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UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 401k Plan overview

Plan NameUFCW LOCAL ONE ACTIVE HEALTH CARE FUND
Plan identification number 501

UFCW LOCAL ONE ACTIVE HEALTH CARE FUND Benefits

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

401k Sponsoring company profile

BRD OF TTEES UFCW LOCAL ONE ACTIVE HEALTH CARE FUND has sponsored the creation of one or more 401k plans.

Company Name:BRD OF TTEES UFCW LOCAL ONE ACTIVE HEALTH CARE FUND
Employer identification number (EIN):160915820
NAIC Classification:445110
NAIC Description:Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UFCW LOCAL ONE ACTIVE HEALTH CARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012019-01-01
5012018-01-01
5012017-01-01FRANK DERISO RAYMOND WARDYNSKI2018-10-15
5012016-01-01FRANK DERISO JOHN BARRETT2017-10-16
5012015-01-01FRANK DERISO JOHN BARRETT2016-10-17
5012014-01-01FRANK DERISO JOHN BARRETT2015-10-14
5012013-01-01FRANK DERISO JOHN BARRETT2014-10-15
5012012-01-01FRANK DERISO JOHN BARRETT2013-10-15
5012011-01-01FRANK DERISO JOHN BARRETT2012-10-14
5012010-01-01FRANK DERISO JOHN BARRETT2011-10-17
5012009-01-01FRANK DERISO JOHN BARRETT2010-10-15

Plan Statistics for UFCW LOCAL ONE ACTIVE HEALTH CARE FUND

401k plan membership statisitcs for UFCW LOCAL ONE ACTIVE HEALTH CARE FUND

Measure Date Value
2022: UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2022 401k membership
Total participants, beginning-of-year2022-01-018,170
Total number of active participants reported on line 7a of the Form 55002022-01-018,021
Total of all active and inactive participants2022-01-018,021
Number of employers contributing to the scheme2022-01-0152
2021: UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2021 401k membership
Total participants, beginning-of-year2021-01-018,865
Total number of active participants reported on line 7a of the Form 55002021-01-018,170
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-018,170
Number of employers contributing to the scheme2021-01-0151
2020: UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2020 401k membership
Total participants, beginning-of-year2020-01-019,062
Total number of active participants reported on line 7a of the Form 55002020-01-018,865
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-018,865
Number of employers contributing to the scheme2020-01-0155
2019: UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2019 401k membership
Total participants, beginning-of-year2019-01-019,672
Total number of active participants reported on line 7a of the Form 55002019-01-019,062
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-019,062
Number of employers contributing to the scheme2019-01-0158
2018: UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2018 401k membership
Total participants, beginning-of-year2018-01-0110,130
Total number of active participants reported on line 7a of the Form 55002018-01-019,672
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-019,672
Number of employers contributing to the scheme2018-01-0158
2017: UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2017 401k membership
Total participants, beginning-of-year2017-01-0110,816
Total number of active participants reported on line 7a of the Form 55002017-01-0110,130
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-0110,130
2016: UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2016 401k membership
Total participants, beginning-of-year2016-01-0111,131
Total number of active participants reported on line 7a of the Form 55002016-01-0110,816
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-0110,816
Number of employers contributing to the scheme2016-01-0162
2015: UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2015 401k membership
Total participants, beginning-of-year2015-01-0111,463
Total number of active participants reported on line 7a of the Form 55002015-01-0111,131
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-0111,131
Number of employers contributing to the scheme2015-01-0161
2014: UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2014 401k membership
Total participants, beginning-of-year2014-01-0112,902
Total number of active participants reported on line 7a of the Form 55002014-01-0111,463
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-0111,463
Number of employers contributing to the scheme2014-01-0157
2013: UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2013 401k membership
Total participants, beginning-of-year2013-01-0113,050
Total number of active participants reported on line 7a of the Form 55002013-01-0111,173
Number of retired or separated participants receiving benefits2013-01-0193
Number of other retired or separated participants entitled to future benefits2013-01-011,636
Total of all active and inactive participants2013-01-0112,902
Number of employers contributing to the scheme2013-01-0157
2012: UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2012 401k membership
Total participants, beginning-of-year2012-01-0113,191
Total number of active participants reported on line 7a of the Form 55002012-01-0111,166
Number of retired or separated participants receiving benefits2012-01-01113
Number of other retired or separated participants entitled to future benefits2012-01-011,771
Total of all active and inactive participants2012-01-0113,050
Number of employers contributing to the scheme2012-01-0161
2011: UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2011 401k membership
Total participants, beginning-of-year2011-01-0113,344
Total number of active participants reported on line 7a of the Form 55002011-01-0111,310
Number of retired or separated participants receiving benefits2011-01-01114
Number of other retired or separated participants entitled to future benefits2011-01-011,767
Total of all active and inactive participants2011-01-0113,191
Number of employers contributing to the scheme2011-01-0164
2010: UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2010 401k membership
Total participants, beginning-of-year2010-01-0114,338
Total number of active participants reported on line 7a of the Form 55002010-01-0111,476
Number of retired or separated participants receiving benefits2010-01-01112
Number of other retired or separated participants entitled to future benefits2010-01-011,756
Total of all active and inactive participants2010-01-0113,344
Number of employers contributing to the scheme2010-01-0168
2009: UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2009 401k membership
Total participants, beginning-of-year2009-01-0114,226
Total number of active participants reported on line 7a of the Form 55002009-01-0112,551
Number of retired or separated participants receiving benefits2009-01-0190
Number of other retired or separated participants entitled to future benefits2009-01-011,697
Total of all active and inactive participants2009-01-0114,338
Number of employers contributing to the scheme2009-01-0164

Financial Data on UFCW LOCAL ONE ACTIVE HEALTH CARE FUND

Measure Date Value
2022 : UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-256,869
Total unrealized appreciation/depreciation of assets2022-12-31$-256,869
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$11,793,229
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$16,091,567
Total income from all sources (including contributions)2022-12-31$80,410,973
Total loss/gain on sale of assets2022-12-31$569
Total of all expenses incurred2022-12-31$61,136,959
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$59,336,253
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$76,377,288
Value of total assets at end of year2022-12-31$63,445,649
Value of total assets at beginning of year2022-12-31$48,469,973
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$1,800,706
Total interest from all sources2022-12-31$273,250
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$81,401
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$81,401
Administrative expenses professional fees incurred2022-12-31$363,046
