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UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 401k Plan overview

Plan NameUFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND
Plan identification number 503

UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Prepaid legal
  • Long-term disability cover
  • Other welfare benefit cover
  • Collectively bargained welfare benefit arrangement under Code section 419A(f)(5).

401k Sponsoring company profile

TRUSTEES LOCAL 1262 AND SHOPRITE WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:TRUSTEES LOCAL 1262 AND SHOPRITE WELFARE FUND
Employer identification number (EIN):226137317
NAIC Classification:445110
NAIC Description:Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032021-10-01HARVEY WHILLE2023-07-13
5032020-10-01HARVEY WHILLE2022-07-12
5032019-10-01HARVEY WHILLE2021-07-12
5032018-10-01HARVEY WHILLE2020-07-13
5032017-10-01HARVEY WHILLE2019-07-11
5032016-10-01
5032015-10-01
5032014-10-01HARVEY WHILLE HARVEY WHILLE2016-07-14
5032013-10-01MATTHEW MOLINARO MATTHEW MOLINARO2015-07-15
5032012-10-01MATTHEW MOLINARO MATTHEW MOLINARO2014-09-10
5032011-10-01MATTHEW MOLINARO MATTHEW MOLINARO2014-01-24
5032010-10-01MATTHEW MOLINARO MATTHEW MOLINARO2012-07-16
5032009-10-01MATTHEW MOLINARO MATTHEW MOLINARO2011-07-15
5032008-10-01

Plan Statistics for UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND

401k plan membership statisitcs for UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND

Measure Date Value
2021: UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2021 401k membership
Total participants, beginning-of-year2021-10-0111,508
Total number of active participants reported on line 7a of the Form 55002021-10-0110,412
Number of retired or separated participants receiving benefits2021-10-01115
Total of all active and inactive participants2021-10-0110,527
Number of employers contributing to the scheme2021-10-011
2020: UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2020 401k membership
Total participants, beginning-of-year2020-10-0112,019
Total number of active participants reported on line 7a of the Form 55002020-10-0111,379
Number of retired or separated participants receiving benefits2020-10-01129
Total of all active and inactive participants2020-10-0111,508
Number of employers contributing to the scheme2020-10-011
2019: UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2019 401k membership
Total participants, beginning-of-year2019-10-0112,495
Total number of active participants reported on line 7a of the Form 55002019-10-0111,952
Number of retired or separated participants receiving benefits2019-10-0167
Total of all active and inactive participants2019-10-0112,019
Number of employers contributing to the scheme2019-10-011
2018: UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-10-0113,005
Total number of active participants reported on line 7a of the Form 55002018-10-0112,288
Number of retired or separated participants receiving benefits2018-10-01207
Total of all active and inactive participants2018-10-0112,495
Number of employers contributing to the scheme2018-10-011
2017: UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-10-0113,182
Total number of active participants reported on line 7a of the Form 55002017-10-0112,749
Number of retired or separated participants receiving benefits2017-10-01256
Total of all active and inactive participants2017-10-0113,005
Number of employers contributing to the scheme2017-10-011
2016: UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-10-0113,086
Total number of active participants reported on line 7a of the Form 55002016-10-0112,976
Number of retired or separated participants receiving benefits2016-10-01206
Total of all active and inactive participants2016-10-0113,182
Number of employers contributing to the scheme2016-10-011
2015: UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-10-0112,765
Total number of active participants reported on line 7a of the Form 55002015-10-0112,837
Number of retired or separated participants receiving benefits2015-10-01212
Number of other retired or separated participants entitled to future benefits2015-10-0137
Total of all active and inactive participants2015-10-0113,086
Number of employers contributing to the scheme2015-10-011
2014: UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-10-0114,040
Total number of active participants reported on line 7a of the Form 55002014-10-0112,532
Number of retired or separated participants receiving benefits2014-10-01204
Number of other retired or separated participants entitled to future benefits2014-10-0129
Total of all active and inactive participants2014-10-0112,765
Number of employers contributing to the scheme2014-10-010
2013: UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-10-0114,344
Total number of active participants reported on line 7a of the Form 55002013-10-0113,799
Number of retired or separated participants receiving benefits2013-10-01212
Number of other retired or separated participants entitled to future benefits2013-10-0129
Total of all active and inactive participants2013-10-0114,040
Number of employers contributing to the scheme2013-10-011
2012: UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-10-0114,213
Total number of active participants reported on line 7a of the Form 55002012-10-0114,017
Number of retired or separated participants receiving benefits2012-10-01280
Number of other retired or separated participants entitled to future benefits2012-10-0147
Total of all active and inactive participants2012-10-0114,344
Number of employers contributing to the scheme2012-10-012
2011: UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-10-0116,640
Total number of active participants reported on line 7a of the Form 55002011-10-0113,828
Number of retired or separated participants receiving benefits2011-10-01344
Number of other retired or separated participants entitled to future benefits2011-10-0141
Total of all active and inactive participants2011-10-0114,213
Number of employers contributing to the scheme2011-10-012
2010: UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2010 401k membership
Total participants, beginning-of-year2010-10-0117,678
Total number of active participants reported on line 7a of the Form 55002010-10-0116,170
Number of retired or separated participants receiving benefits2010-10-01416
Number of other retired or separated participants entitled to future benefits2010-10-0154
Total of all active and inactive participants2010-10-0116,640
Number of employers contributing to the scheme2010-10-013
2009: UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-10-0117,482
Total number of active participants reported on line 7a of the Form 55002009-10-0117,145
Number of retired or separated participants receiving benefits2009-10-01507
Number of other retired or separated participants entitled to future benefits2009-10-0126
Total of all active and inactive participants2009-10-0117,678
Total participants2009-10-010
Number of employers contributing to the scheme2009-10-013

Financial Data on UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND

Measure Date Value
2022 : UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$17,371,692
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$16,546,541
Total income from all sources (including contributions)2022-09-30$85,449,843
Total loss/gain on sale of assets2022-09-30$0
Total of all expenses incurred2022-09-30$86,989,753
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-09-30$84,934,196
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-09-30$87,793,021
Value of total assets at end of year2022-09-30$24,562,714
Value of total assets at beginning of year2022-09-30$25,277,473
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-09-30$2,055,557
Total interest from all sources2022-09-30$6,804
Total dividends received (eg from common stock, registered investment company shares)2022-09-30$336,192
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-09-30$336,192
Administrative expenses professional fees incurred2022-09-30$312,718
Was this plan covered by a fidelity bond2022-09-30Yes
Value of fidelity bond cover2022-09-30$500,000
Were there any nonexempt tranactions with any party-in-interest2022-09-30No
Contributions received from participants2022-09-30$1,184,027
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-09-30$4,519,800
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-09-30$4,153,149
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-09-30$482,003
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-09-30$323,159
Administrative expenses (other) incurred2022-09-30$1,495,785
Liabilities. Value of operating payables at end of year2022-09-30$985,417
Liabilities. Value of operating payables at beginning of year2022-09-30$117,358
Total non interest bearing cash at end of year2022-09-30$200
Total non interest bearing cash at beginning of year2022-09-30$2,221
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Value of net income/loss2022-09-30$-1,539,910
Value of net assets at end of year (total assets less liabilities)2022-09-30$7,191,022
Value of net assets at beginning of year (total assets less liabilities)2022-09-30$8,730,932
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-09-30No
Were any leases to which the plan was party in default or uncollectible2022-09-30No
