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PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 401k Plan overview

Plan NamePAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND
Plan identification number 501

PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND Benefits

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

401k Sponsoring company profile

PAINTERS & ALLIED TRADES DISTRICT COUNCIL NO. 21 has sponsored the creation of one or more 401k plans.

Company Name:PAINTERS & ALLIED TRADES DISTRICT COUNCIL NO. 21
Employer identification number (EIN):232481823
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-03-01MICHELE GEORGETTI ROBERT GRIFFITHS2018-09-13
5012017-03-01MICHELE GEORGETTI ROBERT GRIFFITHS2018-09-13
5012016-03-01MICHELE GEORGETTI ROBERT GRIFFITHS2017-12-14
5012015-03-01JOSEPH DOTZEL ROBERT GRIFFITHS2016-12-13
5012014-03-01JOSEPH DOTZEL JOHN GATTO2015-11-13
5012013-03-01JOSEPH DOTZEL JOHN GATTO2015-07-30
5012012-03-01JOHN GATTO2013-12-14
5012011-03-01JOSEPH DOTZEL JOHN GATTO2012-12-15
5012010-03-01JOSEPH DOTZEL JOHN GATTO2011-12-14
5012009-03-01JOSEPH DOTZEL JOHN GATTO2010-12-13
5012008-03-01
5012008-03-01

Plan Statistics for PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND

401k plan membership statisitcs for PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND

Measure Date Value
2018: PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-03-010
Total number of active participants reported on line 7a of the Form 55002018-03-010
Number of retired or separated participants receiving benefits2018-03-010
Total of all active and inactive participants2018-03-010
Total participants2018-03-010
Number of employers contributing to the scheme2018-03-010
2017: PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-03-01198
Total number of active participants reported on line 7a of the Form 55002017-03-010
Number of retired or separated participants receiving benefits2017-03-010
Total of all active and inactive participants2017-03-010
Total participants2017-03-010
Number of employers contributing to the scheme2017-03-0133
2016: PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-03-01212
Total number of active participants reported on line 7a of the Form 55002016-03-01188
Number of retired or separated participants receiving benefits2016-03-0110
Total of all active and inactive participants2016-03-01198
Total participants2016-03-01198
Number of employers contributing to the scheme2016-03-0149
2015: PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-03-01192
Total number of active participants reported on line 7a of the Form 55002015-03-01195
Number of retired or separated participants receiving benefits2015-03-0117
Total of all active and inactive participants2015-03-01212
Total participants2015-03-01212
Number of employers contributing to the scheme2015-03-0150
2014: PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-03-01186
Total number of active participants reported on line 7a of the Form 55002014-03-01172
Number of retired or separated participants receiving benefits2014-03-0120
Total of all active and inactive participants2014-03-01192
Total participants2014-03-01192
Number of employers contributing to the scheme2014-03-0145
2013: PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-03-01209
Total number of active participants reported on line 7a of the Form 55002013-03-01153
Number of retired or separated participants receiving benefits2013-03-0133
Total of all active and inactive participants2013-03-01186
Total participants2013-03-01186
Number of employers contributing to the scheme2013-03-0149
2012: PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-03-01250
Total number of active participants reported on line 7a of the Form 55002012-03-01172
Number of retired or separated participants receiving benefits2012-03-0137
Total of all active and inactive participants2012-03-01209
Total participants2012-03-01209
2011: PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-03-01262
Total number of active participants reported on line 7a of the Form 55002011-03-01211
Number of retired or separated participants receiving benefits2011-03-0139
Total of all active and inactive participants2011-03-01250
Total participants2011-03-01250
2010: PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 2010 401k membership
Total participants, beginning-of-year2010-03-01290
Total number of active participants reported on line 7a of the Form 55002010-03-01223
Number of retired or separated participants receiving benefits2010-03-0139
Total of all active and inactive participants2010-03-01262
Total participants2010-03-01262
2009: PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-03-01333
Total number of active participants reported on line 7a of the Form 55002009-03-01248
Number of retired or separated participants receiving benefits2009-03-0142
Total of all active and inactive participants2009-03-01290
Total participants2009-03-01290

