401k Plan data: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND plan

U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 401k Plan overview

Plan Name	U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND
Plan identification number	501

U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

UA LOCAL 13 JOINT BOARD OF TRUSTEES EMPLOYERS GROUP INSURANCE FUND has sponsored the creation of one or more 401k plans.

Company Name: UA LOCAL 13 JOINT BOARD OF TRUSTEES EMPLOYERS GROUP INSURANCE FUND

Employer identification number (EIN): 160766976

NAIC Classification: 238220
NAIC Description: Plumbing, Heating, and Air-Conditioning Contractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-01-01 KEVIN COLEMAN 2023-10-02 SEAN O'BRIEN 2023-09-29
501 2021-01-01 KEVIN PERI 2022-09-28 JOHN DINEEN 2022-09-28
501 2020-01-01 WILLIAM KURTZ 2021-09-29 JOHN DINEEN 2021-09-29
501 2019-01-01 WILLIAM KURTZ 2020-10-13 WILLIAM HITCHCOCK 2020-10-13
501 2018-01-01 WILLIAM KURTZ 2019-09-19 WILLIAM HITCHCOCK 2019-09-19
501 2017-01-01
501 2016-01-01
501 2015-01-01
501 2014-01-01
501 2013-01-01 WILLIAM KURTZ PHILIP M SOMERS 2014-10-03
501 2012-01-01 BRANDON TUMIA PHILIP M SOMERS 2013-09-30
501 2011-01-01 BRANDON TUMIA PHILIP M SOMERS 2012-09-19
501 2009-01-01 JOHN PERTICONE PHILIP M SOMERS 2010-09-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2022-01-01	KEVIN COLEMAN	2023-10-02	SEAN O'BRIEN	2023-09-29
501	2021-01-01	KEVIN PERI	2022-09-28	JOHN DINEEN	2022-09-28
501	2020-01-01	WILLIAM KURTZ	2021-09-29	JOHN DINEEN	2021-09-29
501	2019-01-01	WILLIAM KURTZ	2020-10-13	WILLIAM HITCHCOCK	2020-10-13
501	2018-01-01	WILLIAM KURTZ	2019-09-19	WILLIAM HITCHCOCK	2019-09-19
501	2017-01-01
501	2016-01-01
501	2015-01-01
501	2014-01-01
501	2013-01-01	WILLIAM KURTZ		PHILIP M SOMERS	2014-10-03
501	2012-01-01	BRANDON TUMIA		PHILIP M SOMERS	2013-09-30
501	2011-01-01	BRANDON TUMIA		PHILIP M SOMERS	2012-09-19
501	2009-01-01	JOHN PERTICONE		PHILIP M SOMERS	2010-09-15

Plan Statistics for U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND

401k plan membership statisitcs for U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND

Measure Date Value
2022: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2022 401k membership
Total participants, beginning-of-year 2022-01-01 866
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 805
Number of retired or separated participants receiving benefits 2022-01-01 83
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 888
Number of employers contributing to the scheme 2022-01-01 43
2021: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2021 401k membership
Total participants, beginning-of-year 2021-01-01 870
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 778
Number of retired or separated participants receiving benefits 2021-01-01 88
Total of all active and inactive participants 2021-01-01 866
Number of employers contributing to the scheme 2021-01-01 54
2020: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2020 401k membership
Total participants, beginning-of-year 2020-01-01 944
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 772
Number of retired or separated participants receiving benefits 2020-01-01 98
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 870
Number of employers contributing to the scheme 2020-01-01 51
2019: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2019 401k membership
Total participants, beginning-of-year 2019-01-01 910
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 832
Number of retired or separated participants receiving benefits 2019-01-01 112
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 944
Number of employers contributing to the scheme 2019-01-01 38
2018: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2018 401k membership
Total participants, beginning-of-year 2018-01-01 894
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 779
Number of retired or separated participants receiving benefits 2018-01-01 131
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 910
Number of employers contributing to the scheme 2018-01-01 49
2017: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2017 401k membership
Total participants, beginning-of-year 2017-01-01 898
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 758
Number of retired or separated participants receiving benefits 2017-01-01 136
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 894
Number of employers contributing to the scheme 2017-01-01 39
2016: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2016 401k membership
Total participants, beginning-of-year 2016-01-01 847
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 746
Number of retired or separated participants receiving benefits 2016-01-01 152
Total of all active and inactive participants 2016-01-01 898
Number of employers contributing to the scheme 2016-01-01 33
2015: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,249
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 724
Number of retired or separated participants receiving benefits 2015-01-01 123
Total of all active and inactive participants 2015-01-01 847
Number of employers contributing to the scheme 2015-01-01 33
2014: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,004
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 735
Number of retired or separated participants receiving benefits 2014-01-01 514
Total of all active and inactive participants 2014-01-01 1,249
Number of employers contributing to the scheme 2014-01-01 39
2013: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2013 401k membership
Total participants, beginning-of-year 2013-01-01 993
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 711
Number of retired or separated participants receiving benefits 2013-01-01 293
Total of all active and inactive participants 2013-01-01 1,004
Number of employers contributing to the scheme 2013-01-01 40
2012: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2012 401k membership
Total participants, beginning-of-year 2012-01-01 974
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 701
Number of retired or separated participants receiving benefits 2012-01-01 292
Total of all active and inactive participants 2012-01-01 993
Number of employers contributing to the scheme 2012-01-01 40
2011: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2011 401k membership
Total participants, beginning-of-year 2011-01-01 859
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 674
Number of retired or separated participants receiving benefits 2011-01-01 300
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 974
Number of employers contributing to the scheme 2011-01-01 40
2009: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2009 401k membership
Total participants, beginning-of-year 2009-01-01 889
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 595
Number of retired or separated participants receiving benefits 2009-01-01 306
Total of all active and inactive participants 2009-01-01 901
Number of employers contributing to the scheme 2009-01-01 83

Measure	Date	Value
2022: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2022 401k membership
Total participants, beginning-of-year	2022-01-01	866
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	805
Number of retired or separated participants receiving benefits	2022-01-01	83
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	888
Number of employers contributing to the scheme	2022-01-01	43
2021: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2021 401k membership
Total participants, beginning-of-year	2021-01-01	870
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	778
Number of retired or separated participants receiving benefits	2021-01-01	88
Total of all active and inactive participants	2021-01-01	866
Number of employers contributing to the scheme	2021-01-01	54
2020: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2020 401k membership
Total participants, beginning-of-year	2020-01-01	944
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	772
Number of retired or separated participants receiving benefits	2020-01-01	98
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	870
Number of employers contributing to the scheme	2020-01-01	51
2019: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2019 401k membership
Total participants, beginning-of-year	2019-01-01	910
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	832
Number of retired or separated participants receiving benefits	2019-01-01	112
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	944
Number of employers contributing to the scheme	2019-01-01	38
2018: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2018 401k membership
Total participants, beginning-of-year	2018-01-01	894
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	779
Number of retired or separated participants receiving benefits	2018-01-01	131
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	910
Number of employers contributing to the scheme	2018-01-01	49
2017: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2017 401k membership
Total participants, beginning-of-year	2017-01-01	898
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	758
Number of retired or separated participants receiving benefits	2017-01-01	136
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	894
Number of employers contributing to the scheme	2017-01-01	39
2016: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2016 401k membership
Total participants, beginning-of-year	2016-01-01	847
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	746
Number of retired or separated participants receiving benefits	2016-01-01	152
Total of all active and inactive participants	2016-01-01	898
Number of employers contributing to the scheme	2016-01-01	33
2015: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,249
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	724
Number of retired or separated participants receiving benefits	2015-01-01	123
Total of all active and inactive participants	2015-01-01	847
Number of employers contributing to the scheme	2015-01-01	33
2014: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,004
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	735
Number of retired or separated participants receiving benefits	2014-01-01	514
Total of all active and inactive participants	2014-01-01	1,249
Number of employers contributing to the scheme	2014-01-01	39
2013: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2013 401k membership
Total participants, beginning-of-year	2013-01-01	993
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	711
Number of retired or separated participants receiving benefits	2013-01-01	293
Total of all active and inactive participants	2013-01-01	1,004
Number of employers contributing to the scheme	2013-01-01	40
2012: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2012 401k membership
Total participants, beginning-of-year	2012-01-01	974
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	701
Number of retired or separated participants receiving benefits	2012-01-01	292
Total of all active and inactive participants	2012-01-01	993
Number of employers contributing to the scheme	2012-01-01	40
2011: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2011 401k membership
Total participants, beginning-of-year	2011-01-01	859
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	674
Number of retired or separated participants receiving benefits	2011-01-01	300
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	974
Number of employers contributing to the scheme	2011-01-01	40
2009: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2009 401k membership
Total participants, beginning-of-year	2009-01-01	889
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	595
Number of retired or separated participants receiving benefits	2009-01-01	306
Total of all active and inactive participants	2009-01-01	901
Number of employers contributing to the scheme	2009-01-01	83

