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RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 401k Plan overview

Plan NameRETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES
Plan identification number 507

RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

ESSENTIAL UTILITIES, INC. has sponsored the creation of one or more 401k plans.

Company Name:ESSENTIAL UTILITIES, INC.
Employer identification number (EIN):231702594
NAIC Classification:221300

Additional information about ESSENTIAL UTILITIES, INC.

Jurisdiction of Incorporation: California Department of State
Incorporation Date: 1983-06-03
Company Identification Number: C1202595
Legal Registered Office Address: 3194 D Airport Loop Dr

Costa Mesa
United States of America (USA)
92626

More information about ESSENTIAL UTILITIES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072022-01-01
5072021-01-01
5072020-01-01
5072019-01-01
5072018-01-01STEPHEN EAGLAND2019-10-15
5072017-01-01STEPHEN EAGLAND
5072016-01-01STEPHEN EAGLAND
5072016-01-01
5072015-01-01KAREN HEISLER KAREN HEISLER2016-10-13
5072014-01-01CHRISTOPHER LUNING CHRISTOPHER LUNING2015-10-13
5072013-01-01SUSAN BROUSSARD SUSAN BROUSSARD2014-12-18
5072012-01-01SUSAN BROUSSARD SUSAN BROUSSARD2013-10-14
5072011-01-01SUSAN BROUSSARD
5072010-01-01ROY STAHL
5072009-01-01ROY STAHL

Plan Statistics for RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES

401k plan membership statisitcs for RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES

Measure Date Value
2022: RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2022 401k membership
Total participants, beginning-of-year2022-01-01298
Total number of active participants reported on line 7a of the Form 55002022-01-011,481
Number of retired or separated participants receiving benefits2022-01-011,192
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-012,673
2021: RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2021 401k membership
Total participants, beginning-of-year2021-01-01316
Total number of active participants reported on line 7a of the Form 55002021-01-0190
Number of retired or separated participants receiving benefits2021-01-01208
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01298
2020: RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2020 401k membership
Total participants, beginning-of-year2020-01-01330
Total number of active participants reported on line 7a of the Form 55002020-01-0195
Number of retired or separated participants receiving benefits2020-01-01221
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01316
2019: RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2019 401k membership
Total participants, beginning-of-year2019-01-01341
Total number of active participants reported on line 7a of the Form 55002019-01-01107
Number of retired or separated participants receiving benefits2019-01-01223
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01330
2018: RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2018 401k membership
Total participants, beginning-of-year2018-01-01358
Total number of active participants reported on line 7a of the Form 55002018-01-01124
Number of retired or separated participants receiving benefits2018-01-01217
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01341
2017: RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2017 401k membership
Total participants, beginning-of-year2017-01-01366
Total number of active participants reported on line 7a of the Form 55002017-01-01146
Number of retired or separated participants receiving benefits2017-01-01212
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01358
Total participants2017-01-01358
2016: RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2016 401k membership
Total participants, beginning-of-year2016-01-01385
Total number of active participants reported on line 7a of the Form 55002016-01-01155
Number of retired or separated participants receiving benefits2016-01-01211
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01366
Total participants2016-01-01366
2015: RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2015 401k membership
Total participants, beginning-of-year2015-01-01396
Total number of active participants reported on line 7a of the Form 55002015-01-01178
Number of retired or separated participants receiving benefits2015-01-01207
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01385
Total participants2015-01-01385
2014: RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2014 401k membership
Total participants, beginning-of-year2014-01-01400
Total number of active participants reported on line 7a of the Form 55002014-01-01193
Number of retired or separated participants receiving benefits2014-01-01203
Total of all active and inactive participants2014-01-01396
Total participants2014-01-01396
2013: RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2013 401k membership
Total participants, beginning-of-year2013-01-01415
Total number of active participants reported on line 7a of the Form 55002013-01-01218
Number of retired or separated participants receiving benefits2013-01-01182
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01400
Total participants2013-01-01400
2012: RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2012 401k membership
Total participants, beginning-of-year2012-01-01362
Total number of active participants reported on line 7a of the Form 55002012-01-01238
Number of retired or separated participants receiving benefits2012-01-01177
Number of other retired or separated participants entitled to future benefits2012-01-0124
Total of all active and inactive participants2012-01-01439
Total participants2012-01-01439
2011: RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2011 401k membership
Total participants, beginning-of-year2011-01-01407
Total number of active participants reported on line 7a of the Form 55002011-01-01229
Number of retired or separated participants receiving benefits2011-01-01154
Number of other retired or separated participants entitled to future benefits2011-01-0111
Total of all active and inactive participants2011-01-01394
Total participants2011-01-01394
2010: RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2010 401k membership
Total participants, beginning-of-year2010-01-01426
Total number of active participants reported on line 7a of the Form 55002010-01-01241
Number of retired or separated participants receiving benefits2010-01-01153
Number of other retired or separated participants entitled to future benefits2010-01-0113
Total of all active and inactive participants2010-01-01407
Total participants2010-01-01407
2009: RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2009 401k membership
Total participants, beginning-of-year2009-01-01428
Total number of active participants reported on line 7a of the Form 55002009-01-01258
Number of retired or separated participants receiving benefits2009-01-01156
Number of other retired or separated participants entitled to future benefits2009-01-0112
Total of all active and inactive participants2009-01-01426