Financial Data on PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND

Measure Date Value
2018 : PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 2018 401k financial data
Transfers to/from the plan2018-03-31$-214,831
Total income from all sources2018-03-31$0
Expenses. Total of all expenses incurred2018-03-31$42,738
Total plan assets at end of year2018-03-31$0
Total plan assets at beginning of year2018-03-31$257,569
Value of fidelity bond covering the plan2018-03-31$750,000
Net income (gross income less expenses)2018-03-31$-42,738
Net plan assets at end of year (total assets less liabilities)2018-03-31$0
Net plan assets at beginning of year (total assets less liabilities)2018-03-31$257,569
Expenses. Administrative service providers (salaries,fees and commissions)2018-03-31$42,738
Unrealized appreciation/depreciation of other (non real estate) assets2018-02-28$3,151
Total unrealized appreciation/depreciation of assets2018-02-28$3,151
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-02-28$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-02-28$209,130
Total income from all sources (including contributions)2018-02-28$361,295
Total loss/gain on sale of assets2018-02-28$26,584
Total of all expenses incurred2018-02-28$1,353,483
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-02-28$1,131,582
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-02-28$345,264
Value of total assets at end of year2018-02-28$257,569
Value of total assets at beginning of year2018-02-28$1,458,887
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-02-28$221,901
Total interest from all sources2018-02-28$3,981
Total dividends received (eg from common stock, registered investment company shares)2018-02-28$2,412
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-02-28Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2018-02-28$0
Total dividends received from registered investment company shares (eg mutual funds)2018-02-28$2,412
Administrative expenses professional fees incurred2018-02-28$97,630
Was this plan covered by a fidelity bond2018-02-28Yes
Value of fidelity bond cover2018-02-28$750,000
If this is an individual account plan, was there a blackout period2018-02-28No
Were there any nonexempt tranactions with any party-in-interest2018-02-28No
Contributions received from participants2018-02-28$9,837
Participant contributions at end of year2018-02-28$0
Participant contributions at beginning of year2018-02-28$15,757
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-02-28$4,923
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-02-28$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-02-28$158,148
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-02-28$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-02-28$146,944
Other income not declared elsewhere2018-02-28$1,236
Administrative expenses (other) incurred2018-02-28$11,619
Liabilities. Value of operating payables at end of year2018-02-28$0
Liabilities. Value of operating payables at beginning of year2018-02-28$25,167
Total non interest bearing cash at end of year2018-02-28$257,439
Total non interest bearing cash at beginning of year2018-02-28$315,631
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-02-28No
Value of net income/loss2018-02-28$-992,188
Value of net assets at end of year (total assets less liabilities)2018-02-28$257,569
Value of net assets at beginning of year (total assets less liabilities)2018-02-28$1,249,757
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2018-02-28No
Were any leases to which the plan was party in default or uncollectible2018-02-28No
Investment advisory and management fees2018-02-28$3,687
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-02-28$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-02-28$361,048
Income. Interest from US Government securities2018-02-28$69
Income. Interest from corporate debt instruments2018-02-28$2,706
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-02-28$130
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-02-28$100,959
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-02-28$100,959
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-02-28$1,206
Expenses. Payments to insurance carriers foe the provision of benefits2018-02-28$1,117,730
Asset value of US Government securities at end of year2018-02-28$0
Asset value of US Government securities at beginning of year2018-02-28$2,692
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-02-28$-21,333
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-02-28Yes
Was there a failure to transmit to the plan any participant contributions2018-02-28No
Has the plan failed to provide any benefit when due under the plan2018-02-28No
Contributions received in cash from employer2018-02-28$335,427
Employer contributions (assets) at end of year2018-02-28$0
Employer contributions (assets) at beginning of year2018-02-28$241,576
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-02-28$8,929
Asset. Corporate debt instrument debt (other) at end of year2018-02-28$0
Asset. Corporate debt instrument debt (other) at beginning of year2018-02-28$263,076
Contract administrator fees2018-02-28$108,965
Liabilities. Value of benefit claims payable at end of year2018-02-28$0
Liabilities. Value of benefit claims payable at beginning of year2018-02-28$37,019
Did the plan have assets held for investment2018-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-02-28No
Aggregate proceeds on sale of assets2018-02-28$1,303,101
Aggregate carrying amount (costs) on sale of assets2018-02-28$1,276,517
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-02-28No
Opinion of an independent qualified public accountant for this plan2018-02-28Unqualified
Accountancy firm name2018-02-28MATLOWSKI CORPORATION, P.C.
Accountancy firm EIN2018-02-28232937205
2017 : PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-02-28$-4,114
Total unrealized appreciation/depreciation of assets2017-02-28$-4,114
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-02-28$209,130
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-02-28$208,289
Total income from all sources (including contributions)2017-02-28$2,361,122
Total loss/gain on sale of assets2017-02-28$-55
Total of all expenses incurred2017-02-28$2,409,301
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-02-28$2,235,394
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-02-28$2,326,491
Value of total assets at end of year2017-02-28$1,458,887
Value of total assets at beginning of year2017-02-28$1,506,225
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-02-28$173,907
Total interest from all sources2017-02-28$5,122
Total dividends received (eg from common stock, registered investment company shares)2017-02-28$8,701
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2017-02-28$8,701
Administrative expenses professional fees incurred2017-02-28$48,869
Was this plan covered by a fidelity bond2017-02-28Yes
Value of fidelity bond cover2017-02-28$500,000
If this is an individual account plan, was there a blackout period2017-02-28No
Were there any nonexempt tranactions with any party-in-interest2017-02-28No
Contributions received from participants2017-02-28$40,792
Participant contributions at end of year2017-02-28$15,757
Participant contributions at beginning of year2017-02-28$19,364
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-02-28$43,206
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-02-28$158,148
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-02-28$147,615
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-02-28$146,944
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-02-28$167,112
Other income not declared elsewhere2017-02-28$1,926
