all expenses incurred2016-09-30$25,554,364
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-09-30$22,466,888
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-09-30$26,979,681
Value of total assets at end of year2016-09-30$12,426,447
Value of total assets at beginning of year2016-09-30$10,674,660
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-09-30$3,087,476
Total interest from all sources2016-09-30$12,831
Total dividends received (eg from common stock, registered investment company shares)2016-09-30$139,910
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-09-30$139,910
Administrative expenses professional fees incurred2016-09-30$261,092
Was this plan covered by a fidelity bond2016-09-30Yes
Value of fidelity bond cover2016-09-30$500,000
If this is an individual account plan, was there a blackout period2016-09-30No
Were there any nonexempt tranactions with any party-in-interest2016-09-30No
Contributions received from participants2016-09-30$94,788
Administrative expenses (other) incurred2016-09-30$1,742,188
Liabilities. Value of operating payables at end of year2016-09-30$182,600
Liabilities. Value of operating payables at beginning of year2016-09-30$169,216
Total non interest bearing cash at end of year2016-09-30$541,423
Total non interest bearing cash at beginning of year2016-09-30$286,967
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Value of net income/loss2016-09-30$1,683,403
Value of net assets at end of year (total assets less liabilities)2016-09-30$10,569,847
Value of net assets at beginning of year (total assets less liabilities)2016-09-30$8,886,444
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-09-30No
Were any leases to which the plan was party in default or uncollectible2016-09-30No
Investment advisory and management fees2016-09-30$8,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-09-30$9,963,573
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-09-30$8,418,317
Interest earned on other investments2016-09-30$12,831
Expenses. Payments to insurance carriers foe the provision of benefits2016-09-30$519,655
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-09-30$75,085
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-09-30Yes
Was there a failure to transmit to the plan any participant contributions2016-09-30No
Has the plan failed to provide any benefit when due under the plan2016-09-30No
Contributions received in cash from employer2016-09-30$26,884,893
Employer contributions (assets) at end of year2016-09-30$938,000
Employer contributions (assets) at beginning of year2016-09-30$977,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-09-30$21,947,233
Contract administrator fees2016-09-30$1,076,196
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-09-30No
Liabilities. Value of benefit claims payable at end of year2016-09-30$1,674,000
Liabilities. Value of benefit claims payable at beginning of year2016-09-30$1,619,000
Assets. Value of buildings and other operty used in plan operation at end of year2016-09-30$983,451
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-09-30$992,376
Did the plan have assets held for investment2016-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-09-30No
Aggregate proceeds on sale of assets2016-09-30$330,260
Aggregate carrying amount (costs) on sale of assets2016-09-30$300,000
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-09-30No
Opinion of an independent qualified public accountant for this plan2016-09-30Unqualified
Accountancy firm name2016-09-30ROGOFF & COMPANY, PC
Accountancy firm EIN2016-09-30132688836
2015 : UNITED FURNITURE WORKERS INSURANCE FUND 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$1,788,216
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$2,622,102
Total income from all sources (including contributions)2015-09-30$23,596,339
Total loss/gain on sale of assets2015-09-30$16,167
Total of all expenses incurred2015-09-30$21,126,502
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-09-30$18,039,196
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-09-30$23,517,508
Value of total assets at end of year2015-09-30$10,674,660
Value of total assets at beginning of year2015-09-30$9,038,709
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-09-30$3,087,306
Total interest from all sources2015-09-30$13,434
Total dividends received (eg from common stock, registered investment company shares)2015-09-30$98,758
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-09-30$98,758
Administrative expenses professional fees incurred2015-09-30$257,853
Was this plan covered by a fidelity bond2015-09-30Yes
Value of fidelity bond cover2015-09-30$500,000
If this is an individual account plan, was there a blackout period2015-09-30No
Were there any nonexempt tranactions with any party-in-interest2015-09-30No
Contributions received from participants2015-09-30$203,848
Administrative expenses (other) incurred2015-09-30$1,871,383
Liabilities. Value of operating payables at end of year2015-09-30$169,216
Liabilities. Value of operating payables at beginning of year2015-09-30$202,102
Total non interest bearing cash at end of year2015-09-30$286,967
Total non interest bearing cash at beginning of year2015-09-30$296,486
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Value of net income/loss2015-09-30$2,469,837
Value of net assets at end of year (total assets less liabilities)2015-09-30$8,886,444
Value of net assets at beginning of year (total assets less liabilities)2015-09-30$6,416,607
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-09-30No