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$235,774
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$3,573,205
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$4,772,554
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$4,808,140
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$35,994
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$353
Other income not declared elsewhere2022-12-31$4,081,214
Administrative expenses (other) incurred2022-12-31$1,415,034
Liabilities. Value of operating payables at end of year2022-12-31$128,135
Liabilities. Value of operating payables at beginning of year2022-12-31$133,345
Total non interest bearing cash at end of year2022-12-31$1,671,117
Total non interest bearing cash at beginning of year2022-12-31$1,035,548
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$19,274,014
Value of net assets at end of year (total assets less liabilities)2022-12-31$51,652,420
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$32,378,406
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Assets. partnership/joint venture interests at end of year2022-12-31$2,372,086
Investment advisory and management fees2022-12-31$22,626
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$7,157,928
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$2,090,550
Income. Interest from corporate debt instruments2022-12-31$130,170
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$33,459,442
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$33,991,251
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$33,991,251
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$143,080
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$488,261
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-145,880
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$76,141,514
Employer contributions (assets) at end of year2022-12-31$6,684,526
Employer contributions (assets) at beginning of year2022-12-31$6,497,567
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$55,274,787
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$7,306,565
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Liabilities. Value of benefit claims payable at end of year2022-12-31$11,629,100
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$15,957,869
Assets. Value of buildings and other operty used in plan operation at end of year2022-12-31$21,431
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-12-31$46,917
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$185,063
Aggregate carrying amount (costs) on sale of assets2022-12-31$184,494
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31BUCHBINDER TUNICK & COMPANY LLP
Accountancy firm EIN2022-12-31131578842
2021 : UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$16,091,567
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$12,806,560
Total income from all sources (including contributions)2021-12-31$79,555,653
Total loss/gain on sale of assets2021-12-31$37,589
Total of all expenses incurred2021-12-31$69,973,043
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$68,252,694
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$75,582,491
Value of total assets at end of year2021-12-31$48,469,973
Value of total assets at beginning of year2021-12-31$35,602,356
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$1,720,349
Total interest from all sources2021-12-31$70,411
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$32,585
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$32,585
Administrative expenses professional fees incurred2021-12-31$435,943
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$292,837
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$2,804,159
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$4,808,140
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$5,158,858
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$353
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$349,236
Other income not declared elsewhere2021-12-31$3,895,047
Administrative expenses (other) incurred2021-12-31$1,269,315
Liabilities. Value of operating payables at end of year2021-12-31$133,345
Liabilities. Value of operating payables at beginning of year2021-12-31$759,873
Total non interest bearing cash at end of year2021-12-31$1,035,548
Total non interest bearing cash at beginning of year2021-12-31$2,261,040
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$9,582,610
Value of net assets at end of year (total assets less liabilities)2021-12-31$32,378,406
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$22,795,796
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$15,091
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$2,090,550
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$2,119,937
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$33,991,251
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$19,662,708
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$19,662,708
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$70,411
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$506,545
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$-62,470
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$75,289,654
Employer contributions (assets) at end of year2021-12-31$6,497,567
Employer contributions (assets) at beginning of year2021-12-31$6,313,157
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$64,941,990
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Liabilities. Value of benefit claims payable at end of year2021-12-31$15,957,869
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$11,697,451
Assets. Value of buildings and other operty used in plan operation at end of year2021-12-31$46,917
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-12-31$86,656
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$37,589
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31BUCHBINDER TUNICK & CO. LLP
Accountancy firm EIN2021-12-31131578842
2020 : UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$12,806,560
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$11,866,586
Total income from all sources (including contributions)2020-12-31$79,236,437
Total loss/gain on sale of assets2020-12-31$29,875
Total of all expenses incurred2020-12-31$64,896,816
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$62,668,787
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$75,282,864
Value of total assets at end of year2020-12-31$35,602,356
Value of total assets at beginning of year2020-12-31$20,322,761
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$2,228,029
Total interest from all sources2020-12-31$54,717
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$11,551
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$11,551
Administrative expenses professional fees incurred2020-12-31$436,325
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$404,551
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$2,717,113
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$5,158,858
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$3,317,518
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$349,236
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$149,907
Other income not declared elsewhere2020-12-31$3,856,422
Administrative expenses (other) incurred2020-12-31$1,776,704
Liabilities. Value of operating payables at end of year2020-12-31$759,873
Liabilities. Value of operating payables at beginning of year2020-12-31$100,053
Total non interest bearing cash at end of year2020-12-31$2,261,040
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$14,339,621
Value of net assets at end of year (total assets less liabilities)2020-12-31$22,795,796
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$8,456,175
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$15,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$2,119,937
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$2,104,677
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$19,662,708
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$8,702,054