Financial Data on U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND

Measure	Date	Value
2022 : U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2022-12-31	$-9,234,237
Total unrealized appreciation/depreciation of assets	2022-12-31	$-9,234,237
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$733,088
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$883,942
Total income from all sources (including contributions)	2022-12-31	$4,682,917
Total loss/gain on sale of assets	2022-12-31	$-50,170
Total of all expenses incurred	2022-12-31	$13,002,014
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$11,841,003
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$12,481,963
Value of total assets at end of year	2022-12-31	$57,703,281
Value of total assets at beginning of year	2022-12-31	$66,173,232
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$1,161,011
Total interest from all sources	2022-12-31	$935,872
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$247,983
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Administrative expenses professional fees incurred	2022-12-31	$192,761
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$10,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$32,324
Value of other receiveables (less allowance for doubtful accounts) at end of year	2022-12-31	$212,108
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2022-12-31	$1,080,309
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$30,877
Other income not declared elsewhere	2022-12-31	$301,506
Administrative expenses (other) incurred	2022-12-31	$607,747
Liabilities. Value of operating payables at end of year	2022-12-31	$733,088
Liabilities. Value of operating payables at beginning of year	2022-12-31	$853,065
Total non interest bearing cash at end of year	2022-12-31	$716,461
Total non interest bearing cash at beginning of year	2022-12-31	$1,014,413
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-8,319,097
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$56,970,193
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$65,289,290
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$288,558
Interest earned on other investments	2022-12-31	$103,946
Income. Interest from US Government securities	2022-12-31	$545,444
Income. Interest from corporate debt instruments	2022-12-31	$217,677
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$3,996,208
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$767,979
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$767,979
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$68,805
Expenses. Payments to insurance carriers foe the provision of benefits	2022-12-31	$10,741,759
Asset value of US Government securities at end of year	2022-12-31	$25,101,860
Asset value of US Government securities at beginning of year	2022-12-31	$21,596,668
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$12,449,639
Employer contributions (assets) at end of year	2022-12-31	$1,138,001
Employer contributions (assets) at beginning of year	2022-12-31	$1,172,775
Income. Dividends from common stock	2022-12-31	$247,983
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$1,099,244
Asset. Corporate debt instrument preferred debt at end of year	2022-12-31	$7,604,499
Asset. Corporate debt instrument preferred debt at beginning of year	2022-12-31	$12,692,023
Contract administrator fees	2022-12-31	$71,945
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2022-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2022-12-31	$18,916,814
Assets. Corporate common stocks other than exployer securities at beginning of year	2022-12-31	$27,830,704
Assets. Value of buildings and other operty used in plan operation at end of year	2022-12-31	$17,330
Assets. Value of buildings and other operty used in plan operation at beginning of year	2022-12-31	$18,361
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Aggregate proceeds on sale of assets	2022-12-31	$24,981,086
Aggregate carrying amount (costs) on sale of assets	2022-12-31	$25,031,256
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	BONADIO & CO., LLP
Accountancy firm EIN	2022-12-31	161131146
2021 : U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2021-12-31	$-371,686
Total unrealized appreciation/depreciation of assets	2021-12-31	$-371,686
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$883,942
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$1,550,748
Total income from all sources (including contributions)	2021-12-31	$18,125,390
Total loss/gain on sale of assets	2021-12-31	$4,415,991
Total of all expenses incurred	2021-12-31	$12,042,748
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$10,999,965
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$12,774,435
Value of total assets at end of year	2021-12-31	$66,173,232
Value of total assets at beginning of year	2021-12-31	$60,757,396
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$1,042,783
Total interest from all sources	2021-12-31	$723,127
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$306,949
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Administrative expenses professional fees incurred	2021-12-31	$129,610
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$17,804
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-12-31	$1,080,309
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-12-31	$165,877
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$30,877
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$30,537
Other income not declared elsewhere	2021-12-31	$276,574
Administrative expenses (other) incurred	2021-12-31	$516,530
Liabilities. Value of operating payables at end of year	2021-12-31	$853,065
Liabilities. Value of operating payables at beginning of year	2021-12-31	$1,520,211
Total non interest bearing cash at end of year	2021-12-31	$1,014,413
Total non interest bearing cash at beginning of year	2021-12-31	$921,707
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$6,082,642
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$65,289,290
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$59,206,648
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$308,792
Interest earned on other investments	2021-12-31	$92,610
Income. Interest from US Government securities	2021-12-31	$384,858
Income. Interest from corporate debt instruments	2021-12-31	$245,079
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$767,979
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$2,200,749
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$2,200,749
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$580
Expenses. Payments to insurance carriers foe the provision of benefits	2021-12-31	$9,956,730
Asset value of US Government securities at end of year	2021-12-31	$21,596,668
Asset value of US Government securities at beginning of year	2021-12-31	$21,240,593
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$12,756,631
Employer contributions (assets) at end of year	2021-12-31	$1,172,775
Employer contributions (assets) at beginning of year	2021-12-31	$929,601
Income. Dividends from common stock	2021-12-31	$306,949
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$1,043,235
Asset. Corporate debt instrument preferred debt at end of year	2021-12-31	$12,692,023
Asset. Corporate debt instrument preferred debt at beginning of year	2021-12-31	$8,666,753
Contract administrator fees	2021-12-31	$87,851
Assets. Corporate common stocks other than exployer securities at end of year	2021-12-31	$27,830,704
Assets. Corporate common stocks other than exployer securities at beginning of year	2021-12-31	$26,610,677
Assets. Value of buildings and other operty used in plan operation at end of year	2021-12-31	$18,361
Assets. Value of buildings and other operty used in plan operation at beginning of year	2021-12-31	$21,439
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Aggregate proceeds on sale of assets	2021-12-31	$25,660,282
Aggregate carrying amount (costs) on sale of assets	2021-12-31	$21,244,291
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	BONADIO & CO., LLP
Accountancy firm EIN	2021-12-31	161131146
2020 : U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2020-12-31	$2,346,565
Total unrealized appreciation/depreciation of assets	2020-12-31	$2,346,565
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$1,550,748
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$1,792,852
Total income from all sources (including contributions)	2020-12-31	$19,933,503
Total loss/gain on sale of assets	2020-12-31	$5,185,625
Total of all expenses incurred	2020-12-31	$10,891,589
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$9,904,725
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$11,157,645
Value of total assets at end of year	2020-12-31	$60,757,396
Value of total assets at beginning of year	2020-12-31	$51,957,586
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$986,864
Total interest from all sources	2020-12-31	$713,589
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$280,770
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Administrative expenses professional fees incurred	2020-12-31	$136,574
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$21,950
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-31	$165,877
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-12-31	$190,521
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$30,537
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$29,431
Other income not declared elsewhere	2020-12-31	$249,309
Administrative expenses (other) incurred	2020-12-31	$519,444
Liabilities. Value of operating payables at end of year	2020-12-31	$1,520,211
Liabilities. Value of operating payables at beginning of year	2020-12-31	$1,763,421
Total non interest bearing cash at end of year	2020-12-31	$921,707
Total non interest bearing cash at beginning of year	2020-12-31	$1,246,246
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$9,041,914
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$59,206,648
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$50,164,734
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$277,170
Interest earned on other investments	2020-12-31	$88,339
Income. Interest from US Government securities	2020-12-31	$360,006
Income. Interest from corporate debt instruments	2020-12-31	$257,102
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$2,200,749
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$1,986,625
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$1,986,625
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$8,142
Expenses. Payments to insurance carriers foe the provision of benefits	2020-12-31	$8,994,435
Asset value of US Government securities at end of year	2020-12-31	$21,240,593
Asset value of US Government securities at beginning of year	2020-12-31	$21,641,077
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$11,135,695
Employer contributions (assets) at end of year	2020-12-31	$929,601