Were any leases to which the plan was party in default or uncollectible2015-09-30No
Investment advisory and management fees2015-09-30$8,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-09-30$8,418,317
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-09-30$6,852,920
Interest earned on other investments2015-09-30$13,434
Expenses. Payments to insurance carriers foe the provision of benefits2015-09-30$450,141
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-09-30$-49,528
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-09-30Yes
Was there a failure to transmit to the plan any participant contributions2015-09-30No
Has the plan failed to provide any benefit when due under the plan2015-09-30No
Contributions received in cash from employer2015-09-30$23,313,660
Employer contributions (assets) at end of year2015-09-30$977,000
Employer contributions (assets) at beginning of year2015-09-30$888,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-09-30$17,589,055
Contract administrator fees2015-09-30$950,070
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-09-30No
Liabilities. Value of benefit claims payable at end of year2015-09-30$1,619,000
Liabilities. Value of benefit claims payable at beginning of year2015-09-30$2,420,000
Assets. Value of buildings and other operty used in plan operation at end of year2015-09-30$992,376
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-09-30$1,001,303
Did the plan have assets held for investment2015-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-09-30No
Aggregate proceeds on sale of assets2015-09-30$316,167
Aggregate carrying amount (costs) on sale of assets2015-09-30$300,000
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-09-30No
Opinion of an independent qualified public accountant for this plan2015-09-30Unqualified
Accountancy firm name2015-09-30ROGOFF & COMPANY, PC
Accountancy firm EIN2015-09-30132688836
2014 : UNITED FURNITURE WORKERS INSURANCE FUND 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$2,622,102
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$3,238,594
Total income from all sources (including contributions)2014-09-30$22,315,810
Total of all expenses incurred2014-09-30$20,229,322
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-09-30$17,362,032
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-09-30$22,213,580
Value of total assets at end of year2014-09-30$9,038,709
Value of total assets at beginning of year2014-09-30$7,568,713
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-09-30$2,867,290
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-09-30No
Administrative expenses professional fees incurred2014-09-30$259,632
Was this plan covered by a fidelity bond2014-09-30Yes
Value of fidelity bond cover2014-09-30$500,000
If this is an individual account plan, was there a blackout period2014-09-30No
Were there any nonexempt tranactions with any party-in-interest2014-09-30No
Contributions received from participants2014-09-30$333,350
Administrative expenses (other) incurred2014-09-30$1,708,302
Liabilities. Value of operating payables at end of year2014-09-30$202,102
Liabilities. Value of operating payables at beginning of year2014-09-30$205,594
Total non interest bearing cash at end of year2014-09-30$296,486
Total non interest bearing cash at beginning of year2014-09-30$466,456
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Value of net income/loss2014-09-30$2,086,488
Value of net assets at end of year (total assets less liabilities)2014-09-30$6,416,607
Value of net assets at beginning of year (total assets less liabilities)2014-09-30$4,330,119
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-09-30No
Were any leases to which the plan was party in default or uncollectible2014-09-30No
Investment advisory and management fees2014-09-30$7,625
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-09-30$6,852,920
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-09-30$5,368,979
Expenses. Payments to insurance carriers foe the provision of benefits2014-09-30$401,251
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-09-30$102,230
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-09-30Yes
Was there a failure to transmit to the plan any participant contributions2014-09-30No
Has the plan failed to provide any benefit when due under the plan2014-09-30No
Contributions received in cash from employer2014-09-30$21,880,230
Employer contributions (assets) at end of year2014-09-30$888,000
Employer contributions (assets) at beginning of year2014-09-30$738,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-09-30$16,960,781
Contract administrator fees2014-09-30$891,731
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-09-30No
Liabilities. Value of benefit claims payable at end of year2014-09-30$2,420,000
Liabilities. Value of benefit claims payable at beginning of year2014-09-30$3,033,000
Assets. Value of buildings and other operty used in plan operation at end of year2014-09-30$1,001,303
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-09-30$995,278
Did the plan have assets held for investment2014-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-09-30No
Opinion of an independent qualified public accountant for this plan2014-09-30Unqualified
Accountancy firm name2014-09-30ROGOFF & CO., P.C
Accountancy firm EIN2014-09-30132688836
2013 : UNITED FURNITURE WORKERS INSURANCE FUND 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$3,238,594
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$3,426,302
Total income from all sources (including contributions)2013-09-30$22,025,333