Investment advisory and management fees2022-09-30$6,735
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-09-30$15,748,997
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-09-30$18,125,972
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-09-30$391,372
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-09-30$639,830
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-09-30$639,830
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-09-30$6,804
Expenses. Payments to insurance carriers foe the provision of benefits2022-09-30$-3,208,724
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-09-30$-2,686,174
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-09-30Yes
Was there a failure to transmit to the plan any participant contributions2022-09-30No
Has the plan failed to provide any benefit when due under the plan2022-09-30No
Contributions received in cash from employer2022-09-30$86,608,994
Employer contributions (assets) at end of year2022-09-30$3,897,425
Employer contributions (assets) at beginning of year2022-09-30$2,354,383
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-09-30$88,142,920
Contract administrator fees2022-09-30$240,319
Liabilities. Value of benefit claims payable at end of year2022-09-30$15,904,272
Liabilities. Value of benefit claims payable at beginning of year2022-09-30$16,106,024
Assets. Value of buildings and other operty used in plan operation at end of year2022-09-30$4,920
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-09-30$1,918
Did the plan have assets held for investment2022-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-09-30No
Aggregate proceeds on sale of assets2022-09-30$229,952,277
Aggregate carrying amount (costs) on sale of assets2022-09-30$229,952,277
Opinion of an independent qualified public accountant for this plan2022-09-30Unqualified
Accountancy firm name2022-09-30NOVAK FRANCELLA, LLC
Accountancy firm EIN2022-09-30611436956
2021 : UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$16,546,541
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$14,895,067
Total income from all sources (including contributions)2021-09-30$88,884,281
Total loss/gain on sale of assets2021-09-30$0
Total of all expenses incurred2021-09-30$89,901,907
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-09-30$87,913,676
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-09-30$87,141,249
Value of total assets at end of year2021-09-30$25,277,473
Value of total assets at beginning of year2021-09-30$24,643,625
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-09-30$1,988,231
Total interest from all sources2021-09-30$159
Total dividends received (eg from common stock, registered investment company shares)2021-09-30$327,212
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-09-30$327,212
Administrative expenses professional fees incurred2021-09-30$297,062
Was this plan covered by a fidelity bond2021-09-30Yes
Value of fidelity bond cover2021-09-30$500,000
Were there any nonexempt tranactions with any party-in-interest2021-09-30No
Contributions received from participants2021-09-30$1,128,821
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-09-30$4,153,149
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-09-30$3,154,893
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-09-30$323,159
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-09-30$329,420
Administrative expenses (other) incurred2021-09-30$1,435,690
Liabilities. Value of operating payables at end of year2021-09-30$117,358
Liabilities. Value of operating payables at beginning of year2021-09-30$909,773
Total non interest bearing cash at end of year2021-09-30$2,221
Total non interest bearing cash at beginning of year2021-09-30$2,221
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Value of net income/loss2021-09-30$-1,017,626
Value of net assets at end of year (total assets less liabilities)2021-09-30$8,730,932
Value of net assets at beginning of year (total assets less liabilities)2021-09-30$9,748,558
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-09-30No
Were any leases to which the plan was party in default or uncollectible2021-09-30No
Investment advisory and management fees2021-09-30$6,789
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-09-30$18,125,972
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-09-30$16,422,200
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-09-30$639,830
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-09-30$1,944,131
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-09-30$1,944,131
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-09-30$159
Expenses. Payments to insurance carriers foe the provision of benefits2021-09-30$-1,582,785
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-09-30$1,415,661
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-09-30Yes
Was there a failure to transmit to the plan any participant contributions2021-09-30No
Has the plan failed to provide any benefit when due under the plan2021-09-30No
Contributions received in cash from employer2021-09-30$86,012,428
Employer contributions (assets) at end of year2021-09-30$2,354,383
Employer contributions (assets) at beginning of year2021-09-30$3,117,432
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-09-30$89,496,461
Contract administrator fees2021-09-30$248,690
Liabilities. Value of benefit claims payable at end of year2021-09-30$16,106,024
Liabilities. Value of benefit claims payable at beginning of year2021-09-30$13,655,874
Assets. Value of buildings and other operty used in plan operation at end of year2021-09-30$1,918
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-09-30$2,748
Did the plan have assets held for investment2021-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-09-30No
Aggregate proceeds on sale of assets2021-09-30$61,368,390
Aggregate carrying amount (costs) on sale of assets2021-09-30$61,368,390
Opinion of an independent qualified public accountant for this plan2021-09-30Unqualified
Accountancy firm name2021-09-30NOVAK FRANCELLA LLC
Accountancy firm EIN2021-09-30611436956
2020 : UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$14,895,067
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$12,463,394
Total income from all sources (including contributions)2020-09-30$82,113,950
Total loss/gain on sale of assets2020-09-30$0
Total of all expenses incurred2020-09-30$83,937,351
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-09-30$82,073,271
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-09-30$80,861,563
Value of total assets at end of year2020-09-30$24,643,625
Value of total assets at beginning of year2020-09-30$24,035,353
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-09-30$1,864,080
Total interest from all sources2020-09-30$18,221
Total dividends received (eg from common stock, registered investment company shares)2020-09-30$379,694
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-09-30$379,694
Administrative expenses professional fees incurred2020-09-30$313,068
Was this plan covered by a fidelity bond2020-09-30Yes
Value of fidelity bond cover2020-09-30$500,000
Were there any nonexempt tranactions with any party-in-interest2020-09-30No
Contributions received from participants2020-09-30$1,169,752
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-09-30$3,154,893
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-09-30$3,355,290
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-09-30$329,420
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-09-30$322,115
Administrative expenses (other) incurred2020-09-30$1,322,249
Liabilities. Value of operating payables at end of year2020-09-30$909,773
Liabilities. Value of operating payables at beginning of year2020-09-30$966,399
Total non interest bearing cash at end of year2020-09-30$2,221
Total non interest bearing cash at beginning of year2020-09-30$2,438
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Value of net income/loss2020-09-30$-1,823,401
Value of net assets at end of year (total assets less liabilities)2020-09-30$9,748,558
Value of net assets at beginning of year (total assets less liabilities)2020-09-30$11,571,959
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-09-30No
Were any leases to which the plan was party in default or uncollectible2020-09-30No
Investment advisory and management fees2020-09-30$6,575
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-09-30$16,422,200
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-09-30$15,232,990
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-09-30$1,944,131
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-09-30$1,381,244
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-09-30$1,381,244
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-09-30$18,221
Expenses. Payments to insurance carriers foe the provision of benefits2020-09-30$640,155
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-09-30$854,472
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-09-30Yes
Was there a failure to transmit to the plan any participant contributions2020-09-30No
Has the plan failed to provide any benefit when due under the plan2020-09-30No
Contributions received in cash from employer2020-09-30$79,691,811
Employer contributions (assets) at end of year2020-09-30$3,117,432
Employer contributions (assets) at beginning of year2020-09-30$4,062,301