Financial Data on RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES

Measure Date Value
2022 : RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2022 401k financial data
Total transfer of assets to this plan2022-12-31$101,148,245
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$462,324
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$157,962
Total income from all sources (including contributions)2022-12-31$-17,696,045
Total of all expenses incurred2022-12-31$5,845,676
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$4,912,154
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$4,839,065
Value of total assets at end of year2022-12-31$87,183,672
Value of total assets at beginning of year2022-12-31$9,272,786
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$933,522
Total interest from all sources2022-12-31$62,839
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$1,439,831
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$1,439,831
Administrative expenses professional fees incurred2022-12-31$444,867
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$54,463
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$17,298
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$2
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$412,876
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$142,198
Administrative expenses (other) incurred2022-12-31$282,734
Total non interest bearing cash at end of year2022-12-31$13,769
Total non interest bearing cash at beginning of year2022-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-23,541,721
Value of net assets at end of year (total assets less liabilities)2022-12-31$86,721,348
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$9,114,824
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$68,936
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$48,775,451
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$8,722,867
Value of interest in common/collective trusts at end of year2022-12-31$28,493,173
Value of interest in common/collective trusts at beginning of year2022-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$8,739,650
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$549,917
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$549,917
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$62,839
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$3,959,024
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-15,711,378
Net investment gain or loss from common/collective trusts2022-12-31$-8,326,402
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$4,784,602
Employer contributions (assets) at end of year2022-12-31$1,144,331
Employer contributions (assets) at beginning of year2022-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$953,130
Contract administrator fees2022-12-31$136,985
Liabilities. Value of benefit claims payable at end of year2022-12-31$49,448
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$15,764
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31SCHNEIDER DOWNS & CO., INC.
Accountancy firm EIN2022-12-31251408703
2021 : RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$157,962
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$101,893
Total income from all sources (including contributions)2021-12-31$1,404,153
Total of all expenses incurred2021-12-31$611,080
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$377,790
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$7,902
Value of total assets at end of year2021-12-31$9,272,786
Value of total assets at beginning of year2021-12-31$8,423,644
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$233,290
Total interest from all sources2021-12-31$103
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$180,330
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$180,330
Administrative expenses professional fees incurred2021-12-31$17,850
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$7,646
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$2
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$4,549
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$142,198
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$77,061
Administrative expenses (other) incurred2021-12-31$190,093
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$793,073
Value of net assets at end of year (total assets less liabilities)2021-12-31$9,114,824
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$8,321,751
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$25,347
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$8,722,867
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$7,982,994
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$549,917
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$436,101
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$436,101
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$103
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$225,804
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$1,215,818
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$256
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$151,986
Liabilities. Value of benefit claims payable at end of year2021-12-31$15,764
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$24,832
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31SCHNEIDER DOWNS & CO., INC.
Accountancy firm EIN2021-12-31251408703
2020 : RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$101,893
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$498,114
Total income from all sources (including contributions)2020-12-31$1,107,769
Total of all expenses incurred2020-12-31$625,310
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$497,502
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$25,108
Value of total assets at end of year2020-12-31$8,423,644
Value of total assets at beginning of year2020-12-31$8,337,406
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$127,808
Total interest from all sources2020-12-31$122,327
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$98,803
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$98,803
Administrative expenses professional fees incurred2020-12-31$43,512
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$5,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$24,852
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$4,549
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$5,723
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$77,061
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$457,860
Administrative expenses (other) incurred2020-12-31$63,896
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$482,459
Value of net assets at end of year (total assets less liabilities)2020-12-31$8,321,751
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$7,839,292
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$20,400
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$7,982,994
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$7,924,976
Interest earned on other investments2020-12-31$54,802
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$436,101
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$406,707
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$406,707
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$67,525
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$217,249
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$861,531
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$256
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$280,253
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Liabilities. Value of benefit claims payable at end of year2020-12-31$24,832
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$40,254
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31SCHNEIDER DOWNS & CO., INC.
