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LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 401k Plan overview

Plan NameLOCAL 108 HEALTH EXPENSE BENEFITS PLAN
Plan identification number 501

LOCAL 108 HEALTH EXPENSE BENEFITS PLAN Benefits

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

401k Sponsoring company profile

RETAIL WHOLESALE DEPARTMENT STORE UNION LOCAL 108 has sponsored the creation of one or more 401k plans.

Company Name:RETAIL WHOLESALE DEPARTMENT STORE UNION LOCAL 108
Employer identification number (EIN):221171648
NAIC Classification:448190
NAIC Description:Other Clothing Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LOCAL 108 HEALTH EXPENSE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-08-01CHARLES N HALL JR2023-05-04
5012020-08-01CHARLES N HALL JR2022-05-04
5012019-08-01CHARLES N HALL JR2021-05-12
5012018-08-01CHARLES N HALL JR2020-07-14
5012017-08-01CHARLES HALL JR.2019-09-29
5012016-08-01CHARLES HALL JR.2019-09-30
5012015-08-01CHARLES HALL JR.2019-09-30
5012014-08-01CHARLES HALL JR.2019-09-29
5012013-08-01CHARLES HALL
5012013-08-01
5012012-08-01CHARLES HALL
5012012-08-01
5012011-08-01CHARLES HALL
5012011-08-01
5012010-08-01CHARLES HALL
5012010-08-01
5012009-08-01BARBARA OTTEN

Plan Statistics for LOCAL 108 HEALTH EXPENSE BENEFITS PLAN

401k plan membership statisitcs for LOCAL 108 HEALTH EXPENSE BENEFITS PLAN

Measure Date Value
2021: LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-08-01261
Total number of active participants reported on line 7a of the Form 55002021-08-01200
Total of all active and inactive participants2021-08-01200
Number of employers contributing to the scheme2021-08-0129
2020: LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-08-01259
Total number of active participants reported on line 7a of the Form 55002020-08-01260
Number of retired or separated participants receiving benefits2020-08-011
Total of all active and inactive participants2020-08-01261
Number of employers contributing to the scheme2020-08-0130
2019: LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-08-01376
Total number of active participants reported on line 7a of the Form 55002019-08-01258
Number of retired or separated participants receiving benefits2019-08-011
Total of all active and inactive participants2019-08-01259
Number of employers contributing to the scheme2019-08-0137
2018: LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year2018-08-01423
Total number of active participants reported on line 7a of the Form 55002018-08-01376
Total of all active and inactive participants2018-08-01376
Number of employers contributing to the scheme2018-08-0144
2017: LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-08-01472
Total number of active participants reported on line 7a of the Form 55002017-08-01423
Total of all active and inactive participants2017-08-01423
2016: LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-08-01510
Total number of active participants reported on line 7a of the Form 55002016-08-01472
Number of retired or separated participants receiving benefits2016-08-010
Number of other retired or separated participants entitled to future benefits2016-08-010
Total of all active and inactive participants2016-08-01472
2015: LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-08-01515
Total number of active participants reported on line 7a of the Form 55002015-08-01510
Number of retired or separated participants receiving benefits2015-08-010
Number of other retired or separated participants entitled to future benefits2015-08-010
Total of all active and inactive participants2015-08-01510
2014: LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-08-01572
Total number of active participants reported on line 7a of the Form 55002014-08-01515
Number of retired or separated participants receiving benefits2014-08-010
Number of other retired or separated participants entitled to future benefits2014-08-010
Total of all active and inactive participants2014-08-01515
2013: LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year2013-08-01731
Total number of active participants reported on line 7a of the Form 55002013-08-01567
Number of retired or separated participants receiving benefits2013-08-015
Total of all active and inactive participants2013-08-01572
2012: LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year2012-08-01667
Total number of active participants reported on line 7a of the Form 55002012-08-01667
Total of all active and inactive participants2012-08-01667
2011: LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year2011-08-011,009
Total number of active participants reported on line 7a of the Form 55002011-08-01724
Total of all active and inactive participants2011-08-01724
Total participants2011-08-01724
2010: LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year2010-08-011,009
Total number of active participants reported on line 7a of the Form 55002010-08-011,009
Total of all active and inactive participants2010-08-011,009
2009: LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year2009-08-010
Total of all active and inactive participants2009-08-010

Financial Data on LOCAL 108 HEALTH EXPENSE BENEFITS PLAN

Measure Date Value
2022 : LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-07-31$-851,857
Total unrealized appreciation/depreciation of assets2022-07-31$-851,857
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-07-31$705,187
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-07-31$3,108,183
Total income from all sources (including contributions)2022-07-31$1,872,142
Total loss/gain on sale of assets2022-07-31$214,894
Total of all expenses incurred2022-07-31$585,416
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-07-31$201,575
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-07-31$2,431,619
Value of total assets at end of year2022-07-31$11,712,343
Value of total assets at beginning of year2022-07-31$12,828,613
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-07-31$383,841
Total interest from all sources2022-07-31$149,946
Total dividends received (eg from common stock, registered investment company shares)2022-07-31$75,419
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-07-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-07-31$33,665
Administrative expenses professional fees incurred2022-07-31$83,724
Was this plan covered by a fidelity bond2022-07-31Yes
Value of fidelity bond cover2022-07-31$1,600,000
If this is an individual account plan, was there a blackout period2022-07-31No
Were there any nonexempt tranactions with any party-in-interest2022-07-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-07-31$70,496
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-07-31$475,983
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-07-31$372,581
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-07-31$51,445
Administrative expenses (other) incurred2022-07-31$233,498
Liabilities. Value of operating payables at end of year2022-07-31$54,192
Liabilities. Value of operating payables at beginning of year2022-07-31$38,710
Total non interest bearing cash at end of year2022-07-31$350,950
Total non interest bearing cash at beginning of year2022-07-31$1,282,579
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-07-31No
Value of net income/loss2022-07-31$1,286,726
Value of net assets at end of year (total assets less liabilities)2022-07-31$11,007,156
Value of net assets at beginning of year (total assets less liabilities)2022-07-31$9,720,430
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-07-31No
Were any leases to which the plan was party in default or uncollectible2022-07-31No
Investment advisory and management fees2022-07-31$66,619
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-07-31$846,344
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-07-31$956,050