Administrative expenses (other) incurred2017-02-28$15,456
Liabilities. Value of operating payables at end of year2017-02-28$25,167
Liabilities. Value of operating payables at beginning of year2017-02-28$4,628
Total non interest bearing cash at end of year2017-02-28$315,631
Total non interest bearing cash at beginning of year2017-02-28$380,509
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-02-28No
Value of net income/loss2017-02-28$-48,179
Value of net assets at end of year (total assets less liabilities)2017-02-28$1,249,757
Value of net assets at beginning of year (total assets less liabilities)2017-02-28$1,297,936
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2017-02-28No
Were any leases to which the plan was party in default or uncollectible2017-02-28No
Investment advisory and management fees2017-02-28$4,828
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-02-28$361,048
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-02-28$496,223
Income. Interest from US Government securities2017-02-28$151
Income. Interest from corporate debt instruments2017-02-28$4,683
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-02-28$100,959
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-02-28$200,670
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-02-28$200,670
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-02-28$288
Expenses. Payments to insurance carriers foe the provision of benefits2017-02-28$2,181,474
Asset value of US Government securities at end of year2017-02-28$2,692
Asset value of US Government securities at beginning of year2017-02-28$2,984
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-02-28$23,051
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-02-28Yes
Was there a failure to transmit to the plan any participant contributions2017-02-28No
Has the plan failed to provide any benefit when due under the plan2017-02-28No
Contributions received in cash from employer2017-02-28$2,285,699
Employer contributions (assets) at end of year2017-02-28$241,576
Employer contributions (assets) at beginning of year2017-02-28$258,860
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-02-28$10,714
Asset. Corporate debt instrument debt (other) at end of year2017-02-28$263,076
Contract administrator fees2017-02-28$104,754
Liabilities. Value of benefit claims payable at end of year2017-02-28$37,019
Liabilities. Value of benefit claims payable at beginning of year2017-02-28$36,549
Did the plan have assets held for investment2017-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-02-28No
Aggregate proceeds on sale of assets2017-02-28$148,252
Aggregate carrying amount (costs) on sale of assets2017-02-28$148,307
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-02-28No
Opinion of an independent qualified public accountant for this plan2017-02-28Unqualified
Accountancy firm name2017-02-28MATLOWSKI CORPORATION, P.C.
Accountancy firm EIN2017-02-28232937205
2016 : PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-02-29$-115
Total unrealized appreciation/depreciation of assets2016-02-29$-115
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-02-29$208,289
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-02-29$213,842
Total income from all sources (including contributions)2016-02-29$2,630,408
Total loss/gain on sale of assets2016-02-29$-1,321
Total of all expenses incurred2016-02-29$2,700,539
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-02-29$2,529,066
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-02-29$2,627,971
Value of total assets at end of year2016-02-29$1,506,225
Value of total assets at beginning of year2016-02-29$1,581,909
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-02-29$171,473
Total interest from all sources2016-02-29$839
Total dividends received (eg from common stock, registered investment company shares)2016-02-29$4,183
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-02-29No
Total dividends received from registered investment company shares (eg mutual funds)2016-02-29$4,183
Administrative expenses professional fees incurred2016-02-29$43,669
Was this plan covered by a fidelity bond2016-02-29Yes
Value of fidelity bond cover2016-02-29$500,000
If this is an individual account plan, was there a blackout period2016-02-29No
Were there any nonexempt tranactions with any party-in-interest2016-02-29No
Contributions received from participants2016-02-29$63,594
Participant contributions at end of year2016-02-29$19,364
Participant contributions at beginning of year2016-02-29$14,936
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-02-29$72,909
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-02-29$147,615
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-02-29$95,597
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-02-29$167,112
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-02-29$94,756
Administrative expenses (other) incurred2016-02-29$15,940
Liabilities. Value of operating payables at end of year2016-02-29$4,628
Liabilities. Value of operating payables at beginning of year2016-02-29$27,583
Total non interest bearing cash at end of year2016-02-29$380,509
Total non interest bearing cash at beginning of year2016-02-29$1,014,930
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-02-29No
Value of net income/loss2016-02-29$-70,131
Value of net assets at end of year (total assets less liabilities)2016-02-29$1,297,936
Value of net assets at beginning of year (total assets less liabilities)2016-02-29$1,368,067
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-02-29No
Were any loans by the plan or fixed income obligations due to the plan in default2016-02-29No
Were any leases to which the plan was party in default or uncollectible2016-02-29No
Investment advisory and management fees2016-02-29$2,634
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-02-29$496,223
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-02-29$192,405
Income. Interest from US Government securities2016-02-29$168
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-02-29$200,670
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-02-29$671
Expenses. Payments to insurance carriers foe the provision of benefits2016-02-29$2,438,764
Asset value of US Government securities at end of year2016-02-29$2,984
Asset value of US Government securities at beginning of year2016-02-29$3,839
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-02-29$-1,149
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-02-29Yes
Was there a failure to transmit to the plan any participant contributions2016-02-29No
Has the plan failed to provide any benefit when due under the plan2016-02-29No
Contributions received in cash from employer2016-02-29$2,564,377
Employer contributions (assets) at end of year2016-02-29$258,860
Employer contributions (assets) at beginning of year2016-02-29$260,202
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-02-29$17,393
Contract administrator fees2016-02-29$109,230
Liabilities. Value of benefit claims payable at end of year2016-02-29$36,549
Liabilities. Value of benefit claims payable at beginning of year2016-02-29$91,503
Did the plan have assets held for investment2016-02-29Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-02-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-02-29No
Aggregate proceeds on sale of assets2016-02-29$85,159
Aggregate carrying amount (costs) on sale of assets2016-02-29$86,480
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-02-29No
Opinion of an independent qualified public accountant for this plan2016-02-29Unqualified
Accountancy firm name2016-02-29MATLOWSKI CORPORATION, P.C.
Accountancy firm EIN2016-02-29232937205