Accountancy firm EIN2020-12-31251408703
2019 : RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$498,114
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$133,862
Total income from all sources (including contributions)2019-12-31$1,718,414
Total of all expenses incurred2019-12-31$750,577
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$629,756
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$60,883
Value of total assets at end of year2019-12-31$8,337,406
Value of total assets at beginning of year2019-12-31$7,005,317
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$120,821
Total interest from all sources2019-12-31$87,729
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$114,212
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$114,212
Administrative expenses professional fees incurred2019-12-31$45,471
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$5,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$58,072
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$5,723
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$8,109
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$457,860
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$100,638
Administrative expenses (other) incurred2019-12-31$56,909
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$967,837
Value of net assets at end of year (total assets less liabilities)2019-12-31$7,839,292
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$6,871,455
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$18,441
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$7,924,976
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$6,469,386
Interest earned on other investments2019-12-31$3,134
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$406,707
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$527,822
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$527,822
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$84,595
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$200,015
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,455,590
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$2,811
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$429,741
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Liabilities. Value of benefit claims payable at end of year2019-12-31$40,254
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$33,224
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31SCHNEIDER DOWNS & CO., INC.
Accountancy firm EIN2019-12-31251408703
2018 : RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$133,862
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$540,012
Total income from all sources (including contributions)2018-12-31$-126,183
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$722,438
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$603,314
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$155,988
Value of total assets at end of year2018-12-31$7,005,317
Value of total assets at beginning of year2018-12-31$8,260,088
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$119,124
Total interest from all sources2018-12-31$203,958
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$5,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31Yes
Amount of non-exempt transactions with any party-in-interest2018-12-31$30,766
Contributions received from participants2018-12-31$32,389
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$8,109
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$37,498
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$100,638
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$507,860
Administrative expenses (other) incurred2018-12-31$119,124
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-848,621
Value of net assets at end of year (total assets less liabilities)2018-12-31$6,871,455
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$7,720,076
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$6,469,386
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$7,208,115
Interest earned on other investments2018-12-31$203,958
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$527,822
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$1,014,475
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$1,014,475
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$175,724
Asset value of US Government securities at end of year2018-12-31$0
Asset value of US Government securities at beginning of year2018-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-486,129
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$123,599
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$427,590
Asset. Corporate debt instrument preferred debt at end of year2018-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2018-12-31$0
Assets. Corporate common stocks other than exployer securities at end of year2018-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2018-12-31$0
Liabilities. Value of benefit claims payable at end of year2018-12-31$33,224
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$32,152
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31BAKER TILLY VIRCHOW KRAUSE30766
Accountancy firm EIN2018-12-31390859910
2017 : RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$-2,044
Total unrealized appreciation/depreciation of assets2017-12-31$-2,044
Total transfer of assets from this plan2017-12-31$2,700,000
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$540,012
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$94,124
Total income from all sources (including contributions)2017-12-31$1,683,742
Total loss/gain on sale of assets2017-12-31$284,603
Total of all expenses incurred2017-12-31$1,215,361
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$590,577
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$680,323
Value of total assets at end of year2017-12-31$8,260,088
Value of total assets at beginning of year2017-12-31$10,045,819
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$624,784
Total interest from all sources2017-12-31$94,495
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$118,250
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$118,250
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$5,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31Yes
Amount of non-exempt transactions with any party-in-interest2017-12-31$70,910
Contributions received from participants2017-12-31$75,368
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$37,498
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$35,943
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$507,860
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$57,462
Administrative expenses (other) incurred2017-12-31$624,784
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$468,381
Value of net assets at end of year (total assets less liabilities)2017-12-31$7,720,076
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$9,951,695
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$7,208,115
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$3,528,826
Interest earned on other investments2017-12-31$68,687
Income. Interest from US Government securities2017-12-31$3,789
Income. Interest from corporate debt instruments2017-12-31$6,102
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$1,014,475
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$749,060
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$749,060
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$15,917
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$249,631
Asset value of US Government securities at end of year2017-12-31$0
Asset value of US Government securities at beginning of year2017-12-31$1,209,005
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$508,115