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$8,702,054
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$54,717
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$585,209
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,008
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$74,878,313
Employer contributions (assets) at end of year2020-12-31$6,313,157
Employer contributions (assets) at beginning of year2020-12-31$6,136,154
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$59,366,465
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Liabilities. Value of benefit claims payable at end of year2020-12-31$11,697,451
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$11,616,626
Assets. Value of buildings and other operty used in plan operation at end of year2020-12-31$86,656
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-12-31$62,358
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$29,875
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31BUCHBINDER TUNICK & COMPLANY LLP
Accountancy firm EIN2020-12-31131578842
2019 : UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$11,866,586
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$11,866,586
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$12,163,272
Total income from all sources (including contributions)2019-12-31$75,436,784
Total income from all sources (including contributions)2019-12-31$75,436,784
Total of all expenses incurred2019-12-31$74,191,025
Total of all expenses incurred2019-12-31$74,191,025
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$72,167,682
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$72,167,682
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$75,218,819
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$75,218,819
Value of total assets at end of year2019-12-31$19,636,742
Value of total assets at end of year2019-12-31$19,636,742
Value of total assets at beginning of year2019-12-31$18,687,669
Value of total assets at beginning of year2019-12-31$18,687,669
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$2,023,343
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$2,023,343
Total interest from all sources2019-12-31$38,512
Total interest from all sources2019-12-31$38,512
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$42,145
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$42,145
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$42,145
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$42,145
Administrative expenses professional fees incurred2019-12-31$394,366
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$492,743
Contributions received from participants2019-12-31$492,743
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$2,927,386
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$2,927,386
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$2,631,500
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$2,631,500
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$5,330,425
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$5,330,425
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$149,907
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$149,907
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$194,284
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$194,284
Other income not declared elsewhere2019-12-31$137,308
Other income not declared elsewhere2019-12-31$137,308
Administrative expenses (other) incurred2019-12-31$1,613,977
Administrative expenses (other) incurred2019-12-31$1,613,977
Liabilities. Value of operating payables at end of year2019-12-31$100,053
Liabilities. Value of operating payables at end of year2019-12-31$100,053
Liabilities. Value of operating payables at beginning of year2019-12-31$226,267
Liabilities. Value of operating payables at beginning of year2019-12-31$226,267
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,245,759
Value of net income/loss2019-12-31$1,245,759
Value of net assets at end of year (total assets less liabilities)2019-12-31$7,770,156
Value of net assets at end of year (total assets less liabilities)2019-12-31$7,770,156
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$6,524,397
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$6,524,397
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$15,000
Investment advisory and management fees2019-12-31$15,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$2,104,677
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$2,104,677
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$2,061,503
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$2,061,503
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$8,702,054
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$8,702,054
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$4,918,323
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$4,918,323
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$4,918,323
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$4,918,323
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$38,512
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$38,512
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$615,701
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$615,701
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$74,726,076
Contributions received in cash from employer2019-12-31$74,726,076
Employer contributions (assets) at end of year2019-12-31$6,136,153
Employer contributions (assets) at end of year2019-12-31$6,136,153
Employer contributions (assets) at beginning of year2019-12-31$6,266,333
Employer contributions (assets) at beginning of year2019-12-31$6,266,333
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$68,624,595
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$68,624,595
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Liabilities. Value of benefit claims payable at end of year2019-12-31$11,616,626
Liabilities. Value of benefit claims payable at end of year2019-12-31$11,616,626
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$11,742,721
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$62,358
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$62,358
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$111,085
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$111,085
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31BUCHBINDER TUNICK & CO. LLP
Accountancy firm name2019-12-31BUCHBINDER TUNICK & CO. LLP
Accountancy firm EIN2019-12-31131578842
Accountancy firm EIN2019-12-31131578842
2018 : UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$12,163,272
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$11,406,798
Total income from all sources (including contributions)2018-12-31$80,531,010
Total of all expenses incurred2018-12-31$79,415,732
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$77,006,081
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$77,227,340
Value of total assets at end of year2018-12-31$18,687,669
Value of total assets at beginning of year2018-12-31$16,815,917
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$2,409,651
Total interest from all sources2018-12-31$24,871
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$46,404
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$46,404
Administrative expenses professional fees incurred2018-12-31$596,522
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$1,190,828
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-12-31$3,115,128
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$5,330,425
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$4,388,560
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$194,284
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$65,355
Other income not declared elsewhere2018-12-31$3,295,108
Administrative expenses (other) incurred2018-12-31$1,798,129
Liabilities. Value of operating payables at end of year2018-12-31$226,267
Liabilities. Value of operating payables at beginning of year2018-12-31$160,767
Total non interest bearing cash at end of year2018-12-31$0