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-09-30$81,433,116
Contract administrator fees2020-09-30$222,188
Liabilities. Value of benefit claims payable at end of year2020-09-30$13,655,874
Liabilities. Value of benefit claims payable at beginning of year2020-09-30$11,174,880
Assets. Value of buildings and other operty used in plan operation at end of year2020-09-30$2,748
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-09-30$1,090
Did the plan have assets held for investment2020-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-09-30No
Aggregate proceeds on sale of assets2020-09-30$226,890,063
Aggregate carrying amount (costs) on sale of assets2020-09-30$226,890,063
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-09-30No
Opinion of an independent qualified public accountant for this plan2020-09-30Unqualified
Accountancy firm name2020-09-30NOVAK FRANCELLA, LLC
Accountancy firm EIN2020-09-30611436956
2019 : UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2019 401k financial data
Total transfer of assets from this plan2019-09-30$148,585
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$12,463,394
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$15,096,953
Total income from all sources (including contributions)2019-09-30$81,720,725
Total of all expenses incurred2019-09-30$82,793,028
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-09-30$80,969,393
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-09-30$80,610,018
Value of total assets at end of year2019-09-30$24,035,353
Value of total assets at beginning of year2019-09-30$27,889,800
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-09-30$1,823,635
Total interest from all sources2019-09-30$25,080
Total dividends received (eg from common stock, registered investment company shares)2019-09-30$504,630
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-09-30$504,630
Administrative expenses professional fees incurred2019-09-30$232,010
Was this plan covered by a fidelity bond2019-09-30Yes
Value of fidelity bond cover2019-09-30$500,000
Were there any nonexempt tranactions with any party-in-interest2019-09-30No
Contributions received from participants2019-09-30$1,111,017
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-09-30$3,355,290
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-09-30$2,658,679
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-09-30$322,115
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-09-30$326,101
Administrative expenses (other) incurred2019-09-30$1,371,070
Liabilities. Value of operating payables at end of year2019-09-30$966,399
Liabilities. Value of operating payables at beginning of year2019-09-30$944,072
Total non interest bearing cash at end of year2019-09-30$2,438
Total non interest bearing cash at beginning of year2019-09-30$2,380
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Value of net income/loss2019-09-30$-1,072,303
Value of net assets at end of year (total assets less liabilities)2019-09-30$11,571,959
Value of net assets at beginning of year (total assets less liabilities)2019-09-30$12,792,847
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-09-30No
Were any leases to which the plan was party in default or uncollectible2019-09-30No
Investment advisory and management fees2019-09-30$6,912
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-09-30$15,232,990
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-09-30$20,114,921
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-09-30$1,381,244
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-09-30$1,090,278
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-09-30$1,090,278
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-09-30$25,080
Expenses. Payments to insurance carriers foe the provision of benefits2019-09-30$878,219
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-09-30$580,997
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-09-30Yes
Was there a failure to transmit to the plan any participant contributions2019-09-30No
Has the plan failed to provide any benefit when due under the plan2019-09-30No
Contributions received in cash from employer2019-09-30$79,499,001
Employer contributions (assets) at end of year2019-09-30$4,062,301
Employer contributions (assets) at beginning of year2019-09-30$4,021,295
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-09-30$80,091,174
Contract administrator fees2019-09-30$213,643
Liabilities. Value of benefit claims payable at end of year2019-09-30$11,174,880
Liabilities. Value of benefit claims payable at beginning of year2019-09-30$13,826,780
Assets. Value of buildings and other operty used in plan operation at end of year2019-09-30$1,090
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-09-30$2,247
Did the plan have assets held for investment2019-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-09-30No
Opinion of an independent qualified public accountant for this plan2019-09-30Unqualified
Accountancy firm name2019-09-30NOVAK FRANCELLA, LLC
Accountancy firm EIN2019-09-30611436956
2018 : UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$15,096,953
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$13,429,331
Total income from all sources (including contributions)2018-09-30$78,110,061
Total loss/gain on sale of assets2018-09-30$0
Total of all expenses incurred2018-09-30$81,310,188
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-09-30$79,540,343
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-09-30$76,502,258
Value of total assets at end of year2018-09-30$27,889,800
Value of total assets at beginning of year2018-09-30$29,422,305
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-09-30$1,769,845
Total interest from all sources2018-09-30$15,087
Total dividends received (eg from common stock, registered investment company shares)2018-09-30$430,013
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-09-30$430,013
Administrative expenses professional fees incurred2018-09-30$219,350
Was this plan covered by a fidelity bond2018-09-30Yes
Value of fidelity bond cover2018-09-30$500,000
Were there any nonexempt tranactions with any party-in-interest2018-09-30No
Contributions received from participants2018-09-30$1,304,321
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-09-30$2,658,679
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-09-30$4,129,533
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-09-30$326,101
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-09-30$726,634
Other income not declared elsewhere2018-09-30$444,796
Administrative expenses (other) incurred2018-09-30$1,328,215
Liabilities. Value of operating payables at end of year2018-09-30$944,072
Liabilities. Value of operating payables at beginning of year2018-09-30$1,043,202
Total non interest bearing cash at end of year2018-09-30$2,380
Total non interest bearing cash at beginning of year2018-09-30$18,221
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Value of net income/loss2018-09-30$-3,200,127
Value of net assets at end of year (total assets less liabilities)2018-09-30$12,792,847
Value of net assets at beginning of year (total assets less liabilities)2018-09-30$15,992,974
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-09-30No
Were any leases to which the plan was party in default or uncollectible2018-09-30No
Investment advisory and management fees2018-09-30$6,972
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-09-30$20,114,921
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-09-30$18,957,841
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-09-30$1,090,278
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-09-30$1,230,170
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-09-30$1,230,170
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-09-30$15,087
Expenses. Payments to insurance carriers foe the provision of benefits2018-09-30$993,680
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-09-30$717,907
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-09-30Yes
Was there a failure to transmit to the plan any participant contributions2018-09-30No
Has the plan failed to provide any benefit when due under the plan2018-09-30No
Contributions received in cash from employer2018-09-30$75,197,937
Employer contributions (assets) at end of year2018-09-30$4,021,295
Employer contributions (assets) at beginning of year2018-09-30$5,083,338
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-09-30$78,546,663
Contract administrator fees2018-09-30$215,308
Liabilities. Value of benefit claims payable at end of year2018-09-30$13,826,780
Liabilities. Value of benefit claims payable at beginning of year2018-09-30$11,659,495
Assets. Value of buildings and other operty used in plan operation at end of year2018-09-30$2,247
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-09-30$3,202
Did the plan have assets held for investment2018-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-09-30No
Aggregate proceeds on sale of assets2018-09-30$234,492,910
Aggregate carrying amount (costs) on sale of assets2018-09-30$234,492,910
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-09-30No
Opinion of an independent qualified public accountant for this plan2018-09-30Unqualified
Accountancy firm name2018-09-30NOVAK FRANCELLA LLC
Accountancy firm EIN2018-09-30611436956
2017 : UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2017 401k financial data