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$604,955
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$340,946
Asset. Corporate debt instrument preferred debt at end of year2017-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2017-12-31$1,578,994
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$2,943,991
Liabilities. Value of benefit claims payable at end of year2017-12-31$32,152
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$36,662
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$27,235,879
Aggregate carrying amount (costs) on sale of assets2017-12-31$26,951,276
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31BAKER TILLY VIRCHOW KRAUSE
Accountancy firm EIN2017-12-31390859910
2016 : RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$444,761
Total unrealized appreciation/depreciation of assets2016-12-31$444,761
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$94,124
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$102,851
Total income from all sources (including contributions)2016-12-31$816,617
Total loss/gain on sale of assets2016-12-31$15,938
Total of all expenses incurred2016-12-31$769,854
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$539,722
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$101,743
Value of total assets at end of year2016-12-31$10,045,819
Value of total assets at beginning of year2016-12-31$10,007,783
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$230,132
Total interest from all sources2016-12-31$74,613
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$179,562
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$5,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31Yes
Amount of non-exempt transactions with any party-in-interest2016-12-31$383,242
Contributions received from participants2016-12-31$95,242
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$35,943
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$21,880
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$57,462
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$68,159
Administrative expenses (other) incurred2016-12-31$230,132
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$46,763
Value of net assets at end of year (total assets less liabilities)2016-12-31$9,951,695
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$9,904,932
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$3,528,826
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$3,705,774
Interest earned on other investments2016-12-31$3,181
Income. Interest from US Government securities2016-12-31$27,343
Income. Interest from corporate debt instruments2016-12-31$41,976
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$749,060
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$887,895
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$887,895
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$2,113
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$354,955
Asset value of US Government securities at end of year2016-12-31$1,209,005
Asset value of US Government securities at beginning of year2016-12-31$1,093,874
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$6,501
Income. Dividends from common stock2016-12-31$179,562
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$184,767
Asset. Corporate debt instrument preferred debt at end of year2016-12-31$1,578,994
Asset. Corporate debt instrument preferred debt at beginning of year2016-12-31$1,242,258
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$2,943,991
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$3,056,102
Liabilities. Value of benefit claims payable at end of year2016-12-31$36,662
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$34,692
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$11,317,855
Aggregate carrying amount (costs) on sale of assets2016-12-31$11,301,917
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31BAKER TILLY VIRCHOW KRAUSE
Accountancy firm EIN2016-12-31390859910
2015 : RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-162,857
Total unrealized appreciation/depreciation of assets2015-12-31$-162,857
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$102,851
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$80,992
Total income from all sources (including contributions)2015-12-31$70,539
Total loss/gain on sale of assets2015-12-31$-110,106
Total of all expenses incurred2015-12-31$788,171
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$593,316
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$134,897
Value of total assets at end of year2015-12-31$10,007,783
Value of total assets at beginning of year2015-12-31$10,703,556
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$194,855
Total interest from all sources2015-12-31$78,019
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$130,586
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$122,234
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$21,880
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$24,240
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$68,159
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$62,199
Administrative expenses (other) incurred2015-12-31$194,855
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-717,632
Value of net assets at end of year (total assets less liabilities)2015-12-31$9,904,932
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$10,622,564
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$3,219,796
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$3,846,296
Interest earned on other investments2015-12-31$11,737
Income. Interest from US Government securities2015-12-31$30,423
Income. Interest from corporate debt instruments2015-12-31$35,491
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$887,895
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$1,209,369
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$1,209,369
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$368
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$275,826
Asset value of US Government securities at end of year2015-12-31$1,093,874
Asset value of US Government securities at beginning of year2015-12-31$1,365,188
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$12,663
Income. Dividends from common stock2015-12-31$130,586
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$317,490
Asset. Corporate debt instrument preferred debt at end of year2015-12-31$1,728,236
Asset. Corporate debt instrument preferred debt at beginning of year2015-12-31$1,057,072
Assets. Corporate common stocks other than exployer securities at end of year2015-12-31$3,056,102
Assets. Corporate common stocks other than exployer securities at beginning of year2015-12-31$3,201,391
Liabilities. Value of benefit claims payable at end of year2015-12-31$34,692
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$18,793
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$10,279,430
Aggregate carrying amount (costs) on sale of assets2015-12-31$10,389,536
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31BAKER TILLY VIRCHOW KRAUSE
Accountancy firm EIN2015-12-31390859910
2014 : RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$631,433
Total unrealized appreciation/depreciation of assets2014-12-31$631,433
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$80,992
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$81,858
Total income from all sources (including contributions)2014-12-31$1,081,868
Total loss/gain on sale of assets2014-12-31$134,728
Total of all expenses incurred2014-12-31$685,841
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$490,621
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$111,579
Value of total assets at end of year2014-12-31$10,703,556