Income. Interest from US Government securities2022-07-31$148,467
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-07-31$859,380
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-07-31$136,970
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-07-31$136,970
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-07-31$1,479
Expenses. Payments to insurance carriers foe the provision of benefits2022-07-31$360,218
Asset value of US Government securities at end of year2022-07-31$5,523,037
Asset value of US Government securities at beginning of year2022-07-31$5,682,212
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-07-31$-147,879
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-07-31No
Was there a failure to transmit to the plan any participant contributions2022-07-31No
Has the plan failed to provide any benefit when due under the plan2022-07-31No
Contributions received in cash from employer2022-07-31$2,431,619
Employer contributions (assets) at end of year2022-07-31$633,147
Employer contributions (assets) at beginning of year2022-07-31$519,422
Income. Dividends from common stock2022-07-31$41,754
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-07-31$-158,643
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-07-31No
Assets. Corporate common stocks other than exployer securities at end of year2022-07-31$3,340,544
Assets. Corporate common stocks other than exployer securities at beginning of year2022-07-31$3,686,952
Liabilities. Value of benefit claims payable at end of year2022-07-31$278,414
Liabilities. Value of benefit claims payable at beginning of year2022-07-31$3,018,028
Assets. Value of buildings and other operty used in plan operation at end of year2022-07-31$88,445
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-07-31$88,445
Did the plan have assets held for investment2022-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-07-31No
Aggregate proceeds on sale of assets2022-07-31$10,257,564
Aggregate carrying amount (costs) on sale of assets2022-07-31$10,042,670
Opinion of an independent qualified public accountant for this plan2022-07-31Unqualified
Accountancy firm name2022-07-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2022-07-31611436956
2021 : LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-07-31$551,787
Total unrealized appreciation/depreciation of assets2021-07-31$551,787
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-07-31$3,108,183
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-07-31$3,335,925
Total income from all sources (including contributions)2021-07-31$3,606,061
Total loss/gain on sale of assets2021-07-31$523,466
Total of all expenses incurred2021-07-31$3,152,602
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-07-31$2,851,403
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-07-31$2,253,324
Value of total assets at end of year2021-07-31$12,828,613
Value of total assets at beginning of year2021-07-31$12,602,896
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-07-31$301,199
Total interest from all sources2021-07-31$189,684
Total dividends received (eg from common stock, registered investment company shares)2021-07-31$87,362
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-07-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-07-31$46,120
Administrative expenses professional fees incurred2021-07-31$48,390
Was this plan covered by a fidelity bond2021-07-31Yes
Value of fidelity bond cover2021-07-31$1,600,000
If this is an individual account plan, was there a blackout period2021-07-31No
Were there any nonexempt tranactions with any party-in-interest2021-07-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-07-31$475,983
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-07-31$241,475
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-07-31$51,445
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-07-31$106,803
Other income not declared elsewhere2021-07-31$15,775
Administrative expenses (other) incurred2021-07-31$187,269
Liabilities. Value of operating payables at end of year2021-07-31$38,710
Liabilities. Value of operating payables at beginning of year2021-07-31$88,052
Total non interest bearing cash at end of year2021-07-31$1,282,579
Total non interest bearing cash at beginning of year2021-07-31$643,076
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-07-31No
Value of net income/loss2021-07-31$453,459
Value of net assets at end of year (total assets less liabilities)2021-07-31$9,720,430
Value of net assets at beginning of year (total assets less liabilities)2021-07-31$9,266,971
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-07-31Yes
Were any loans by the plan or fixed income obligations due to the plan in default2021-07-31No
Were any leases to which the plan was party in default or uncollectible2021-07-31No
Investment advisory and management fees2021-07-31$65,540
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-07-31$956,050
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-07-31$970,536
Interest earned on other investments2021-07-31$29
Income. Interest from US Government securities2021-07-31$159,375
Income. Interest from corporate debt instruments2021-07-31$30,246
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-07-31$136,970
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-07-31$416,675
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-07-31$416,675
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-07-31$34
Expenses. Payments to insurance carriers foe the provision of benefits2021-07-31$440,786
Asset value of US Government securities at end of year2021-07-31$5,682,212
Asset value of US Government securities at beginning of year2021-07-31$6,846,759
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-07-31$-15,337
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-07-31No
Was there a failure to transmit to the plan any participant contributions2021-07-31No
Has the plan failed to provide any benefit when due under the plan2021-07-31No
Contributions received in cash from employer2021-07-31$2,253,324
Employer contributions (assets) at end of year2021-07-31$519,422
Employer contributions (assets) at beginning of year2021-07-31$241,786
Income. Dividends from common stock2021-07-31$41,242
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-07-31$2,410,617
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-07-31No
Assets. Corporate common stocks other than exployer securities at end of year2021-07-31$3,686,952
Assets. Corporate common stocks other than exployer securities at beginning of year2021-07-31$3,159,570
Liabilities. Value of benefit claims payable at end of year2021-07-31$3,018,028
Liabilities. Value of benefit claims payable at beginning of year2021-07-31$3,141,070
Assets. Value of buildings and other operty used in plan operation at end of year2021-07-31$88,445
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-07-31$83,019
Did the plan have assets held for investment2021-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-07-31No
Aggregate proceeds on sale of assets2021-07-31$12,731,312
Aggregate carrying amount (costs) on sale of assets2021-07-31$12,207,846
Opinion of an independent qualified public accountant for this plan2021-07-31Unqualified
Accountancy firm name2021-07-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2021-07-31611436956
2020 : LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-07-31$392,213
Total unrealized appreciation/depreciation of assets2020-07-31$392,213
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-07-31$3,335,925
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-07-31$975,497
Total income from all sources (including contributions)2020-07-31$3,046,023
Total loss/gain on sale of assets2020-07-31$45,640
Total of all expenses incurred2020-07-31$5,738,041