Total transfer of assets to this plan2017-09-30$158,532
Total transfer of assets from this plan2017-09-30$243,611
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$13,429,331
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$13,576,019
Total income from all sources (including contributions)2017-09-30$74,371,899
Total loss/gain on sale of assets2017-09-30$0
Total of all expenses incurred2017-09-30$77,533,285
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-09-30$75,633,034
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-09-30$72,605,683
Value of total assets at end of year2017-09-30$29,422,305
Value of total assets at beginning of year2017-09-30$32,815,458
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-09-30$1,900,251
Total interest from all sources2017-09-30$5,683
Total dividends received (eg from common stock, registered investment company shares)2017-09-30$393,701
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-09-30$393,701
Administrative expenses professional fees incurred2017-09-30$295,932
Was this plan covered by a fidelity bond2017-09-30Yes
Value of fidelity bond cover2017-09-30$500,000
If this is an individual account plan, was there a blackout period2017-09-30No
Were there any nonexempt tranactions with any party-in-interest2017-09-30No
Contributions received from participants2017-09-30$1,318,490
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-09-30$4,129,533
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-09-30$7,848,282
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-09-30$726,634
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-09-30$1,178,048
Administrative expenses (other) incurred2017-09-30$1,359,418
Liabilities. Value of operating payables at end of year2017-09-30$1,043,202
Liabilities. Value of operating payables at beginning of year2017-09-30$1,003,415
Total non interest bearing cash at end of year2017-09-30$18,221
Total non interest bearing cash at beginning of year2017-09-30$20,607
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Value of net income/loss2017-09-30$-3,161,386
Value of net assets at end of year (total assets less liabilities)2017-09-30$15,992,974
Value of net assets at beginning of year (total assets less liabilities)2017-09-30$19,239,439
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-09-30No
Were any leases to which the plan was party in default or uncollectible2017-09-30No
Investment advisory and management fees2017-09-30$6,855
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-09-30$18,957,841
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-09-30$18,666,896
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-09-30$1,230,170
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-09-30$1,332,424
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-09-30$1,332,424
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-09-30$5,683
Expenses. Payments to insurance carriers foe the provision of benefits2017-09-30$4,719,368
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-09-30$1,366,832
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-09-30Yes
Was there a failure to transmit to the plan any participant contributions2017-09-30No
Has the plan failed to provide any benefit when due under the plan2017-09-30No
Contributions received in cash from employer2017-09-30$71,287,193
Employer contributions (assets) at end of year2017-09-30$5,083,338
Employer contributions (assets) at beginning of year2017-09-30$4,942,683
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-09-30$70,913,666
Contract administrator fees2017-09-30$238,046
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-09-30No
Liabilities. Value of benefit claims payable at end of year2017-09-30$11,659,495
Liabilities. Value of benefit claims payable at beginning of year2017-09-30$11,394,556
Assets. Value of buildings and other operty used in plan operation at end of year2017-09-30$3,202
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-09-30$4,566
Did the plan have assets held for investment2017-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-09-30No
Aggregate proceeds on sale of assets2017-09-30$222,069,013
Aggregate carrying amount (costs) on sale of assets2017-09-30$222,069,013
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-09-30No
Opinion of an independent qualified public accountant for this plan2017-09-30Unqualified
Accountancy firm name2017-09-30NOVAK FRANCELLA LLC
Accountancy firm EIN2017-09-30611436956
2016 : UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$13,576,019
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$17,472,353
Total income from all sources (including contributions)2016-09-30$77,924,965
Total loss/gain on sale of assets2016-09-30$0
Total of all expenses incurred2016-09-30$71,873,136
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-09-30$69,526,391
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-09-30$76,317,981
Value of total assets at end of year2016-09-30$32,815,458
Value of total assets at beginning of year2016-09-30$30,659,963
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-09-30$2,346,745
Total interest from all sources2016-09-30$2,374
Total dividends received (eg from common stock, registered investment company shares)2016-09-30$407,245
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-09-30$407,245
Administrative expenses professional fees incurred2016-09-30$379,156
Was this plan covered by a fidelity bond2016-09-30Yes
Value of fidelity bond cover2016-09-30$500,000
If this is an individual account plan, was there a blackout period2016-09-30No
Were there any nonexempt tranactions with any party-in-interest2016-09-30No
Contributions received from participants2016-09-30$1,440,054
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-09-30$7,848,282
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-09-30$654,015
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-09-30$1,178,048
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-09-30$3,471,286
Administrative expenses (other) incurred2016-09-30$1,703,408
Liabilities. Value of operating payables at end of year2016-09-30$1,003,415
Liabilities. Value of operating payables at beginning of year2016-09-30$936,698
Total non interest bearing cash at end of year2016-09-30$20,607
Total non interest bearing cash at beginning of year2016-09-30$384,868
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Value of net income/loss2016-09-30$6,051,829
Value of net assets at end of year (total assets less liabilities)2016-09-30$19,239,439
Value of net assets at beginning of year (total assets less liabilities)2016-09-30$13,187,610
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-09-30No
Were any leases to which the plan was party in default or uncollectible2016-09-30No
Investment advisory and management fees2016-09-30$8,126
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-09-30$18,666,896
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-09-30$22,576,105
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-09-30$1,332,424
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-09-30$1,196,264
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-09-30$1,196,264
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-09-30$2,374
Expenses. Payments to insurance carriers foe the provision of benefits2016-09-30$7,712,829
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-09-30$1,197,365
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-09-30Yes
Was there a failure to transmit to the plan any participant contributions2016-09-30No
Has the plan failed to provide any benefit when due under the plan2016-09-30No
Contributions received in cash from employer2016-09-30$74,877,927
Employer contributions (assets) at end of year2016-09-30$4,942,683
Employer contributions (assets) at beginning of year2016-09-30$5,842,795
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-09-30$61,813,562
Contract administrator fees2016-09-30$256,055
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-09-30No
Liabilities. Value of benefit claims payable at end of year2016-09-30$11,394,556
Liabilities. Value of benefit claims payable at beginning of year2016-09-30$13,064,369
Assets. Value of buildings and other operty used in plan operation at end of year2016-09-30$4,566
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-09-30$5,916
Did the plan have assets held for investment2016-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-09-30No
Aggregate proceeds on sale of assets2016-09-30$22,255,671
Aggregate carrying amount (costs) on sale of assets2016-09-30$22,255,671
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-09-30No
Opinion of an independent qualified public accountant for this plan2016-09-30Unqualified
Accountancy firm name2016-09-30NOVAK FRANCELLA, LLC
Accountancy firm EIN2016-09-30611436956
2015 : UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2015 401k financial data
Total transfer of assets to this plan2015-09-30$181,000
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$17,472,353
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$15,773,401
Total income from all sources (including contributions)2015-09-30$75,472,102
Total of all expenses incurred2015-09-30$77,484,881
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-09-30$75,743,078