Value of total assets at beginning of year2014-12-31$10,308,395
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$195,220
Total interest from all sources2014-12-31$71,632
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$130,768
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$35,433
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$111,579
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$24,240
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$24,055
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$62,199
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$37,291
Other income not declared elsewhere2014-12-31$1,728
Administrative expenses (other) incurred2014-12-31$85,694
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$396,027
Value of net assets at end of year (total assets less liabilities)2014-12-31$10,622,564
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$10,226,537
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$74,093
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$3,846,296
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$3,506,956
Interest earned on other investments2014-12-31$7,621
Income. Interest from US Government securities2014-12-31$27,154
Income. Interest from corporate debt instruments2014-12-31$36,479
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$1,209,369
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$1,119,625
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$1,119,625
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$378
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$309,129
Asset value of US Government securities at end of year2014-12-31$1,365,188
Asset value of US Government securities at beginning of year2014-12-31$1,088,113
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Income. Dividends from common stock2014-12-31$130,768
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$181,492
Asset. Corporate debt instrument preferred debt at end of year2014-12-31$1,057,072
Asset. Corporate debt instrument preferred debt at beginning of year2014-12-31$1,107,768
Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$3,201,391
Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$3,461,878
Liabilities. Value of benefit claims payable at end of year2014-12-31$18,793
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$44,567
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$9,332,838
Aggregate carrying amount (costs) on sale of assets2014-12-31$9,198,110
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31BAKE TILLY VIRCHOW KRAUSE
Accountancy firm EIN2014-12-31390859910
2013 : RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$1,143,907
Total unrealized appreciation/depreciation of assets2013-12-31$1,143,907
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$81,858
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$16,644
Total income from all sources (including contributions)2013-12-31$2,108,874
Total loss/gain on sale of assets2013-12-31$213,013
Total of all expenses incurred2013-12-31$652,744
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$549,738
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$547,487
Value of total assets at end of year2013-12-31$10,308,395
Value of total assets at beginning of year2013-12-31$8,787,051
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$103,006
Total interest from all sources2013-12-31$67,823
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$130,904
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$31,942
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$5,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$101,348
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$24,055
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$22,290
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$37,291
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$16,644
Other income not declared elsewhere2013-12-31$5,740
Administrative expenses (other) incurred2013-12-31$5,916
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$1,456,130
Value of net assets at end of year (total assets less liabilities)2013-12-31$10,226,537
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$8,770,407
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$65,148
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$3,506,956
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$1,215,621
Interest earned on other investments2013-12-31$11,583
Income. Interest from US Government securities2013-12-31$26,600
Income. Interest from corporate debt instruments2013-12-31$29,450
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$1,119,625
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$5,342,734
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$5,342,734
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$190
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$170,896
Asset value of US Government securities at end of year2013-12-31$1,088,113
Asset value of US Government securities at beginning of year2013-12-31$554,078
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$446,139
Income. Dividends from common stock2013-12-31$130,904
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$378,842
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$1,107,768
Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$466,684
Assets. Corporate common stocks other than exployer securities at end of year2013-12-31$3,461,878
Assets. Corporate common stocks other than exployer securities at beginning of year2013-12-31$1,185,644
Liabilities. Value of benefit claims payable at end of year2013-12-31$44,567
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$14,731,451
Aggregate carrying amount (costs) on sale of assets2013-12-31$14,518,438
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31BALER TILLY VIRCHOW KRAUSE
Accountancy firm EIN2013-12-31390859910
2012 : RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$182,564
Total unrealized appreciation/depreciation of assets2012-12-31$182,564
Total transfer of assets to this plan2012-12-31$4,524,238
Total transfer of assets from this plan2012-12-31$125,455
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$16,644
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$32,279
Total income from all sources (including contributions)2012-12-31$779,605
Total loss/gain on sale of assets2012-12-31$70,378
Total of all expenses incurred2012-12-31$554,920
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$480,844
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$424,009
Value of total assets at end of year2012-12-31$8,787,051
Value of total assets at beginning of year2012-12-31$4,179,218
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$74,076
Total interest from all sources2012-12-31$33,577
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$68,821
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$16,000
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$5,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$113,877
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$126,028
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$22,290
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$33,328
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$16,644
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$32,279
Other income not declared elsewhere2012-12-31$256
Administrative expenses (other) incurred2012-12-31$23,752
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$224,685
Value of net assets at end of year (total assets less liabilities)2012-12-31$8,770,407
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$4,146,939
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$34,324
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$1,215,621