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-07-31$5,354,824
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-07-31$2,258,731
Value of total assets at end of year2020-07-31$12,602,896
Value of total assets at beginning of year2020-07-31$12,934,486
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-07-31$383,217
Total interest from all sources2020-07-31$227,074
Total dividends received (eg from common stock, registered investment company shares)2020-07-31$74,021
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-07-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-07-31$32,980
Administrative expenses professional fees incurred2020-07-31$113,640
Was this plan covered by a fidelity bond2020-07-31Yes
Value of fidelity bond cover2020-07-31$1,600,000
If this is an individual account plan, was there a blackout period2020-07-31No
Were there any nonexempt tranactions with any party-in-interest2020-07-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-07-31$241,475
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-07-31$117,637
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-07-31$106,803
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-07-31$438,222
Administrative expenses (other) incurred2020-07-31$197,312
Liabilities. Value of operating payables at end of year2020-07-31$88,052
Liabilities. Value of operating payables at beginning of year2020-07-31$193,740
Total non interest bearing cash at end of year2020-07-31$643,076
Total non interest bearing cash at beginning of year2020-07-31$582,863
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-07-31No
Value of net income/loss2020-07-31$-2,692,018
Value of net assets at end of year (total assets less liabilities)2020-07-31$9,266,971
Value of net assets at beginning of year (total assets less liabilities)2020-07-31$11,958,989
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-07-31No
Were any leases to which the plan was party in default or uncollectible2020-07-31No
Investment advisory and management fees2020-07-31$72,265
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-07-31$970,536
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-07-31$868,183
Income. Interest from US Government securities2020-07-31$195,673
Income. Interest from corporate debt instruments2020-07-31$29,945
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-07-31$416,675
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-07-31$583,365
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-07-31$583,365
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-07-31$1,456
Expenses. Payments to insurance carriers foe the provision of benefits2020-07-31$276,369
Asset value of US Government securities at end of year2020-07-31$6,846,759
Asset value of US Government securities at beginning of year2020-07-31$7,580,654
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-07-31$48,344
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-07-31Yes
Was there a failure to transmit to the plan any participant contributions2020-07-31No
Has the plan failed to provide any benefit when due under the plan2020-07-31No
Contributions received in cash from employer2020-07-31$2,258,731
Employer contributions (assets) at end of year2020-07-31$241,786
Employer contributions (assets) at beginning of year2020-07-31$159,215
Income. Dividends from common stock2020-07-31$41,041
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-07-31$5,078,455
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-07-31No
Assets. Corporate common stocks other than exployer securities at end of year2020-07-31$3,159,570
Assets. Corporate common stocks other than exployer securities at beginning of year2020-07-31$2,959,550
Liabilities. Value of benefit claims payable at end of year2020-07-31$3,141,070
Liabilities. Value of benefit claims payable at beginning of year2020-07-31$343,535
Assets. Value of buildings and other operty used in plan operation at end of year2020-07-31$83,019
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-07-31$83,019
Did the plan have assets held for investment2020-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-07-31No
Aggregate proceeds on sale of assets2020-07-31$13,943,055
Aggregate carrying amount (costs) on sale of assets2020-07-31$13,897,415
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-07-31No
Opinion of an independent qualified public accountant for this plan2020-07-31Unqualified
Accountancy firm name2020-07-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2020-07-31611436956
2019 : LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-07-31$226,842
Total unrealized appreciation/depreciation of assets2019-07-31$226,842
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-07-31$975,497
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-07-31$504,041
Total income from all sources (including contributions)2019-07-31$3,614,719
Total loss/gain on sale of assets2019-07-31$73,330
Total of all expenses incurred2019-07-31$2,864,610
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-07-31$2,312,351
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-07-31$2,872,631
Value of total assets at end of year2019-07-31$12,934,486
Value of total assets at beginning of year2019-07-31$11,712,921
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-07-31$552,259
Total interest from all sources2019-07-31$222,990
Total dividends received (eg from common stock, registered investment company shares)2019-07-31$73,016
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-07-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-07-31$34,427
Administrative expenses professional fees incurred2019-07-31$323,791
Was this plan covered by a fidelity bond2019-07-31Yes
Value of fidelity bond cover2019-07-31$1,600,000
If this is an individual account plan, was there a blackout period2019-07-31No
Were there any nonexempt tranactions with any party-in-interest2019-07-31No
Assets. Other investments not covered elsewhere at beginning of year2019-07-31$83,019
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-07-31$117,637
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-07-31$52,215
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-07-31$438,222
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-07-31$30,830
Other income not declared elsewhere2019-07-31$114,880
Administrative expenses (other) incurred2019-07-31$155,952
Liabilities. Value of operating payables at end of year2019-07-31$193,740
Liabilities. Value of operating payables at beginning of year2019-07-31$170,811
Total non interest bearing cash at end of year2019-07-31$582,863
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-07-31No
Value of net income/loss2019-07-31$750,109
Value of net assets at end of year (total assets less liabilities)2019-07-31$11,958,989
Value of net assets at beginning of year (total assets less liabilities)2019-07-31$11,208,880
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-07-31No
Were any leases to which the plan was party in default or uncollectible2019-07-31No
Investment advisory and management fees2019-07-31$72,516
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-07-31$868,183
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-07-31$810,724
Interest earned on other investments2019-07-31$286
Income. Interest from US Government securities2019-07-31$193,598
Income. Interest from corporate debt instruments2019-07-31$26,920
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-07-31$583,365
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-07-31$856,087
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-07-31$856,087
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-07-31$2,186
Expenses. Payments to insurance carriers foe the provision of benefits2019-07-31$117,745
Asset value of US Government securities at end of year2019-07-31$7,580,654