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-09-30$75,530,241
Value of total assets at end of year2015-09-30$30,659,963
Value of total assets at beginning of year2015-09-30$30,792,790
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-09-30$1,741,803
Total interest from all sources2015-09-30$402
Total dividends received (eg from common stock, registered investment company shares)2015-09-30$803,941
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-09-30$803,941
Administrative expenses professional fees incurred2015-09-30$320,429
Was this plan covered by a fidelity bond2015-09-30Yes
Value of fidelity bond cover2015-09-30$500,000
Were there any nonexempt tranactions with any party-in-interest2015-09-30No
Contributions received from participants2015-09-30$1,305,162
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-09-30$67,339,526
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-09-30$654,015
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-09-30$1,040,906
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-09-30$3,471,286
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-09-30$3,803,363
Administrative expenses (other) incurred2015-09-30$1,286,716
Liabilities. Value of operating payables at end of year2015-09-30$936,698
Liabilities. Value of operating payables at beginning of year2015-09-30$1,015,558
Total non interest bearing cash at end of year2015-09-30$384,868
Total non interest bearing cash at beginning of year2015-09-30$217,468
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Value of net income/loss2015-09-30$-2,012,779
Value of net assets at end of year (total assets less liabilities)2015-09-30$13,187,610
Value of net assets at beginning of year (total assets less liabilities)2015-09-30$15,019,389
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-09-30No
Were any leases to which the plan was party in default or uncollectible2015-09-30No
Investment advisory and management fees2015-09-30$6,078
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-09-30$22,576,105
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-09-30$22,634,644
Interest earned on other investments2015-09-30$5
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-09-30$1,196,264
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-09-30$2,577,704
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-09-30$2,577,704
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-09-30$397
Expenses. Payments to insurance carriers foe the provision of benefits2015-09-30$8,403,552
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-09-30$-862,482
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-09-30Yes
Was there a failure to transmit to the plan any participant contributions2015-09-30No
Has the plan failed to provide any benefit when due under the plan2015-09-30No
Contributions received in cash from employer2015-09-30$74,225,079
Employer contributions (assets) at end of year2015-09-30$5,842,795
Employer contributions (assets) at beginning of year2015-09-30$4,320,734
Contract administrator fees2015-09-30$128,580
Liabilities. Value of benefit claims payable at end of year2015-09-30$13,064,369
Liabilities. Value of benefit claims payable at beginning of year2015-09-30$10,954,480
Assets. Value of buildings and other operty used in plan operation at end of year2015-09-30$5,916
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-09-30$1,334
Did the plan have assets held for investment2015-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-09-30No
Opinion of an independent qualified public accountant for this plan2015-09-30Unqualified
Accountancy firm name2015-09-30SAXBST LLP
Accountancy firm EIN2015-09-30464001827
2014 : UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2014 401k financial data
Total transfer of assets from this plan2014-09-30$3,300,000
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$15,773,401
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$10,626,958
Total income from all sources (including contributions)2014-09-30$76,401,618
Total of all expenses incurred2014-09-30$75,069,863
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-09-30$73,453,768
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-09-30$74,389,388
Value of total assets at end of year2014-09-30$30,792,790
Value of total assets at beginning of year2014-09-30$27,614,592
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-09-30$1,616,095
Total interest from all sources2014-09-30$601
Total dividends received (eg from common stock, registered investment company shares)2014-09-30$496,039
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2014-09-30$496,039
Administrative expenses professional fees incurred2014-09-30$418,078
Was this plan covered by a fidelity bond2014-09-30Yes
Value of fidelity bond cover2014-09-30$500,000
Were there any nonexempt tranactions with any party-in-interest2014-09-30No
Contributions received from participants2014-09-30$1,361,521
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-09-30$67,675,532
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-09-30$1,040,906
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-09-30$879,475
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-09-30$3,803,363
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-09-30$298,695
Other income not declared elsewhere2014-09-30$29
Administrative expenses (other) incurred2014-09-30$1,065,853
Liabilities. Value of operating payables at end of year2014-09-30$1,015,558
Liabilities. Value of operating payables at beginning of year2014-09-30$166,519
Total non interest bearing cash at end of year2014-09-30$217,468
Total non interest bearing cash at beginning of year2014-09-30$255,709
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Value of net income/loss2014-09-30$1,331,755
Value of net assets at end of year (total assets less liabilities)2014-09-30$15,019,389
Value of net assets at beginning of year (total assets less liabilities)2014-09-30$16,987,634
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-09-30No
Were any leases to which the plan was party in default or uncollectible2014-09-30No
Investment advisory and management fees2014-09-30$8,478
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-09-30$22,634,644
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-09-30$20,623,048
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-09-30$2,577,704
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-09-30$1,247,219
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-09-30$1,247,219
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-09-30$601
Expenses. Payments to insurance carriers foe the provision of benefits2014-09-30$5,778,236
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-09-30$1,515,561
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-09-30Yes
Was there a failure to transmit to the plan any participant contributions2014-09-30No
Has the plan failed to provide any benefit when due under the plan2014-09-30No
Contributions received in cash from employer2014-09-30$73,027,867
Employer contributions (assets) at end of year2014-09-30$4,320,734
Employer contributions (assets) at beginning of year2014-09-30$4,608,471
Contract administrator fees2014-09-30$123,686
Liabilities. Value of benefit claims payable at end of year2014-09-30$10,954,480
Liabilities. Value of benefit claims payable at beginning of year2014-09-30$10,161,744
Assets. Value of buildings and other operty used in plan operation at end of year2014-09-30$1,334
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-09-30$670
Did the plan have assets held for investment2014-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-09-30No
Opinion of an independent qualified public accountant for this plan2014-09-30Unqualified
Accountancy firm name2014-09-30SAXBST LLP
Accountancy firm EIN2014-09-30464001827
2013 : UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2013 401k financial data
Total transfer of assets to this plan2013-09-30$4,000,000
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$10,626,958
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$13,014,620
Total income from all sources (including contributions)2013-09-30$78,364,209
Total of all expenses incurred2013-09-30$77,012,684
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-09-30$75,396,493
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-09-30$76,408,910
Value of total assets at end of year2013-09-30$27,614,592
Value of total assets at beginning of year2013-09-30$24,650,729
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-09-30$1,616,191
Total interest from all sources2013-09-30$306
Total dividends received (eg from common stock, registered investment company shares)2013-09-30$802,095
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2013-09-30$802,095
Administrative expenses professional fees incurred2013-09-30$494,682
Was this plan covered by a fidelity bond2013-09-30Yes
Value of fidelity bond cover2013-09-30$500,000
Were there any nonexempt tranactions with any party-in-interest2013-09-30No
Contributions received from participants2013-09-30$1,511,752
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-09-30$69,667,475
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-09-30$879,475
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-09-30$943,674
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-09-30$298,695
