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EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 401k Plan overview

Plan NameEMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC
Plan identification number 501

EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Apprenticeship and training
  • Other welfare benefit cover

401k Sponsoring company profile

BOTHAR CONSTRUCTION, LLC has sponsored the creation of one or more 401k plans.

Company Name:BOTHAR CONSTRUCTION, LLC
Employer identification number (EIN):161570429
NAIC Classification:236200

Additional information about BOTHAR CONSTRUCTION, LLC

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1999-07-02
Company Identification Number: 2394958
Legal Registered Office Address: 170
Broome
Binghamton
United States of America (USA)
13901

More information about BOTHAR CONSTRUCTION, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC

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
5012018-01-01MICHELLE WOLBERT MICHELLE WOLBERT2019-07-11
5012017-01-01MICHELLE WOLBERT MICHELLE WOLBERT2018-08-31
5012016-01-01MICHELLE WOLBERT MICHELLE WOLBERT2017-07-14
5012015-01-01MICHELLE WOLBERT MICHELLE WOLBERT2016-06-27
5012014-01-01MICHELLE WOLBERT MICHELLE WOLBERT2015-07-29
5012013-01-01MICHELLE WOLBERT MICHELLE WOLBERT2014-05-14
5012012-01-01TIMOTHY MIECZKOWSKI TIMOTHY MIECZKOWSKI2013-07-25
5012011-01-01TIMOTHY MIECZKOWSKI TIMOTHY MIECZKOWSKI2012-07-03
5012010-01-01TIMOTHY MIECZKOWSKI TIMOTHY MIECZKOWSKI2011-10-03

Plan Statistics for EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC

401k plan membership statisitcs for EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC

Measure Date Value
2022: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2022 401k membership
Total participants, beginning-of-year2022-01-0179
Total number of active participants reported on line 7a of the Form 55002022-01-0188
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-0188
2021: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2021 401k membership
Total participants, beginning-of-year2021-01-0182
Total number of active participants reported on line 7a of the Form 55002021-01-0179
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 participants2021-01-0179
2020: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2020 401k membership
Total participants, beginning-of-year2020-01-0178
Total number of active participants reported on line 7a of the Form 55002020-01-0182
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 participants2020-01-0182
2019: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2019 401k membership
Total participants, beginning-of-year2019-01-0172
Total number of active participants reported on line 7a of the Form 55002019-01-0178
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 participants2019-01-0178
2018: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2018 401k membership
Total participants, beginning-of-year2018-01-0168
Total number of active participants reported on line 7a of the Form 55002018-01-0172
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 participants2018-01-0172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
2017: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2017 401k membership
Total participants, beginning-of-year2017-01-0158
Total number of active participants reported on line 7a of the Form 55002017-01-0168
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 participants2017-01-0168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
2016: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2016 401k membership
Total participants, beginning-of-year2016-01-0158
Total number of active participants reported on line 7a of the Form 55002016-01-0158
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 participants2016-01-0158
2015: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2015 401k membership
Total participants, beginning-of-year2015-01-0148
Total number of active participants reported on line 7a of the Form 55002015-01-0155
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 participants2015-01-0155
2014: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2014 401k membership
Total participants, beginning-of-year2014-01-0142
Total number of active participants reported on line 7a of the Form 55002014-01-0148
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 participants2014-01-0148
2013: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2013 401k membership
Total participants, beginning-of-year2013-01-0149
Total number of active participants reported on line 7a of the Form 55002013-01-0142
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-0142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0142
2012: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2012 401k membership
Total participants, beginning-of-year2012-01-0154
Total number of active participants reported on line 7a of the Form 55002012-01-0149
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-0149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0149
2011: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2011 401k membership
Total participants, beginning-of-year2011-01-0127
Total number of active participants reported on line 7a of the Form 55002011-01-0154
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-0154
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0154
2010: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2010 401k membership
Total participants, beginning-of-year2010-01-0127
Total number of active participants reported on line 7a of the Form 55002010-01-0127
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-0127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0127