Asset value of US Government securities at beginning of year2019-07-31$1,703,526
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-07-31$31,030
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-07-31Yes
Was there a failure to transmit to the plan any participant contributions2019-07-31No
Has the plan failed to provide any benefit when due under the plan2019-07-31No
Contributions received in cash from employer2019-07-31$2,872,631
Employer contributions (assets) at end of year2019-07-31$159,215
Employer contributions (assets) at beginning of year2019-07-31$273,846
Income. Dividends from common stock2019-07-31$38,589
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-07-31$2,194,606
Asset. Corporate debt instrument preferred debt at beginning of year2019-07-31$5,151,967
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-07-31No
Assets. Corporate common stocks other than exployer securities at end of year2019-07-31$2,959,550
Assets. Corporate common stocks other than exployer securities at beginning of year2019-07-31$2,781,537
Liabilities. Value of benefit claims payable at end of year2019-07-31$343,535
Liabilities. Value of benefit claims payable at beginning of year2019-07-31$302,400
Assets. Value of buildings and other operty used in plan operation at end of year2019-07-31$83,019
Did the plan have assets held for investment2019-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-07-31No
Aggregate proceeds on sale of assets2019-07-31$11,804,157
Aggregate carrying amount (costs) on sale of assets2019-07-31$11,730,827
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-07-31No
Opinion of an independent qualified public accountant for this plan2019-07-31Disclaimer
Accountancy firm name2019-07-31NOVAK FRANCELLA LLC
Accountancy firm EIN2019-07-31611436956
2018 : LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-07-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-07-31$504,041
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-07-31$556,111
Total income from all sources (including contributions)2018-07-31$3,298,642
Total loss/gain on sale of assets2018-07-31$62,181
Total of all expenses incurred2018-07-31$2,600,334
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-07-31$1,868,619
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-07-31$2,932,643
Value of total assets at end of year2018-07-31$11,712,921
Value of total assets at beginning of year2018-07-31$11,066,683
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-07-31$731,715
Total interest from all sources2018-07-31$225,760
Total dividends received (eg from common stock, registered investment company shares)2018-07-31$78,058
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-07-31No
Administrative expenses professional fees incurred2018-07-31$510,728
Was this plan covered by a fidelity bond2018-07-31Yes
Value of fidelity bond cover2018-07-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2018-07-31No
Assets. Other investments not covered elsewhere at end of year2018-07-31$83,019
Assets. Other investments not covered elsewhere at beginning of year2018-07-31$83,019
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-07-31$52,215
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-07-31$31,409
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-07-31$30,830
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-07-31$9,376
Administrative expenses (other) incurred2018-07-31$164,050
Liabilities. Value of operating payables at end of year2018-07-31$170,811
Liabilities. Value of operating payables at beginning of year2018-07-31$108,735
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-07-31No
Value of net income/loss2018-07-31$698,308
Value of net assets at end of year (total assets less liabilities)2018-07-31$11,208,880
Value of net assets at beginning of year (total assets less liabilities)2018-07-31$10,510,572
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-07-31No
Were any leases to which the plan was party in default or uncollectible2018-07-31No
Investment advisory and management fees2018-07-31$56,937
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-07-31$810,724
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-07-31$818,771
Interest earned on other investments2018-07-31$225,760
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-07-31$856,087
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-07-31$726,405
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-07-31$726,405
Asset value of US Government securities at end of year2018-07-31$1,703,526
Asset value of US Government securities at beginning of year2018-07-31$1,408,270
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-07-31Yes
Was there a failure to transmit to the plan any participant contributions2018-07-31No
Has the plan failed to provide any benefit when due under the plan2018-07-31No
Contributions received in cash from employer2018-07-31$2,932,643
Employer contributions (assets) at end of year2018-07-31$273,846
Employer contributions (assets) at beginning of year2018-07-31$188,880
Income. Dividends from common stock2018-07-31$78,058
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-07-31$1,868,619
Asset. Corporate debt instrument preferred debt at end of year2018-07-31$5,151,967
Asset. Corporate debt instrument preferred debt at beginning of year2018-07-31$5,600,284
Assets. Corporate common stocks other than exployer securities at end of year2018-07-31$2,781,537
Assets. Corporate common stocks other than exployer securities at beginning of year2018-07-31$2,209,645
Liabilities. Value of benefit claims payable at end of year2018-07-31$302,400
Liabilities. Value of benefit claims payable at beginning of year2018-07-31$438,000
Did the plan have assets held for investment2018-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-07-31No
Aggregate proceeds on sale of assets2018-07-31$62,181
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-07-31Yes
Opinion of an independent qualified public accountant for this plan2018-07-31Disclaimer
Accountancy firm name2018-07-31PRAGER METIS CPAS, LLC
Accountancy firm EIN2018-07-31061667465
2017 : LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-07-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-07-31$556,111
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-07-31$804,150
Total income from all sources (including contributions)2017-07-31$3,683,995
Total loss/gain on sale of assets2017-07-31$138,140
Total of all expenses incurred2017-07-31$2,630,313
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-07-31$1,817,882
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-07-31$3,265,398
Value of total assets at end of year2017-07-31$11,066,683
Value of total assets at beginning of year2017-07-31$10,261,040
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-07-31$812,431
Total interest from all sources2017-07-31$209,388
Total dividends received (eg from common stock, registered investment company shares)2017-07-31$71,069
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-07-31No
Administrative expenses professional fees incurred2017-07-31$581,364
Was this plan covered by a fidelity bond2017-07-31Yes
Value of fidelity bond cover2017-07-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2017-07-31No
Assets. Other investments not covered elsewhere at end of year2017-07-31$83,019
Assets. Other investments not covered elsewhere at beginning of year2017-07-31$83,019
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-07-31$31,409
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-07-31$37,371
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-07-31$9,376
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-07-31$188,745
Administrative expenses (other) incurred2017-07-31$162,289
Liabilities. Value of operating payables at end of year2017-07-31$108,735