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-09-30$4,341,013
Other income not declared elsewhere2013-09-30$29
Administrative expenses (other) incurred2013-09-30$986,175
Liabilities. Value of operating payables at end of year2013-09-30$166,519
Liabilities. Value of operating payables at beginning of year2013-09-30$156,438
Total non interest bearing cash at end of year2013-09-30$255,709
Total non interest bearing cash at beginning of year2013-09-30$255,824
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Value of net income/loss2013-09-30$1,351,525
Value of net assets at end of year (total assets less liabilities)2013-09-30$16,987,634
Value of net assets at beginning of year (total assets less liabilities)2013-09-30$11,636,109
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-09-30No
Were any leases to which the plan was party in default or uncollectible2013-09-30No
Investment advisory and management fees2013-09-30$11,991
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-09-30$20,623,048
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-09-30$19,724,291
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-09-30$1,247,219
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-09-30$479,427
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-09-30$479,427
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-09-30$306
Expenses. Payments to insurance carriers foe the provision of benefits2013-09-30$5,729,018
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-09-30$1,152,869
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-09-30Yes
Was there a failure to transmit to the plan any participant contributions2013-09-30No
Has the plan failed to provide any benefit when due under the plan2013-09-30No
Contributions received in cash from employer2013-09-30$74,897,158
Employer contributions (assets) at end of year2013-09-30$4,608,471
Employer contributions (assets) at beginning of year2013-09-30$3,246,055
Contract administrator fees2013-09-30$123,343
Liabilities. Value of benefit claims payable at end of year2013-09-30$10,161,744
Liabilities. Value of benefit claims payable at beginning of year2013-09-30$8,517,169
Assets. Value of buildings and other operty used in plan operation at end of year2013-09-30$670
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-09-30$1,458
Did the plan have assets held for investment2013-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-09-30No
Opinion of an independent qualified public accountant for this plan2013-09-30Unqualified
Accountancy firm name2013-09-30SAXBST LLP
Accountancy firm EIN2013-09-30464001827
2012 : UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2012 401k financial data
Total transfer of assets from this plan2012-09-30$4,000,000
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$12,213,098
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$10,895,181
Total income from all sources (including contributions)2012-09-30$82,572,108
Total of all expenses incurred2012-09-30$79,909,664
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-09-30$78,108,970
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-09-30$79,369,056
Value of total assets at end of year2012-09-30$24,650,729
Value of total assets at beginning of year2012-09-30$24,670,368
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-09-30$1,800,694
Total interest from all sources2012-09-30$291
Total dividends received (eg from common stock, registered investment company shares)2012-09-30$561,777
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2012-09-30$561,777
Administrative expenses professional fees incurred2012-09-30$443,150
Was this plan covered by a fidelity bond2012-09-30Yes
Value of fidelity bond cover2012-09-30$500,000
Were there any nonexempt tranactions with any party-in-interest2012-09-30No
Contributions received from participants2012-09-30$1,873,782
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-09-30$72,638,834
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-09-30$943,674
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-09-30$1,232,261
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-09-30$4,341,013
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-09-30$528,747
Other income not declared elsewhere2012-09-30$90
Administrative expenses (other) incurred2012-09-30$1,234,252
Liabilities. Value of operating payables at end of year2012-09-30$156,438
Liabilities. Value of operating payables at beginning of year2012-09-30$138,967
Total non interest bearing cash at end of year2012-09-30$255,824
Total non interest bearing cash at beginning of year2012-09-30$185,840
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Value of net income/loss2012-09-30$2,662,444
Value of net assets at end of year (total assets less liabilities)2012-09-30$12,437,631
Value of net assets at beginning of year (total assets less liabilities)2012-09-30$13,775,187
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-09-30No
Were any leases to which the plan was party in default or uncollectible2012-09-30No
Investment advisory and management fees2012-09-30$11,891
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-09-30$19,724,291
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-09-30$16,971,624
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-09-30$479,427
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-09-30$3,262,362
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-09-30$3,262,362
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-09-30$291
Expenses. Payments to insurance carriers foe the provision of benefits2012-09-30$5,470,136
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-09-30$2,640,894
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-09-30Yes
Was there a failure to transmit to the plan any participant contributions2012-09-30No
Has the plan failed to provide any benefit when due under the plan2012-09-30No
Contributions received in cash from employer2012-09-30$77,495,274
Employer contributions (assets) at end of year2012-09-30$3,246,055
Employer contributions (assets) at beginning of year2012-09-30$3,016,500
Contract administrator fees2012-09-30$111,401
Liabilities. Value of benefit claims payable at end of year2012-09-30$7,715,647
Liabilities. Value of benefit claims payable at beginning of year2012-09-30$10,227,467
Assets. Value of buildings and other operty used in plan operation at end of year2012-09-30$1,458
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-09-30$1,781
Did the plan have assets held for investment2012-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-09-30No
Opinion of an independent qualified public accountant for this plan2012-09-30Unqualified
Accountancy firm name2012-09-30BOLLAM SHEEDY TORANI & CO, LLP, CPA
Accountancy firm EIN2012-09-30141442607
2011 : UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$10,895,181
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$9,998,770
Total income from all sources (including contributions)2011-09-30$87,476,418
Total loss/gain on sale of assets2011-09-30$0
Total of all expenses incurred2011-09-30$86,680,031
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-09-30$84,697,647
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-09-30$87,571,133
Value of total assets at end of year2011-09-30$24,670,368
Value of total assets at beginning of year2011-09-30$22,977,570
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-09-30$1,982,384
Total interest from all sources2011-09-30$393
Total dividends received (eg from common stock, registered investment company shares)2011-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-09-30No
Administrative expenses professional fees incurred2011-09-30$539,482
Was this plan covered by a fidelity bond2011-09-30Yes
Value of fidelity bond cover2011-09-30$500,000
Were there any nonexempt tranactions with any party-in-interest2011-09-30No
Contributions received from participants2011-09-30$2,329,043
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-09-30$80,428,484
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-09-30$1,232,261
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-09-30$561,787
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-09-30$528,747
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-09-30$327,147
Other income not declared elsewhere2011-09-30$99
Administrative expenses (other) incurred2011-09-30$1,431,100
Liabilities. Value of operating payables at end of year2011-09-30$138,967
Liabilities. Value of operating payables at beginning of year2011-09-30$194,061
Total non interest bearing cash at end of year2011-09-30$185,840
Total non interest bearing cash at beginning of year2011-09-30$311,480
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Value of net income/loss2011-09-30$796,387
Value of net assets at end of year (total assets less liabilities)2011-09-30$13,775,187
Value of net assets at beginning of year (total assets less liabilities)2011-09-30$12,978,800
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-09-30No
Were any leases to which the plan was party in default or uncollectible2011-09-30No
Investment advisory and management fees2011-09-30$11,802
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-09-30$16,971,624
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-09-30$17,066,830
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-09-30$3,262,362