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$1,239,819
Interest earned on other investments2012-12-31$1,748
Income. Interest from US Government securities2012-12-31$14,955
Income. Interest from corporate debt instruments2012-12-31$16,502
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$5,342,734
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$636,663
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$636,663
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$372
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$236,358
Asset value of US Government securities at end of year2012-12-31$554,078
Asset value of US Government securities at beginning of year2012-12-31$575,240
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$310,132
Income. Dividends from common stock2012-12-31$68,821
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$118,458
Asset. Corporate debt instrument preferred debt at end of year2012-12-31$466,684
Asset. Corporate debt instrument preferred debt at beginning of year2012-12-31$504,624
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2012-12-31$1,185,644
Assets. Corporate common stocks other than exployer securities at beginning of year2012-12-31$1,189,544
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$9,399,468
Aggregate carrying amount (costs) on sale of assets2012-12-31$9,329,090
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31PARENTEBEARD LLC
Accountancy firm EIN2012-12-31232932984
2011 : RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$11,390
Total unrealized appreciation/depreciation of assets2011-12-31$11,390
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$32,279
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$18,359
Total income from all sources (including contributions)2011-12-31$494,386
Total loss/gain on sale of assets2011-12-31$-1,709
Total of all expenses incurred2011-12-31$438,987
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$359,699
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$385,355
Value of total assets at end of year2011-12-31$4,179,218
Value of total assets at beginning of year2011-12-31$4,109,899
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$79,288
Total interest from all sources2011-12-31$35,804
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$63,546
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$108,845
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$7,751
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$33,328
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$53,078
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$32,279
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$18,359
Administrative expenses (other) incurred2011-12-31$44,232
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$55,399
Value of net assets at end of year (total assets less liabilities)2011-12-31$4,146,939
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$4,091,540
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$35,056
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$1,239,819
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$1,337,776
Interest earned on other investments2011-12-31$1,729
Income. Interest from US Government securities2011-12-31$18,209
Income. Interest from corporate debt instruments2011-12-31$15,847
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$636,663
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$467,321
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$467,321
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$19
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$10,443
Asset value of US Government securities at end of year2011-12-31$575,240
Asset value of US Government securities at beginning of year2011-12-31$631,276
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$276,510
Income. Dividends from common stock2011-12-31$63,546
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$341,505
Asset. Corporate debt instrument preferred debt at end of year2011-12-31$504,624
Asset. Corporate debt instrument preferred debt at beginning of year2011-12-31$414,999
Assets. Corporate common stocks other than exployer securities at end of year2011-12-31$1,189,544
Assets. Corporate common stocks other than exployer securities at beginning of year2011-12-31$1,205,449
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$3,924,726
Aggregate carrying amount (costs) on sale of assets2011-12-31$3,926,435
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31PARENTEBEARD LLC
Accountancy firm EIN2011-12-31232932984
2010 : RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$364,267
Total unrealized appreciation/depreciation of assets2010-12-31$364,267
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$18,359
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$95,991
Total income from all sources (including contributions)2010-12-31$1,071,659
Total loss/gain on sale of assets2010-12-31$29,056
Total of all expenses incurred2010-12-31$342,470
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$329,522
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$628,859
Value of total assets at end of year2010-12-31$4,109,899
Value of total assets at beginning of year2010-12-31$3,458,342
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$12,948
Total interest from all sources2010-12-31$22,781
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$26,696
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$5,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31Yes
Amount of non-exempt transactions with any party-in-interest2010-12-31$21,492
Contributions received from participants2010-12-31$95,111
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$79,711
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$53,078
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$21,577
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$18,359
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$95,991
Administrative expenses (other) incurred2010-12-31$1,482
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$729,189
Value of net assets at end of year (total assets less liabilities)2010-12-31$4,091,540
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$3,362,351
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$11,466
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$1,337,776
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$0
Interest earned on other investments2010-12-31$2,751
Income. Interest from US Government securities2010-12-31$8,887
Income. Interest from corporate debt instruments2010-12-31$6,997
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$467,321
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$3,436,765
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$3,436,765
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$4,146
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$154,379
Asset value of US Government securities at end of year2010-12-31$631,276
Asset value of US Government securities at beginning of year2010-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$533,748
Income. Dividends from common stock2010-12-31$26,696
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$95,432
Asset. Corporate debt instrument preferred debt at end of year2010-12-31$414,999
Asset. Corporate debt instrument preferred debt at beginning of year2010-12-31$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2010-12-31$1,205,449
Assets. Corporate common stocks other than exployer securities at beginning of year2010-12-31$0
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$1,162,121
Aggregate carrying amount (costs) on sale of assets2010-12-31$1,133,065
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31PARENTEBEARD LLC
Accountancy firm EIN2010-12-31232932984