Employer contributions (assets) at beginning of year	2020-12-31	$995,825
Income. Dividends from common stock	2020-12-31	$280,770
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$910,290
Asset. Corporate debt instrument preferred debt at end of year	2020-12-31	$8,666,753
Asset. Corporate debt instrument preferred debt at beginning of year	2020-12-31	$5,853,587
Contract administrator fees	2020-12-31	$53,676
Assets. Corporate common stocks other than exployer securities at end of year	2020-12-31	$26,610,677
Assets. Corporate common stocks other than exployer securities at beginning of year	2020-12-31	$20,023,450
Assets. Value of buildings and other operty used in plan operation at end of year	2020-12-31	$21,439
Assets. Value of buildings and other operty used in plan operation at beginning of year	2020-12-31	$20,255
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Aggregate proceeds on sale of assets	2020-12-31	$48,144,538
Aggregate carrying amount (costs) on sale of assets	2020-12-31	$42,958,913
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	BONADIO & CO., LLP
Accountancy firm EIN	2020-12-31	161131146
2019 : U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2019-12-31	$5,041,937
Unrealized appreciation/depreciation of other (non real estate) assets	2019-12-31	$5,041,937
Total unrealized appreciation/depreciation of assets	2019-12-31	$5,041,937
Total unrealized appreciation/depreciation of assets	2019-12-31	$5,041,937
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$1,792,852
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$1,792,852
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$1,299,991
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$1,299,991
Total income from all sources (including contributions)	2019-12-31	$20,851,837
Total income from all sources (including contributions)	2019-12-31	$20,851,837
Total loss/gain on sale of assets	2019-12-31	$1,102,277
Total loss/gain on sale of assets	2019-12-31	$1,102,277
Total of all expenses incurred	2019-12-31	$11,294,008
Total of all expenses incurred	2019-12-31	$11,294,008
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$10,676,885
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$10,676,885
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$13,355,827
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$13,355,827
Value of total assets at end of year	2019-12-31	$51,957,586
Value of total assets at end of year	2019-12-31	$51,957,586
Value of total assets at beginning of year	2019-12-31	$41,906,896
Value of total assets at beginning of year	2019-12-31	$41,906,896
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$617,123
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$617,123
Total interest from all sources	2019-12-31	$862,702
Total interest from all sources	2019-12-31	$862,702
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$489,094
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$489,094
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Administrative expenses professional fees incurred	2019-12-31	$114,517
Administrative expenses professional fees incurred	2019-12-31	$114,517
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$10,000,000
Value of fidelity bond cover	2019-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$6,973
Contributions received from participants	2019-12-31	$6,973
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$190,521
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$190,521
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$161,766
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$161,766
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$29,431
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$29,431
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$25,563
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$25,563
Administrative expenses (other) incurred	2019-12-31	$280,774
Administrative expenses (other) incurred	2019-12-31	$280,774
Liabilities. Value of operating payables at end of year	2019-12-31	$1,763,421
Liabilities. Value of operating payables at end of year	2019-12-31	$1,763,421
Liabilities. Value of operating payables at beginning of year	2019-12-31	$1,274,428
Liabilities. Value of operating payables at beginning of year	2019-12-31	$1,274,428
Total non interest bearing cash at end of year	2019-12-31	$1,246,246
Total non interest bearing cash at beginning of year	2019-12-31	$980,903
Total non interest bearing cash at beginning of year	2019-12-31	$980,903
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$9,557,829
Value of net income/loss	2019-12-31	$9,557,829
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$50,164,734
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$50,164,734
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$40,606,905
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$40,606,905
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$221,832
Investment advisory and management fees	2019-12-31	$221,832
Interest earned on other investments	2019-12-31	$83,813
Interest earned on other investments	2019-12-31	$83,813
Income. Interest from US Government securities	2019-12-31	$483,646
Income. Interest from US Government securities	2019-12-31	$483,646
Income. Interest from corporate debt instruments	2019-12-31	$253,903
Income. Interest from corporate debt instruments	2019-12-31	$253,903
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$1,986,625
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$943,802
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$943,802
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$943,802
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$943,802
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$41,340
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$41,340
Expenses. Payments to insurance carriers foe the provision of benefits	2019-12-31	$9,622,924
Expenses. Payments to insurance carriers foe the provision of benefits	2019-12-31	$9,622,924
Asset value of US Government securities at end of year	2019-12-31	$21,641,077
Asset value of US Government securities at end of year	2019-12-31	$21,641,077
Asset value of US Government securities at beginning of year	2019-12-31	$19,027,370
Asset value of US Government securities at beginning of year	2019-12-31	$19,027,370
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$13,348,854
Contributions received in cash from employer	2019-12-31	$13,348,854
Employer contributions (assets) at end of year	2019-12-31	$995,825
Employer contributions (assets) at beginning of year	2019-12-31	$1,252,716
Employer contributions (assets) at beginning of year	2019-12-31	$1,252,716
Income. Dividends from common stock	2019-12-31	$489,094
Income. Dividends from common stock	2019-12-31	$489,094
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,053,961
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,053,961
Asset. Corporate debt instrument preferred debt at end of year	2019-12-31	$5,853,587
Asset. Corporate debt instrument preferred debt at end of year	2019-12-31	$5,853,587
Asset. Corporate debt instrument preferred debt at beginning of year	2019-12-31	$5,752,981
Asset. Corporate debt instrument preferred debt at beginning of year	2019-12-31	$5,752,981
Assets. Corporate common stocks other than exployer securities at end of year	2019-12-31	$20,023,450
Assets. Corporate common stocks other than exployer securities at end of year	2019-12-31	$20,023,450
Assets. Corporate common stocks other than exployer securities at beginning of year	2019-12-31	$13,762,633
Assets. Corporate common stocks other than exployer securities at beginning of year	2019-12-31	$13,762,633
Assets. Value of buildings and other operty used in plan operation at end of year	2019-12-31	$20,255
Assets. Value of buildings and other operty used in plan operation at end of year	2019-12-31	$20,255
Assets. Value of buildings and other operty used in plan operation at beginning of year	2019-12-31	$24,725
Assets. Value of buildings and other operty used in plan operation at beginning of year	2019-12-31	$24,725
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Aggregate proceeds on sale of assets	2019-12-31	$29,083,738
Aggregate proceeds on sale of assets	2019-12-31	$29,083,738
Aggregate carrying amount (costs) on sale of assets	2019-12-31	$27,981,461
Aggregate carrying amount (costs) on sale of assets	2019-12-31	$27,981,461
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	No
Opinion of an independent qualified public accountant for this plan	2019-12-31	Unqualified
Opinion of an independent qualified public accountant for this plan	2019-12-31	Unqualified
Accountancy firm name	2019-12-31	BONADIO & CO., LLP
Accountancy firm name	2019-12-31	BONADIO & CO., LLP
Accountancy firm EIN	2019-12-31	161131146
Accountancy firm EIN	2019-12-31	161131146
2018 : U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2018-12-31	$-1,887,300
Total unrealized appreciation/depreciation of assets	2018-12-31	$-1,887,300
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$1,299,991
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$924,879
Total income from all sources (including contributions)	2018-12-31	$12,315,119
Total loss/gain on sale of assets	2018-12-31	$701,728
Total of all expenses incurred	2018-12-31	$10,917,347
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$10,362,777
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$12,577,765
Value of total assets at end of year	2018-12-31	$41,906,896
Value of total assets at beginning of year	2018-12-31	$40,134,012
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$554,570
Total interest from all sources	2018-12-31	$766,613
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$156,313
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Administrative expenses professional fees incurred	2018-12-31	$56,164
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$2,115
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$161,766
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$128,196
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-12-31	$25,563
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$22,712
Administrative expenses (other) incurred	2018-12-31	$295,199
Liabilities. Value of operating payables at end of year	2018-12-31	$1,274,428
Liabilities. Value of operating payables at beginning of year	2018-12-31	$902,167
Total non interest bearing cash at end of year	2018-12-31	$980,903
Total non interest bearing cash at beginning of year	2018-12-31	$852,703
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$1,397,772
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$40,606,905
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$39,209,133
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$203,207
Interest earned on other investments	2018-12-31	$58,889
Income. Interest from US Government securities	2018-12-31	$406,659