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-09-30$2,557,917
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-09-30$2,557,917
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-09-30$393
Expenses. Payments to insurance carriers foe the provision of benefits2011-09-30$4,269,163
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-09-30$-95,207
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-09-30Yes
Was there a failure to transmit to the plan any participant contributions2011-09-30No
Has the plan failed to provide any benefit when due under the plan2011-09-30No
Contributions received in cash from employer2011-09-30$85,242,090
Employer contributions (assets) at end of year2011-09-30$3,016,500
Employer contributions (assets) at beginning of year2011-09-30$2,474,504
Liabilities. Value of benefit claims payable at end of year2011-09-30$10,227,467
Liabilities. Value of benefit claims payable at beginning of year2011-09-30$9,477,562
Assets. Value of buildings and other operty used in plan operation at end of year2011-09-30$1,781
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-09-30$5,052
Did the plan have assets held for investment2011-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-09-30No
Opinion of an independent qualified public accountant for this plan2011-09-30Unqualified
Accountancy firm name2011-09-30BOLLAM SHEEDY TORANI & CO, LLP, CPA
Accountancy firm EIN2011-09-30141442607

Form 5500 Responses for UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND

2021: UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2021 form 5500 responses
2021-10-01Type of plan entityMulti-employer plan
2021-10-01Plan is a collectively bargained planYes
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan funding arrangement – TrustYes
2021-10-01Plan benefit arrangement – InsuranceYes
2021-10-01Plan benefit arrangement - TrustYes
2020: UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2020 form 5500 responses
2020-10-01Type of plan entityMulti-employer plan
2020-10-01Plan is a collectively bargained planYes
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan funding arrangement – TrustYes
2020-10-01Plan benefit arrangement – InsuranceYes
2020-10-01Plan benefit arrangement - TrustYes
2019: UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2019 form 5500 responses
2019-10-01Type of plan entityMulti-employer plan
2019-10-01Plan is a collectively bargained planYes
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan funding arrangement – TrustYes
2019-10-01Plan benefit arrangement – InsuranceYes
2019-10-01Plan benefit arrangement - TrustYes
2018: UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2018 form 5500 responses
2018-10-01Type of plan entityMulti-employer plan
2018-10-01Plan is a collectively bargained planYes
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan funding arrangement – TrustYes
2018-10-01Plan benefit arrangement – InsuranceYes
2018-10-01Plan benefit arrangement - TrustYes
2017: UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2017 form 5500 responses
2017-10-01Type of plan entityMulti-employer plan
2017-10-01Plan is a collectively bargained planYes
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan funding arrangement – TrustYes
2017-10-01Plan benefit arrangement – InsuranceYes
2017-10-01Plan benefit arrangement - TrustYes
2016: UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2016 form 5500 responses
2016-10-01Type of plan entityMulti-employer plan
2016-10-01Plan is a collectively bargained planYes
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan funding arrangement – TrustYes
2016-10-01Plan benefit arrangement – InsuranceYes
2016-10-01Plan benefit arrangement - TrustYes
2015: UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2015 form 5500 responses
2015-10-01Type of plan entityMulti-employer plan
2015-10-01Plan is a collectively bargained planYes
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – TrustYes
2015-10-01Plan benefit arrangement – InsuranceYes
2015-10-01Plan benefit arrangement - TrustYes
2014: UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2014 form 5500 responses
2014-10-01Type of plan entityMulti-employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planYes
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan benefit arrangement – InsuranceYes
2014-10-01Plan benefit arrangement - TrustYes
2013: UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2013 form 5500 responses
2013-10-01Type of plan entityMulti-employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planYes
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan funding arrangement – TrustYes
2013-10-01Plan benefit arrangement – InsuranceYes
2013-10-01Plan benefit arrangement - TrustYes
2012: UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2012 form 5500 responses
2012-10-01Type of plan entityMulti-employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planYes
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan funding arrangement – TrustYes
2012-10-01Plan benefit arrangement – InsuranceYes
2012-10-01Plan benefit arrangement - TrustYes
2011: UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2011 form 5500 responses
2011-10-01Type of plan entityMulti-employer plan
2011-10-01Submission has been amendedYes
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planYes
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan funding arrangement – TrustYes
2011-10-01Plan benefit arrangement – InsuranceYes
2011-10-01Plan benefit arrangement - TrustYes
2010: UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2010 form 5500 responses
2010-10-01Type of plan entityMulti-employer plan
2010-10-01Submission has been amendedNo
2010-10-01This submission is the final filingNo
2010-10-01This return/report is a short plan year return/report (less than 12 months)No
2010-10-01Plan is a collectively bargained planYes
2010-10-01Plan funding arrangement – InsuranceYes
2010-10-01Plan funding arrangement – TrustYes
2010-10-01Plan benefit arrangement – InsuranceYes
2010-10-01Plan benefit arrangement - TrustYes
2009: UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2009 form 5500 responses
2009-10-01Type of plan entityMulti-employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planYes
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan funding arrangement – TrustYes
2009-10-01Plan benefit arrangement – InsuranceYes
2009-10-01Plan benefit arrangement - TrustYes
2008: UFCW LOCAL 1262 AND EMPLOYERS WELFARE FUND 2008 form 5500 responses
2008-10-01Type of plan entityMulti-employer plan
2008-10-01Submission has been amendedNo
2008-10-01This submission is the final filingNo
2008-10-01This return/report is a short plan year return/report (less than 12 months)No
2008-10-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

HORIZON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 14690 )
Policy contract number76205
Policy instance 4
Insurance contract or identification number76205
Number of Individuals Covered12783
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $536,090
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number76203
Policy instance 3
Insurance contract or identification number76203
Number of Individuals Covered6063
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $6,735,876
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50024024
Policy instance 2
Insurance contract or identification number50024024
Number of Individuals Covered12953
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 $13,665
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $348,849
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees13665
Additional information about fees paid to insurance brokerBROKERAGE FEES
Insurance broker organization code?3
ARAG INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 34738 )
Policy contract number17997-0001-001
Policy instance 1
Insurance contract or identification number17997-0001-001
Number of Individuals Covered13073
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
Other welfare benefits providedLEGAL BENEFITS
Welfare Benefit Premiums Paid to CarrierUSD $535,667
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ARAG INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 34738 )
Policy contract number17997-0001-001
Policy instance 1
Insurance contract or identification number17997-0001-001
Number of Individuals Covered11379
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
Other welfare benefits providedLEGAL BENEFITS
Welfare Benefit Premiums Paid to CarrierUSD $565,353
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50024024
Policy instance 2
Insurance contract or identification number50024024
Number of Individuals Covered16495
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 $14,796
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $386,521
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees14796
Additional information about fees paid to insurance brokerBROKERAGE FEES
Insurance broker organization code?3
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number76203
Policy instance 3
Insurance contract or identification number76203
Number of Individuals Covered6260
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $7,037,832
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HORIZON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 14690 )