Liabilities. Value of operating payables at beginning of year2017-07-31$109,405
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-07-31No
Value of net income/loss2017-07-31$1,053,682
Value of net assets at end of year (total assets less liabilities)2017-07-31$10,510,572
Value of net assets at beginning of year (total assets less liabilities)2017-07-31$9,456,890
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-07-31No
Were any leases to which the plan was party in default or uncollectible2017-07-31No
Investment advisory and management fees2017-07-31$68,778
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-07-31$818,771
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-07-31$806,200
Interest earned on other investments2017-07-31$209,388
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-07-31$726,405
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-07-31$960,678
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-07-31$960,678
Asset value of US Government securities at end of year2017-07-31$1,408,270
Asset value of US Government securities at beginning of year2017-07-31$1,219,970
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-07-31Yes
Was there a failure to transmit to the plan any participant contributions2017-07-31No
Has the plan failed to provide any benefit when due under the plan2017-07-31No
Contributions received in cash from employer2017-07-31$3,265,398
Employer contributions (assets) at end of year2017-07-31$188,880
Employer contributions (assets) at beginning of year2017-07-31$215,097
Income. Dividends from common stock2017-07-31$71,069
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-07-31$1,817,882
Asset. Corporate debt instrument preferred debt at end of year2017-07-31$5,600,284
Asset. Corporate debt instrument preferred debt at beginning of year2017-07-31$4,941,445
Assets. Corporate common stocks other than exployer securities at end of year2017-07-31$2,209,645
Assets. Corporate common stocks other than exployer securities at beginning of year2017-07-31$1,997,260
Liabilities. Value of benefit claims payable at end of year2017-07-31$438,000
Liabilities. Value of benefit claims payable at beginning of year2017-07-31$506,000
Did the plan have assets held for investment2017-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-07-31No
Aggregate proceeds on sale of assets2017-07-31$138,140
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-07-31Yes
Opinion of an independent qualified public accountant for this plan2017-07-31Disclaimer
Accountancy firm name2017-07-31PRAGER METIS CPAS, LLC
Accountancy firm EIN2017-07-31061667465
2015 : LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-07-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-07-31$537,939
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-07-31$880,059
Total income from all sources (including contributions)2015-07-31$3,337,434
Total loss/gain on sale of assets2015-07-31$-104,102
Total of all expenses incurred2015-07-31$2,131,024
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-07-31$1,493,729
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-07-31$3,185,014
Value of total assets at end of year2015-07-31$9,265,313
Value of total assets at beginning of year2015-07-31$8,401,023
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-07-31$637,295
Total interest from all sources2015-07-31$184,542
Total dividends received (eg from common stock, registered investment company shares)2015-07-31$71,980
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-07-31No
Administrative expenses professional fees incurred2015-07-31$497,874
Was this plan covered by a fidelity bond2015-07-31Yes
Value of fidelity bond cover2015-07-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2015-07-31No
Assets. Other investments not covered elsewhere at end of year2015-07-31$83,019
Assets. Other investments not covered elsewhere at beginning of year2015-07-31$83,019
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-07-31$24,886
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-07-31$85,924
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-07-31$312,939
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-07-31$199,707
Administrative expenses (other) incurred2015-07-31$88,563
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-07-31No
Value of net income/loss2015-07-31$1,206,410
Value of net assets at end of year (total assets less liabilities)2015-07-31$8,727,374
Value of net assets at beginning of year (total assets less liabilities)2015-07-31$7,520,964
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-07-31No
Were any leases to which the plan was party in default or uncollectible2015-07-31No
Investment advisory and management fees2015-07-31$50,858
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-07-31$780,580
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-07-31$728,775
Interest earned on other investments2015-07-31$184,542
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-07-31$1,141,197
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-07-31$463,722
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-07-31$463,722
Asset value of US Government securities at end of year2015-07-31$1,207,874
Asset value of US Government securities at beginning of year2015-07-31$1,107,796
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-07-31Yes
Was there a failure to transmit to the plan any participant contributions2015-07-31No
Has the plan failed to provide any benefit when due under the plan2015-07-31No
Contributions received in cash from employer2015-07-31$3,185,014
Employer contributions (assets) at end of year2015-07-31$142,496
Employer contributions (assets) at beginning of year2015-07-31$156,074
Income. Dividends from common stock2015-07-31$71,980
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-07-31$1,493,729
Asset. Corporate debt instrument preferred debt at end of year2015-07-31$3,970,457
Asset. Corporate debt instrument preferred debt at beginning of year2015-07-31$3,991,614
Assets. Corporate common stocks other than exployer securities at end of year2015-07-31$1,914,804
Assets. Corporate common stocks other than exployer securities at beginning of year2015-07-31$1,784,099
Liabilities. Value of benefit claims payable at end of year2015-07-31$225,000
Liabilities. Value of benefit claims payable at beginning of year2015-07-31$680,352
Did the plan have assets held for investment2015-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-07-31No
Aggregate proceeds on sale of assets2015-07-31$-104,102
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-07-31Yes
Opinion of an independent qualified public accountant for this plan2015-07-31Disclaimer
Accountancy firm name2015-07-31PRAGER METIS CPAS, LLC
Accountancy firm EIN2015-07-31061667465
2014 : LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-07-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-07-31$880,059
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-07-31$1,159,232
Total income from all sources (including contributions)2014-07-31$4,080,404
Total loss/gain on sale of assets2014-07-31$384,886
Total of all expenses incurred2014-07-31$3,021,050
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-07-31$2,403,326
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-07-31$3,431,993
Value of total assets at end of year2014-07-31$8,401,023
Value of total assets at beginning of year2014-07-31$7,620,842
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-07-31$617,724
Total interest from all sources2014-07-31$188,680
Total dividends received (eg from common stock, registered investment company shares)2014-07-31$74,845
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-07-31No
Administrative expenses professional fees incurred2014-07-31$52,463
Was this plan covered by a fidelity bond2014-07-31Yes