Form 5500 Responses for RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES

2022: RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedYes
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: RETIREE MEDICAL & LIFE INSURANCE PLAN FOR CONSUMERS WATER EMPLOYEES 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLI960322
Policy instance 5
Insurance contract or identification numberFLI960322
Number of Individuals Covered1481
Insurance policy start date2022-07-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $14,958
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $199,437
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,958
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK971524
Policy instance 4
Insurance contract or identification numberOK971524
Number of Individuals Covered1481
Insurance policy start date2022-07-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $2,637
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $35,157
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,637
Insurance broker organization code?3
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number04866
Policy instance 3
Insurance contract or identification number04866
Number of Individuals Covered37
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $559
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $559
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30042708
Policy instance 2
Insurance contract or identification number30042708
Number of Individuals Covered2171
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $7,606
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $335,654
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,606
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0158478
Policy instance 1
Insurance contract or identification number0158478
Number of Individuals Covered26
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $951
Total amount of fees paid to insurance companyUSD $25
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,586
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $767
Insurance broker organization code?3
Amount paid for insurance broker fees25
Additional information about fees paid to insurance brokerNON-MONETARY AND SUPPLEMENTAL COMPENSATION
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number04866
Policy instance 3
Insurance contract or identification number04866
Number of Individuals Covered5075
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $95,179
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $95,179
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30042708
Policy instance 2
Insurance contract or identification number30042708
Number of Individuals Covered36
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $76
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,292
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $76
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0158478
Policy instance 1
Insurance contract or identification number0158478
Number of Individuals Covered17
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $575
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,586
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $575
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0158478
Policy instance 1
Insurance contract or identification number0158478
Number of Individuals Covered1853
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $55,310
Total amount of fees paid to insurance companyUSD $299
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $487,765
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $55,310
Amount paid for insurance broker fees299
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30042708
Policy instance 2
Insurance contract or identification number30042708
Number of Individuals Covered58
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,557
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,515
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,557
Insurance broker organization code?3
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number04866
Policy instance 3
Insurance contract or identification number04866
Number of Individuals Covered3577
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $71,090
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,421,809
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $71,090
Insurance broker organization code?3
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number04866
Policy instance 3
Insurance contract or identification number04866
Number of Individuals Covered35
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $809
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,186
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $809
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30042708
Policy instance 2
Insurance contract or identification number30042708
Number of Individuals Covered77
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $281
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,306
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $281
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0158478
Policy instance 1
Insurance contract or identification number0158478
Number of Individuals Covered1806
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $59,655
Total amount of fees paid to insurance companyUSD $4,067
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $468,288
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $59,655
Amount paid for insurance broker fees4067
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number04866
Policy instance 3
Insurance contract or identification number04866
Number of Individuals Covered42
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $847
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $16,932
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $847
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30042708
Policy instance 2
Insurance contract or identification number30042708
Number of Individuals Covered37
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $793
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0158478
Policy instance 1
Insurance contract or identification number0158478
Number of Individuals Covered219
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,981
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $6,548
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,981
Insurance broker organization code?3
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number04866
Policy instance 3
Insurance contract or identification number04866
Number of Individuals Covered28
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $744
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $17,167
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $744
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameCAPITAL MANAGEMENT ENTERPRISES, INC
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30042708
Policy instance 2
Insurance contract or identification number30042708
Number of Individuals Covered34
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $65
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $65
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameCAPITAL MANAGEMENT ENTERPRISES, INC
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0158478
Policy instance 1
Insurance contract or identification number0158478
Number of Individuals Covered182
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,092