Total of all expenses incurred2013-09-30$21,468,089
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-09-30$18,665,835
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-09-30$22,062,882
Value of total assets at end of year2013-09-30$7,568,713
Value of total assets at beginning of year2013-09-30$7,199,177
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-09-30$2,802,254
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-09-30No
Administrative expenses professional fees incurred2013-09-30$253,312
Was this plan covered by a fidelity bond2013-09-30Yes
Value of fidelity bond cover2013-09-30$500,000
If this is an individual account plan, was there a blackout period2013-09-30No
Were there any nonexempt tranactions with any party-in-interest2013-09-30No
Contributions received from participants2013-09-30$373,898
Administrative expenses (other) incurred2013-09-30$1,706,310
Liabilities. Value of operating payables at end of year2013-09-30$205,594
Liabilities. Value of operating payables at beginning of year2013-09-30$227,302
Total non interest bearing cash at end of year2013-09-30$466,456
Total non interest bearing cash at beginning of year2013-09-30$369,458
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Value of net income/loss2013-09-30$557,244
Value of net assets at end of year (total assets less liabilities)2013-09-30$4,330,119
Value of net assets at beginning of year (total assets less liabilities)2013-09-30$3,772,875
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-09-30No
Were any leases to which the plan was party in default or uncollectible2013-09-30No
Investment advisory and management fees2013-09-30$9,375
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-09-30$5,368,979
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-09-30$5,131,343
Expenses. Payments to insurance carriers foe the provision of benefits2013-09-30$369,228
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-09-30$-37,549
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-09-30Yes
Was there a failure to transmit to the plan any participant contributions2013-09-30No
Has the plan failed to provide any benefit when due under the plan2013-09-30No
Contributions received in cash from employer2013-09-30$21,688,984
Employer contributions (assets) at end of year2013-09-30$738,000
Employer contributions (assets) at beginning of year2013-09-30$695,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-09-30$18,296,607
Contract administrator fees2013-09-30$833,257
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-09-30No
Liabilities. Value of benefit claims payable at end of year2013-09-30$3,033,000
Liabilities. Value of benefit claims payable at beginning of year2013-09-30$3,199,000
Assets. Value of buildings and other operty used in plan operation at end of year2013-09-30$995,278
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-09-30$1,003,376
Did the plan have assets held for investment2013-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-09-30No
Opinion of an independent qualified public accountant for this plan2013-09-30Unqualified
Accountancy firm name2013-09-30ROGOFF & CO., P.C
Accountancy firm EIN2013-09-30132688836
2012 : UNITED FURNITURE WORKERS INSURANCE FUND 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$3,426,302
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$3,862,190
Total income from all sources (including contributions)2012-09-30$24,022,781
Total of all expenses incurred2012-09-30$23,896,164
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-09-30$21,116,370
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-09-30$23,380,070
Value of total assets at end of year2012-09-30$7,199,177
Value of total assets at beginning of year2012-09-30$7,508,448
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-09-30$2,779,794
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-09-30No
Administrative expenses professional fees incurred2012-09-30$241,760
Was this plan covered by a fidelity bond2012-09-30Yes
Value of fidelity bond cover2012-09-30$500,000
If this is an individual account plan, was there a blackout period2012-09-30No
Were there any nonexempt tranactions with any party-in-interest2012-09-30No
Contributions received from participants2012-09-30$547,581
Administrative expenses (other) incurred2012-09-30$1,726,562
Liabilities. Value of operating payables at end of year2012-09-30$227,302
Liabilities. Value of operating payables at beginning of year2012-09-30$197,190
Total non interest bearing cash at end of year2012-09-30$369,458
Total non interest bearing cash at beginning of year2012-09-30$185,468
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Value of net income/loss2012-09-30$126,617
Value of net assets at end of year (total assets less liabilities)2012-09-30$3,772,875
Value of net assets at beginning of year (total assets less liabilities)2012-09-30$3,646,258
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-09-30No
Were any leases to which the plan was party in default or uncollectible2012-09-30No
Investment advisory and management fees2012-09-30$5,625
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-09-30$5,131,343
Value of interest in common/collective trusts at beginning of year2012-09-30$5,696,504
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-09-30$2
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-09-30$2
Expenses. Payments to insurance carriers foe the provision of benefits2012-09-30$371,295
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-09-30$642,711
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-09-30Yes