Financial Data on EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC

Measure Date Value
2022 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2022 401k financial data
Transfers to/from the plan2022-12-31$-1,319,527
Total income from all sources2022-12-31$2,619,974
Expenses. Total of all expenses incurred2022-12-31$1,062,273
Benefits paid (including direct rollovers)2022-12-31$943,670
Total plan assets at end of year2022-12-31$2,328,385
Total plan assets at beginning of year2022-12-31$2,090,211
Value of fidelity bond covering the plan2022-12-31$155,000
Expenses. Other expenses not covered elsewhere2022-12-31$118,603
Other income received2022-12-31$21,264
Net income (gross income less expenses)2022-12-31$1,557,701
Net plan assets at end of year (total assets less liabilities)2022-12-31$2,328,385
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$2,090,211
Total contributions received or receivable from employer(s)2022-12-31$2,598,710
2021 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2021 401k financial data
Transfers to/from the plan2021-12-31$-1,142,549
Total income from all sources2021-12-31$2,346,248
Expenses. Total of all expenses incurred2021-12-31$954,165
Benefits paid (including direct rollovers)2021-12-31$847,758
Total plan assets at end of year2021-12-31$2,090,211
Total plan assets at beginning of year2021-12-31$1,840,677
Value of fidelity bond covering the plan2021-12-31$155,000
Expenses. Other expenses not covered elsewhere2021-12-31$106,407
Other income received2021-12-31$5,500
Net income (gross income less expenses)2021-12-31$1,392,083
Net plan assets at end of year (total assets less liabilities)2021-12-31$2,090,211
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$1,840,677
Total contributions received or receivable from employer(s)2021-12-31$2,340,748
2020 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2020 401k financial data
Transfers to/from the plan2020-12-31$-1,108,368
Total income from all sources2020-12-31$2,440,219
Expenses. Total of all expenses incurred2020-12-31$1,040,379
Benefits paid (including direct rollovers)2020-12-31$942,854
Total plan assets at end of year2020-12-31$1,840,677
Total plan assets at beginning of year2020-12-31$1,549,205
Value of fidelity bond covering the plan2020-12-31$155,000
Expenses. Other expenses not covered elsewhere2020-12-31$97,525
Other income received2020-12-31$10,106
Net income (gross income less expenses)2020-12-31$1,399,840
Net plan assets at end of year (total assets less liabilities)2020-12-31$1,840,677
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$1,549,205
Total contributions received or receivable from employer(s)2020-12-31$2,430,113
2019 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2019 401k financial data
Transfers to/from the plan2019-12-31$-882,878
Total income from all sources2019-12-31$1,980,217
Expenses. Total of all expenses incurred2019-12-31$979,086
Benefits paid (including direct rollovers)2019-12-31$873,569
Total plan assets at end of year2019-12-31$1,549,205
Total plan assets at beginning of year2019-12-31$1,430,952
Value of fidelity bond covering the plan2019-12-31$120,000
Expenses. Other expenses not covered elsewhere2019-12-31$105,517
Other income received2019-12-31$17,326
Net income (gross income less expenses)2019-12-31$1,001,131
Net plan assets at end of year (total assets less liabilities)2019-12-31$1,549,205
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,430,952
Total contributions received or receivable from employer(s)2019-12-31$1,962,891
2018 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2018 401k financial data
Transfers to/from the plan2018-12-31$-643,552
Total income from all sources2018-12-31$1,883,697
Expenses. Total of all expenses incurred2018-12-31$1,282,714
Benefits paid (including direct rollovers)2018-12-31$1,197,312
Total plan assets at end of year2018-12-31$1,430,952
Total plan assets at beginning of year2018-12-31$1,473,521
Value of fidelity bond covering the plan2018-12-31$120,000
Expenses. Other expenses not covered elsewhere2018-12-31$85,402
Other income received2018-12-31$13,782
Net income (gross income less expenses)2018-12-31$600,983
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,430,952
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,473,521
Total contributions received or receivable from employer(s)2018-12-31$1,869,915
2017 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2017 401k financial data
Transfers to/from the plan2017-12-31$-501,817
Total income from all sources2017-12-31$1,860,745
Expenses. Total of all expenses incurred2017-12-31$1,041,824
Benefits paid (including direct rollovers)2017-12-31$972,332
Total plan assets at end of year2017-12-31$1,473,521
Total plan assets at beginning of year2017-12-31$1,156,417
Value of fidelity bond covering the plan2017-12-31$120,000
Expenses. Other expenses not covered elsewhere2017-12-31$69,492
Other income received2017-12-31$8,207
Net income (gross income less expenses)2017-12-31$818,921
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,473,521
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,156,417
Total contributions received or receivable from employer(s)2017-12-31$1,852,538
2016 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2016 401k financial data
Transfers to/from the plan2016-12-31$-461,738
Total income from all sources2016-12-31$1,805,866
Expenses. Total of all expenses incurred2016-12-31$812,814
Benefits paid (including direct rollovers)2016-12-31$758,623
Total plan assets at end of year2016-12-31$1,156,417
Total plan assets at beginning of year2016-12-31$625,103
Value of fidelity bond covering the plan2016-12-31$15,000
Expenses. Other expenses not covered elsewhere2016-12-31$54,191
Other income received2016-12-31$1,668
Net income (gross income less expenses)2016-12-31$993,052
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,156,417
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$625,103
Total contributions received or receivable from employer(s)2016-12-31$1,804,198
2015 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2015 401k financial data
Transfers to/from the plan2015-12-31$-942,205
Total income from all sources2015-12-31$1,359,729
Expenses. Total of all expenses incurred2015-12-31$397,289
Benefits paid (including direct rollovers)2015-12-31$347,539
Total plan assets at end of year2015-12-31$625,103
Total plan assets at beginning of year2015-12-31$604,868
Value of fidelity bond covering the plan2015-12-31$15,000
Expenses. Other expenses not covered elsewhere2015-12-31$49,750
Other income received2015-12-31$103
Net income (gross income less expenses)2015-12-31$962,440
Net plan assets at end of year (total assets less liabilities)2015-12-31$625,103