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $5,641
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,092
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameCAPITAL MANAGEMENT ENTERPRISES, INC
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0158478
Policy instance 3
Insurance contract or identification number0158478
Number of Individuals Covered189
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $665
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $5,323
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $665
Insurance broker organization code?3
Insurance broker nameCAPITAL MANAGEMENT ENTERPRISES INC.
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number04866
Policy instance 1
Insurance contract or identification number04866
Number of Individuals Covered24
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $787
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $15,731
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $787
Insurance broker organization code?3
Insurance broker nameCAPITAL MANAGEMENT ENTERPRISES INC.
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30042708
Policy instance 2
Insurance contract or identification number30042708
Number of Individuals Covered37
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $65
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $65
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameCAPITAL MANAGEMENT ENTERPRISES INC.
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30042708
Policy instance 2
Insurance contract or identification number30042708
Number of Individuals Covered35
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $65
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $65
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameCAPITIAL MGMT. ENTERPRISES, INC.
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number147713
Policy instance 3
Insurance contract or identification number147713
Number of Individuals Covered178
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $470
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedA D & D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $5,130
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $470
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameCAPITAL MGMT. ENTERPRISES
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number04866
Policy instance 1
Insurance contract or identification number04866
Number of Individuals Covered23
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $721
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $14,440
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $721
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameCAPITAL MANAGEMENT ENTERPRISES INC.
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number04866
Policy instance 1
Insurance contract or identification number04866
Number of Individuals Covered20
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $945
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $18,898
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $945
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameCAPITAL MANAGEMENT ENTERPRISES INC.
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number04866
Policy instance 2
Insurance contract or identification number04866
Number of Individuals Covered20
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $945
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $18,898
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number147713
Policy instance 1
Insurance contract or identification number147713
Number of Individuals Covered166
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $7,212
Total amount of fees paid to insurance companyUSD $541
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $72,123
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number147713
Policy instance 2
Insurance contract or identification number147713
Number of Individuals Covered166
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $7,212
Total amount of fees paid to insurance companyUSD $541
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $72,123
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,212
Amount paid for insurance broker fees541
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION PAID
Insurance broker organization code?3
Insurance broker nameCAPITAL MANAGEMENT ENTERPRISES
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number42395
Policy instance 3
Insurance contract or identification number42395
Number of Individuals Covered30
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $4,226
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,226
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameEMERSON REID DBA TRA BENEFIT
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number4866
Policy instance 2
Insurance contract or identification number4866
Number of Individuals Covered19
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $483
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,686
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $483
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameCAPITAL MANAGEMENT ENTERPRISES INC.
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number147713
Policy instance 1
Insurance contract or identification number147713
Number of Individuals Covered168
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $475
Total amount of fees paid to insurance companyUSD $36
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $4,754
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $475
Amount paid for insurance broker fees36
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION PAID
Insurance broker organization code?3
Insurance broker nameCAPITAL MANAGEMENT ENTERPRISES
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number147713
Policy instance 1
Insurance contract or identification number147713
Number of Individuals Covered150
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $429
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $4,279
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number04866
Policy instance 2
Insurance contract or identification number04866
Number of Individuals Covered10
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $239
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,781
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number42395
Policy instance 3
Insurance contract or identification number42395
Number of Individuals Covered21
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $3,390
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number147713
Policy instance 1
Insurance contract or identification number147713
Number of Individuals Covered118
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $367
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $3,809
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number42395
Policy instance 2
Insurance contract or identification number42395
Number of Individuals Covered22
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $1,996
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract numberPA4866
Policy instance 3
Insurance contract or identification numberPA4866
Number of Individuals Covered11
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $270
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,377
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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