Income. Interest from corporate debt instruments	2018-12-31	$277,051
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$943,802
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$1,498,650
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$1,498,650
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$24,014
Expenses. Payments to insurance carriers foe the provision of benefits	2018-12-31	$9,347,282
Asset value of US Government securities at end of year	2018-12-31	$19,027,370
Asset value of US Government securities at beginning of year	2018-12-31	$14,945,423
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$12,575,650
Employer contributions (assets) at end of year	2018-12-31	$1,252,716
Employer contributions (assets) at beginning of year	2018-12-31	$1,114,059
Income. Dividends from common stock	2018-12-31	$156,313
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$1,015,495
Asset. Corporate debt instrument preferred debt at end of year	2018-12-31	$5,752,981
Asset. Corporate debt instrument preferred debt at beginning of year	2018-12-31	$7,372,020
Assets. Corporate common stocks other than exployer securities at end of year	2018-12-31	$13,762,633
Assets. Corporate common stocks other than exployer securities at beginning of year	2018-12-31	$14,194,056
Assets. Value of buildings and other operty used in plan operation at end of year	2018-12-31	$24,725
Assets. Value of buildings and other operty used in plan operation at beginning of year	2018-12-31	$28,905
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Aggregate proceeds on sale of assets	2018-12-31	$34,192,544
Aggregate carrying amount (costs) on sale of assets	2018-12-31	$33,490,816
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	No
Opinion of an independent qualified public accountant for this plan	2018-12-31	Unqualified
Accountancy firm name	2018-12-31	BONADIO & CO., LLP
Accountancy firm EIN	2018-12-31	161131146
2017 : U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2017-12-31	$1,917,233
Total unrealized appreciation/depreciation of assets	2017-12-31	$1,917,233
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$924,879
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$753,126
Total income from all sources (including contributions)	2017-12-31	$15,306,667
Total loss/gain on sale of assets	2017-12-31	$1,334,808
Total of all expenses incurred	2017-12-31	$10,299,816
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$9,744,188
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$11,289,751
Value of total assets at end of year	2017-12-31	$40,134,012
Value of total assets at beginning of year	2017-12-31	$34,955,408
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$555,628
Total interest from all sources	2017-12-31	$590,830
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$174,045
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Administrative expenses professional fees incurred	2017-12-31	$89,001
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$9,126
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$128,196
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$107,537
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$22,712
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$19,679
Administrative expenses (other) incurred	2017-12-31	$284,914
Liabilities. Value of operating payables at end of year	2017-12-31	$902,167
Liabilities. Value of operating payables at beginning of year	2017-12-31	$733,447
Total non interest bearing cash at end of year	2017-12-31	$852,703
Total non interest bearing cash at beginning of year	2017-12-31	$147,615
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$5,006,851
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$39,209,133
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$34,202,282
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$181,713
Interest earned on other investments	2017-12-31	$47,357
Income. Interest from US Government securities	2017-12-31	$308,386
Income. Interest from corporate debt instruments	2017-12-31	$222,402
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$1,498,650
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$1,552,094
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$1,552,094
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$12,685
Expenses. Payments to insurance carriers foe the provision of benefits	2017-12-31	$8,796,432
Asset value of US Government securities at end of year	2017-12-31	$14,945,423
Asset value of US Government securities at beginning of year	2017-12-31	$11,800,127
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$11,280,625
Employer contributions (assets) at end of year	2017-12-31	$1,114,059
Employer contributions (assets) at beginning of year	2017-12-31	$892,431
Income. Dividends from common stock	2017-12-31	$174,045
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$947,756
Asset. Corporate debt instrument preferred debt at end of year	2017-12-31	$7,372,020
Asset. Corporate debt instrument preferred debt at beginning of year	2017-12-31	$6,897,059
Assets. Corporate common stocks other than exployer securities at end of year	2017-12-31	$14,194,056
Assets. Corporate common stocks other than exployer securities at beginning of year	2017-12-31	$13,537,051
Assets. Value of buildings and other operty used in plan operation at end of year	2017-12-31	$28,905
Assets. Value of buildings and other operty used in plan operation at beginning of year	2017-12-31	$21,494
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Aggregate proceeds on sale of assets	2017-12-31	$21,929,132
Aggregate carrying amount (costs) on sale of assets	2017-12-31	$20,594,324
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	No
Opinion of an independent qualified public accountant for this plan	2017-12-31	Unqualified
Accountancy firm name	2017-12-31	BONADIO & CO., LLP
Accountancy firm EIN	2017-12-31	161131146
2016 : U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2016-12-31	$644,110
Total unrealized appreciation/depreciation of assets	2016-12-31	$644,110
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$753,126
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$696,757
Total income from all sources (including contributions)	2016-12-31	$11,909,509
Total loss/gain on sale of assets	2016-12-31	$-111,911
Total of all expenses incurred	2016-12-31	$9,360,048
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$8,839,450
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$10,738,329
Value of total assets at end of year	2016-12-31	$34,955,408
Value of total assets at beginning of year	2016-12-31	$32,349,578
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$520,598
Total interest from all sources	2016-12-31	$475,731
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$163,250
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Administrative expenses professional fees incurred	2016-12-31	$93,583
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$8,659
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$107,537
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$143,496
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$19,679
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$16,783
Administrative expenses (other) incurred	2016-12-31	$262,213
Liabilities. Value of operating payables at end of year	2016-12-31	$733,447
Liabilities. Value of operating payables at beginning of year	2016-12-31	$679,974
Total non interest bearing cash at end of year	2016-12-31	$147,615
Total non interest bearing cash at beginning of year	2016-12-31	$59,539
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$2,549,461
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$34,202,282
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$31,652,821
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$164,802
Interest earned on other investments	2016-12-31	$25,146
Income. Interest from US Government securities	2016-12-31	$219,005
Income. Interest from corporate debt instruments	2016-12-31	$228,076
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$1,552,094
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$922,150
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$922,150
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$3,504
Expenses. Payments to insurance carriers foe the provision of benefits	2016-12-31	$7,981,729
Asset value of US Government securities at end of year	2016-12-31	$11,800,127
Asset value of US Government securities at beginning of year	2016-12-31	$11,077,610
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$10,729,670
Employer contributions (assets) at end of year	2016-12-31	$892,431
Employer contributions (assets) at beginning of year	2016-12-31	$835,999
Income. Dividends from common stock	2016-12-31	$163,250
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$857,721
Asset. Corporate debt instrument preferred debt at end of year	2016-12-31	$6,897,059
Asset. Corporate debt instrument preferred debt at beginning of year	2016-12-31	$8,156,032
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2016-12-31	$13,537,051
Assets. Corporate common stocks other than exployer securities at beginning of year	2016-12-31	$11,127,132
Assets. Value of buildings and other operty used in plan operation at end of year	2016-12-31	$21,494
Assets. Value of buildings and other operty used in plan operation at beginning of year	2016-12-31	$27,620
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Aggregate proceeds on sale of assets	2016-12-31	$13,690,972
Aggregate carrying amount (costs) on sale of assets	2016-12-31	$13,802,883
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	No
Opinion of an independent qualified public accountant for this plan	2016-12-31	Unqualified
Accountancy firm name	2016-12-31	BONADIO & CO., LLP
Accountancy firm EIN	2016-12-31	161131146
2015 : U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2015-12-31	$-439,014
Total unrealized appreciation/depreciation of assets	2015-12-31	$-439,014
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$696,757
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$770,451
Total income from all sources (including contributions)	2015-12-31	$9,024,039
Total loss/gain on sale of assets	2015-12-31	$-693,295
Total of all expenses incurred	2015-12-31	$8,663,748
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$8,141,914
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$9,482,024
Value of total assets at end of year	2015-12-31	$32,349,578
Value of total assets at beginning of year	2015-12-31	$32,062,981
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$521,834
Total interest from all sources	2015-12-31	$528,686
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$145,638
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Administrative expenses professional fees incurred	2015-12-31	$121,883
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$33,153
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$143,496