Policy contract number76205
Policy instance 4
Insurance contract or identification number76205
Number of Individuals Covered13280
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $555,609
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ARAG INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 34738 )
Policy contract number17997-0001-001
Policy instance 1
Insurance contract or identification number17997-0001-001
Number of Individuals Covered19707
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
Other welfare benefits providedLEGAL BENEFITS
Welfare Benefit Premiums Paid to CarrierUSD $583,335
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50024024
Policy instance 2
Insurance contract or identification number50024024
Number of Individuals Covered16159
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 $14,226
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $367,546
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees14226
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number76203
Policy instance 3
Insurance contract or identification number76203
Number of Individuals Covered6260
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $7,022,382
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HORIZON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 14690 )
Policy contract number76205
Policy instance 4
Insurance contract or identification number76205
Number of Individuals Covered13280
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $554,612
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number76205
Policy instance 4
Insurance contract or identification number76205
Number of Individuals Covered14345
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
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $583,913
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number76203
Policy instance 3
Insurance contract or identification number76203
Number of Individuals Covered14345
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
Welfare Benefit Premiums Paid to CarrierUSD $7,013,182
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50024024
Policy instance 2
Insurance contract or identification number50024024
Number of Individuals Covered14915
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 $14,098
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $363,267
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees14098
Insurance broker organization code?3
GUIDEONE SPECIALTY MUTUAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 14559 )
Policy contract number17997-0001-001
Policy instance 1
Insurance contract or identification number17997-0001-001
Number of Individuals Covered14345
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedLEGAL BENEFITS
Welfare Benefit Premiums Paid to CarrierUSD $602,847
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number76205
Policy instance 4
Insurance contract or identification number76205
Number of Individuals Covered14021
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
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $592,406
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number76203
Policy instance 3
Insurance contract or identification number76203
Number of Individuals Covered6995
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
Welfare Benefit Premiums Paid to CarrierUSD $7,282,078
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GUIDEONE SPECIALTY MUTUAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 14559 )
Policy contract number17997-0001-001
Policy instance 1
Insurance contract or identification number17997-0001-001
Number of Individuals Covered15366
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedLEGAL BENEFITS
Welfare Benefit Premiums Paid to CarrierUSD $620,523
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50024024
Policy instance 2
Insurance contract or identification number50024024
Number of Individuals Covered15377
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 $14,243
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $368,093
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 numberG00479222
Policy instance 1
Insurance contract or identification numberG00479222
Number of Individuals Covered15562
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $15,448
Total amount of fees paid to insurance companyUSD $4,275
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $355,464
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,448
Amount paid for insurance broker fees4275
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker organization code?3
Insurance broker namePROFESSIONAL GROUP PLANS INC.
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number75837
Policy instance 2
Insurance contract or identification number75837
Number of Individuals Covered7320
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
Welfare Benefit Premiums Paid to CarrierUSD $7,427,682
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GUIDEONE SPECIALTY MUTUAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 14559 )
Policy contract number17997-0001-001
Policy instance 3
Insurance contract or identification number17997-0001-001
Number of Individuals Covered22972
Insurance policy start date2014-03-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedLEGAL BENEFITS
Welfare Benefit Premiums Paid to CarrierUSD $563,391
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GUIDEONE SPECIALTY MUTUAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 14559 )
Policy contract number17997-0001-001
Policy instance 3
Insurance contract or identification number17997-0001-001
Number of Individuals Covered14913
Insurance policy start date2014-03-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedLEGAL BENEFITS
Welfare Benefit Premiums Paid to CarrierUSD $361,976
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 numberG00479222
Policy instance 1
Insurance contract or identification numberG00479222
Number of Individuals Covered14513
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $15,820
Total amount of fees paid to insurance companyUSD $6,491
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $345,418
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,820
Amount paid for insurance broker fees6491
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker organization code?3
Insurance broker namePROFESSIONAL GROUP PLANS INC.
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number75837
Policy instance 2
Insurance contract or identification number75837
Number of Individuals Covered9327
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
Welfare Benefit Premiums Paid to CarrierUSD $5,070,842
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number75837
Policy instance 2
Insurance contract or identification number75837
Number of Individuals Covered9827
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
Welfare Benefit Premiums Paid to CarrierUSD $5,370,728
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 numberG00479222
Policy instance 1
Insurance contract or identification numberG00479222
Number of Individuals Covered22439
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $27,675
Total amount of fees paid to insurance companyUSD $7,703
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $553,501
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,675
Amount paid for insurance broker fees7703
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker organization code?3
Insurance broker namePROFESSIONAL GROUP PLANS INC.
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract numberG00479222
Policy instance 1
Insurance contract or identification numberG00479222
Number of Individuals Covered14766
Insurance policy start date2011-07-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $6,244
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $90,296
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number75837
Policy instance 2
Insurance contract or identification number75837
Number of Individuals Covered9893
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
Welfare Benefit Premiums Paid to CarrierUSD $5,053,718
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF008363
Policy instance 3
Insurance contract or identification numberF008363
Number of Individuals Covered15281
Insurance policy start date2011-10-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $11,205
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $326,122
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number75837
Policy instance 2
Insurance contract or identification number75837
Number of Individuals Covered10447
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
Welfare Benefit Premiums Paid to CarrierUSD $3,790,218
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF008363
Policy instance 3
Insurance contract or identification numberF008363
Number of Individuals Covered17690
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 $13,219
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $478,945
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number75707
Policy instance 1
Insurance contract or identification number75707
Number of Individuals Covered248
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
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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