Total non interest bearing cash at beginning of year2018-12-31$7,646
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$1,115,278
Value of net assets at end of year (total assets less liabilities)2018-12-31$6,524,397
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$5,409,119
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$15,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$2,061,503
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$2,081,527
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$4,918,323
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$3,932,384
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$3,932,384
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$24,871
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$651,759
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-62,713
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$76,036,512
Employer contributions (assets) at end of year2018-12-31$6,266,333
Employer contributions (assets) at beginning of year2018-12-31$6,308,102
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$73,239,194
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Liabilities. Value of benefit claims payable at end of year2018-12-31$11,742,721
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$11,180,676
Assets. Value of buildings and other operty used in plan operation at end of year2018-12-31$111,085
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-12-31$97,698
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31PETER DECARLO C.P.A., PLLC
Accountancy firm EIN2018-12-31510545975
2017 : UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$11,406,798
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$12,962,704
Total income from all sources (including contributions)2017-12-31$79,076,191
Total loss/gain on sale of assets2017-12-31$-1,195
Total of all expenses incurred2017-12-31$80,906,603
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$78,305,014
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$74,702,138
Value of total assets at end of year2017-12-31$16,815,917
Value of total assets at beginning of year2017-12-31$20,202,235
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$2,601,589
Total interest from all sources2017-12-31$16,349
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$57,071
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$57,071
Administrative expenses professional fees incurred2017-12-31$451,760
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$1,747,438
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$84,437
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$3,330,629
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$4,388,560
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$3,445,289
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$65,355
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$5,767
Other income not declared elsewhere2017-12-31$4,285,728
Administrative expenses (other) incurred2017-12-31$2,129,706
Liabilities. Value of operating payables at end of year2017-12-31$160,767
Liabilities. Value of operating payables at beginning of year2017-12-31$136,082
Total non interest bearing cash at end of year2017-12-31$7,646
Total non interest bearing cash at beginning of year2017-12-31$16,099
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-1,830,412
Value of net assets at end of year (total assets less liabilities)2017-12-31$5,409,119
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$7,239,531
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$20,123
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$2,081,527
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$4,316,054
Interest earned on other investments2017-12-31$77
Income. Interest from corporate debt instruments2017-12-31$975
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$3,932,384
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$5,200,597
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$5,200,597
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$15,297
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$621,942
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$16,100
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$72,954,700
Employer contributions (assets) at end of year2017-12-31$6,308,102
Employer contributions (assets) at beginning of year2017-12-31$6,188,016
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$74,352,443
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$887,566
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Liabilities. Value of benefit claims payable at end of year2017-12-31$11,180,676
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$12,820,855
Assets. Value of buildings and other operty used in plan operation at end of year2017-12-31$97,698
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-12-31$64,177
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$970,808
Aggregate carrying amount (costs) on sale of assets2017-12-31$972,003
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31PETER DECARLO C.P.A., PLLC
Accountancy firm EIN2017-12-31510545975
2016 : UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$6,119
Total unrealized appreciation/depreciation of assets2016-12-31$6,119
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$12,962,704
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$12,466,985
Total income from all sources (including contributions)2016-12-31$72,707,364
Total loss/gain on sale of assets2016-12-31$-32,674
Total of all expenses incurred2016-12-31$82,018,420
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$78,996,564
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$71,157,046
Value of total assets at end of year2016-12-31$20,202,235
Value of total assets at beginning of year2016-12-31$29,017,572
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$3,021,856
Total interest from all sources2016-12-31$480,123
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$22,549
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$22,549
Administrative expenses professional fees incurred2016-12-31$369,053
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$2,950,177
Assets. Other investments not covered elsewhere at end of year2016-12-31$84,437
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$1,285,962
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$3,060,583
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$3,445,289
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$2,584,421
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$5,767
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$64,755
Other income not declared elsewhere2016-12-31$1,144,189
Administrative expenses (other) incurred2016-12-31$2,593,139
Liabilities. Value of operating payables at end of year2016-12-31$136,082
Liabilities. Value of operating payables at beginning of year2016-12-31$168,735
Total non interest bearing cash at end of year2016-12-31$16,099
Total non interest bearing cash at beginning of year2016-12-31$11,251
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-9,311,056
Value of net assets at end of year (total assets less liabilities)2016-12-31$7,239,531
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$16,550,587
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$59,664
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$4,316,054
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$395,844
Interest earned on other investments2016-12-31$29,005
Income. Interest from US Government securities2016-12-31$38,531
Income. Interest from corporate debt instruments2016-12-31$397,244
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$5,200,597
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$2,570,152
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$2,570,152
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$15,343
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$640,063
Asset value of US Government securities at beginning of year2016-12-31$1,666,305