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$175,382
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$16,783
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$15,059
Administrative expenses (other) incurred	2015-12-31	$244,584
Liabilities. Value of operating payables at end of year	2015-12-31	$679,974
Liabilities. Value of operating payables at beginning of year	2015-12-31	$755,392
Total non interest bearing cash at end of year	2015-12-31	$59,539
Total non interest bearing cash at beginning of year	2015-12-31	$186,586
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$360,291
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$31,652,821
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$31,292,530
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$155,367
Interest earned on other investments	2015-12-31	$31,991
Income. Interest from US Government securities	2015-12-31	$343,219
Income. Interest from corporate debt instruments	2015-12-31	$152,996
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$922,150
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$1,514,251
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$1,514,251
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$480
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$7,350,716
Asset value of US Government securities at end of year	2015-12-31	$11,077,610
Asset value of US Government securities at beginning of year	2015-12-31	$8,288,515
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$9,448,871
Employer contributions (assets) at end of year	2015-12-31	$835,999
Employer contributions (assets) at beginning of year	2015-12-31	$764,514
Income. Dividends from common stock	2015-12-31	$145,638
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$791,198
Asset. Corporate debt instrument preferred debt at end of year	2015-12-31	$8,156,032
Asset. Corporate debt instrument preferred debt at beginning of year	2015-12-31	$9,276,732
Assets. Corporate common stocks other than exployer securities at end of year	2015-12-31	$11,127,132
Assets. Corporate common stocks other than exployer securities at beginning of year	2015-12-31	$11,820,648
Assets. Value of buildings and other operty used in plan operation at end of year	2015-12-31	$27,620
Assets. Value of buildings and other operty used in plan operation at beginning of year	2015-12-31	$36,353
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Aggregate proceeds on sale of assets	2015-12-31	$15,967,691
Aggregate carrying amount (costs) on sale of assets	2015-12-31	$16,660,986
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	No
Opinion of an independent qualified public accountant for this plan	2015-12-31	Unqualified
Accountancy firm name	2015-12-31	BONADIO & CO., LLP
Accountancy firm EIN	2015-12-31	161131146
2014 : U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2014-12-31	$215,908
Total unrealized appreciation/depreciation of assets	2014-12-31	$215,908
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$770,451
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$716,395
Total income from all sources (including contributions)	2014-12-31	$11,337,564
Total loss/gain on sale of assets	2014-12-31	$729,373
Total of all expenses incurred	2014-12-31	$8,263,747
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$7,707,900
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$9,736,773
Value of total assets at end of year	2014-12-31	$32,062,981
Value of total assets at beginning of year	2014-12-31	$28,935,108
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$555,847
Total interest from all sources	2014-12-31	$487,375
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$168,135
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Administrative expenses professional fees incurred	2014-12-31	$152,960
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$66,502
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$175,382
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$162,859
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$15,059
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$11,416
Administrative expenses (other) incurred	2014-12-31	$253,286
Liabilities. Value of operating payables at end of year	2014-12-31	$755,392
Liabilities. Value of operating payables at beginning of year	2014-12-31	$704,979
Total non interest bearing cash at end of year	2014-12-31	$186,586
Total non interest bearing cash at beginning of year	2014-12-31	$145,236
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$3,073,817
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$31,292,530
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$28,218,713
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$149,601
Income. Interest from US Government securities	2014-12-31	$340,830
Income. Interest from corporate debt instruments	2014-12-31	$145,931
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$1,514,251
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$1,197,283
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$1,197,283
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$614
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$6,953,933
Asset value of US Government securities at end of year	2014-12-31	$8,288,515
Asset value of US Government securities at beginning of year	2014-12-31	$7,763,901
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$9,670,271
Employer contributions (assets) at end of year	2014-12-31	$764,514
Employer contributions (assets) at beginning of year	2014-12-31	$722,357
Income. Dividends from common stock	2014-12-31	$168,135
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$753,967
Asset. Corporate debt instrument preferred debt at end of year	2014-12-31	$9,276,732
Asset. Corporate debt instrument preferred debt at beginning of year	2014-12-31	$8,033,502
Assets. Corporate common stocks other than exployer securities at end of year	2014-12-31	$11,820,648
Assets. Corporate common stocks other than exployer securities at beginning of year	2014-12-31	$10,862,762
Assets. Value of buildings and other operty used in plan operation at end of year	2014-12-31	$36,353
Assets. Value of buildings and other operty used in plan operation at beginning of year	2014-12-31	$47,208
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Aggregate proceeds on sale of assets	2014-12-31	$12,405,499
Aggregate carrying amount (costs) on sale of assets	2014-12-31	$11,676,126
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	No
Opinion of an independent qualified public accountant for this plan	2014-12-31	Unqualified
Accountancy firm name	2014-12-31	BONADIO & CO., LLP
Accountancy firm EIN	2014-12-31	161131146
2013 : U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2013-12-31	$1,876,781
Total unrealized appreciation/depreciation of assets	2013-12-31	$1,876,781
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$716,395
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$948,056
Total income from all sources (including contributions)	2013-12-31	$11,443,569
Total loss/gain on sale of assets	2013-12-31	$168,698
Total of all expenses incurred	2013-12-31	$8,461,980
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$8,026,282
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$8,807,480
Value of total assets at end of year	2013-12-31	$28,935,108
Value of total assets at beginning of year	2013-12-31	$26,185,180
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$435,698
Total interest from all sources	2013-12-31	$487,250
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$103,360
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Administrative expenses professional fees incurred	2013-12-31	$110,368
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$46,119
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$162,859
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$136,413
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$11,416
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$9,200
Administrative expenses (other) incurred	2013-12-31	$198,399
Liabilities. Value of operating payables at end of year	2013-12-31	$704,979
Liabilities. Value of operating payables at beginning of year	2013-12-31	$938,856
Total non interest bearing cash at end of year	2013-12-31	$145,236
Total non interest bearing cash at beginning of year	2013-12-31	$1,536,122
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$2,981,589
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$28,218,713
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$25,237,124
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$126,931
Income. Interest from US Government securities	2013-12-31	$275,542
Income. Interest from corporate debt instruments	2013-12-31	$211,412
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$1,197,283
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$1,528,134
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$1,528,134
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$296
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$7,474,252
Asset value of US Government securities at end of year	2013-12-31	$7,763,901
Asset value of US Government securities at beginning of year	2013-12-31	$14,290,393
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$8,761,361
Employer contributions (assets) at end of year	2013-12-31	$722,357
Employer contributions (assets) at beginning of year	2013-12-31	$626,139
Income. Dividends from common stock	2013-12-31	$103,360
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$552,030
Asset. Corporate debt instrument preferred debt at end of year	2013-12-31	$8,033,502
Asset. Corporate debt instrument preferred debt at beginning of year	2013-12-31	$912,179
Assets. Corporate common stocks other than exployer securities at end of year	2013-12-31	$10,862,762
Assets. Corporate common stocks other than exployer securities at beginning of year	2013-12-31	$7,128,975
Assets. Value of buildings and other operty used in plan operation at end of year	2013-12-31	$47,208
Assets. Value of buildings and other operty used in plan operation at beginning of year	2013-12-31	$26,825
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Aggregate proceeds on sale of assets	2013-12-31	$15,339,926
Aggregate carrying amount (costs) on sale of assets	2013-12-31	$15,171,228
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	BONADIO & CO.,LLP
Accountancy firm EIN	2013-12-31	161131146
2012 : U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$552,530
Total unrealized appreciation/depreciation of assets	2012-12-31	$552,530
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$948,056
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$239,538
Total income from all sources (including contributions)	2012-12-31	$9,901,203
Total loss/gain on sale of assets	2012-12-31	$302,975
Total of all expenses incurred	2012-12-31	$7,580,505
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$7,045,986