2015 : PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-02-28$21
Total unrealized appreciation/depreciation of assets2015-02-28$21
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-02-28$213,842
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-02-28$87,512
Total income from all sources (including contributions)2015-02-28$2,548,607
Total loss/gain on sale of assets2015-02-28$0
Total of all expenses incurred2015-02-28$2,091,616
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-02-28$1,939,640
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-02-28$2,523,882
Value of total assets at end of year2015-02-28$1,581,909
Value of total assets at beginning of year2015-02-28$998,588
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-02-28$151,976
Total interest from all sources2015-02-28$221
Total dividends received (eg from common stock, registered investment company shares)2015-02-28$3,466
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2015-02-28$3,466
Administrative expenses professional fees incurred2015-02-28$41,028
Was this plan covered by a fidelity bond2015-02-28Yes
Value of fidelity bond cover2015-02-28$500,000
If this is an individual account plan, was there a blackout period2015-02-28No
Were there any nonexempt tranactions with any party-in-interest2015-02-28No
Contributions received from participants2015-02-28$99,303
Participant contributions at end of year2015-02-28$14,936
Participant contributions at beginning of year2015-02-28$97,011
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-02-28$21,037
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-02-28$95,597
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-02-28$245,282
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-02-28$94,756
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-02-28$61,072
Other income not declared elsewhere2015-02-28$21,750
Administrative expenses (other) incurred2015-02-28$11,505
Liabilities. Value of operating payables at end of year2015-02-28$27,583
Liabilities. Value of operating payables at beginning of year2015-02-28$13,602
Total non interest bearing cash at end of year2015-02-28$1,014,930
Total non interest bearing cash at beginning of year2015-02-28$245,398
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-02-28No
Value of net income/loss2015-02-28$456,991
Value of net assets at end of year (total assets less liabilities)2015-02-28$1,368,067
Value of net assets at beginning of year (total assets less liabilities)2015-02-28$911,076
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2015-02-28No
Were any leases to which the plan was party in default or uncollectible2015-02-28No
Investment advisory and management fees2015-02-28$2,037
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-02-28$192,405
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-02-28$190,008
Income. Interest from US Government securities2015-02-28$221
Expenses. Payments to insurance carriers foe the provision of benefits2015-02-28$1,912,603
Asset value of US Government securities at end of year2015-02-28$3,839
Asset value of US Government securities at beginning of year2015-02-28$4,306
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-02-28$-733
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-02-28No
Was there a failure to transmit to the plan any participant contributions2015-02-28No
Has the plan failed to provide any benefit when due under the plan2015-02-28No
Contributions received in cash from employer2015-02-28$2,424,579
Employer contributions (assets) at end of year2015-02-28$260,202
Employer contributions (assets) at beginning of year2015-02-28$216,583
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-02-28$6,000
Contract administrator fees2015-02-28$97,406
Liabilities. Value of benefit claims payable at end of year2015-02-28$91,503
Liabilities. Value of benefit claims payable at beginning of year2015-02-28$12,838
Did the plan have assets held for investment2015-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-02-28No
Aggregate proceeds on sale of assets2015-02-28$488
Aggregate carrying amount (costs) on sale of assets2015-02-28$488
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-02-28No
Opinion of an independent qualified public accountant for this plan2015-02-28Unqualified
Accountancy firm name2015-02-28MATLOWSKI CORPORATION, P.C.
Accountancy firm EIN2015-02-28232937205
2014 : PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-02-28$-162
Total unrealized appreciation/depreciation of assets2014-02-28$-162
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-02-28$87,512
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-02-28$177,634
Total income from all sources (including contributions)2014-02-28$2,358,493
Total loss/gain on sale of assets2014-02-28$523
Total of all expenses incurred2014-02-28$2,323,480
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-02-28$2,186,134
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-02-28$2,338,741
Value of total assets at end of year2014-02-28$998,588
Value of total assets at beginning of year2014-02-28$1,053,697
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-02-28$137,346
Total interest from all sources2014-02-28$251
Total dividends received (eg from common stock, registered investment company shares)2014-02-28$3,600
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2014-02-28$3,600
Administrative expenses professional fees incurred2014-02-28$45,048
Was this plan covered by a fidelity bond2014-02-28Yes
Value of fidelity bond cover2014-02-28$500,000
If this is an individual account plan, was there a blackout period2014-02-28No
Were there any nonexempt tranactions with any party-in-interest2014-02-28No
Contributions received from participants2014-02-28$232,191
Participant contributions at end of year2014-02-28$97,011
Participant contributions at beginning of year2014-02-28$98,317
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-02-28$3,555
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-02-28$245,282
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-02-28$337,794
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-02-28$61,072
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-02-28$48,087
Other income not declared elsewhere2014-02-28$17,489
Administrative expenses (other) incurred2014-02-28$5,144
Liabilities. Value of operating payables at end of year2014-02-28$13,602
Liabilities. Value of operating payables at beginning of year2014-02-28$12,863
Total non interest bearing cash at end of year2014-02-28$245,398
Total non interest bearing cash at beginning of year2014-02-28$126,605
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-02-28No
Value of net income/loss2014-02-28$35,013
Value of net assets at end of year (total assets less liabilities)2014-02-28$911,076
Value of net assets at beginning of year (total assets less liabilities)2014-02-28$876,063
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2014-02-28No
Were any leases to which the plan was party in default or uncollectible2014-02-28No
Investment advisory and management fees2014-02-28$2,625
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-02-28$190,008
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-02-28$287,825
Income. Interest from US Government securities2014-02-28$251
Expenses. Payments to insurance carriers foe the provision of benefits2014-02-28$2,178,829
Asset value of US Government securities at end of year2014-02-28$4,306
Asset value of US Government securities at beginning of year2014-02-28$5,087
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-02-28$-1,949
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-02-28Yes
Was there a failure to transmit to the plan any participant contributions2014-02-28No