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$-69,988
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$68,206,869
Employer contributions (assets) at end of year2016-12-31$6,188,016
Employer contributions (assets) at beginning of year2016-12-31$6,550,974
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$75,295,918
Asset. Corporate debt instrument preferred debt at beginning of year2016-12-31$1,108,011
Asset. Corporate debt instrument debt (other) at end of year2016-12-31$887,566
Asset. Corporate debt instrument debt (other) at beginning of year2016-12-31$12,800,028
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Liabilities. Value of benefit claims payable at end of year2016-12-31$12,820,855
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$12,233,495
Assets. Value of buildings and other operty used in plan operation at end of year2016-12-31$64,177
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-12-31$44,624
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$19,498,039
Aggregate carrying amount (costs) on sale of assets2016-12-31$19,530,713
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31PETER DECARLO C.P.A., PLLC
Accountancy firm EIN2016-12-31510545975
2015 : UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-523,084
Total unrealized appreciation/depreciation of assets2015-12-31$-523,084
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$12,466,985
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$17,571,998
Total income from all sources (including contributions)2015-12-31$72,163,674
Total loss/gain on sale of assets2015-12-31$-78,084
Total of all expenses incurred2015-12-31$78,352,340
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$74,731,157
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$71,899,420
Value of total assets at end of year2015-12-31$29,017,572
Value of total assets at beginning of year2015-12-31$40,311,251
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$3,621,183
Total interest from all sources2015-12-31$865,362
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$60
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$60
Administrative expenses professional fees incurred2015-12-31$345,593
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$2,788,801
Assets. Other investments not covered elsewhere at end of year2015-12-31$1,285,962
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$1,649,599
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$3,200,902
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$2,584,421
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$2,396,950
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$64,755
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$95,962
Administrative expenses (other) incurred2015-12-31$3,189,931
Liabilities. Value of operating payables at end of year2015-12-31$168,735
Liabilities. Value of operating payables at beginning of year2015-12-31$153,043
Total non interest bearing cash at end of year2015-12-31$11,251
Total non interest bearing cash at beginning of year2015-12-31$10,162
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-6,188,666
Value of net assets at end of year (total assets less liabilities)2015-12-31$16,550,587
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$22,739,253
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$85,659
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$395,844
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$382,806
Interest earned on other investments2015-12-31$50,834
Income. Interest from US Government securities2015-12-31$49,833
Income. Interest from corporate debt instruments2015-12-31$747,583
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$2,570,152
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$4,478,110
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$4,478,110
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$17,112
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$654,243
Asset value of US Government securities at end of year2015-12-31$1,666,305
Asset value of US Government securities at beginning of year2015-12-31$2,853,987
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$69,110,619
Employer contributions (assets) at end of year2015-12-31$6,550,974
Employer contributions (assets) at beginning of year2015-12-31$5,942,200
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$70,876,012
Asset. Corporate debt instrument preferred debt at end of year2015-12-31$1,108,011
Asset. Corporate debt instrument preferred debt at beginning of year2015-12-31$10,788,778
Asset. Corporate debt instrument debt (other) at end of year2015-12-31$12,800,028
Asset. Corporate debt instrument debt (other) at beginning of year2015-12-31$11,732,899
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Liabilities. Value of benefit claims payable at end of year2015-12-31$12,233,495
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$17,322,993
Assets. Value of buildings and other operty used in plan operation at end of year2015-12-31$44,624
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-12-31$75,760
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$14,157,207
Aggregate carrying amount (costs) on sale of assets2015-12-31$14,235,291
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31PETER DECARLO C.P.A., PLLC
Accountancy firm EIN2015-12-31510545975
2014 : UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$-268,202
Total unrealized appreciation/depreciation of assets2014-12-31$-268,202
Total transfer of assets from this plan2014-12-31$742,900
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$17,571,998
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$12,587,797
Total income from all sources (including contributions)2014-12-31$69,219,853
Total loss/gain on sale of assets2014-12-31$-94,447
Total of all expenses incurred2014-12-31$75,640,021
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$72,920,535
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$68,299,034
Value of total assets at end of year2014-12-31$40,311,251
Value of total assets at beginning of year2014-12-31$42,490,118
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$2,719,486
Total interest from all sources2014-12-31$1,263,500
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$383,910
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$2,243,536
Assets. Other investments not covered elsewhere at end of year2014-12-31$1,649,599
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$1,645,603
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$2,941,460
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$2,396,950
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$2,242,263
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$95,962
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$164,026
Other income not declared elsewhere2014-12-31$19,888
Administrative expenses (other) incurred2014-12-31$2,224,057
Liabilities. Value of operating payables at end of year2014-12-31$153,043
Liabilities. Value of operating payables at beginning of year2014-12-31$210,584
Total non interest bearing cash at end of year2014-12-31$10,162
Total non interest bearing cash at beginning of year2014-12-31$7,605
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-6,420,168
Value of net assets at end of year (total assets less liabilities)2014-12-31$22,739,253
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$29,902,321
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$111,519
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$382,806
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$740,015
Interest earned on other investments2014-12-31$55,675
Income. Interest from US Government securities2014-12-31$99,238
Income. Interest from corporate debt instruments2014-12-31$1,090,984
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$4,478,110
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$3,364,887
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$3,364,887
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$17,603