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$8,735,332
Value of total assets at end of year	2012-12-31	$26,185,180
Value of total assets at beginning of year	2012-12-31	$23,155,964
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$534,519
Total interest from all sources	2012-12-31	$231,731
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$78,635
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$118,433
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$37,678
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$136,413
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$93,078
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$9,200
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$6,877
Administrative expenses (other) incurred	2012-12-31	$316,022
Liabilities. Value of operating payables at end of year	2012-12-31	$938,856
Liabilities. Value of operating payables at beginning of year	2012-12-31	$232,661
Total non interest bearing cash at end of year	2012-12-31	$1,536,122
Total non interest bearing cash at beginning of year	2012-12-31	$358,503
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$2,320,698
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$25,237,124
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$22,916,426
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$100,064
Income. Interest from US Government securities	2012-12-31	$165,468
Income. Interest from corporate debt instruments	2012-12-31	$66,144
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$1,528,134
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$7,684,600
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$7,684,600
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$119
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$6,543,586
Asset value of US Government securities at end of year	2012-12-31	$14,290,393
Asset value of US Government securities at beginning of year	2012-12-31	$4,186,625
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$8,697,654
Employer contributions (assets) at end of year	2012-12-31	$626,139
Employer contributions (assets) at beginning of year	2012-12-31	$708,682
Income. Dividends from common stock	2012-12-31	$78,635
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$502,400
Asset. Corporate debt instrument preferred debt at end of year	2012-12-31	$912,179
Asset. Corporate debt instrument preferred debt at beginning of year	2012-12-31	$3,730,309
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2012-12-31	$7,128,975
Assets. Corporate common stocks other than exployer securities at beginning of year	2012-12-31	$6,310,014
Assets. Value of buildings and other operty used in plan operation at end of year	2012-12-31	$26,825
Assets. Value of buildings and other operty used in plan operation at beginning of year	2012-12-31	$84,153
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Aggregate proceeds on sale of assets	2012-12-31	$8,934,143
Aggregate carrying amount (costs) on sale of assets	2012-12-31	$8,631,168
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Unqualified
Accountancy firm name	2012-12-31	BONADIO & CO., LLP
Accountancy firm EIN	2012-12-31	161131146
2011 : U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$-175,102
Total unrealized appreciation/depreciation of assets	2011-12-31	$-175,102
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$239,538
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$143,418
Total income from all sources (including contributions)	2011-12-31	$8,881,172
Total loss/gain on sale of assets	2011-12-31	$38,793
Total of all expenses incurred	2011-12-31	$7,317,963
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$6,814,795
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$8,712,686
Value of total assets at end of year	2011-12-31	$23,155,964
Value of total assets at beginning of year	2011-12-31	$21,496,635
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$503,168
Total interest from all sources	2011-12-31	$211,255
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$90,448
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Administrative expenses professional fees incurred	2011-12-31	$181,047
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$57,203
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2011-12-31	$30,132
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$93,078
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$972,939
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$6,877
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$11,400
Other income not declared elsewhere	2011-12-31	$3,092
Administrative expenses (other) incurred	2011-12-31	$246,060
Liabilities. Value of operating payables at end of year	2011-12-31	$232,661
Liabilities. Value of operating payables at beginning of year	2011-12-31	$132,018
Total non interest bearing cash at end of year	2011-12-31	$358,503
Total non interest bearing cash at beginning of year	2011-12-31	$311,684
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$1,563,209
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$22,916,426
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$21,353,217
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$76,061
Income. Interest from US Government securities	2011-12-31	$89,190
Income. Interest from corporate debt instruments	2011-12-31	$122,055
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$7,684,600
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$5,145,995
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$5,145,995
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$10
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$6,341,956
Asset value of US Government securities at end of year	2011-12-31	$4,186,625
Asset value of US Government securities at beginning of year	2011-12-31	$3,244,916
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$8,655,483
Employer contributions (assets) at end of year	2011-12-31	$708,682
Employer contributions (assets) at beginning of year	2011-12-31	$847,218
Income. Dividends from common stock	2011-12-31	$90,448
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$442,707
Asset. Corporate debt instrument preferred debt at end of year	2011-12-31	$3,730,309
Asset. Corporate debt instrument preferred debt at beginning of year	2011-12-31	$4,829,053
Assets. Corporate common stocks other than exployer securities at end of year	2011-12-31	$6,310,014
Assets. Corporate common stocks other than exployer securities at beginning of year	2011-12-31	$6,092,244
Assets. Value of buildings and other operty used in plan operation at end of year	2011-12-31	$84,153
Assets. Value of buildings and other operty used in plan operation at beginning of year	2011-12-31	$52,586
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Aggregate proceeds on sale of assets	2011-12-31	$12,244,100
Aggregate carrying amount (costs) on sale of assets	2011-12-31	$12,205,307
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	BONADIO & CO., LLP
Accountancy firm EIN	2011-12-31	161131146
2010 : U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2010 401k financial data
Unrealized appreciation/depreciation of real estate assets	2010-12-31	$786,044
Total unrealized appreciation/depreciation of assets	2010-12-31	$786,044
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$143,418
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$169,536
Total income from all sources (including contributions)	2010-12-31	$9,774,693
Total loss/gain on sale of assets	2010-12-31	$256,204
Total of all expenses incurred	2010-12-31	$7,190,856
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$6,779,227
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$8,431,328
Value of total assets at end of year	2010-12-31	$21,496,635
Value of total assets at beginning of year	2010-12-31	$18,938,916
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$411,629
Total interest from all sources	2010-12-31	$221,555
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$79,562
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Administrative expenses professional fees incurred	2010-12-31	$131,863
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$223,088
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2010-12-31	$17,864
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$972,939
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$267,119
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$11,400
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$49,935
Administrative expenses (other) incurred	2010-12-31	$207,083
Liabilities. Value of operating payables at end of year	2010-12-31	$132,018
Liabilities. Value of operating payables at beginning of year	2010-12-31	$119,601
Total non interest bearing cash at end of year	2010-12-31	$311,684
Total non interest bearing cash at beginning of year	2010-12-31	$259,276
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$2,583,837
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$21,353,217
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$18,769,380
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$72,683
Income. Interest from US Government securities	2010-12-31	$100,269
Income. Interest from corporate debt instruments	2010-12-31	$119,903
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$5,145,995
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$4,317,580
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$4,317,580
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$1,383
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$6,313,272
Asset value of US Government securities at end of year	2010-12-31	$3,244,916
Asset value of US Government securities at beginning of year	2010-12-31	$2,676,450
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$8,208,240
Employer contributions (assets) at end of year	2010-12-31	$847,218
Employer contributions (assets) at beginning of year	2010-12-31	$1,370,540
Income. Dividends from common stock	2010-12-31	$79,562
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$448,091
Asset. Corporate debt instrument preferred debt at end of year	2010-12-31	$4,829,053
Asset. Corporate debt instrument preferred debt at beginning of year	2010-12-31	$4,590,549
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2010-12-31	$6,092,244
Assets. Corporate common stocks other than exployer securities at beginning of year	2010-12-31	$5,288,680
Assets. Value of buildings and other operty used in plan operation at end of year	2010-12-31	$52,586
Assets. Value of buildings and other operty used in plan operation at beginning of year	2010-12-31	$168,722
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Aggregate proceeds on sale of assets	2010-12-31	$6,897,049
Aggregate carrying amount (costs) on sale of assets	2010-12-31	$6,640,845
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	BONADIO & CO., LLP
Accountancy firm EIN	2010-12-31	161131146