Value of fidelity bond cover2014-07-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2014-07-31No
Assets. Other investments not covered elsewhere at end of year2014-07-31$83,019
Assets. Other investments not covered elsewhere at beginning of year2014-07-31$83,019
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-07-31$85,924
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-07-31$17,428
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-07-31$199,707
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-07-31$249,963
Total non interest bearing cash at beginning of year2014-07-31$2,393
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-07-31No
Value of net income/loss2014-07-31$1,059,354
Value of net assets at end of year (total assets less liabilities)2014-07-31$7,520,964
Value of net assets at beginning of year (total assets less liabilities)2014-07-31$6,461,610
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-07-31No
Were any leases to which the plan was party in default or uncollectible2014-07-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-07-31$728,775
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-07-31$608,622
Interest earned on other investments2014-07-31$345,479
Income. Interest from US Government securities2014-07-31$188,680
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-07-31$463,722
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-07-31$291,450
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-07-31$291,450
Asset value of US Government securities at end of year2014-07-31$1,107,796
Asset value of US Government securities at beginning of year2014-07-31$504,776
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-07-31Yes
Was there a failure to transmit to the plan any participant contributions2014-07-31No
Has the plan failed to provide any benefit when due under the plan2014-07-31No
Contributions received in cash from employer2014-07-31$3,431,993
Employer contributions (assets) at end of year2014-07-31$156,074
Employer contributions (assets) at beginning of year2014-07-31$158,479
Income. Dividends from common stock2014-07-31$74,845
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-07-31$2,403,326
Asset. Corporate debt instrument preferred debt at end of year2014-07-31$3,991,614
Asset. Corporate debt instrument preferred debt at beginning of year2014-07-31$4,217,152
Contract administrator fees2014-07-31$565,261
Assets. Corporate common stocks other than exployer securities at end of year2014-07-31$1,784,099
Assets. Corporate common stocks other than exployer securities at beginning of year2014-07-31$1,739,916
Liabilities. Value of benefit claims payable at end of year2014-07-31$680,352
Liabilities. Value of benefit claims payable at beginning of year2014-07-31$909,269
Did the plan have assets held for investment2014-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-07-31No
Aggregate proceeds on sale of assets2014-07-31$384,886
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-07-31Yes
Opinion of an independent qualified public accountant for this plan2014-07-31Unqualified
Accountancy firm name2014-07-31METIS GROUP
Accountancy firm EIN2014-07-31061667465
2013 : LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-07-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-07-31$1,159,232
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-07-31$1,222,281
Total income from all sources (including contributions)2013-07-31$4,037,315
Total loss/gain on sale of assets2013-07-31$134,063
Total of all expenses incurred2013-07-31$4,100,239
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-07-31$3,395,036
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-07-31$3,633,431
Value of total assets at end of year2013-07-31$7,620,842
Value of total assets at beginning of year2013-07-31$7,746,815
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-07-31$705,203
Total interest from all sources2013-07-31$193,233
Total dividends received (eg from common stock, registered investment company shares)2013-07-31$76,588
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-07-31No
Administrative expenses professional fees incurred2013-07-31$657,013
Was this plan covered by a fidelity bond2013-07-31Yes
Value of fidelity bond cover2013-07-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2013-07-31No
Assets. Other investments not covered elsewhere at end of year2013-07-31$83,019
Assets. Other investments not covered elsewhere at beginning of year2013-07-31$83,019
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-07-31$17,428
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-07-31$39,239
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-07-31$249,963
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-07-31$140,779
Administrative expenses (other) incurred2013-07-31$11,500
Total non interest bearing cash at end of year2013-07-31$2,393
Total non interest bearing cash at beginning of year2013-07-31$427,385
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-07-31No
Value of net income/loss2013-07-31$-62,924
Value of net assets at end of year (total assets less liabilities)2013-07-31$6,461,610
Value of net assets at beginning of year (total assets less liabilities)2013-07-31$6,524,534
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-07-31No
Were any leases to which the plan was party in default or uncollectible2013-07-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-07-31$608,622
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-07-31$794,371
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-07-31$291,450
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-07-31$427,385
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-07-31$427,385
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-07-31$193,233
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-07-31$0
Asset value of US Government securities at end of year2013-07-31$504,776
Asset value of US Government securities at beginning of year2013-07-31$325,385
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-07-31Yes
Was there a failure to transmit to the plan any participant contributions2013-07-31No
Has the plan failed to provide any benefit when due under the plan2013-07-31No
Contributions received in cash from employer2013-07-31$3,633,431
Employer contributions (assets) at end of year2013-07-31$158,479
Employer contributions (assets) at beginning of year2013-07-31$211,349
Income. Dividends from common stock2013-07-31$76,588
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-07-31$3,395,036
Asset. Corporate debt instrument preferred debt at end of year2013-07-31$4,217,152
Asset. Corporate debt instrument preferred debt at beginning of year2013-07-31$4,397,275
Contract administrator fees2013-07-31$48,190
Assets. Corporate common stocks other than exployer securities at end of year2013-07-31$1,739,916
Assets. Corporate common stocks other than exployer securities at beginning of year2013-07-31$1,468,792
Liabilities. Value of benefit claims payable at end of year2013-07-31$909,269
Liabilities. Value of benefit claims payable at beginning of year2013-07-31$1,081,502
Did the plan have assets held for investment2013-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-07-31No
Aggregate proceeds on sale of assets2013-07-31$134,063
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-07-31Yes
Opinion of an independent qualified public accountant for this plan2013-07-31Unqualified
Accountancy firm name2013-07-31METIS GROUP
Accountancy firm EIN2013-07-31061667466
2012 : LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-07-31$-39,733
Total unrealized appreciation/depreciation of assets2012-07-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-07-31$1,222,281
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-07-31$1,220,704
Total income from all sources (including contributions)2012-07-31$4,644,553