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$577,888
Asset value of US Government securities at end of year2014-12-31$2,853,987
Asset value of US Government securities at beginning of year2014-12-31$4,035,864
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$80
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$66,055,498
Employer contributions (assets) at end of year2014-12-31$5,942,200
Employer contributions (assets) at beginning of year2014-12-31$7,247,234
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$69,401,187
Asset. Corporate debt instrument preferred debt at end of year2014-12-31$10,788,778
Asset. Corporate debt instrument preferred debt at beginning of year2014-12-31$11,757,737
Asset. Corporate debt instrument debt (other) at end of year2014-12-31$11,732,899
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$11,404,702
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Liabilities. Value of benefit claims payable at end of year2014-12-31$17,322,993
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$12,213,187
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$75,760
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-12-31$44,208
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$12,352,122
Aggregate carrying amount (costs) on sale of assets2014-12-31$12,446,569
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31PETER DECARLO C.P.A., PLLC
Accountancy firm EIN2014-12-31510545975
2013 : UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-803,428
Total unrealized appreciation/depreciation of assets2013-12-31$-803,428
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$12,587,797
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$14,151,200
Total income from all sources (including contributions)2013-12-31$70,238,972
Total loss/gain on sale of assets2013-12-31$-71,094
Total of all expenses incurred2013-12-31$74,573,363
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$67,745,920
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$69,789,275
Value of total assets at end of year2013-12-31$42,490,118
Value of total assets at beginning of year2013-12-31$48,387,912
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$6,827,443
Total interest from all sources2013-12-31$1,266,283
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$490,239
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$2,488,535
Assets. Other investments not covered elsewhere at end of year2013-12-31$1,645,603
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$1,931,352
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$3,179,914
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$2,242,263
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$2,187,193
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$164,026
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$824,776
Other income not declared elsewhere2013-12-31$57,871
Administrative expenses (other) incurred2013-12-31$6,229,564
Liabilities. Value of operating payables at end of year2013-12-31$210,584
Liabilities. Value of operating payables at beginning of year2013-12-31$185,624
Total non interest bearing cash at end of year2013-12-31$7,605
Total non interest bearing cash at beginning of year2013-12-31$10,145
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-4,334,391
Value of net assets at end of year (total assets less liabilities)2013-12-31$29,902,321
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$34,236,712
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$107,640
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$740,015
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$1,406,144
Interest earned on other investments2013-12-31$63,767
Income. Interest from US Government securities2013-12-31$150,512
Income. Interest from corporate debt instruments2013-12-31$1,022,490
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$3,364,887
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$10,178,912
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$10,178,912
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$29,514
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$561,980
Asset value of US Government securities at end of year2013-12-31$4,035,864
Asset value of US Government securities at beginning of year2013-12-31$4,654,383
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$65
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$67,300,740
Employer contributions (assets) at end of year2013-12-31$7,247,234
Employer contributions (assets) at beginning of year2013-12-31$6,080,174
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$64,004,026
Asset. Corporate debt instrument preferred debt at end of year2013-12-31$11,757,737
Asset. Corporate debt instrument preferred debt at beginning of year2013-12-31$11,634,883
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$11,404,702
Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$10,292,022
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Liabilities. Value of benefit claims payable at end of year2013-12-31$12,213,187
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$13,140,800
Assets. Value of buildings and other operty used in plan operation at end of year2013-12-31$44,208
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-12-31$12,704
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$5,871,141
Aggregate carrying amount (costs) on sale of assets2013-12-31$5,942,235
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31PETER DECARLO C.P.A., PLLC
Accountancy firm EIN2013-12-31510545975
2012 : UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$-2,073,477
Total unrealized appreciation/depreciation of assets2012-12-31$-2,073,477
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$14,151,200
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$7,349,939
Total income from all sources (including contributions)2012-12-31$70,758,285
Total loss/gain on sale of assets2012-12-31$2,315,897
Total of all expenses incurred2012-12-31$64,232,814
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$61,795,528
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$66,991,089
Value of total assets at end of year2012-12-31$48,387,912
Value of total assets at beginning of year2012-12-31$35,061,180
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$2,437,286
Total interest from all sources2012-12-31$1,017,802
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$361,366
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$2,358,747
Assets. Other investments not covered elsewhere at end of year2012-12-31$1,931,352
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$2,114,036
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$2,960,359
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$2,187,193
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$1,673,002
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$824,776
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$88,552
Other income not declared elsewhere2012-12-31$2,506,850
Administrative expenses (other) incurred2012-12-31$1,992,302
Liabilities. Value of operating payables at end of year2012-12-31$185,624
Liabilities. Value of operating payables at beginning of year2012-12-31$203,586
Total non interest bearing cash at end of year2012-12-31$10,145
Total non interest bearing cash at beginning of year2012-12-31$18,170
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$6,525,471
Value of net assets at end of year (total assets less liabilities)2012-12-31$34,236,712
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$27,711,241
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$83,618
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$1,406,144
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$604,767
Interest earned on other investments2012-12-31$77,282
Income. Interest from US Government securities2012-12-31$211,055
Income. Interest from corporate debt instruments2012-12-31$677,605
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$10,178,912