Form 5500 Responses for U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND

2022: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2022 form 5500 responses
2022-01-01	Type of plan entity	Multi-employer plan
2022-01-01	Plan is a collectively bargained plan	Yes
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2021 form 5500 responses
2021-01-01	Type of plan entity	Multi-employer plan
2021-01-01	Plan is a collectively bargained plan	Yes
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2020 form 5500 responses
2020-01-01	Type of plan entity	Multi-employer plan
2020-01-01	Plan is a collectively bargained plan	Yes
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2019 form 5500 responses
2019-01-01	Type of plan entity	Multi-employer plan
2019-01-01	Plan is a collectively bargained plan	Yes
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2018 form 5500 responses
2018-01-01	Type of plan entity	Multi-employer plan
2018-01-01	Plan is a collectively bargained plan	Yes
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2017 form 5500 responses
2017-01-01	Type of plan entity	Multi-employer plan
2017-01-01	Plan is a collectively bargained plan	Yes
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2016 form 5500 responses
2016-01-01	Type of plan entity	Multi-employer plan
2016-01-01	Plan is a collectively bargained plan	Yes
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2015 form 5500 responses
2015-01-01	Type of plan entity	Multi-employer plan
2015-01-01	Plan is a collectively bargained plan	Yes
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2014 form 5500 responses
2014-01-01	Type of plan entity	Multi-employer plan
2014-01-01	Plan is a collectively bargained plan	Yes
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2013 form 5500 responses
2013-01-01	Type of plan entity	Multi-employer plan
2013-01-01	Plan is a collectively bargained plan	Yes
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2012 form 5500 responses
2012-01-01	Type of plan entity	Multi-employer plan
2012-01-01	Plan is a collectively bargained plan	Yes
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2011 form 5500 responses
2011-01-01	Type of plan entity	Multi-employer plan
2011-01-01	Submission has been amended	Yes
2011-01-01	Plan is a collectively bargained plan	Yes
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: U.A. LOCAL 13 & EMPLOYERS GROUP INSURANCE FUND 2009 form 5500 responses
2009-01-01	Type of plan entity	Multi-employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan is a collectively bargained plan	Yes
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

89831

Policy instance

Insurance contract or identification number	89831
Number of Individuals Covered	661
Insurance policy start date	2022-05-01
Insurance policy end date	2023-04-30
Total amount of commissions paid to insurance broker	USD $16,707
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $16,707
Insurance broker organization code?	3

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

00510978

Policy instance

Insurance contract or identification number	00510978
Number of Individuals Covered	4
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $519
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $10,837
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $519
Insurance broker organization code?	3

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

00062732

Policy instance

Insurance contract or identification number	00062732
Number of Individuals Covered	622
Insurance policy start date	2022-05-01
Insurance policy end date	2023-04-30
Total amount of commissions paid to insurance broker	USD $152,620
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $152,620
Insurance broker organization code?	3

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

00501621

Policy instance

Insurance contract or identification number	00501621
Number of Individuals Covered	83
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $12,345
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $351,444
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $12,345
Insurance broker organization code?	3

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

675428G

Policy instance

Insurance contract or identification number	675428G
Number of Individuals Covered	884
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $3,258
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $158,688
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,258
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0233107

Policy instance

Insurance contract or identification number	0233107
Number of Individuals Covered	1180
Insurance policy start date	2022-05-01
Insurance policy end date	2023-04-30
Total amount of commissions paid to insurance broker	USD $13,040
Total amount of fees paid to insurance company	USD $1,274
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $115,443
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $13,040
Amount paid for insurance broker fees	1274
Insurance broker organization code?	3

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

675428G

Policy instance

Insurance contract or identification number	675428G
Number of Individuals Covered	868
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $7,490
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $171,912
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,490
Insurance broker organization code?	3

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

89831

Policy instance

Insurance contract or identification number	89831
Number of Individuals Covered	648
Insurance policy start date	2021-05-01
Insurance policy end date	2022-04-30
Total amount of commissions paid to insurance broker	USD $15,529
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $15,529
Insurance broker organization code?	3

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

00501621

Policy instance

Insurance contract or identification number	00501621
Number of Individuals Covered	88
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $13,100
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $357,694
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $13,100
Insurance broker organization code?	3

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

00062732

Policy instance

Insurance contract or identification number	00062732
Number of Individuals Covered	608
Insurance policy start date	2021-05-01
Insurance policy end date	2022-04-30
Total amount of commissions paid to insurance broker	USD $148,960
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $148,960
Insurance broker organization code?	3

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

00510978

Policy instance

Insurance contract or identification number	00510978
Number of Individuals Covered	4
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $481
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $10,505
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $481
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0233107

Policy instance

Insurance contract or identification number	0233107
Number of Individuals Covered	1162
Insurance policy start date	2021-05-01
Insurance policy end date	2022-04-30
Total amount of commissions paid to insurance broker	USD $10,081
Total amount of fees paid to insurance company	USD $896
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $115,915
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,081
Amount paid for insurance broker fees	896
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0233108

Policy instance

Insurance contract or identification number	0233108
Number of Individuals Covered	1162
Insurance policy start date	2021-05-01
Insurance policy end date	2022-04-30
Total amount of commissions paid to insurance broker	USD $7,561
Total amount of fees paid to insurance company	USD $685
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $86,991
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,561
Amount paid for insurance broker fees	685
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0233109

Policy instance

Insurance contract or identification number	0233109
Number of Individuals Covered	1162
Insurance policy start date	2021-05-01
Insurance policy end date	2022-04-30
Total amount of commissions paid to insurance broker	USD $10,784
Total amount of fees paid to insurance company	USD $955
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $122,918
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,784
Amount paid for insurance broker fees	955
Insurance broker organization code?	4

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0231738

Policy instance

Insurance contract or identification number	0231738
Number of Individuals Covered	778
Insurance policy start date	2021-05-01
Insurance policy end date	2022-04-30
Total amount of commissions paid to insurance broker	USD $3,940
Total amount of fees paid to insurance company	USD $546
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $75,862
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,940
Amount paid for insurance broker fees	546
Insurance broker organization code?	3

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

89831

Policy instance

Insurance contract or identification number	89831
Number of Individuals Covered	651
Insurance policy start date	2020-05-01
Insurance policy end date	2021-04-30
Total amount of commissions paid to insurance broker	USD $15,683
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $15,683
Insurance broker organization code?	3