Total loss/gain on sale of assets2012-07-31$-123,137
Total of all expenses incurred2012-07-31$5,119,576
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-07-31$4,123,527
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-07-31$4,488,061
Value of total assets at end of year2012-07-31$7,746,815
Value of total assets at beginning of year2012-07-31$8,220,261
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-07-31$996,049
Total interest from all sources2012-07-31$228,955
Total dividends received (eg from common stock, registered investment company shares)2012-07-31$50,674
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-07-31No
Administrative expenses professional fees incurred2012-07-31$949,420
Was this plan covered by a fidelity bond2012-07-31Yes
Value of fidelity bond cover2012-07-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2012-07-31No
Assets. Other investments not covered elsewhere at end of year2012-07-31$83,019
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-07-31$39,239
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-07-31$103,878
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-07-31$140,779
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-07-31$83,963
Total non interest bearing cash at end of year2012-07-31$427,385
Total non interest bearing cash at beginning of year2012-07-31$309,121
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-07-31No
Value of net income/loss2012-07-31$-475,023
Value of net assets at end of year (total assets less liabilities)2012-07-31$6,524,534
Value of net assets at beginning of year (total assets less liabilities)2012-07-31$6,999,557
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-07-31No
Were any leases to which the plan was party in default or uncollectible2012-07-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-07-31$794,371
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-07-31$427,385
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-07-31$228,955
Asset value of US Government securities at end of year2012-07-31$325,385
Asset value of US Government securities at beginning of year2012-07-31$348,094
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-07-31Yes
Was there a failure to transmit to the plan any participant contributions2012-07-31No
Has the plan failed to provide any benefit when due under the plan2012-07-31No
Contributions received in cash from employer2012-07-31$4,488,061
Employer contributions (assets) at end of year2012-07-31$211,349
Employer contributions (assets) at beginning of year2012-07-31$310,254
Income. Dividends from common stock2012-07-31$50,674
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-07-31$4,123,527
Asset. Corporate debt instrument preferred debt at end of year2012-07-31$4,397,275
Asset. Corporate debt instrument preferred debt at beginning of year2012-07-31$5,666,101
Contract administrator fees2012-07-31$46,629
Assets. Corporate common stocks other than exployer securities at end of year2012-07-31$1,468,792
Assets. Corporate common stocks other than exployer securities at beginning of year2012-07-31$1,482,813
Liabilities. Value of benefit claims payable at end of year2012-07-31$1,081,502
Liabilities. Value of benefit claims payable at beginning of year2012-07-31$1,136,741
Did the plan have assets held for investment2012-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-07-31No
Aggregate carrying amount (costs) on sale of assets2012-07-31$123,137
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-07-31Yes
Opinion of an independent qualified public accountant for this plan2012-07-31Unqualified
Accountancy firm name2012-07-31METIS GROUP
Accountancy firm EIN2012-07-31061667465
2011 : LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-07-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-07-31$1,220,704
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-07-31$1,331,767
Total income from all sources (including contributions)2011-07-31$5,438,669
Total loss/gain on sale of assets2011-07-31$177,358
Total of all expenses incurred2011-07-31$5,289,512
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-07-31$4,599,667
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-07-31$4,944,735
Value of total assets at end of year2011-07-31$8,220,261
Value of total assets at beginning of year2011-07-31$8,182,167
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-07-31$689,845
Total interest from all sources2011-07-31$255,568
Total dividends received (eg from common stock, registered investment company shares)2011-07-31$61,008
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-07-31No
Administrative expenses professional fees incurred2011-07-31$641,099
Was this plan covered by a fidelity bond2011-07-31Yes
Value of fidelity bond cover2011-07-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2011-07-31No
Assets. Other investments not covered elsewhere at beginning of year2011-07-31$11,167
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-07-31$103,878
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-07-31$142,188
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-07-31$83,963
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-07-31$302,251
Administrative expenses (other) incurred2011-07-31$48,746
Total non interest bearing cash at end of year2011-07-31$309,121
Total non interest bearing cash at beginning of year2011-07-31$454,002
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-07-31No
Value of net income/loss2011-07-31$149,157
Value of net assets at end of year (total assets less liabilities)2011-07-31$6,999,557
Value of net assets at beginning of year (total assets less liabilities)2011-07-31$6,850,400
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-07-31No
Were any leases to which the plan was party in default or uncollectible2011-07-31No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-07-31$255,568
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-07-31$0
Asset value of US Government securities at end of year2011-07-31$348,094
Asset value of US Government securities at beginning of year2011-07-31$531,467
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-07-31Yes
Was there a failure to transmit to the plan any participant contributions2011-07-31No
Has the plan failed to provide any benefit when due under the plan2011-07-31No
Contributions received in cash from employer2011-07-31$4,944,735
Employer contributions (assets) at end of year2011-07-31$310,254
Employer contributions (assets) at beginning of year2011-07-31$484,707
Income. Dividends from common stock2011-07-31$61,008
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-07-31$4,599,667
Asset. Corporate debt instrument preferred debt at end of year2011-07-31$5,666,101
Asset. Corporate debt instrument preferred debt at beginning of year2011-07-31$5,309,054
Assets. Corporate common stocks other than exployer securities at end of year2011-07-31$1,482,813
Assets. Corporate common stocks other than exployer securities at beginning of year2011-07-31$1,249,582
Liabilities. Value of benefit claims payable at end of year2011-07-31$1,136,741
Liabilities. Value of benefit claims payable at beginning of year2011-07-31$1,029,516
Did the plan have assets held for investment2011-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-07-31No
Aggregate proceeds on sale of assets2011-07-31$177,358
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-07-31Yes
Opinion of an independent qualified public accountant for this plan2011-07-31Unqualified
Accountancy firm name2011-07-31METIS GROUP
Accountancy firm EIN2011-07-31061667465

Form 5500 Responses for LOCAL 108 HEALTH EXPENSE BENEFITS PLAN

2021: LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2021 form 5500 responses
2021-08-01Type of plan entityMulti-employer plan
2021-08-01Plan is a collectively bargained planYes