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$604,868
Total contributions received or receivable from employer(s)2015-12-31$1,359,626
2014 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2014 401k financial data
Transfers to/from the plan2014-12-31$-748,982
Total income from all sources2014-12-31$1,183,402
Expenses. Total of all expenses incurred2014-12-31$448,585
Benefits paid (including direct rollovers)2014-12-31$414,884
Total plan assets at end of year2014-12-31$604,868
Total plan assets at beginning of year2014-12-31$619,033
Value of fidelity bond covering the plan2014-12-31$15,000
Expenses. Other expenses not covered elsewhere2014-12-31$33,701
Other income received2014-12-31$60
Net income (gross income less expenses)2014-12-31$734,817
Net plan assets at end of year (total assets less liabilities)2014-12-31$604,868
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$619,033
Total contributions received or receivable from employer(s)2014-12-31$1,183,342
2013 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2013 401k financial data
Transfers to/from the plan2013-12-31$-472,488
Total income from all sources2013-12-31$1,068,563
Expenses. Total of all expenses incurred2013-12-31$396,359
Benefits paid (including direct rollovers)2013-12-31$369,833
Total plan assets at end of year2013-12-31$619,033
Total plan assets at beginning of year2013-12-31$419,317
Value of fidelity bond covering the plan2013-12-31$15,000
Expenses. Other expenses not covered elsewhere2013-12-31$26,526
Other income received2013-12-31$52
Net income (gross income less expenses)2013-12-31$672,204
Net plan assets at end of year (total assets less liabilities)2013-12-31$619,033
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$419,317
Total contributions received or receivable from employer(s)2013-12-31$1,068,511
2012 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2012 401k financial data
Transfers to/from the plan2012-12-31$-764,684
Total income from all sources2012-12-31$1,026,348
Expenses. Total of all expenses incurred2012-12-31$417,161
Benefits paid (including direct rollovers)2012-12-31$389,097
Total plan assets at end of year2012-12-31$419,317
Total plan assets at beginning of year2012-12-31$574,814
Value of fidelity bond covering the plan2012-12-31$15,000
Expenses. Other expenses not covered elsewhere2012-12-31$28,064
Other income received2012-12-31$160
Net income (gross income less expenses)2012-12-31$609,187
Net plan assets at end of year (total assets less liabilities)2012-12-31$419,317
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$574,814
Total contributions received or receivable from employer(s)2012-12-31$1,026,188
2011 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2011 401k financial data
Transfers to/from the plan2011-12-31$-541,667
Total income from all sources2011-12-31$1,006,309
Expenses. Total of all expenses incurred2011-12-31$489,254
Benefits paid (including direct rollovers)2011-12-31$475,285
Total plan assets at end of year2011-12-31$574,814
Total plan assets at beginning of year2011-12-31$599,426
Value of fidelity bond covering the plan2011-12-31$15,000
Expenses. Other expenses not covered elsewhere2011-12-31$13,969
Other income received2011-12-31$626
Net income (gross income less expenses)2011-12-31$517,055
Net plan assets at end of year (total assets less liabilities)2011-12-31$574,814
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$599,426
Total contributions received or receivable from employer(s)2011-12-31$1,005,683
2010 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2010 401k financial data
Total income from all sources2010-12-31$801,744
Expenses. Total of all expenses incurred2010-12-31$202,318
Benefits paid (including direct rollovers)2010-12-31$202,163
Total plan assets at end of year2010-12-31$599,426
Total plan assets at beginning of year2010-12-31$0
Value of fidelity bond covering the plan2010-12-31$15,000
Expenses. Other expenses not covered elsewhere2010-12-31$155
Other income received2010-12-31$198
Net income (gross income less expenses)2010-12-31$599,426
Net plan assets at end of year (total assets less liabilities)2010-12-31$599,426
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$0
Total contributions received or receivable from employer(s)2010-12-31$801,546

Form 5500 Responses for EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC

2022: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF BOTHAR CONSTRUCTION, LLC 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01First time form 5500 has been submittedYes
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered79
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD & D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $15,065
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered82
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD & D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $14,415
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered78
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD & D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $14,486
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered78
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD & D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $13,334
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered72
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD & D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $12,250
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered68
Insurance policy start date2016-10-01
Insurance policy end date2017-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD & D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $11,463
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered55
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD & D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $10,089
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered48
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD & D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $11,209
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered49
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD & D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $9,333
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered49
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD & D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $9,547
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered54
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $11,636
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered27
Insurance policy start date2009-10-01
Insurance policy end date2010-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $5,063

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