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

675428G

Policy instance

Insurance contract or identification number	675428G
Number of Individuals Covered	885
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $8,977
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $145,914
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,977
Insurance broker organization code?	3

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

00501621

Policy instance

Insurance contract or identification number	00501621
Number of Individuals Covered	94
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $14,753
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $405,358
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $14,753
Insurance broker organization code?	3

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

00062732

Policy instance

Insurance contract or identification number	00062732
Number of Individuals Covered	616
Insurance policy start date	2020-05-01
Insurance policy end date	2021-04-30
Total amount of commissions paid to insurance broker	USD $150,275
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $150,275
Insurance broker organization code?	3

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

675428G

Policy instance

Insurance contract or identification number	675428G
Number of Individuals Covered	912
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $6,854
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $147,018
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,854
Insurance broker organization code?	3

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

00062732

Policy instance

Insurance contract or identification number	00062732
Number of Individuals Covered	629
Insurance policy start date	2018-05-01
Insurance policy end date	2019-04-30
Total amount of commissions paid to insurance broker	USD $154,419
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $154,419
Insurance broker organization code?	3

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

89831

Policy instance

Insurance contract or identification number	89831
Number of Individuals Covered	668
Insurance policy start date	2018-05-01
Insurance policy end date	2019-04-30
Total amount of commissions paid to insurance broker	USD $14,749
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $14,749
Insurance broker organization code?	3

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

00501621

Policy instance

Insurance contract or identification number	00501621
Number of Individuals Covered	111
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $330
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $435,626
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $330
Insurance broker organization code?	3

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

00501621

Policy instance

Insurance contract or identification number	00501621
Number of Individuals Covered	131
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $556,282
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

675428G

Policy instance

Insurance contract or identification number	675428G
Number of Individuals Covered	850
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $6,852
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $124,598
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,852
Insurance broker organization code?	3

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

5344

Policy instance

Insurance contract or identification number	5344
Number of Individuals Covered	648
Insurance policy start date	2017-05-01
Insurance policy end date	2018-04-30
Total amount of commissions paid to insurance broker	USD $152,135
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $152,135
Insurance broker organization code?	3

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

00510978

Policy instance

Insurance contract or identification number	00510978
Number of Individuals Covered	5
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $13,831
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

00501621

Policy instance

Insurance contract or identification number	00501621
Number of Individuals Covered	135
Insurance policy start date	2016-05-01
Insurance policy end date	2017-05-01
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $572,203
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

675428G

Policy instance

Insurance contract or identification number	675428G
Number of Individuals Covered	833
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $5,172
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $131,920
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,172
Insurance broker organization code?	3
Insurance broker name	GALLAGHER BENEFIT SERVICES, INC.

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

5344

Policy instance

Insurance contract or identification number	5344
Number of Individuals Covered	631
Insurance policy start date	2016-05-01
Insurance policy end date	2017-04-30
Total amount of commissions paid to insurance broker	USD $15,385
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $15,385
Insurance broker organization code?	3
Insurance broker name	GALLAGHER BENEFIT SERVICES, INC.

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

5344

Policy instance

Insurance contract or identification number	5344
Number of Individuals Covered	1831
Insurance policy start date	2014-05-01
Insurance policy end date	2015-04-30
Total amount of commissions paid to insurance broker	USD $17,438
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $17,438
Insurance broker organization code?	3
Insurance broker name	GALLAGHER BENEFIT SERVICES, INC.

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

675428G

Policy instance

Insurance contract or identification number	675428G
Number of Individuals Covered	802
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $6,193
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $101,567
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,193
Insurance broker organization code?	3
Insurance broker name	GALLAGHER BENEFIT SERVICES, INC.

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

00501621

Policy instance

Insurance contract or identification number	00501621
Number of Individuals Covered	175
Insurance policy start date	2014-05-01
Insurance policy end date	2015-05-01
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $574,732
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

00062732

Policy instance

Insurance contract or identification number	00062732
Number of Individuals Covered	594
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $133,134
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $133,134
Insurance broker organization code?	3
Insurance broker name	GALLAGHER BENEFIT SERVICES, INC.

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

1554

Policy instance

Insurance contract or identification number	1554
Number of Individuals Covered	640
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $14,231
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $14,231
Insurance broker organization code?	3
Insurance broker name	GALLAGHER BENEFIT SERVICES, INC.

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

675428G

Policy instance

Insurance contract or identification number	675428G
Number of Individuals Covered	802
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $5,913
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $97,377
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,913
Insurance broker organization code?	3
Insurance broker name	GALLAGHER BENEFIT SERVICES, INC.

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

00501621

Policy instance

Insurance contract or identification number	00501621
Number of Individuals Covered	199
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $436,298
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

675428G

Policy instance

Insurance contract or identification number	675428G
Number of Individuals Covered	759
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $6,361
Total amount of fees paid to insurance company	USD $2,243
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $95,403
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,361
Insurance broker organization code?	3
Amount paid for insurance broker fees	2243
Insurance broker name	GALLAGHER BENEFIT SERVICES, INC.

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

1554

Policy instance

Insurance contract or identification number	1554
Number of Individuals Covered	608
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $14,127
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $14,127
Insurance broker organization code?	3
Insurance broker name	PROVIDIUM CONSULTING GROUP, LLC

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

00062732

Policy instance

Insurance contract or identification number	00062732
Number of Individuals Covered	655
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $112,797
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $112,797
Insurance broker organization code?	3
Insurance broker name	GALLAGHER BENEFIT SERVICES, INC.

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

00501621

Policy instance

Insurance contract or identification number	00501621
Number of Individuals Covered	180
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $351,739
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

EXCELLUS BLUECROSS BLUESHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

5344

Policy instance

Insurance contract or identification number	5344
Number of Individuals Covered	217
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Welfare Benefit Premiums Paid to Carrier	USD $454,626
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

1554

Policy instance

Insurance contract or identification number	1554
Number of Individuals Covered	621
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $14,188
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $14,188
Insurance broker organization code?	3
Insurance broker name	PROVIDIUM CONSULTING GROUP, LLC

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

675428G

Policy instance

Insurance contract or identification number	675428G
Number of Individuals Covered	736
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $6,645
Total amount of fees paid to insurance company	USD $3,760
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $100,800
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,645
Amount paid for insurance broker fees	1880
Insurance broker organization code?	3
Insurance broker name	GALLAGHER BENEFIT SERVICES, INC.

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

00062732

Policy instance

Insurance contract or identification number	00062732
Number of Individuals Covered	690
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $109,345
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $109,345
Insurance broker organization code?	3
Insurance broker name	PROVIDIUM CONSULTING GROUP, LLC

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

675428G

Policy instance

Insurance contract or identification number	675428G
Number of Individuals Covered	709
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $5,042
Total amount of fees paid to insurance company	USD $1,433
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $78,072
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

1554

Policy instance

Insurance contract or identification number	1554
Number of Individuals Covered	607
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

3375

Policy instance

Insurance contract or identification number	3375
Number of Individuals Covered	890
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $85,527
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $435,497
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

3375

Policy instance

Insurance contract or identification number	3375
Number of Individuals Covered	2010
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $149,640
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

1554

Policy instance

Insurance contract or identification number	1554
Number of Individuals Covered	894
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

675428G

Policy instance

Insurance contract or identification number	675428G
Number of Individuals Covered	663
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $5,820
Total amount of fees paid to insurance company	USD $1,142
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $84,261
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	UA LOCAL 13 JOINT BOARD OF TRUSTEES EMPLOYERS GROUP INSURANCE FUND
Employer identification number (EIN):	160766976
NAIC Classification:	238220
NAIC Description:	Plumbing, Heating, and Air-Conditioning Contractors