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$4,860,949
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$4,860,949
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$51,860
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$555,389
Asset value of US Government securities at end of year2012-12-31$4,654,383
Asset value of US Government securities at beginning of year2012-12-31$7,575,965
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$124
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$64,632,342
Employer contributions (assets) at end of year2012-12-31$6,080,174
Employer contributions (assets) at beginning of year2012-12-31$4,342,929
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$58,279,780
Asset. Corporate debt instrument preferred debt at end of year2012-12-31$11,634,883
Asset. Corporate debt instrument preferred debt at beginning of year2012-12-31$9,893,099
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$10,292,022
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$3,952,467
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$13,140,800
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$7,057,801
Assets. Value of buildings and other operty used in plan operation at end of year2012-12-31$12,704
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-12-31$25,796
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$6,003,559
Aggregate carrying amount (costs) on sale of assets2012-12-31$3,687,662
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31PETER DECARLO, C.P.A. PLLC
Accountancy firm EIN2012-12-31510545975
2011 : UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$305,745
Total unrealized appreciation/depreciation of assets2011-12-31$305,745
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$7,349,939
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$10,481,266
Total income from all sources (including contributions)2011-12-31$66,340,644
Total loss/gain on sale of assets2011-12-31$211,725
Total of all expenses incurred2011-12-31$61,974,646
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$59,527,323
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$64,844,085
Value of total assets at end of year2011-12-31$35,061,180
Value of total assets at beginning of year2011-12-31$33,826,509
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$2,447,323
Total interest from all sources2011-12-31$951,209
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$371,756
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$2,047,812
Assets. Other investments not covered elsewhere at end of year2011-12-31$2,114,036
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$4,391,764
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$2,882,473
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$1,673,002
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$4,246,967
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$88,552
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$2,568,312
Other income not declared elsewhere2011-12-31$27,152
Administrative expenses (other) incurred2011-12-31$2,000,661
Liabilities. Value of operating payables at end of year2011-12-31$203,586
Liabilities. Value of operating payables at beginning of year2011-12-31$151,354
Total non interest bearing cash at end of year2011-12-31$18,170
Total non interest bearing cash at beginning of year2011-12-31$12,880
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$4,365,998
Value of net assets at end of year (total assets less liabilities)2011-12-31$27,711,241
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$23,345,243
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$74,906
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$604,767
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$751,089
Interest earned on other investments2011-12-31$67,259
Income. Interest from US Government securities2011-12-31$257,473
Income. Interest from corporate debt instruments2011-12-31$588,023
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$4,860,949
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$1,350,451
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$1,350,451
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$38,454
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$564,950
Asset value of US Government securities at end of year2011-12-31$7,575,965
Asset value of US Government securities at beginning of year2011-12-31$7,015,045
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$728
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$62,796,273
Employer contributions (assets) at end of year2011-12-31$4,342,929
Employer contributions (assets) at beginning of year2011-12-31$5,232,418
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$56,079,900
Asset. Corporate debt instrument preferred debt at end of year2011-12-31$9,893,099
Asset. Corporate debt instrument preferred debt at beginning of year2011-12-31$8,040,371
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$3,952,467
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$2,708,047
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$7,057,801
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$7,761,600
Assets. Value of buildings and other operty used in plan operation at end of year2011-12-31$25,796
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-12-31$77,477
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$7,133,230
Aggregate carrying amount (costs) on sale of assets2011-12-31$6,921,505
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31PETER DECARLO C.P.A., PLLC
Accountancy firm EIN2011-12-31510545975
2010 : UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$533,784
Total unrealized appreciation/depreciation of assets2010-12-31$533,784
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$10,481,266
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$18,513,253
Total income from all sources (including contributions)2010-12-31$66,563,544
Total loss/gain on sale of assets2010-12-31$220,538
Total of all expenses incurred2010-12-31$66,335,860
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$63,721,600
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$64,904,325
Value of total assets at end of year2010-12-31$33,826,509
Value of total assets at beginning of year2010-12-31$41,630,812
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$2,614,260
Total interest from all sources2010-12-31$883,926
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$381,684
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$2,204,352
Assets. Other investments not covered elsewhere at end of year2010-12-31$4,391,764
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$4,345,344
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$3,003,349
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$4,246,967
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$8,996,983
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$2,568,312
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$7,043,253
Other income not declared elsewhere2010-12-31$20,419
Administrative expenses (other) incurred2010-12-31$2,167,590
Liabilities. Value of operating payables at end of year2010-12-31$151,354
Liabilities. Value of operating payables at beginning of year2010-12-31$147,433
Total non interest bearing cash at end of year2010-12-31$12,880
Total non interest bearing cash at beginning of year2010-12-31$16,232
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$227,684
Value of net assets at end of year (total assets less liabilities)2010-12-31$23,345,243
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$23,117,559
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$64,986
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$751,089
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$211,436
Interest earned on other investments2010-12-31$48,731
Income. Interest from US Government securities2010-12-31$250,653
Income. Interest from corporate debt instruments2010-12-31$558,665
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$1,350,451