Was there a failure to transmit to the plan any participant contributions2012-09-30No
Has the plan failed to provide any benefit when due under the plan2012-09-30No
Contributions received in cash from employer2012-09-30$22,832,489
Employer contributions (assets) at end of year2012-09-30$695,000
Employer contributions (assets) at beginning of year2012-09-30$615,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-09-30$20,745,075
Contract administrator fees2012-09-30$805,847
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-09-30No
Liabilities. Value of benefit claims payable at end of year2012-09-30$3,199,000
Liabilities. Value of benefit claims payable at beginning of year2012-09-30$3,665,000
Assets. Value of buildings and other operty used in plan operation at end of year2012-09-30$1,003,376
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-09-30$1,011,474
Did the plan have assets held for investment2012-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-09-30No
Opinion of an independent qualified public accountant for this plan2012-09-30Unqualified
Accountancy firm name2012-09-30ROGOFF & CO., P.C
Accountancy firm EIN2012-09-30132688836
2011 : UNITED FURNITURE WORKERS INSURANCE FUND 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$3,862,190
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$4,318,362
Total income from all sources (including contributions)2011-09-30$23,796,534
Total of all expenses incurred2011-09-30$24,425,178
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-09-30$21,705,906
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-09-30$23,522,434
Value of total assets at end of year2011-09-30$7,508,448
Value of total assets at beginning of year2011-09-30$8,593,264
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-09-30$2,719,272
Total interest from all sources2011-09-30$500
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-09-30No
Administrative expenses professional fees incurred2011-09-30$247,833
Was this plan covered by a fidelity bond2011-09-30Yes
Value of fidelity bond cover2011-09-30$500,000
If this is an individual account plan, was there a blackout period2011-09-30No
Were there any nonexempt tranactions with any party-in-interest2011-09-30No
Contributions received from participants2011-09-30$410,809
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-09-30$2,273
Other income not declared elsewhere2011-09-30$1,326
Administrative expenses (other) incurred2011-09-30$1,728,253
Liabilities. Value of operating payables at end of year2011-09-30$197,190
Liabilities. Value of operating payables at beginning of year2011-09-30$163,362
Total non interest bearing cash at end of year2011-09-30$185,468
Total non interest bearing cash at beginning of year2011-09-30$343,089
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Value of net income/loss2011-09-30$-628,644
Value of net assets at end of year (total assets less liabilities)2011-09-30$3,646,258
Value of net assets at beginning of year (total assets less liabilities)2011-09-30$4,274,902
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-09-30No
Were any leases to which the plan was party in default or uncollectible2011-09-30No
Investment advisory and management fees2011-09-30$8,618
Interest earned on other investments2011-09-30$492
Value of interest in common/collective trusts at end of year2011-09-30$5,696,504
Value of interest in common/collective trusts at beginning of year2011-09-30$6,631,330
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-09-30$2
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-09-30$8
Expenses. Payments to insurance carriers foe the provision of benefits2011-09-30$396,211
Net investment gain or loss from common/collective trusts2011-09-30$272,274
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-09-30Yes
Was there a failure to transmit to the plan any participant contributions2011-09-30No
Has the plan failed to provide any benefit when due under the plan2011-09-30No
Contributions received in cash from employer2011-09-30$23,111,625
Employer contributions (assets) at end of year2011-09-30$615,000
Employer contributions (assets) at beginning of year2011-09-30$597,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-09-30$21,309,695
Contract administrator fees2011-09-30$734,568
Liabilities. Value of benefit claims payable at end of year2011-09-30$3,665,000
Liabilities. Value of benefit claims payable at beginning of year2011-09-30$4,155,000
Assets. Value of buildings and other operty used in plan operation at end of year2011-09-30$1,011,474
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-09-30$1,019,572
Did the plan have assets held for investment2011-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-09-30No
Opinion of an independent qualified public accountant for this plan2011-09-30Unqualified
Accountancy firm name2011-09-30ROGOFF & COMPANY PC
Accountancy firm EIN2011-09-30132688836

Form 5500 Responses for UNITED FURNITURE WORKERS INSURANCE FUND

2021: UNITED FURNITURE WORKERS INSURANCE FUND 2021 form 5500 responses
2021-10-01Type of plan entityMulti-employer plan
2021-10-01Plan is a collectively bargained planYes
2021-10-01Plan funding arrangement – TrustYes
2021-10-01Plan benefit arrangement – InsuranceYes
2021-10-01Plan benefit arrangement - TrustYes
2020: UNITED FURNITURE WORKERS INSURANCE FUND 2020 form 5500 responses
2020-10-01Type of plan entityMulti-employer plan
2020-10-01Plan is a collectively bargained planYes
2020-10-01Plan funding arrangement – TrustYes
2020-10-01Plan benefit arrangement – InsuranceYes
2020-10-01Plan benefit arrangement - TrustYes