Has the plan failed to provide any benefit when due under the plan2014-02-28No
Contributions received in cash from employer2014-02-28$2,106,550
Employer contributions (assets) at end of year2014-02-28$216,583
Employer contributions (assets) at beginning of year2014-02-28$198,069
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-02-28$3,750
Contract administrator fees2014-02-28$84,529
Liabilities. Value of benefit claims payable at end of year2014-02-28$12,838
Liabilities. Value of benefit claims payable at beginning of year2014-02-28$116,684
Did the plan have assets held for investment2014-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-02-28No
Aggregate proceeds on sale of assets2014-02-28$100,619
Aggregate carrying amount (costs) on sale of assets2014-02-28$100,096
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-02-28No
Opinion of an independent qualified public accountant for this plan2014-02-28Unqualified
Accountancy firm name2014-02-28MATLOWSKI CORPORATION, P.C.
Accountancy firm EIN2014-02-28232937205
2013 : PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-02-28$-48
Total unrealized appreciation/depreciation of assets2013-02-28$-48
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-02-28$177,634
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-02-28$143,640
Total income from all sources (including contributions)2013-02-28$2,375,578
Total loss/gain on sale of assets2013-02-28$0
Total of all expenses incurred2013-02-28$2,592,674
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-02-28$2,453,989
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-02-28$2,367,563
Value of total assets at end of year2013-02-28$1,053,697
Value of total assets at beginning of year2013-02-28$1,236,799
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-02-28$138,685
Total interest from all sources2013-02-28$297
Total dividends received (eg from common stock, registered investment company shares)2013-02-28$6,922
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2013-02-28$6,922
Administrative expenses professional fees incurred2013-02-28$44,517
Was this plan covered by a fidelity bond2013-02-28Yes
Value of fidelity bond cover2013-02-28$500,000
If this is an individual account plan, was there a blackout period2013-02-28No
Were there any nonexempt tranactions with any party-in-interest2013-02-28No
Contributions received from participants2013-02-28$253,782
Participant contributions at end of year2013-02-28$98,317
Participant contributions at beginning of year2013-02-28$95,732
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-02-28$35,811
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-02-28$337,794
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-02-28$175,323
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-02-28$48,087
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-02-28$86,334
Administrative expenses (other) incurred2013-02-28$10,047
Liabilities. Value of operating payables at end of year2013-02-28$12,863
Liabilities. Value of operating payables at beginning of year2013-02-28$11,113
Total non interest bearing cash at end of year2013-02-28$126,605
Total non interest bearing cash at beginning of year2013-02-28$331,476
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-02-28No
Value of net income/loss2013-02-28$-217,096
Value of net assets at end of year (total assets less liabilities)2013-02-28$876,063
Value of net assets at beginning of year (total assets less liabilities)2013-02-28$1,093,159
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2013-02-28No
Were any leases to which the plan was party in default or uncollectible2013-02-28No
Investment advisory and management fees2013-02-28$2,764
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-02-28$282,235
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-02-28$275,033
Income. Interest from US Government securities2013-02-28$296
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-02-28$5,590
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-02-28$6,001
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-02-28$6,001
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-02-28$1
Expenses. Payments to insurance carriers foe the provision of benefits2013-02-28$2,413,428
Asset value of US Government securities at end of year2013-02-28$5,087
Asset value of US Government securities at beginning of year2013-02-28$5,872
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-02-28$844
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-02-28No
Was there a failure to transmit to the plan any participant contributions2013-02-28No
Has the plan failed to provide any benefit when due under the plan2013-02-28No
Contributions received in cash from employer2013-02-28$2,113,781
Employer contributions (assets) at end of year2013-02-28$198,069
Employer contributions (assets) at beginning of year2013-02-28$347,362
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-02-28$4,750
Contract administrator fees2013-02-28$81,357
Liabilities. Value of benefit claims payable at end of year2013-02-28$116,684
Liabilities. Value of benefit claims payable at beginning of year2013-02-28$46,193
Did the plan have assets held for investment2013-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-02-28No
Aggregate proceeds on sale of assets2013-02-28$737
Aggregate carrying amount (costs) on sale of assets2013-02-28$737
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-02-28No
Opinion of an independent qualified public accountant for this plan2013-02-28Unqualified
Accountancy firm name2013-02-28MATLOWSKI CORPORATION, P.C.
Accountancy firm EIN2013-02-28232937205
2012 : PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-02-29$-74
Total unrealized appreciation/depreciation of assets2012-02-29$-74
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-02-29$143,640
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-02-29$146,007
Total income from all sources (including contributions)2012-02-29$2,737,826
Total loss/gain on sale of assets2012-02-29$0
Total of all expenses incurred2012-02-29$2,797,439
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-02-29$2,663,734
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-02-29$2,729,836
Value of total assets at end of year2012-02-29$1,236,799
Value of total assets at beginning of year2012-02-29$1,298,779
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-02-29$133,705
Total interest from all sources2012-02-29$352
Total dividends received (eg from common stock, registered investment company shares)2012-02-29$7,033
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-02-29No
Total dividends received from registered investment company shares (eg mutual funds)2012-02-29$7,033
Administrative expenses professional fees incurred2012-02-29$44,406
Was this plan covered by a fidelity bond2012-02-29Yes
Value of fidelity bond cover2012-02-29$500,000
If this is an individual account plan, was there a blackout period2012-02-29No
Were there any nonexempt tranactions with any party-in-interest2012-02-29No
Contributions received from participants2012-02-29$226,899
Participant contributions at end of year2012-02-29$95,732
Participant contributions at beginning of year2012-02-29$107,447
Income. Received or receivable in cash from other sources (including rollovers)2012-02-29$14,310
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-02-29$81,181
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-02-29$175,323
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-02-29$201,927
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-02-29$86,334
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-02-29$92,663