2021-08-01Plan funding arrangement – InsuranceYes
2021-08-01Plan funding arrangement – TrustYes
2021-08-01Plan benefit arrangement – InsuranceYes
2021-08-01Plan benefit arrangement - TrustYes
2020: LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2020 form 5500 responses
2020-08-01Type of plan entityMulti-employer plan
2020-08-01Plan is a collectively bargained planYes
2020-08-01Plan funding arrangement – InsuranceYes
2020-08-01Plan funding arrangement – TrustYes
2020-08-01Plan benefit arrangement – InsuranceYes
2020-08-01Plan benefit arrangement - TrustYes
2019: LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2019 form 5500 responses
2019-08-01Type of plan entityMulti-employer plan
2019-08-01Plan is a collectively bargained planYes
2019-08-01Plan funding arrangement – InsuranceYes
2019-08-01Plan funding arrangement – TrustYes
2019-08-01Plan benefit arrangement – InsuranceYes
2019-08-01Plan benefit arrangement - TrustYes
2018: LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2018 form 5500 responses
2018-08-01Type of plan entityMulti-employer plan
2018-08-01Plan is a collectively bargained planYes
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan funding arrangement – TrustYes
2018-08-01Plan benefit arrangement – InsuranceYes
2018-08-01Plan benefit arrangement - TrustYes
2017: LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2017 form 5500 responses
2017-08-01Type of plan entityMulti-employer plan
2017-08-01Submission has been amendedNo
2017-08-01This submission is the final filingNo
2017-08-01This return/report is a short plan year return/report (less than 12 months)No
2017-08-01Plan is a collectively bargained planYes
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan funding arrangement – TrustYes
2017-08-01Plan benefit arrangement – InsuranceYes
2017-08-01Plan benefit arrangement - TrustYes
2016: LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2016 form 5500 responses
2016-08-01Type of plan entityMulti-employer plan
2016-08-01Submission has been amendedNo
2016-08-01This submission is the final filingNo
2016-08-01This return/report is a short plan year return/report (less than 12 months)No
2016-08-01Plan is a collectively bargained planYes
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan funding arrangement – TrustYes
2016-08-01Plan benefit arrangement – InsuranceYes
2016-08-01Plan benefit arrangement - TrustYes
2015: LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2015 form 5500 responses
2015-08-01Type of plan entityMulti-employer plan
2015-08-01Submission has been amendedNo
2015-08-01This submission is the final filingNo
2015-08-01This return/report is a short plan year return/report (less than 12 months)No
2015-08-01Plan is a collectively bargained planYes
2015-08-01Plan funding arrangement – TrustYes
2015-08-01Plan benefit arrangement - TrustYes
2014: LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2014 form 5500 responses
2014-08-01Type of plan entityMulti-employer plan
2014-08-01Submission has been amendedNo
2014-08-01This submission is the final filingNo
2014-08-01This return/report is a short plan year return/report (less than 12 months)No
2014-08-01Plan is a collectively bargained planYes
2014-08-01Plan funding arrangement – TrustYes
2014-08-01Plan benefit arrangement - TrustYes
2013: LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2013 form 5500 responses
2013-08-01Type of plan entityMulti-employer plan
2013-08-01Submission has been amendedYes
2013-08-01This submission is the final filingNo
2013-08-01This return/report is a short plan year return/report (less than 12 months)No
2013-08-01Plan is a collectively bargained planYes
2013-08-01Plan funding arrangement – TrustYes
2013-08-01Plan benefit arrangement - TrustYes
2012: LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2012 form 5500 responses
2012-08-01Type of plan entityMulti-employer plan
2012-08-01Submission has been amendedYes
2012-08-01This submission is the final filingNo
2012-08-01This return/report is a short plan year return/report (less than 12 months)No
2012-08-01Plan is a collectively bargained planYes
2012-08-01Plan funding arrangement – InsuranceYes
2012-08-01Plan funding arrangement – TrustYes
2012-08-01Plan benefit arrangement – InsuranceYes
2012-08-01Plan benefit arrangement - TrustYes
2011: LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2011 form 5500 responses
2011-08-01Type of plan entityMulti-employer plan
2011-08-01Submission has been amendedYes
2011-08-01This submission is the final filingNo
2011-08-01This return/report is a short plan year return/report (less than 12 months)No
2011-08-01Plan is a collectively bargained planYes
2011-08-01Plan funding arrangement – InsuranceYes
2011-08-01Plan funding arrangement – TrustYes
2011-08-01Plan benefit arrangement – InsuranceYes
2011-08-01Plan benefit arrangement - TrustYes
2010: LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2010 form 5500 responses
2010-08-01Type of plan entityMulti-employer plan
2010-08-01Submission has been amendedNo
2010-08-01This submission is the final filingNo
2010-08-01This return/report is a short plan year return/report (less than 12 months)No
2010-08-01Plan is a collectively bargained planYes
2010-08-01Plan funding arrangement – InsuranceYes
2010-08-01Plan funding arrangement – TrustYes
2010-08-01Plan benefit arrangement – InsuranceYes
2010-08-01Plan benefit arrangement - TrustYes
2009: LOCAL 108 HEALTH EXPENSE BENEFITS PLAN 2009 form 5500 responses
2009-08-01Type of plan entityMulti-employer plan
2009-08-01Submission has been amendedNo
2009-08-01This submission is the final filingNo
2009-08-01This return/report is a short plan year return/report (less than 12 months)No
2009-08-01Plan is a collectively bargained planYes
2009-08-01Plan funding arrangement – InsuranceYes
2009-08-01Plan funding arrangement – TrustYes
2009-08-01Plan benefit arrangement – InsuranceYes
2009-08-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22276 )
Policy contract number47MSL-000318-01
Policy instance 1
Insurance contract or identification number47MSL-000318-01
Number of Individuals Covered200
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
Welfare Benefit Premiums Paid to CarrierUSD $431,367
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22276 )
Policy contract number47MSL-000318-01
Policy instance 1
Insurance contract or identification number47MSL-000318-01
Number of Individuals Covered261
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $30,887
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $440,786
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,710
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31807
Policy instance 1
Insurance contract or identification numberHCL31807
Number of Individuals Covered64
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $17,009
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $113,391
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,402
Insurance broker organization code?3
BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22276 )
Policy contract number47MSL-000318-01
Policy instance 2
Insurance contract or identification number47MSL-000318-01
Number of Individuals Covered259
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $49,258
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $328,385
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $39,406
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31807
Policy instance 1
Insurance contract or identification numberHCL31807
Number of Individuals Covered64
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $16,321
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $108,805
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,057
Insurance broker organization code?3

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