2019: UNITED FURNITURE WORKERS INSURANCE FUND 2019 form 5500 responses
2019-10-01Type of plan entityMulti-employer plan
2019-10-01Plan is a collectively bargained planYes
2019-10-01Plan funding arrangement – TrustYes
2019-10-01Plan benefit arrangement – InsuranceYes
2019-10-01Plan benefit arrangement - TrustYes
2018: UNITED FURNITURE WORKERS INSURANCE FUND 2018 form 5500 responses
2018-10-01Type of plan entityMulti-employer plan
2018-10-01Plan is a collectively bargained planYes
2018-10-01Plan funding arrangement – TrustYes
2018-10-01Plan benefit arrangement – InsuranceYes
2018-10-01Plan benefit arrangement - TrustYes
2017: UNITED FURNITURE WORKERS INSURANCE FUND 2017 form 5500 responses
2017-10-01Type of plan entityMulti-employer plan
2017-10-01Plan is a collectively bargained planYes
2017-10-01Plan funding arrangement – TrustYes
2017-10-01Plan benefit arrangement – InsuranceYes
2017-10-01Plan benefit arrangement - TrustYes
2016: UNITED FURNITURE WORKERS INSURANCE FUND 2016 form 5500 responses
2016-10-01Type of plan entityMulti-employer plan
2016-10-01Plan is a collectively bargained planYes
2016-10-01Plan funding arrangement – TrustYes
2016-10-01Plan benefit arrangement – InsuranceYes
2016-10-01Plan benefit arrangement - TrustYes
2015: UNITED FURNITURE WORKERS INSURANCE FUND 2015 form 5500 responses
2015-10-01Type of plan entityMulti-employer plan
2015-10-01Plan is a collectively bargained planYes
2015-10-01Plan funding arrangement – TrustYes
2015-10-01Plan benefit arrangement – InsuranceYes
2015-10-01Plan benefit arrangement - TrustYes
2014: UNITED FURNITURE WORKERS INSURANCE FUND 2014 form 5500 responses
2014-10-01Type of plan entityMulti-employer plan
2014-10-01Plan is a collectively bargained planYes
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan benefit arrangement – InsuranceYes
2014-10-01Plan benefit arrangement - TrustYes
2013: UNITED FURNITURE WORKERS INSURANCE FUND 2013 form 5500 responses
2013-10-01Type of plan entityMulti-employer plan
2013-10-01Plan is a collectively bargained planYes
2013-10-01Plan funding arrangement – TrustYes
2013-10-01Plan benefit arrangement – InsuranceYes
2013-10-01Plan benefit arrangement - TrustYes
2012: UNITED FURNITURE WORKERS INSURANCE FUND 2012 form 5500 responses
2012-10-01Type of plan entityMulti-employer plan
2012-10-01Plan is a collectively bargained planYes
2012-10-01Plan funding arrangement – TrustYes
2012-10-01Plan benefit arrangement – InsuranceYes
2012-10-01Plan benefit arrangement - TrustYes
2011: UNITED FURNITURE WORKERS INSURANCE FUND 2011 form 5500 responses
2011-10-01Type of plan entityMulti-employer plan
2011-10-01Plan is a collectively bargained planYes
2011-10-01Plan funding arrangement – TrustYes
2011-10-01Plan benefit arrangement – InsuranceYes
2011-10-01Plan benefit arrangement - TrustYes
2009: UNITED FURNITURE WORKERS INSURANCE FUND 2009 form 5500 responses
2009-10-01Type of plan entityMulti-employer plan
2009-10-01Plan is a collectively bargained planYes
2009-10-01Plan funding arrangement – TrustYes
2009-10-01Plan benefit arrangement – InsuranceYes
2009-10-01Plan benefit arrangement - TrustYes
2008: UNITED FURNITURE WORKERS INSURANCE FUND 2008 form 5500 responses
2008-10-01Type of plan entityMulti-employer plan
2008-10-01Submission has been amendedNo
2008-10-01This submission is the final filingNo
2008-10-01This return/report is a short plan year return/report (less than 12 months)No
2008-10-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

SAV-RX (National Association of Insurance Commissioners NAIC id number: )
Policy contract number
Policy instance 4
Number of Individuals Covered3553
Insurance policy start date2022-03-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,312,863
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number233390
Policy instance 3
Insurance contract or identification number233390
Number of Individuals Covered70
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 $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $418,064
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number115577
Policy instance 2
Insurance contract or identification number115577
Number of Individuals Covered6104
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $865,528
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number75920
Policy instance 1
Insurance contract or identification number75920
Number of Individuals Covered483
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $175,778
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number75920
Policy instance 1
Insurance contract or identification number75920
Number of Individuals Covered462
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $188,540
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number115577
Policy instance 2
Insurance contract or identification number115577
Number of Individuals Covered6104
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $865,528
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number233390
Policy instance 3
Insurance contract or identification number233390
Number of Individuals Covered89
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $304,611
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAV-RX (National Association of Insurance Commissioners NAIC id number: )
Policy contract number
Policy instance 4
Number of Individuals Covered3104
Insurance policy start date2021-03-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,095,109
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number233390
Policy instance 3
Insurance contract or identification number233390