Administrative expenses (other) incurred2012-02-29$8,556
Liabilities. Value of operating payables at end of year2012-02-29$11,113
Liabilities. Value of operating payables at beginning of year2012-02-29$8,516
Total non interest bearing cash at end of year2012-02-29$331,476
Total non interest bearing cash at beginning of year2012-02-29$259,311
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-02-29No
Value of net income/loss2012-02-29$-59,613
Value of net assets at end of year (total assets less liabilities)2012-02-29$1,093,159
Value of net assets at beginning of year (total assets less liabilities)2012-02-29$1,152,772
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-02-29No
Were any loans by the plan or fixed income obligations due to the plan in default2012-02-29No
Were any leases to which the plan was party in default or uncollectible2012-02-29No
Investment advisory and management fees2012-02-29$2,292
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-02-29$275,033
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-02-29$266,721
Income. Interest from US Government securities2012-02-29$351
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-02-29$6,001
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-02-29$10,646
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-02-29$10,646
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-02-29$1
Expenses. Payments to insurance carriers foe the provision of benefits2012-02-29$2,575,553
Asset value of US Government securities at end of year2012-02-29$5,872
Asset value of US Government securities at beginning of year2012-02-29$7,354
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-02-29$679
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-02-29No
Was there a failure to transmit to the plan any participant contributions2012-02-29No
Has the plan failed to provide any benefit when due under the plan2012-02-29No
Contributions received in cash from employer2012-02-29$2,488,627
Employer contributions (assets) at end of year2012-02-29$347,362
Employer contributions (assets) at beginning of year2012-02-29$445,373
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-02-29$7,000
Contract administrator fees2012-02-29$78,451
Liabilities. Value of benefit claims payable at end of year2012-02-29$46,193
Liabilities. Value of benefit claims payable at beginning of year2012-02-29$44,828
Did the plan have assets held for investment2012-02-29Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-02-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-02-29No
Aggregate proceeds on sale of assets2012-02-29$1,408
Aggregate carrying amount (costs) on sale of assets2012-02-29$1,408
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-02-29No
Opinion of an independent qualified public accountant for this plan2012-02-29Unqualified
Accountancy firm name2012-02-29MATLOWSKI CORPORATION, P.C.
Accountancy firm EIN2012-02-29232937205
2011 : PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-02-28$10,786
Total unrealized appreciation/depreciation of assets2011-02-28$10,786
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-02-28$146,007
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-02-28$177,763
Total income from all sources (including contributions)2011-02-28$2,575,119
Total loss/gain on sale of assets2011-02-28$-13,028
Total of all expenses incurred2011-02-28$2,769,023
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-02-28$2,587,733
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-02-28$2,566,821
Value of total assets at end of year2011-02-28$1,298,779
Value of total assets at beginning of year2011-02-28$1,524,439
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-02-28$181,290
Total interest from all sources2011-02-28$2,798
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-02-28No
Administrative expenses professional fees incurred2011-02-28$52,980
Was this plan covered by a fidelity bond2011-02-28Yes
Value of fidelity bond cover2011-02-28$500,000
If this is an individual account plan, was there a blackout period2011-02-28No
Were there any nonexempt tranactions with any party-in-interest2011-02-28No
Contributions received from participants2011-02-28$270,529
Participant contributions at end of year2011-02-28$107,447
Participant contributions at beginning of year2011-02-28$105,698
Income. Received or receivable in cash from other sources (including rollovers)2011-02-28$111,747
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-02-28$25,444
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-02-28$201,927
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-02-28$239,336
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-02-28$92,663
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-02-28$71,933
Administrative expenses (other) incurred2011-02-28$45,622
Liabilities. Value of operating payables at end of year2011-02-28$8,516
Liabilities. Value of operating payables at beginning of year2011-02-28$17,777
Total non interest bearing cash at end of year2011-02-28$259,311
Total non interest bearing cash at beginning of year2011-02-28$89,918
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-02-28No
Value of net income/loss2011-02-28$-193,904
Value of net assets at end of year (total assets less liabilities)2011-02-28$1,152,772
Value of net assets at beginning of year (total assets less liabilities)2011-02-28$1,346,676
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2011-02-28No
Were any leases to which the plan was party in default or uncollectible2011-02-28No
Investment advisory and management fees2011-02-28$2,078
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-02-28$266,721
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-02-28$614,699
Income. Interest from US Government securities2011-02-28$457
Income. Interest from corporate debt instruments2011-02-28$2,340
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-02-28$10,646
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-02-28$103,030
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-02-28$103,030
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-02-28$1
Expenses. Payments to insurance carriers foe the provision of benefits2011-02-28$2,557,253
Asset value of US Government securities at end of year2011-02-28$7,354
Asset value of US Government securities at beginning of year2011-02-28$8,030
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-02-28$7,742
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-02-28Yes
Was there a failure to transmit to the plan any participant contributions2011-02-28No
Has the plan failed to provide any benefit when due under the plan2011-02-28No
Contributions received in cash from employer2011-02-28$2,184,545
Employer contributions (assets) at end of year2011-02-28$445,373
Employer contributions (assets) at beginning of year2011-02-28$311,490
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-02-28$5,036
Asset. Corporate debt instrument debt (other) at beginning of year2011-02-28$52,238
Contract administrator fees2011-02-28$80,610
Liabilities. Value of benefit claims payable at end of year2011-02-28$44,828
Liabilities. Value of benefit claims payable at beginning of year2011-02-28$88,053
Did the plan have assets held for investment2011-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-02-28No
Aggregate proceeds on sale of assets2011-02-28$606,924
Aggregate carrying amount (costs) on sale of assets2011-02-28$619,952
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-02-28No
Opinion of an independent qualified public accountant for this plan2011-02-28Unqualified
Accountancy firm name2011-02-28MATLOWSKI CORPORATION, P.C.
Accountancy firm EIN2011-02-28232937205