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$3,974,857
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$3,974,857
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$25,877
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$600,029
Asset value of US Government securities at end of year2010-12-31$7,015,045
Asset value of US Government securities at beginning of year2010-12-31$7,641,494
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$552
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$62,699,973
Employer contributions (assets) at end of year2010-12-31$5,232,418
Employer contributions (assets) at beginning of year2010-12-31$5,364,387
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$60,118,222
Asset. Corporate debt instrument preferred debt at end of year2010-12-31$8,040,371
Asset. Corporate debt instrument preferred debt at beginning of year2010-12-31$8,192,563
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$2,708,047
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$2,729,994
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$7,761,600
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$11,322,567
Assets. Value of buildings and other operty used in plan operation at end of year2010-12-31$77,477
Assets. Value of buildings and other operty used in plan operation at beginning of year2010-12-31$157,522
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$4,878,184
Aggregate carrying amount (costs) on sale of assets2010-12-31$4,657,646
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31PETER DECARLO C.P.A., PLLC
Accountancy firm EIN2010-12-31510545975

Form 5500 Responses for UFCW LOCAL ONE ACTIVE HEALTH CARE FUND

2022: UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Submission has been amendedYes
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2010 form 5500 responses
2010-01-01Type of plan entityMulti-employer plan
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: UFCW LOCAL ONE ACTIVE HEALTH CARE FUND 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0211769
Policy instance 1
Insurance contract or identification number0211769
Number of Individuals Covered10791
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $24,518
Total amount of fees paid to insurance companyUSD $6,706
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $488,783
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,497
Amount paid for insurance broker fees6706
Additional information about fees paid to insurance brokerBASE COMMISSIONS AND SUPPLEMENTAL COMPENSATION.
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0211769
Policy instance 1
Insurance contract or identification number0211769
Number of Individuals Covered11319
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $28,000
Total amount of fees paid to insurance companyUSD $5,848
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $506,611
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,311
Amount paid for insurance broker fees5848
Additional information about fees paid to insurance brokerBASE COMMISSIONS AND SUPPLEMENTAL COMPENSATION.
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0211769
Policy instance 1
Insurance contract or identification number0211769
Number of Individuals Covered12365
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $29,518
Total amount of fees paid to insurance companyUSD $18,471
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $584,731
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,518
Amount paid for insurance broker fees18471
Additional information about fees paid to insurance brokerBASE COMMISSIONS, AND SUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0211769
Policy instance 1
Insurance contract or identification number0211769
Number of Individuals Covered12902
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $28,400
Total amount of fees paid to insurance companyUSD $-3,697
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $615,700
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,400
Amount paid for insurance broker fees-3697
Additional information about fees paid to insurance brokerBASE COMMISSIONS, AND NON-MONETARY/SUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0211769
Policy instance 2
Insurance contract or identification number0211769
Number of Individuals Covered13881
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $30,039
Total amount of fees paid to insurance companyUSD $6,037
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $653,618
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,039
Amount paid for insurance broker fees6037
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number398452G
Policy instance 1
Insurance contract or identification number398452G
Number of Individuals Covered13291
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $23,162
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $463,234
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,162
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number398452G
Policy instance 1
Insurance contract or identification number398452G
Number of Individuals Covered14026
Insurance policy start date2016-05-01
Insurance policy end date2017-04-30
Total amount of commissions paid to insurance brokerUSD $34,545
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $690,653
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,545
Insurance broker organization code?3
Insurance broker nameLAWLEY BENEFITS GROUP LLC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number398452G
Policy instance 1
Insurance contract or identification number398452G
Number of Individuals Covered15344
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Total amount of commissions paid to insurance brokerUSD $29,520
Total amount of fees paid to insurance companyUSD $8,116
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $589,773
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,520
Amount paid for insurance broker fees8116
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameLAWLEY BENEFITS GROUP LLC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number398452G
Policy instance 1
Insurance contract or identification number398452G
Number of Individuals Covered15049
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $28,255
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $565,027
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,255
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameLAWLEY BENEFITS GROUP LLC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number398452G
Policy instance 1
Insurance contract or identification number398452G
Number of Individuals Covered14839
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $27,837
Total amount of fees paid to insurance companyUSD $5,058
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $555,987
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,837
Amount paid for insurance broker fees5058
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameLAWLEY BENEFITS GROUP LLC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number398452G
Policy instance 1
Insurance contract or identification number398452G
Number of Individuals Covered15176
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $28,149
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $562,338
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,149
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameLAWLEY BENEFITS GROUP LLC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number398452G
Policy instance 1
Insurance contract or identification number398452G
Number of Individuals Covered15309
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $26,465
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $529,317
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0122541
Policy instance 1
Insurance contract or identification number0122541
Number of Individuals Covered17985
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $212,759
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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