Number of Individuals Covered216
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
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $742,641
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number115577
Policy instance 2
Insurance contract or identification number115577
Number of Individuals Covered6883
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $868,532
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number75920
Policy instance 1
Insurance contract or identification number75920
Number of Individuals Covered545
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $200,053
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number233390
Policy instance 3
Insurance contract or identification number233390
Number of Individuals Covered216
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
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $742,641
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number115577 & 127577
Policy instance 2
Insurance contract or identification number115577 & 127577
Number of Individuals Covered6958
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $642,837
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number75920
Policy instance 1
Insurance contract or identification number75920
Number of Individuals Covered542
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $221,187
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number233390
Policy instance 3
Insurance contract or identification number233390
Number of Individuals Covered169
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
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $733,615
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number115577 & 127577
Policy instance 2
Insurance contract or identification number115577 & 127577
Number of Individuals Covered5971
Insurance policy start date2107-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $450,392
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number75920
Policy instance 1
Insurance contract or identification number75920
Number of Individuals Covered562
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $207,178
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number05920
Policy instance 1
Insurance contract or identification number05920
Number of Individuals Covered475
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $185,711
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameDELTA DENTAL OF TENNESSEE
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number115577 AND 1275
Policy instance 2
Insurance contract or identification number115577 AND 1275
Number of Individuals Covered4672
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
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $238,705
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number05920
Policy instance 1
Insurance contract or identification number05920
Number of Individuals Covered433
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $179,291
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameDELTA DENTAL OF TENNESSEE
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number115577 AND 1275
Policy instance 2
Insurance contract or identification number115577 AND 1275
Number of Individuals Covered4617
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
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $208,621
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract number6031-BT100-Q
Policy instance 2
Insurance contract or identification number6031-BT100-Q
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameGIS INC
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number115577 AND 1275
Policy instance 3
Insurance contract or identification number115577 AND 1275
Number of Individuals Covered4617
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
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $206,621
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number05920
Policy instance 1
Insurance contract or identification number05920
Number of Individuals Covered508
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $169,675
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameDELTA DENTAL OF TENNESSEE
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract number6031-BT100-Q
Policy instance 2
Insurance contract or identification number6031-BT100-Q
Number of Individuals Covered1948
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $204,031
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number05920
Policy instance 1
Insurance contract or identification number05920
Number of Individuals Covered401
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $7,312
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $180,977
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract number6031-BT100-Q
Policy instance 1
Insurance contract or identification number6031-BT100-Q
Number of Individuals Covered2251
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $186,025
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number05920
Policy instance 2
Insurance contract or identification number05920
Number of Individuals Covered415
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $3,651
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number06169-0001
Policy instance 3
Insurance contract or identification number06169-0001
Number of Individuals Covered145
Insurance policy start date2010-10-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $905
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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