Form 5500 Responses for PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND

2018: PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 2018 form 5500 responses
2018-03-01Type of plan entityMulti-employer plan
2018-03-01Submission has been amendedNo
2018-03-01This submission is the final filingYes
2018-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-03-01Plan is a collectively bargained planYes
2018-03-01Plan funding arrangement – TrustYes
2018-03-01Plan benefit arrangement - TrustYes
2017: PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 2017 form 5500 responses
2017-03-01Type of plan entityMulti-employer plan
2017-03-01Submission has been amendedNo
2017-03-01This submission is the final filingNo
2017-03-01This return/report is a short plan year return/report (less than 12 months)No
2017-03-01Plan is a collectively bargained planYes
2017-03-01Plan funding arrangement – TrustYes
2017-03-01Plan benefit arrangement – InsuranceYes
2017-03-01Plan benefit arrangement - TrustYes
2016: PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 2016 form 5500 responses
2016-03-01Type of plan entityMulti-employer plan
2016-03-01Submission has been amendedNo
2016-03-01This submission is the final filingNo
2016-03-01This return/report is a short plan year return/report (less than 12 months)No
2016-03-01Plan is a collectively bargained planYes
2016-03-01Plan funding arrangement – TrustYes
2016-03-01Plan benefit arrangement – InsuranceYes
2016-03-01Plan benefit arrangement - TrustYes
2015: PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 2015 form 5500 responses
2015-03-01Type of plan entityMulti-employer plan
2015-03-01Submission has been amendedNo
2015-03-01This submission is the final filingNo
2015-03-01This return/report is a short plan year return/report (less than 12 months)No
2015-03-01Plan is a collectively bargained planYes
2015-03-01Plan funding arrangement – TrustYes
2015-03-01Plan benefit arrangement – InsuranceYes
2015-03-01Plan benefit arrangement - TrustYes
2014: PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 2014 form 5500 responses
2014-03-01Type of plan entityMulti-employer plan
2014-03-01Submission has been amendedNo
2014-03-01This submission is the final filingNo
2014-03-01This return/report is a short plan year return/report (less than 12 months)No
2014-03-01Plan is a collectively bargained planYes
2014-03-01Plan funding arrangement – TrustYes
2014-03-01Plan benefit arrangement – InsuranceYes
2014-03-01Plan benefit arrangement - TrustYes
2013: PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 2013 form 5500 responses
2013-03-01Type of plan entityMulti-employer plan
2013-03-01Submission has been amendedYes
2013-03-01This submission is the final filingNo
2013-03-01This return/report is a short plan year return/report (less than 12 months)No
2013-03-01Plan is a collectively bargained planYes
2013-03-01Plan funding arrangement – TrustYes
2013-03-01Plan benefit arrangement – InsuranceYes
2013-03-01Plan benefit arrangement - TrustYes
2012: PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 2012 form 5500 responses
2012-03-01Type of plan entityMulitple employer plan
2012-03-01Submission has been amendedNo
2012-03-01This submission is the final filingNo
2012-03-01This return/report is a short plan year return/report (less than 12 months)No
2012-03-01Plan is a collectively bargained planYes
2012-03-01Plan funding arrangement – TrustYes
2012-03-01Plan benefit arrangement – InsuranceYes
2012-03-01Plan benefit arrangement - TrustYes
2011: PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 2011 form 5500 responses
2011-03-01Type of plan entityMulitple employer plan
2011-03-01Submission has been amendedNo
2011-03-01This submission is the final filingNo
2011-03-01This return/report is a short plan year return/report (less than 12 months)No
2011-03-01Plan is a collectively bargained planYes
2011-03-01Plan funding arrangement – TrustYes
2011-03-01Plan benefit arrangement – InsuranceYes
2011-03-01Plan benefit arrangement - TrustYes
2010: PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 2010 form 5500 responses
2010-03-01Type of plan entityMulitple employer plan
2010-03-01Submission has been amendedNo
2010-03-01This submission is the final filingNo
2010-03-01This return/report is a short plan year return/report (less than 12 months)No
2010-03-01Plan is a collectively bargained planYes
2010-03-01Plan funding arrangement – TrustYes
2010-03-01Plan benefit arrangement – InsuranceYes
2010-03-01Plan benefit arrangement - TrustYes
2009: PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 2009 form 5500 responses
2009-03-01Type of plan entityMulitple employer plan
2009-03-01Submission has been amendedNo
2009-03-01This submission is the final filingNo
2009-03-01This return/report is a short plan year return/report (less than 12 months)No
2009-03-01Plan is a collectively bargained planYes
2009-03-01Plan funding arrangement – TrustYes
2009-03-01Plan benefit arrangement – InsuranceYes
2009-03-01Plan benefit arrangement - TrustYes
2008: PAINTERS DISTRICT COUNCIL NO. 71 HEALTH AND WELFARE FUND 2008 form 5500 responses
2008-03-01Type of plan entityMulitple employer plan
2008-03-01Submission has been amendedNo
2008-03-01This submission is the final filingNo
2008-03-01This return/report is a short plan year return/report (less than 12 months)No
2008-03-01Plan is a collectively bargained planYes

Insurance Providers Used on plan

VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number2724
Policy instance 4
Insurance contract or identification number2724
Number of Individuals Covered137
Insurance policy start date2017-03-01
Insurance policy end date2017-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare 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
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number00393
Policy instance 3
Insurance contract or identification number00393
Number of Individuals Covered144
Insurance policy start date2017-01-01
Insurance policy end date2017-10-31
Total amount of commissions paid to insurance brokerUSD $297
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $297
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameDELAWARE VALLEY HEALTH CARE COAL.
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number116613
Policy instance 2
Insurance contract or identification number116613
Number of Individuals Covered152
Insurance policy start date2016-06-01
Insurance policy end date2017-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,549,812
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG2876 / C4164
Policy instance 1
Insurance contract or identification numberG2876 / C4164
Number of Individuals Covered156
Insurance policy start date2016-05-01
Insurance policy end date2017-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 $26,504
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number2724
Policy instance 4
Insurance contract or identification number2724
Number of Individuals Covered189
Insurance policy start date2015-03-01
Insurance policy end date2016-02-29
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare 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
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number0393
Policy instance 3
Insurance contract or identification number0393
Number of Individuals Covered190
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $410
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $410
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameDELAWARE VALLEY HEALTH CARE COAL.
BLUE CROSS OF NORTHEASTERN PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 60147 )
Policy contract number15176 / 51188
Policy instance 2
Insurance contract or identification number15176 / 51188
Number of Individuals Covered182
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG2876 / C4164
Policy instance 1
Insurance contract or identification numberG2876 / C4164
Number of Individuals Covered191
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 $36,283
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number2724
Policy instance 4
Insurance contract or identification number2724
Number of Individuals Covered164
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare 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
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG2876 / C4164
Policy instance 1
Insurance contract or identification numberG2876 / C4164
Number of Individuals Covered180
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 $47,587
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS OF NORTHEASTERN PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 60147 )
Policy contract number15176 / 51188
Policy instance 2
Insurance contract or identification number15176 / 51188
Number of Individuals Covered136
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
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 number0393
Policy instance 3
Insurance contract or identification number0393
Number of Individuals Covered165
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $380
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $380
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameDELAWARE VALLEY HEALTH CARE COAL.
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG2876 / C4164
Policy instance 1
Insurance contract or identification numberG2876 / C4164
Number of Individuals Covered208
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 $53,402
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS OF NORTHEASTERN PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 60147 )
Policy contract number15176 / 51188
Policy instance 2
Insurance contract or identification number15176 / 51188
Number of Individuals Covered169
Insurance policy start date2012-06-01
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
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 number0393
Policy instance 3
Insurance contract or identification number0393
Number of Individuals Covered158
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $426
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number2724
Policy instance 4
Insurance contract or identification number2724
Number of Individuals Covered163
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare 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
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number0393
Policy instance 2
Insurance contract or identification number0393
Number of Individuals Covered158
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $426
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $426
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameDELAWARE VALLEY HEALTH CARE COAL.
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG2876 / C4164
Policy instance 4
Insurance contract or identification numberG2876 / C4164
Number of Individuals Covered208
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 $53,402
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS OF NORTHEASTERN PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 60147 )
Policy contract number15176 / 51188
Policy instance 3
Insurance contract or identification number15176 / 51188
Number of Individuals Covered169
Insurance policy start date2012-06-01
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number2724
Policy instance 1
Insurance contract or identification number2724
Number of Individuals Covered163
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare 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
BLUE CROSS OF NORTHEASTERN PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 60147 )
Policy contract number15176 / 51188
Policy instance 2
Insurance contract or identification number15176 / 51188
Number of Individuals Covered207
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number0393
Policy instance 3
Insurance contract or identification number0393
Number of Individuals Covered188
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $0
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
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number2724
Policy instance 4
Insurance contract or identification number2724
Number of Individuals Covered199
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG2876 / C4164
Policy instance 1
Insurance contract or identification numberG2876 / C4164
Number of Individuals Covered235
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD & D
Welfare Benefit Premiums Paid to CarrierUSD $45,248
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG2876 / C4164
Policy instance 1
Insurance contract or identification numberG2876 / C4164
Number of Individuals Covered254
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD & D
Welfare Benefit Premiums Paid to CarrierUSD $47,283
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS OF NORTHEASTERN PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 60147 )
Policy contract number15176 / 51188
Policy instance 2
Insurance contract or identification number15176 / 51188
Number of Individuals Covered249
Insurance policy start date2010-06-01
Insurance policy end date2011-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number0393
Policy instance 3
Insurance contract or identification number0393
Number of Individuals Covered213
Insurance policy start date2011-03-01
Insurance policy end date2012-02-29
Total amount of commissions paid to insurance brokerUSD $0
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
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number2724
Policy instance 4
Insurance contract or identification number2724
Number of Individuals Covered220
Insurance policy start date2011-03-01
Insurance policy end date2012-02-29
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number2724
Policy instance 4
Insurance contract or identification number2724
Number of Individuals Covered221
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 number0393
Policy instance 3
Insurance contract or identification number0393
Number of Individuals Covered217
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Total amount of commissions paid to insurance brokerUSD $0
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
BLUE CROSS OF NORTHEASTERN PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 60147 )
Policy contract number15163 / 51188
Policy instance 2
Insurance contract or identification number15163 / 51188
Number of Individuals Covered276
Insurance policy start date2009-06-01
Insurance policy end date2010-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG2876 / C4164
Policy instance 1
Insurance contract or identification numberG2876 / C4164
Number of Individuals Covered279
Insurance policy start date2009-05-01
Insurance policy end date2010-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD & D
Welfare Benefit Premiums Paid to CarrierUSD $53,618
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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